Insurance Claims Specialist

Benefits Bonus based on performance Competitive salary Paid time off The Role We are looking for a Senior Restoration Estimator & Insurance Claims Specialist who combines field restoration expertise with deep knowledge of how insurance carriers operate. This is a player-coach role: you will inspect losses, write carrier-compliant estimates, manage the full claims lifecycle, and build the internal discipline that drives our scorecard performance and lead volume. If you have worked inside a carrier, as an Inside Technician or field adjuster, within a TPA network, or as a senior restoration professional who truly understands carrier QA systems and approval workflows. We want to talk to you. What You Will Do Claims & Carrier Compliance Own the full claims lifecycle from FNOL through final payment, meeting all carrier documentation, upload, and communication requirements Manage video documentation protocols for all mitigation assignments — training, QA, and upload verification Navigate carrier approval hierarchies: know when IT reviewer authorization is required versus adjuster approval, and ensure all approvals are documented in the carrier system before work begins Monitor open files daily to prevent upload delays that affect network ranking Interface with carrier Inside Technicians, desk and field adjusters, TPA representatives, and public adjusters on scope approvals, revisions, and disputes Estimating & Scoping Conduct on-site inspections for water, fire, mold, and storm losses — moisture readings, thermal imaging, photo documentation, full scope identification Prepare accurate, defensible Xactimate estimates that meet carrier standards and achieve strong pass-through rates Coordinate with the Paul Davis FAST estimating team and review output for carrier compliance before upload Prepare well-documented supplements with IICRC-justified rationale Team & Operations Mentor team members on inspection standards, estimating, documentation protocols, and carrier compliance workflows Establish internal QA checklists and peer review processes before any estimate is submitted Support project coordination from estimate approval through job completion Contribute to SOP development as we scale toward CAT program readiness What We Are Looking For Required 3–5 years of experience in restoration estimating, insurance claims management, or a carrier-side role (Inside Technician, field adjuster, TPA reviewer, or equivalent) Demonstrated knowledge of carrier vendor program operations: upload timelines, documentation requirements, QA review processes, field-reported issue (FRI) protocols, and performance scorecard metrics Proficiency in Xactimate (Level 2 or higher preferred) and experience managing estimates through carrier platforms such as Xactanalysis Ability to navigate and document carrier approval hierarchies in accordance with program requirements Knowledge of IICRC standards (S500, S520, S700) and ability to apply them in scope justification Valid Florida driver's license Bilingual English/Spanish strongly preferred Preferred Prior experience inside a carrier, TPA, or network management organization IICRC certifications (WRT, FSRT, AMRT, or similar) Familiarity with Paul Davis systems and FAST estimating Experience with multiple TPA programs and preferred vendor networks What We Offer Direct access to the Paul Davis national network, training programs, and FAST estimating support Career growth path toward Operations Manager or General Manager Small team, real decision-making authority, entrepreneurial environment Foundational role in a territory covering 1.2M+ residents in an active South Florida market Base salary $75,000–$95,000 based on experience, plus performance bonuses #J-18808-Ljbffr