Benefits:
Competitive salary
Dental insurance
Health insurance
Opportunity for advancement
Vision insurance
Position Overview:
We are seeking a detail-oriented and experienced File Reviewer to support our mitigation and reconstruction teams by ensuring the accuracy, completeness, and compliance of job files. The ideal candidate will have a strong background in insurance claim adjusting, with proven experience reviewing and negotiating insurance scopes related to property damage, water/fire mitigation, and reconstruction projects.
This role requires meticulous attention to documentation, excellent communication skills, and the ability to interpret and work with insurance carriers, adjusters, and project managers to align on scope and payment.
Key Responsibilities:
Review mitigation and reconstruction files for completeness, accuracy, and compliance with company and insurance standards.
Analyze insurance estimates (Xactimate and others), compare with company scope, and identify discrepancies or areas for adjustment.
Communicate and negotiate directly with insurance adjusters to reconcile scope differences and ensure fair claim settlements.
Verify that all required documentation (photos, moisture logs, estimates, contracts, invoices, COIs, etc.) is included and properly formatted in each file.
Track file status and updates in project management systems (e.g., DASH, PSA, XactAnalysis).
Collaborate with project managers, estimators, and field staff to resolve documentation or scope issues.
Provide feedback and training as needed to improve documentation and scope writing practices across the team.
Stay current on insurance carrier requirements, industry best practices, and regulatory compliance standards.
Qualifications:
3+ years of experience in property insurance adjusting, scope negotiation, or restoration industry file review.
Proficiency with Xactimate is required; experience with Symbility or other estimating platforms a plus.
Strong understanding of water/fire/mold mitigation and reconstruction processes and billing.
Familiarity with industry standards such as IICRC, insurance protocols, and pricing databases.
Excellent written and verbal communication skills, particularly when dealing with insurance carriers and internal stakeholders.
Highly organized with strong attention to detail and the ability to manage multiple files simultaneously.
Knowledge of documentation systems such as Encircle, DASH, PSA, XactAnalysis, or similar preferred.
Ability to work independently and meet deadlines consistently.