Restoration Estimator & Insurance Claims Specialist

Paul Davis Restoration of Miami Beach and Hialeah FL

Restoration Estimator & Insurance Claims Specialist

Hialeah, FL
Full Time
Paid
  • Responsibilities

    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