Restoration Estimator & Insurance Claims Specialist
4 days ago
Miami
Job DescriptionBenefits: • Bonus based on performance, • Competitive salary 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 disputesEstimating & 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 rationaleTeam & 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, • 35 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 preferredPreferred, • 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 networksWhat 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