Restoration Estimator & Insurance Claims Specialist Hialeah

Restoration Estimator & Insurance Claims Specialist

Full Time • Hialeah
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



Compensation: $75,000.00 - $95,000.00 per year




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Some Potential Benefits May Include:

Because Paul Davis is a franchise organization, benefits vary based on franchisee.

Opportunity for Overtime
Paid Time Off
Opportunity for Advancement
Great Company Culture