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First Name
Last Name
Email
Phone Number
Business Name
Where are you located?
Skill Set (check all that apply)
Catastrophe
Large Loss Residential
Large Loss Commercial
Total Loss
Mobile Home Claims
Hail Events
Sinkhole Claims
Flood Claims
Appraisals / RCV / ITV
Farm / Agriculture
Litigation
QA
Looking for field or desk work?
Field
Desk
Remote Desk
Preference (if applicable)
Field
Desk
Remote Desk
Have you worked with us before?
Yes
No
Willing to travel for CAT/Event work?
Yes
No
Do you own a company?
Yes
No
State Licenses (only list active licenses)
Total Years of Adjusting Experience
Years of Residential Field Experience
Years of Residential Desk Experience
Years of Commercial Field Experience
Years of Commercial Desk Experience
Years of Full Claims Handling Experience
Years of File Review/Examiner Experience
Supervisory Experience
Yes
No
Contract Requirement
Independent Contractor
Corporation/LLC
Employee
Prior Position(s)
Team lead
Supervisor
Desk adjusting CAT
Desk Adjusting Daily
Commercial Desk adjusting CAT
Commercial Desk Adjusting Daily
Escalations
Remote Estimating
Litigation
Large Loss
Commercial large loss
Appraisal
Claims Examiner
SIU
Contents
FNOL in Take
Customer Service
FEMA
Auto
Flood
Other
If you selected 'other' please elaborate here
Companies you worked with
USAA
Statefarm
Allstate
Citizens Property Insurance Corporation
Louisiana Citizens Property Insurance Corporation
Other
If you selected 'other' please elaborate here
Insurance Types
Property and Casualty
Commercial Property
Auto
Workers Compensation
Liabilty
Other
If you selected 'other' please elaborate here
How far are you willing to deploy?
Additional Information About Yourself
Bilingual
Yes
No
Xactimate Certifications
Level 1
Level 2
Level 3
Symbility Skills
1
2
3
4
5
Drone License
Yes
No
Xacnet Address (If Available)
Resume
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A Division of Inspection Depot, Inc. •
info@inspectiondepot.com
