Employment Application Form

Employment Application

Fill the form below accurately indicating your potential and suitability for the job you are applying for.
JOB DESCRIPTION OVERVIEW

We have a job opening for a remote Licensed Insurance Service Representative . Must be a licensed representative holding an active property and casualty license. The target is to ensure excellent service standards, respond efficiently to customer inquiries and maintain high customer satiscation.
ROLES & RESPONSIBILITES

-Assist policyholders through in office, written correspondence and phone support

-Document specific details of call interaction: answering billing questions and taking payments, excellent phone etiquette, dedication to customer service and problem solving

-Access policy details to determine extenuating circumstances including but not limited to: providing coverage information and explanation, answer complex billing questions, process policy changes accurately and collect pertinent underwriting information to ensure the correct premium is assessed on the policy

-Build sustainable relationships and trust with policyholder accounts through open and interactive communication

-Navigate our internal computer system to look up customer information and update policies

-Ability to review, record and organize information from a variety of departments

-Maintains and tracks accurate data in various computer systems
APPLICANT INFORMATION
Name:*

First NameLast Name
Phone Number:*

Area CodePhone Number
E-mail Address:*
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Birth:*

MonthDayYear
Date
Are you bilingual?*

YESNO
Have you ever served in the military?*

YESNO
If yes, which branch:
How were you referred to us?*

EmployeeFriendInternet Job AdOther
Other (please specify):
Upload Resume:*

Upload a File

Cancelof
Employment Type*

Service RepresentativeSales TeamHybrid
Employment Type*
Inbound call availibility (Remote)*

Part-TimeFull-TimeFlexibleOther
INSURANCE EXPERIENCE
Have you ever worked with State Farm?*

YESNO
If Yes, years of experience:*
Which department did you work in?*

ServiceSalesBoth/Hybrid
What Licenses do you currently hold?*

P&CLife & HealthSecuritiesOther
State Farm Email *
example@example.com
REFERENCES

List two (2) professional references.
Reference 1
Name:*

First NameLast Name
Phone Number*

Area CodePhone Number
Email*
example@example.com
Years Known:*
Reference 2
Name:*

First NameLast Name
Phone Number*

Area CodePhone Number
Years Known:*
Should be Empty: