Daily claims Recruiting Form

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Email*

example@example.com

Are you looking for Daily claims, CAT claims, or QA Review?*

Daily ClaimsCAT ClaimsDaily and CAT ClaimsDesk / QA Review

Desired Territory for Claims*

What estimating programs do you have experience working with?*

XactimateSymbilitySimsolOther

Do you have experience with any of these claims management systems?*

Virtual Claims Adjuster (VCA)File TrackXactAnalysisNone

How many years of property adjusting experience do you have?*

Less than 1 year1-3 years4-7 yearsOver 7 years

What is the highest level of education you have reached?*

None.High School / GEDSome CollegeCollege Degree

Have you ever worked as an employee of an insurance company?*

YesNo

If yes, what company and position?

Are you able to inspect 2-story roofs?*

YesNo

Do you have the required tools for field adjusting?*

What vehicle do you use for adjusting claims?*

Year/Make/Model

Adjuster Sign Up