SDA Claims Large Loss Roster Application - Field Adjusters Only
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Can You Pass A Criminal Background Check?
*
Yes
No
Are You A Licensed Independent Insurance Adjuster?
*
Yes
No
If Yes, How Many Non-Catastrophe Claims Have You Handled?
*
0 - 500
500 - 2500
2500+
Do You Have Experience Handling Commercial Roof Claims?
*
Yes
No
Are You A Haag Certified Inspector?
*
Yes
No
If No, Are You Willing to Become HAAG Certified?
*
Yes
No
Are You Willing to Travel Within the United States to Handle a Large Loss Assignment
*
Yes
No
Do You Have Experience Handling Commercial Claims?
*
Yes
No
If Yes, What is the Largest Sized Claim You Have Handled?
*
0 - 100,000
100,000 - 500,000
500,000 - 1,000,000
1,000,000+
Can You Provide Examples of Your Work Product?
*
Yes
No
On A Scale From 1 -5, Where Would You Rate Your Xactimate Skills?
*
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
On A Scale From 1 -5, Where Would You Rate Your Construction Knowledge?
*
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
What State Is Your Home State License?
*
List The States You Currently Hold An Active License In?
*
Can You Handle Daily Claims. if so, What Areas of the Country?
*
Do You Currently Have Any Specialty Training and/or Industry Certifications? If so, Which Ones?
*
Why Do You Feel You Would Would Be A Good Fit To Join The SDA Team?
Submit
Should be Empty: