Roster Registration

Roster Registration

Please complete as much as possible, as this helps us greatly when searching for candidates for open assignments. This will take 3-5 minutes.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please select your Primary Adjusting Role:

Field Property AdjusterDesk AdjusterFile ReviewerWater Mitigation Specialist
Other Adjusting Roles you have experience with:

No Experience/Brand New AdjusterField Property AdjusterProperty Desk AdjusterAuto Desk AdjusterFile ReviewWater Mitigation SpecialistScope OnlyProperty AppraiserAuto Appraiser
Other Adjusting Roles you are interested in:

Field Property AdjusterProperty Desk AdjusterAuto Desk AdjusterFile ReviewWater Mitigation SpecialistScope OnlyProperty AppraiserAuto Appraiser
Please check all FIELD Property Adjusting experiences you have:

Wind/HailTheft/VandalismFire/SmokeCommercialLitigationFloodWaterIce/SnowHurricaneLarge LossECR Field PropertyProperty Appraisals
Total Adjusting Years of Experience:

New to Adjusting0-1 year1-3 years3-5 years5+ years
FIELD Property Adjusting Years of Experience:

New to Adjusting0-1 year1-3 years3-5 years5+ years
Number of FIELD Property claims handled in the last year:

Brand New - No ExperienceRide along experience but have not handled my own claimsLess than 50 claims51-100 claims100+ claims
Please check all the DESK Property Adjusting experiences you have:

Wind/HailWaterTheft/VandalismFire/SmokeHurricaneLiabilityCommercialContentsProperty Large LossLitigationSupplementsCollaborationsComplexFast PathECR Desk Property
Please check all the DESK Auto Experiences you have:

Bodily Injury/ComplexLitigationCommercialWaterAuto Total LossLiabilityWind/HailECR Desk Auto
What DESK positions are you interested in:

In-OfficeRemoteBoth In-Office or Remote Opportunities
DESK Property Adjusting Years of Experience:

No Experience0-1 year1-3 years3-5 years5+ years
DESK Auto Adjusting Years of Experience:

No Experience0-1 year1-3 years3-5 years5+ years
Water Mitigation Auditing Years of Experience:

No Experience0-1 year1-3 years3-5 years6+ years
File Review Years of Experience:

No Experience0-1 year1-3 years3-5 years5+ years
Collaboration Experience:

No ExperienceBeginnerModerteExpert
Property Scope Only/Ladder Assist Years of Experience:

No Experience0-1 year1-3 years3-5 years5+ years
Number of Scope Only/Ladder Assist claims handled in the last year:

No ExperienceRide along experience but have not handled my own claimsLess than 5051-100 claims100+ claims
Property Appraisal Years of Experience:

No Experience0-1 year1-3 years3-5 years5+ years
Number of Property Appraisals you have handled in the last year:

No ExperienceRide along experience but have not handled my own claimsLess than 5051-100 appraisals100+ appraisals
Auto Appraisal Years of Experience:

No Experience0-1 year1-3 years3-5 years5+ years
Number of Auto Appraisals you have handled in the last year:

No ExperienceRide along experience but have not handled my own claimsLess than 5051-100 appraisals100+ appraisals
Commercial Property Years of Experience:

No Experience0-1 year1-3 years3-5 years5+ years
Number of Commercial Property Claims you have handled in the last year:

No ExperienceRide along experience but have not handled my own claims0-25 claims25-75 claims75+ claims
What is the largest Commercial Property claim you have worked:

0-$500,000$500,000-$1M$1M-$2M$2M+
Flood Claims years of experience:

No Experience0-1 year1-3 years3-5 years5+ years
Number of Flood Claims you have handled in the last year:

No ExperienceRide along experience but have not handled my own claims0-25 claims26-50 claims51-100 claims100+ claims
ECR Property FIELD years of Experience:

No Experience0-1 year1-3 years3-5 years5+ years
ECR Property DESK years of Experience:

No Experience0-1 year1-3 years3-5 years5+ years
ECR Auto DESK years of Experience:

No Experience0-1 year1-3 years3-5 years5+ years
ECR Auto Field Appraisal years of experience:

No Experience0-1 years1-3 years3-5 years5+ years
Have you ever been a Staff Adjuster?

YesNo
If so, for how long were you a Staff Adjuster?

Less than 1 year1-2 years2+ years
For what carrier were you a Staff Adjuster:
Have you ever bee a Team Lead?

YesNo
If so, for how long were you a Team Lead?

Less than 1 year1-2 years2+ years
For what carrier were you a Team Lead:
What is your Daily Claims territory without milage allowance?
For example: 75 miles
Are you willing to climb a 2 story roof?

YesNo
How familiar are you using Xactimate:

No ExperienceSomewhat familiarVery familiar
XactNet Address:
How familiar are you using Symbility:

No ExperienceSomewhat familiarVery familiar
Symbility ID:
How familiar are you using Guidewire:

No ExperienceSomewhat familiarVery familiar
Are you ECR Property Certified?

YesNo
Are you ECR Auto Certified?

YesNo
Check all valid industry certifications:

NFIPHAAG CommercialHAAG ResidentialHAAG Wind DamageIICRC - WRTIICRC - AMRTXactimate Level 1Rope & HarnessIAUA UmpireP.L.A.N. UmpireIAUA AppraiserP.L.A.N. Appraiser
Home State or Designated Home State License:
Home State or Designated Home State License Number:
National Producer Number (NPN):
Do you have an active New York Adjusters License:

YesNo
Do you hold your own active California Adjusters License:

YesNo
Please check all the insurance carriers you have worked claims for:

AllstateHeritageUniversal North AmericaASI/ProgressiveFarmersMetLifeState FarmUPCAmerican FamilyAssurantLiberty Mutual/SafecoNationwideHippoFlorida CitizensUSAA
Please upload a current resume:

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