CAT Field Adjuster
Job Application
Full Name
First Name
Last Name
Contact Number
Please enter a valid phone number.
Email Address
example@example.com
Date of Birth
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Day
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Year
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Experience
Which states do you hold an active adjuster license in?
*
Louisiana
Mississippi
Alabama
Georgia
Florida
Other
Which certifications do you hold?
*
Associate in Claims (AIC)
Chartered Property Casualty Underwriter (CPCU)
Associate in General Insurance (AINS)
Property & Casualty Adjuster License (State-Specific)
Workers' Compensation Adjuster License
Xactimate Certification
HAAG Certified Inspector
Other
How many years of experience do you have Residential claims?
*
Years
How many years of experience do you have in Commercial claims?
*
Years
How many years of experience do you have in Catastrophe claims?
*
Years
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Technological Proficiency
Do you have proficiency in Xactimate?
*
Yes
No
Do you have proficiency in Symbility?
*
Yes
No
Select the estimation technology below that you have experience with:
Drone inspections
Virtual inspection tools
Imaging software
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Career Development
In your own words, what are your professional development goals in the adjusting field?
*
Would you be interested in leadership opportunities or training programs?
*
Yes
No
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References & Background
Reference 1: Name
*
First Name
Last Name
Reference 1: Contact Number
*
Please enter a valid phone number.
Reference 1: Email Address
*
example@example.com
Reference 2: Name
*
First Name
Last Name
Reference 2: Contact Number
*
Please enter a valid phone number.
Reference 2: Email Address
*
example@example.com
Reference 3: Name
*
First Name
Last Name
Reference 3: Contact Number
*
Please enter a valid phone number.
Reference 3: Email Address
*
example@example.com
Have you ever been involved in a claim dispute or faced disciplinary action?
*
Yes
No
Are you willing to undergo a background check?
*
Yes
No
Submit
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