"*" indicates required fields To submit your application, please complete the form below. Fields marked with a red asterisk * are required. When you have finished, click Submit at the bottom of this form.Position*Personal InformationName* First Last Email*Phone*format: ###-###-####Address* Street Address Address Line 2 City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Please upload your resume:*Max. file size: 512 MB. Have you ever worked claims for Bluegrass and/or Tower Hill Insurance?* Yes No UnsureDo you currently have an active adjuster license?* Yes NoLicense Number*Are you currently on any other vendor roster(s)?* Yes No UnsureWhat is your home state adjuster license?*AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingIn which states do you hold an ACTIVE license?* Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin WyomingIn which Division(s) are you interested?* Field Daily Claims Field CAT ClaimsIn which Division(s) are you interested?* Daily Claims CAT ClaimsHow much field estimating experience do you have?* None 1-2 years 3-4 years 5+ yearsHow much desk estimating experience do you have?* None 1-2 years 3-4 years 5+ yearsSoftware Estimating Experience* CoreLogic Xactimate Other estimating softwareYears of CoreLogic experience* 1-2 years 3-4 years 5+ yearsYears of Xactimate experience* 1-2 years 3-4 years 5+ yearsYears of other estimating software experience* 1-2 years 3-4 years 5+ yearsAdditional InformationYou can use the text area for a cover letter and any supplementary information you would like to provide about your career goals, availability, best times to contact you, etc.
