Candidate Position: |
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NOTE: All fields marked with
*
are required!
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First Name:
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*
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Middle Name:
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Last Name:
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*
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Email:
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*
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Date of Birth:
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*
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Phone# (Home):
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*
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Phone# (Mobile):
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*
Select carrier in order to receive deployment notifications and job opportunities.
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Fax:
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Address (Line 1):
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*
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Address (Line 2):
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City:
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*
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State/Province:
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*
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Zip:
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*
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XACTNETÂ Address:
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We highly recommend that you provide your XACTNET Address
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Education:
School Name is required where a degree is attained.
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References:
Phone and Relationship are required for all references.
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Adjuster Licenses:
*At least one license required.
License# and Expiration Date are required per license.
Enter N/A if not required by state
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Adjuster Certifications:
*Initial Cert Date is required for all selected Certifications.
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Adjuster Experience:
*Please select at least one line of adjusting and include years of experience
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Languages Spoken:
Please select at least one language.
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Software Skills:
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Adjuster Expertise:
Please select all Loss Types you have expertise with, and enter the # of claims for each line of business.
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CAT Address City:
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CAT Address State/Province:
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