Executive General Adjuster Recruiting Form

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Today's Date*
MM slash DD slash YYYY

(MM/DD/YYYY)
What time zone are you located in?*
Your Name*
First Middle Last Suffix
Business name (if applicable)
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Cell Phone*
Email Address*
Enter Email Confirm Email
Date of Birth*
MM slash DD slash YYYY
Primary Language*
Additional Languages Spoken
- English
- Spanish
- French
- Chinese
- Japanese
- Portuguese
- Arabic
- Hindi-Urdu
- Bengali
- Italian
- German
- Russian
- Swedish
- Polish
- Persian
- Malaysian
- Turkish
- Dutch
- Swahili
- Tamil
- Other
If you speak a language not listed above, please specify
How did you hear about TelaClaims?*
Other Source*
Have you been a member of The US Armed Forces?*
- Yes
- No
Have you ever worked for TelaClaims before?*
- Yes
- No
Please specify the time period, details, and position when you worked with us.*
Example: "I was a EGA in September 2024" or "I was a commercial adjuster for Hurricane Milton in October 2024"

Do you have an active adjusters license?*
- Yes
- No
Primary Adjuster Licensed State*
Primary Adjuster License Number*
Primary License Expiration Date (MM/YYYY)
Enter your NPN (National Producer Number)
Do you hold an adjuster's license in any additional states? If so, please select them below.
- Alabama
- Alaska
- Arizona
- Arkansas
- California
- Connecticut
- Delaware
- Florida
- Georgia
- Hawaii
- Idaho
- Indiana
- Kentucky
- Louisiana
- Maine
- Michigan
- Minnesota
- Mississippi
- Montana
- Nevada
- New Hampshire
- New Mexico
- New York
- North Carolina
- Oklahoma
- Oregon
- Puerto Rico
- Rhode Island
- South Carolina
- Texas
- Utah
- Vermont
- Washington
- West Virginia
- Wyoming
What year did your adjusting career begin?*
Your Executive General Adjuster Level*
Line of Business*
- Residential
- Commercial
- Flood
- Other
Please list other insurance related lines of business*
Approximate number of Residential property claims handled:*
Approximate number of Commercial property claims handled:*
Approximate number of Flood claims handled:*
Which complex claim types have you personally managed end-to-end?*
- Large Loss Commercial (> $1M)
- Builder’s Risk
- Business Interruption
- Habitational / HOA
- Condominium Master Policies
- Municipal / Educational Buildings
- Industrial Facilities
- Complex Fire Loss
- Catastrophic Water / Mold
- Litigation Support Cases
- Other
Which "Other" complex claim types have you personally managed end-to-end?*
Have you ever served as a carrier representative or SME in litigation or mediation?*
- Yes
- No
If yes, briefly describe your litigation or mediation experience:*
Are you comfortable writing formal coverage letters or denial justifications?*
- Yes
- No
Have you ever mentored or led a team of adjusters on deployment?*
- Yes
- No
If yes, describe your leadership responsibilities:

Have you ever worked as a carrier staff adjuster?*
List all carriers that you have worked for and in what position/role.*
Carrier Position/Role
What estimating software(s) are you proficient in?*
- Xactimate
- Symbility
- Audatex
- Mitchell
- CCC
- None of the above
- Other
Please specify "Other" estimating softwares you are proficient in.
Please list Microsoft Office applications you are proficient with:
- Microsoft Teams
- Word
- Excel
- Outlook
- None of the above
Do you have a CPCU Designation?*
Do you have a Juris Doctorate Degree?*
By selecting this box, you authorize TelaClaims Adjusting LLC to remit your information for a full background check and share your resume as needed.*
I agree to the privacy policy.
Your information may be shared with insurance carriers for possible job opportunities.
- By selecting this box, you authorize TelaClaims Adjusting LLC to send you emails regarding upcoming job opportunities and updates.
This is how we will stay in contact with you.
Please upload your current resume.*
Drop files here or

Accepted file types: pdf, Max. file size: 25 MB, Max. files: 4.
Please only upload your resume in PDF format
Is there any additional notes or clarifications you would like us to know?