General Adjuster Recruiting Form Step 1 of 3 - Page 1 0% Today's Date* MM slash DD slash YYYY (MM/DD/YYYY)What time zone are you located in?*Eastern (EST)Central (CST)Mountain (MST)Pacific (PST)AlaskaHawaiiYour Name* First Middle Last Suffix Business name (if applicable)Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Cell Phone*Email Address* Enter Email Confirm Email Date of Birth* MM slash DD slash YYYY Primary Language*EnglishSpanishFrenchChineseJapanesePortugueseArabicHindi-UrduBengaliItalianGermanRussianSwedishPolishPersianMalaysianTurkishDutchSwahiliTamilAdditional 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 specifyHow did you hear about TelaClaims?*LinkedinReferred by friendFound onlineInstructed by employerOtherOther 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*AlabamaAlaskaArizonaArkansasCaliforniaConnecticutDelawareFloridaGeorgiaHawaiiIdahoIndianaKentuckyLouisianaMaineMichiganMinnesotaMississippiMontanaNevadaNew HampshireNew MexicoNew YorkNorth CarolinaOklahomaOregonPuerto RicoRhode IslandSouth CarolinaTexasUtahVermontWashingtonWest VirginiaWyomingPrimary 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?*2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950Your General Adjuster Experience*Less than 10 Years10 to 15 Years15 to 25 Years25+ YearsLine of Business* Residential Property Commercial Property Flood Auto Liability (General or Product) Workers' Compensation Cyber Other Please list other insurance related lines of business*Approximate number of Residential property claims handled:*Never handled a claim1 to 100100 to 500501 to 15001500+Approximate number of Commercial property claims handled:*Never handled a claim1 to 100100 to 500501 to 10001000+Approximate number of Flood claims handled:*Never handled a claim1 to 100100 to 500501 to 10001000+Approximate number of Auto claims handled:*Never handled a claim1 to 100100 to 500501 to 10001000+Approximate number of Liability claims handled:*Never handled a claim1 to 100100 to 500501 to 10001000+Approximate number of Workers' Compensation claims handled:*Never handled a claim1 to 100100 to 500501 to 10001000+Approximate number of Cyber claims handled:*Never handled a claim1 to 100100 to 500501 to 10001000+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 handled investigative or liability-focused claims?* Yes – Residential Yes – Commercial Yes – Construction / Municipal Yes – Attorney-Represented Claims No Have you directly communicated with claimant or defense attorneys during a claim?* Frequently Occasionally Rarely Never Are you comfortable preparing reports that present findings and documentation only, without providing coverage recommendations?* Yes No Have you conducted or participated in recorded statements?* Yes – Lead interviewer Yes – Participated No Briefly describe your experience gathering RFIs, municipal records, construction documentation, or other investigative materials.*Can you provide a structured preliminary/unofficial report within 5–7 days of assignment?* Yes Depends on claim complexity No How far are you willing to travel for deployment opportunities?* County wide Statewide (Anywhere within my home state) Multi-state (Neighboring states) Nationwide Have you ever worked as a carrier staff adjuster?*NoYesList all carriers that you have worked for and in what position/role.*CarrierPosition/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?*YesNoDo you have a Juris Doctorate Degree?*YesNoBy 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 Select files Accepted file types: pdf, Max. file size: 25 MB, Max. files: 4. Please only upload your resume in PDF formatIs there any additional notes or clarifications you would like us to know? Δ
