Allied American New Adjuster Application



Welcome to the Allied American Adjuster Application

Thank you for your interest in joining the Allied American team. We take pride in servicing some of the best clients in the industry, with a continuous focus on quality and service.

The completion of this form does not guarantee any open positions and does not in any way obligate Allied American. The information entered here will be kept secure and confidential in our Allied American Adjuster Database.

BASIC INFORMATION (RED = REQUIRED)
First Name
Middle Name
Last Name
NickName
Address
Suite or Apartment #
City
State
Zip
Email Address
Home Phone #
Mobile Phone #
Emergency Contact Name
Emergency Contact Phone #
Have you ever been a Public Adjuster?
If yes, PROVIDE DATE(S) AND LOCATION(S)
¿HABLAS ESPAÑOL?
PARLEZ-VOUS FRANÇAIS?
SOFTWARE EXPERIENCE (Please fill in relevant fields)
 
Xactimate
Xactanalysis
Symbility
Simsol
Version
Xactimate
Xactanalysis
Symbility
Simsol
User ID #
Xactimate
Xactanalysis
Symbility
Simsol
YEARS OF ADJUSTING EXPERIENCE
Boiler/Machinery
Casualty - Auto
Casualty - Examiner/Desk Adjuster
Casualty - General Liability
Casualty - Premises (Slip and Fall)
Casualty - Professional (E&O)
Construction Industry
Contents
Crop
Earthquake
Environmental
Executive General Adjuster
Flood - Commercial - Large
Flood - Commercial - Small
Flood - Examiner
Flood - Mobile Home
Flood RCBAP
Flood - Residential
Fraud / SIU Investigations
General Adjuster
Heavy Equipment
Home Inspections
Litigation
Property - Appraisal/Mediation
Property - Commercial
Property / Examiner/Desk Adjuster
Property - Fast Track
Property - Large Loss
Property - Residential
Sinkhole
ADJUSTER LICENSES
State
License #
Expiration Date
State
License #
Expiration Date
State
License #
Expiration Date
State
License #
Expiration Date
State
License #
Expiration Date
State
License #
Expiration Date
State
License #
Expiration Date
State
License #
Expiration Date
State
License #
Expiration Date
State
License #
Expiration Date
State
License #
Expiration Date
State
License #
Expiration Date
State
License #
Expiration Date
CERTIFICATIONS
CIFE Certified Ins Fraud Examiners
Citizens of Florida - Commercial
Citizens of Florida - Residential
Earthquake Commercial
Earthquake Residential
HAAG Certification
IBHS Fortified Home Evaluator
Nationwide Commercial
Nationwide Residential
Rope & Harness
Tower Hill - Residential
TWIA
Umpire Certifications
Xactimate Level Certifications
ROLE PREFERENCE
Adjuster
Examiner
Team Lead/Field Support
CLAIM TYPE PREFERENCE
Daily
CAT
Flood


HAVE YOU WORKED FOR ALLIED AMERICAN PREVIOUSLY?


REFERRED BY
  
PLEASE EMAIL THE FOLLOWING SUPPORT DOCUMENTS TO: adjusterapplication@alliedamericanusa.com
  1. Copy of Driver License
  2. Resume
  3. Photo
  4. Adjuster License per State
  5. Certifications

I certify the facts set forth in my application for employment are true and complete. In making this application for employment you are hereby authorized to make any investigation of my personal and criminal history, motor vehicle violations, financial, education, and credit record through any agency of your choice. I also understand that an investigative consumer report may be made whereby information is obtained through personal interviews with my neighbors, friends or others. This inquiry, if made, may include information as to my character, general reputation, personal characteristics and mode of living. I understand that I have the right to make a written request within a reasonable period of time to receive additional, detailed information about the nature and scope of any such investigative report that is made.

If you agree to the certification above please type your name (first last) in the box below as your electronic signature