Careers: Claims Representative

Applying For Position

Personal Information

Full Name*
Phone Number*
Email Address*

Attach your cover letter

Attach your resume

References

Reference #1*

Name*
Affiliation*
Phone Number or Email*

Reference #2

Name
Affiliation
Phone Number or Email

Reference #3

Name
Affiliation
Phone Number or Email

General Information

What is your required yearly salary or hourly rate?* (ex: $28,000/year or $10.00/hour.)

Date available to start work?*

Years of experience?*

What are appropriate times for us to call?* (Check all that apply.) Early morningMid-dayLate nightWeekendStandard work hoursBefore work hoursAfter work hours