Adjuster Application

Earn more by working for OSBURN CLAIMS

Basic Information

First Name
Last Name
E-mail
Phone
Address
City
State
ZIP
XactNet Address

Certifications

Haag
Vale
Earthquake
Flood - mobile
- residential
- condo
- commercial

Property Claims Experience

Please give your years of experience in
Earthquake 0
1-5
5-10
10-15
15+
I have large loss experience with earthquakes
$ Largest earthquake claim handled
Flood 0
1-5
5-10
10-15
15+
I have large loss experience with floods
$ Largest flood claim handled
Fire 0
1-5
5-10
10-15
15+
I have large loss experience with fire
$ Largest fire claim handled
Hail 0
1-5
5-10
10-15
15+
I have large loss experience with hail
$ Largest hail claim handled
Wind 0
1-5
5-10
10-15
15+
I have large loss experience with wind
$ Largest wind claim handled
Ice / Snow 0
1-5
5-10
10-15
15+
I have large loss experience with ice and/or snow
$ Largest ice claim handled
Commercial Property 0
1-5
5-10
10-15
15+
I have large loss experience with commercial property
$ Largest commercial property claim handled

Liability Claims Experience

Auto 0
1-5
5-10
10-15
15+
Homeowners 0
1-5
5-10
10-15
15+
Commercial &
Public Entity		 0
1-5
5-10
10-15
15+
Workers Comp 0
1-5
5-10
10-15
15+

States of License

Please check the states you are licensed in
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District Of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming

Work Willingness and Preference

CatastropheInsideDaily
I am willing to work
I prefer to work

Resume

Resume
(PDF or Word
doc only)