CAREERS

Join Associated Claims Service

Ready to join the team at Associated Claims Service? Our staff is comprised of some of Wisconsin’s most talented insurance adjusters. We are always accepting applications. Fill out the form below to get started!

Step 1 of 4 - Applicant Information

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Applicant Information
Name
First Last
Date
MM slash DD slash YYYY
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Date Available
MM slash DD slash YYYY
Social Security Number
Desired Salary
Position Applied For
Are you a citizen of the United States?
- YES
- NO
If no, are you authorized to work in the U.S.?
- YES
- NO
Have you ever worked for this company?
- YES
- NO
If yes, when?
Have you ever been convicted of a felony?
- YES
- NO
If yes, explain:

Education
High School
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
From
To
Did you graduate?
- YES
- NO
Diploma
College
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
From
To
Did you graduate?
- YES
- NO
Degree
Other
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
From
To
Did you graduate?
- YES
- NO

References
Name
First Last
Relationship
Company
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name
First Last
Relationship
Company
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Name
First Last
Relationship
Company
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Previous Employment
Company
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilites
From
To
Reason For Leaving
May we contact your previous supervisor for a reference?
- YES
- NO
Company
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilites
From
To
Reason For Leaving
May we contact your previous supervisor for a reference?
- YES
- NO
Company
Phone
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Supervisor
Job Title
Starting Salary
Ending Salary
Responsibilites
From
To
Reason For Leaving
May we contact your previous supervisor for a reference?
- YES
- NO
Military Service
Branch
From
To
Rank at Discharge
Type of Discharge
If other than honorable, explain
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Disclaimer and e-signature*
I agree
I certify that my answers are true and complete to the best of my knowledge.
If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release.

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Our Team
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Location

1049 N Lynndale Drive, Suite 2B
Appleton, WI 54914

Contact

(920) 739-4468
claims@associatedclaims.net

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CAREERS

Join Associated Claims Service

Step 1 of 4 - Applicant Information

Applicant Information

Education

References

Previous Employment

Military Service

Location

Contact