help

PILOT EMPLOYMENT APPLICATION

Pilot Catastrophe Services is an affirmative action/equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, sex, age, status as a protected veteran, among other things, or status as a qualified individual with disability.

Read more information about your rights under equal employment opportunity laws.

This employment application is used by Pilot and all of its affiliated and/or subsidiary companies. Do not leave any items unanswered.

Notice to Applicants: The following matters will generally restrict an applicant from working for Pilot (This is not an exclusive list): Any conviction involving breach of trust (lying, cheating, stealing, etc.); any conviction involving violence; any conviction for bad checks or other evidence of mishandling of money or finances; any outstanding warrant; lack of a valid driver's license; under the age of 21; work as property or auto insurance agent or ownership of a property or auto insurance agency within the last 12 months.

Applicant Info

First Name:

Middle Name:

Last Name:

Nickname:

Current Address

Address:

Address 2:

City:

State:

Zip:

Previous Address

Address:

Address 2:

City:

State:

Zip:

Phone Number

Phone Number:

Phone Type:

Email

Email:

Text Messaging

Pilot uses text messaging as a method of rapidly communicating with our team. Please indicate if we may use text messaging when communicating with you:

Position Info

For what position are you applying?

What are your salary expectations?

If hired, when could you start work?

Are you legally eligible for employment in the United States?

How did you hear about our company?

Please specify:
Please specify:

Background Information

List any criminal history that might prevent your employment within the insurance industry.

List the names of people you know who work for Pilot.

Name:

Relation:

Name:

Relation:

Driver's License

Driver License #:

Expiration Date:

State of Issue:

Employment History

Employer Title Start Date End Date

Education

Name Degree Major Years Completed Academic Achievements City State

References

Name Phone Relation Reference Years

Skills

Add Skills

Select a category from the list below to specify which skills apply to you.

Skill Years Additional Info
Additional Living Expenses
Appraiser
Arson
Commercial
Commercial Flood
Commercial Roof Certification
Contents
CPRC
Earthquake
Fire
Flood
Fraud Investigation
Freeze
HAAG Engineering Certification
Hail
Hurricane
Ice
Lava Flow
Lightning Adj
Lightning Damage
Management Experience
Mobile Home
Mold Claims
NFIP
NFIP Condo
NFIP Large Commercial
NFIP Mobile Home
NFIP Residential
NFIP Small Commercial
Personal
Pilot Safety Property Cert.
Property Adjusting
Property Foundation
Property Total Loss
Reinspection
Roof Calculating & Inspection
Roof Process
Sewer Backup
State Farm Certified
Telephone Claims
Theft
Tornado
Vandalism
Water Damage
Wind
Wind Effect on Structure Certification
Wood Roof
Wood Roof Certification
Skill Years Additional Info
Auto Adjuster
Auto Appraiser
Auto Arson
Auto Background
Auto Flood
Auto Hail
Auto Theft
Body Shop
Collision
GM Corp Certification
Heavy Equipment Claims
I-CAR Certification
Liability Auto Adjuster
Pilot Safety Auto Cert
RV Adjuster
Service Technician
Total Loss
Skill Years Additional Info
Adjuster
AFIB Certification
Agent Advocate
Aircraft Adjusting
All Lines of Adjusting
Allstate Staff
Business Interruption
Citizen Certification
Claims Manager
Claims Processor
Claims Reviewer
Clean-up
Crop Adjusting
Customer Service Claims
Environmental Adjusting
Estimator
Farmers Staff Adjusting
FEMA Experience
Fire Inspector
HAZMAT Claims
Home Inspection
Inspector Experience
Insurance Agent
Insurance Background
Investigation Experience
Law Enforcement
Livestock Adjusting
Marine Adjusting
Marine Background
Marine Surveyor
OSHA Safety Course
Scoper
SF Staff Adjusting
State Farm Certified
Subrogation Adjusting
Skill Years Additional Info
Bodily Injuries
Casualty Adjusting
Inside Adjusting
Liability Adjusting
Medical Pay
Outside Adjusting
Personal Lines
PIP Adjusting
Products Adjusting
Workers Comp
Skill Years Additional Info
Alabama Adj. License
Alaska Adj. License
Arizona Adj. License
Arkansas Adj. License
California Adj. License
Colorado Adj. License
Connecticut Adj. License
Delaware Adj. License
Florida Adj. License
Georgia Adj. License
Hawaii Adj. License
Idaho Adj. License
Indiana Adj. License
Kentucky Adj. License
Louisiana Adj. License
Maine Adj. License
Maryland Adj. License
Michigan Adj. License
Minnesota Adj. License
Mississippi Adj. License
Montana Adj. License
Nevada Adj. License
New Hampshire Adj. License
New Mexico Adj. License
New York Adj. License
North Carolina Adj. License
Oklahoma Adj. License
Oregon Adj. License
Pennsylvania Adj. License
Rhode Island Adj. License
South Carolina Adj. License
Texas Adj. License
Utah Adj. License
Vermont Adj. License
Washington Adj. License
West Virginia Adj. License
Wyoming Adj. License
Skill Years Additional Info
ACCUPRO
ADP
ADP Estimating
AUDATEX
AUTOCAD
BOECKH
CCC
Claims Management System
COMPUCLAIM
Compumate
Computer Experience
Computer Programming
Data Entry
DDS
DELORME
DOD Software
EagleSoft
ESTISOFT
Explorer Software
EZ BID
EZ EST
EZ LINER Chief Certification
FAST Est. Comp Experience
Financial Software
IMANET Computer Experience
I-PRO
Lotus
Mitchell Est. System
MS Access
MS Excel
MS Office
MS Outlook
MS PowerPoint
MS Publisher
MS Windows
MS Word
MS Works
MS/B IntegriClaim
NADA Total Loss Program
National Contraction Estimator
OLEANDER
PowerClaim
Pro Estimating Software
Quickbooks
Quicken
SAP
Shoplink
SIMSOL
ULTRAMATE
XACTIMATE
Skill Years Additional Info
Arabic
Cambodian
Dutch
French
German
Greek
Italian
Japanese
Portuguese
Russian
Sign Language
Spanish
Ukranian
Vietnamese
Skill Years Additional Info
Call Center
Clerical
Customer Service
Keyboarding
Marketing
Notary Public
Office Equipment
Record Keeping
Sales
Secretarial
Telemarketing
Skill Years Additional Info
Accounting
Administrator
Advertising
Architect Background
Auditing
CDL License
Communications Background
Construction Trades
Consulting Experience
Counseling Experience
Education Background
Electrician
Engineering Background
Environmental Background
Financial Background
Fire Fighter
Legal Background
Litigation
Medical Background
Military
Quality Control
Real Estate Background
Retail
Safety Background
Security Background
Small Business Owner
Stock Broker
System Administrator
Technician
Telecommunication
Workman's Comp
  • Property
  • Auto
  • General Adjusting
  • Liability
  • Licenses
  • Software
  • Language
  • Office
  • Other Employment

Equal Employment Opportunity Employer

Pilot provides equal employment opportunities (EEO) to all employees and applicants for employment and does not discriminate on the basis of race, religion, color, sex, age, national origin, disability unrelated to ability to perform job duties, marital or veteran status (including Vietnam-era or special disabled veteran status), or any other legally protected status in accordance with all applicable laws governing nondiscrimination in employment at every Company facility. This policy extends to all terms and conditions of employment including, but not limited to, hiring, promotion, termination, layoff, recall from layoff, transfers, developmental and educational opportunities, leaves of absence and compensation.

To further the principle of equal employment opportunity within our Company and to comply with governmental regulations, Pilot has developed Affirmative Action plans for minorities, women, the disabled and Vietnam-era and special disabled veterans. The below requested applicant data is used by Pilot to comply with government recordkeeping, reporting and other legal requirements.

Special Note

Your cooperation in providing this information is voluntary. This information is maintained separately from all other employment-related documents. The information or lack of information requested on this form will not affect employment decisions.

EEO Information

Name:

Date:

Gender:

Social Security Number:

Ethnic Origin:

Voluntary Self-Identification of Disability

Why are you being asked to complete this form?

Because we do business with the government, we must reach out to, hire, and provide equal opportunity to qualified people with disabilities. To help us measure how well we are doing, we are asking you to tell us if you have a disability or if you ever had a disability. Completing this section is voluntary, but we hope that you will choose to fill it out. If you are applying for a job, any answer you give will not be used against you in any way.

How do I know if I have a disability?

You are considered to have a disability if you have a physical or mental impairment or medical condition that substantially limits a major life activity, or if you have a history or record of such an impairment or medical condition.

Disabilities include, but are not limited to:

  • Blindness
  • Deafness
  • Cancer
  • Diabetes
  • Epilepsy
  • Bipolar Disorder
  • Major Depression
  • Multiple Sclerosis (MS)
  • Missing limbs or partially missing limbs
  • Autism
  • Cerebral palsy
  • HIV/AIDS
  • Schizophrenia
  • Muscular Dystrophy
  • Post-Traumatic Disorder
  • Obsessive Compulsive Disorder
  • Impairments requiring the use of a wheelchair
  • Intellectual Disability (Previously called mental retardation)

Signature

NOTICE TO ALL APPLICANTS: IT IS IMPORTANT THAT YOU READ THE SECTION BELOW PRIOR TO EXECUTING THIS APPLICATION.

This certifies that this application was completed by me, and that all entries on it and information in it are true and complete to the best of my knowledge. By executing and submitting this application, I certify that I am genuinely interested in working in the position(s) for which I have applied and am making this application for no other purpose. I understand that any misrepresentation or omission is grounds for immediate termination of employment or refusal to hire.

I understand that Pilot will conduct an investigation into my employment qualifications and fitness for employment. I hereby consent to have an investigation made by Pilot. I also authorize and request every person, company, governmental agency, schools and/or institutions having control of any documents, records, and other information pertaining to me to allow Pilot to inspect and copy any such documents and records. I agree to release Pilot and its agents and representatives, and any person or entity furnishing oral reports and any written documents and records, or other information from any and all liability that may result from furnishing this information. I also agree to sign separate documentation authorizing Pilot to obtain a consumer report on me for employment purposes.

I agree to confirm the policies, procedures, rules, and regulations of Pilot. I also agree that my employment is at-will and can be terminated at any time by me or Pilot, with or without cause and with or without notice. I further understand that no one employed by Pilot has the authority to enter into any employment agreement for any specified duration or to make any agreement contrary to the foregoing.

I understand that Pilot may employ knowledge, skills, and abilities testing in its employment process and that employment with Pilot will be contingent upon the successful completion of such tests. If required for my job classification, I understand that my employment will be contingent upon the successful completion of a post-offer employment physical examination and/or drug and alcohol screening. I agree that the results of these tests may be released to Pilot. I understand that I may also be required to undergo drug and/or alcohol testing at other times if I am employed by Pilot.

NOTICE TO ALL APPLICANTS: IT IS IMPORTANT THAT YOU READ THE SECTION BELOW PRIOR TO SIGNING AND DATING THIS APPLICATION

Applicant and Pilot have agreed that Applicant will complete and execute his or her application by electronic means and that Pilot will accept delivery of the application by electronic means. Execution of the application shall be accomplished through electronic means by the individual's typing his or her name in the place provided for the signature of the Applicant. The Applicant further acknowledges that he or she adopts the typing of his or her name in the place provided as part of the application as his or her signature for purposes of electronic completion of the application.

Applicant Signature:

Date:

Need Help?

Support
https://assets.pilotcat.com/v3