Apply for Insurance CSR FNOL Intake

Complete form below (in its entirety) then click Submit to submit your application for consideration. Fields with an asterisk (*) are required.

Summary
Title:Insurance CSR FNOL Intake
ID:3524
Location:Nevada MO
Job Category:Accepting Applications - Not Actively Hiring
Contact Information
* First Name:
* Last Name:
* Address 1:
Address 2:
* City:
* State:
* Zip:
* Best Contact Number:
* Active Email Address (for all communications):
Best Time To Contact:
Application Information
* Source:
If Referral, Provide Name of Person who referred you:
* Languages Other Than English:
Opt-In Confirmation
I authorize recruiters from InSite Support Services & Insure Response to send text messages from 8665092392 with requests for additional information in relation to this job application only. Message/data rates apply. Message frequency varies.
Attachments
Resume:
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Cover Letter:
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Application for Employment (updatedMar2019)
Application for At Will Employment
InSite Support Services, Inc. and Insure Response LLC are equal opportunity employers committed to non-discriminatory employment practices. All qualified applicants receive consideration without without regard to race, color, age, sex, religion, national origin, marital status, citizenship, military status, disability, genetic information, gender stereotyping and perceived sexuality, or on any other basis prohibited by law. Disabled applicants should request any reasonable accommodation needed to complete the application process.


PERSONAL INFORMATION
* Are you legally eligible to be employed in the United States? (Proof of identity & eligibility will be required should you be hired for the position):
Yes   No
* Are you at least 16 years of age or older?:
Yes   No
* Have you been convicted of a civil or criminal felony or misdemeanor in the last ten years? (A conviction will not necessarily result in the denial of employment):
Yes   No
If Yes, provide details & dates:
* Have you ever been employed by InSite Support Services or Insure Response?:
Yes   No
If Yes, list ALL applicable employment dates and reason for leaving:
* Are you able to perform the essential functions of the job for which you are applying, with or without a reasonable accommodation?:
Yes   No
If no, please explain:
* If chosen for the position, what date would you be available to begin work?:

EMPLOYMENT DESIRED
* Type of employment desired:
Full-Time   Part Time   Either
* Hourly rate/salary desired:
* Are you currently employed?:
Yes   No
If employed, may we inquire of your present employer?:
Yes   No
If presently employed, why are you considering leaving?:
If presently employed, do you need to give a notice?  If so, how long?:

SCHEDULE AVAILABILITY
Enter all times when you are Available to be Scheduled. NOTE: We are a 24/7 Call Center (open 24 hours a day, every day). We hire for 1st and 2nd shifts (no set times/schedules) for Technical Support and in our Insurance Department, we may hire for all three shifts. Our Nevada MO center currently does not schedule for third shift. We only schedule at the start of the hour. We do NOT schedule "every other" weekends. .

IMPORTANT:
All Applicants MUST have a minimum availability of 12 hours either on a Saturday *or* a Sunday (any/all positions)

You MUST submit your availability to be scheduled, choosing one of the two options listed directly below:
*
Able and Available for Full Time Work / Scheduling Availability of 7am thru 12am seven days a week
*OR*
Limited Availability / Scheduling Availability as shown below:

Day Available from (this time): Available to (this time): Comments
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
EDUCATION
List all High Schools, Colleges, Universities and/or Vocational/Technical Schools you have attended.


School/College Name School Location Did you graduate? Major course of study Diploma/Degree
Yes   No
Yes   No
Yes   No


RELEVANT SKILLS/EXPERIENCE
Describe or List any special courses, seminars and/or training you have completed (including armed forces service) which would help you perform in the position you are applying:

Typing/Keyboarding Skills - Number of words per minute:

EMPLOYMENT HISTORY
Complete your employment history, starting with your current or most recent employment

** Employment history, if applicable, MUST BE completed**


EMPLOYER 1

Dates Employed Employer Name & Address Employer Phone
From:

To:
Job Title Supervisor Name & Title May we Contact?

Yes
No
Responsibilities Reason for Leaving Salary/Hourly Rate (optional)
Start:

End:

EMPLOYER 2

Dates Employed Employer Name & Address Employer Phone
From:

To:
Job Title Supervisor Name & Title May we Contact?

Yes
No
Responsibilities Reason for Leaving Salary/Hourly Rate (optional)
Start:

End:

EMPLOYER 3

Dates Employed Employer Name & Address Employer Phone
From:

To:
Job Title Supervisor Name & Title May we Contact?

Yes
No
Responsibilities Reason for Leaving Salary/Hourly Rate (optional)
Start:

End:

EMPLOYER 4

Dates Employed Employer Name & Address Employer Phone
From:

To:
Job Title Supervisor Name & Title May we Contact?

Yes
No
Responsibilities Reason for Leaving Salary/Hourly Rate (optional)
Start:

End:

WorkKeys® / National Career Readiness Certificate™
Our organization participates in & recommends the WorkKeys® assessment for the National Career Readiness Certificate™ (NCRC) for all applicants



* Do you have your National Career Readiness Certificate™?:
Yes   No

If yes, what is your Certificate Number or Testing Results.:




For more information on WorkKeys/National Career Readiness Certificate, please visit:

In MO: http://jobs.mo.gov/jobseeker/career-tools/national-career-readiness-certificate-(ncrc)

In SC: http://www.us1stops.com/newberry.html


STATEMENT

*
Submit a statement which outlines your professional objectives and WHY you feel you qualify for the position applied for:

AUTHORIZATION
Release and Applicant's Signature

In connection with my application for employment and as a condition of continuing employment, I understand that investigative background inquiries may be made on me including previous employers, schools, consumer credit, criminal convictions, motor vehicle, and other reports. These reports will include information as to my character, work habits, performance, education, compensation, and experience along with reasons for termination of employment from previous employers. Furthermore, I understand that the company may be requesting information from various federal, state, and other agencies which maintain records concerning my past activities relating to my driving, credit, criminal, civil, and other experiences as well as claims involving me in the files of insurance companies. I authorize without reservation, any party or agency contacted to furnish the above mentioned information and release all parties involved from liability and responsibility for doing so.

By submitting this application for employment consideration, I hereby consent to obtaining the above information from InSite Support Services Inc. and/or any of their agents. This authorization and consent shall be valid in original, fax, or copy form.

* Signature (type name):
* Date:

Availability

Please indicate the days of the week as well as the earliest and latest times that you are available for work.

Day From To And/Or From To
Monday
*
*
Tuesday
*
*
Wednesday
*
*
Thursday
*
*
Friday
*
*
Saturday
*
*
Sunday
*
*
Equal Opportunity Employment
We are an Equal Opportunity employer and do not discriminate on the basis of race, ancestry, color, religion, sex, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.

The Information provided will be used for research, reporting, statistical purposes and to monitor legal compliance. To help us comply with these government requirements, please complete the following information.

Completion of this form is voluntary and will not affect your opportunity for employment or terms or conditions of employment if hired. We appreciate your cooperation.
Gender:
Female
Male
I Choose Not to Respond
Race/Ethnicity:
American Indian or Alaska Native (Not Hispanic or Latino)
A person having origins in any of the original peoples of North America and South America (including Central America), and who maintains tribal affiliation or community attachment
Black or African American (Not Hispanic or Latino)
A person having origins in any of the Black racial groups of Africa
Hispanic or Latino
A person of Cuban, Mexican, Puerto Rican, Central or South American, or other Spanish culture or origin, regardless of race
Asian (Not Hispanic or Latino)
A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam
White (Not Hispanic or Latino)
A person having origins in any of the original peoples of Europe, North Africa, or the Middle East
Native Hawaiian or Other Pacific Islander (Not Hispanic or Latino)
A person having origins in any of the original peoples of Hawaii, Guam, Samoa, or other Pacific Islands
Two or More Races (Not Hispanic or Latino)
All persons who identify with more than one of the above races
I Choose Not to Respond

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