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#21-005036-0001
Supplemental Questionnaire

Last Name
First Name
 

Describe your experience dealing with multi-line insurance claims (e.g., first/third party, general liability, property, casualty, bodily injury, etc.).  Experience in the health insurance industry is not applicable as this position does not deal with health or workers' compensation claims.  Please include dates and employer(s) names.  If you do not have this experience, indicate "N/A."

 

Describe your experience in the supervision of insurance litigation, and/or the handling and oversight of complex and litigated claims.  Please include dates and employer(s) names.  If you do not have this experience, indicate "N/A."

 

Please describe any experience or working knowledge you have of tort law, self-insurance, public entity procurement processes, and/or public sector operations. Please include dates and employer(s) name.  If you do not have this experience, indicate "N/A."

 

Have you attached a sample of correspondence which was written independently by you?  (This is required as part of the application process).

Yes No

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