Apply to ClaimXchange

Before you start, have a redacted sample supplement ready to upload as a PDF or ESX file, up to 10 MB. Contractor references are optional.

Section 1

About you

Full name *Email *Mobile phone *City and state you're based in *Company name (if you operate under one) (optional)LinkedIn or website (optional)

Are you applying as... *

Section 2

Experience

How many years have you been supplementing? *How did you get into supplementing? *Is supplementing your full-time work? *Roughly how many supplements have you written in the last 12 months? *How many files could you take per week right now? *

Section 5

Track record

Your estimated approval rate (approved in full or part) *Average dollars recovered per supplement *Typical turnaround from receiving a file to submitting the supplement *How do you charge today? *

Your typical rate *Upload a sample supplement (redact homeowner info) *PDF or ESX, up to 10 MB.

Two contractor references (optional, strongly encouraged)

Section 6

Fit

What would make ClaimXchange worth it for you? *Anything else we should know? (optional)0/500How did you hear about ClaimXchange? *

Section 7

Agreement

I confirm the information above is accurate *I agree to the ClaimXchange Supplementer Terms *Text me updates about my application. Message and data rates may apply. Reply STOP to opt out.

About you

Experience

Trades and claim types

Tools and credentials

Track record

Fit

Agreement