Miguel Guzman
Carrollton,TX
Summary
Licensed Claims Adjuster emphasizing effecting claim handling, investigation, negotiation, and resolution.
Overview
6
6
years of professional experience
1
1
Certificate
2
2
Languages
Work History
Mobility & Transportation - Claim Specialist
State Farm
Richardson, Texas
03.2023 - Current
- Negotiated settlements with claimants and attorneys.
- Assessed medical records, witness statements, and police reports to evaluate liability.
- Collaborated with outside vendors such as private investigators, and lawyers throughout the claims process.
- Reviewed commercial ride sharing policies for applicable coverage limits and exclusions.
- Ensured compliance with state laws governing the handling of personal injury cases.
- Maintained accurate records of all claim files, including documents related to claim resolution activities.
- Resolved complex bodily injury cases involving serious injuries, pedestrians, complex litigation, and multiple parties.
Auto Injury - Claim Specialist
State Farm
Richardson, Texas
03.2020 - 03.2023
- Negotiated settlements with claimants and attorneys.
- Assessed medical records, witness statements, and police reports to evaluate liability.
- Collaborated with outside vendors such as private investigators, and lawyers throughout the claims process.
- Reviewed personal auto policies for applicable coverage limits and exclusions.
- Ensured compliance with state laws governing the handling of personal injury cases.
- Maintained accurate records of all claim files, including documents related to claim resolution activities.
- Resolved complex bodily injury cases involving serious injuries, pedestrians, complex litigation, and multiple parties.
Auto ILR - Claim Associate
State Farm
Richardson, Texas
11.2018 - 03.2020
- Documented all pertinent claim information in the internal database system.
- Reported any fraudulent activities or suspicious activity regarding insurance claims.
- Processed payments according to established guidelines while maintaining compliance with state regulations.
- Investigated and handled claims including liability investigations and handling of property damage.
Education
Booker T Washington Spva Magnet
Dallas, TX05-2015
Skills
- Claims Investigation
- Policy Interpretation
- Legal Compliance
- Insurance knowledge
- Injury evaluation
- Settlement Negotiation
- Litigation Management
Certification
- Texas all-lines adjuster
- Licensed in the following states: TX, CT, DE, FL, KY, LA, NC, NH, NM, OK, RI, SC, WY
Languages
English
Native/ Bilingual
Spanish
Native/ Bilingual
Timeline
Mobility & Transportation - Claim Specialist
State Farm
03.2023 - Current
Auto Injury - Claim Specialist
State Farm
03.2020 - 03.2023
Auto ILR - Claim Associate
State Farm
11.2018 - 03.2020
Booker T Washington Spva Magnet