MARGUERITA SANICHARA
Lakeland,FL
Summary
Hard-working Supervisor with exceptional experience leading teams, delivering results and exceeding expectations. Creative and motivated leader adept at utilizing exceptional design and planning strengths to accomplish complex projects. Skilled in teaching new concepts and best practice strategies.
Overview
19
19
years of professional experience
Work History
Supervisor
GEICO
01.2019 - Current
- Provide quality claim handling throughout claim life cycle (customer contacts, coverage, investigation, evaluation, reserving, litigation management, negotiation and resolution) including maintaining full compliance with internal and external quality standards and state specific procedures
- Provide consulting and training and serve as expert technical resource to other claim professionals, customers, and other shareholders as appropriate or required
- Investigate and handle all levels (Including Bodily Injury, Property Damage, Auto Bodily Injury, Personal Injury Protection, Auto Property Damage and subrogation) Excel in analyzing compensability, interpreting policies and negotiating settlement
- Effective in managing multiple complex claims, litigated and non-litigated claims and take pride in providing exemplary customer service
- Ensures risks associated with business activities are effectively identified, measured, monitored, and controlled.
- Increased team productivity by 98% and implementing efficient workflows and setting clear expectations for team members.
- Oversaw daily operations of my department ensuring smooth workflow and timely completion of tasks.
- Led major initiatives within the department that drove innovation and addressed critical business challenges
- Conducted performance evaluations for staff members, identifying areas of improvement and guiding professional development plans.
Senior Litigation Bodily Injury Adjuster
GEICO
05.2013 - 12.2018
- Accurately and efficiently document all discussions regarding liability, coverages, and settlements of Bodily Injury and Uninsured Motorist claims
- Ensure interested parties are delighted with first contact to company claims department and explain claim process as well as setting expectations
- Investigate losses for possible fraud indicators and make appropriate referrals
- Take detail recorded interviews and investigate all matters of coverage liability and damages
- Resolve liability disputes and explain liability decisions, to insureds, and claimants
- Research coverage conditions for possible resolution or denial as it relates to Bodily Injury and Property Damage Claims
- Explain available coverages to insureds
- Negotiate claims settlement with attorneys and non-represented claimants
- Answer Civil Remedy complaints
- Manage litigation process and direct defense counsel throughout every process to formulate strong litigation strategy
- Adjusts attorney-involved moderately complex bodily injury claims with demonstrable injuries (e.g Torn meniscus, broken bones, disc herniation's) and UM claims, as well as all auto physical damage associated with those claims.
- Identified fraudulent claims swiftly through meticulous review processes that safeguarded company resources from unnecessary expenses.
- Reduced claim processing time by effectively managing personal injury claims.
Licensed Telephone Claims Adjuster II
GEICO
09.2008 - 04.2013
- Resolve liability disputes
- Research coverage conditions for possible resolution or denial as it relates to Bodily Injury Claims
- Investigate losses for possible fraud indicators
- Explain liability decisions, to insureds and claimants
- Explain available coverages to insureds
- Explain Bodily Injury and Personal Injury Protection process to insureds and claimants
- Settle Bodily Injury and Uninsured Motorist claims with represented and non-represented parties
- Set appointments with auto damage adjusters
- Ensure interested parties are delighted with first contact to company claims department
- Accurately and efficiently document all discussions regarding liability, coverages, and settlements of Bodily Injury and Uninsured Motorist claims
- Regulates catastrophic 1st party PIP/MP medical claims
- Identifies, confirms, and makes coverage decisions on moderately complex bodily injury claims or catastrophic PIP/MP medical claims.
- Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
- Evaluated coverage accurately by interpreting complex insurance policies and applying them to specific claim scenarios
Licensed Claims Adjuster I
GEICO
05.2006 - 09.2008
- Explain liability decisions, coverages and options to insureds and claimants
- Set appointments with auto damage adjusters
- Ensure file is assigned to appropriate level adjusters
- Ensure interested parties are delighted with first contact to company claims department
- Accurately and efficiently document all discussions regarding liability and coverages.
- Enhanced company reputation by demonstrating professionalism and empathy during interactions with policyholders in difficult situations.
- Managed high caseloads, prioritizing claims for efficient processing and expedited payment approvals.
- Evaluated complex claims involving multiple parties or large losses, applying critical thinking skills to determine appropriate resolutions fairly.
- Coordinated with legal counsel as necessary when addressing disputed claims or preparing cases for litigation.
- Improved workflow efficiency by implementing organizational systems for tracking claims progress and updating case notes regularly.
- Developed strong relationships with service providers to facilitate prompt repairs or replacements for policyholders'' damaged property.
- Reduced claim processing time with thorough investigation and accurate documentation of claim details.
- Maintained compliance with state regulations through continuing education courses and adherence to established procedures.
- Provided guidance to policyholders throughout claims process, ensuring they understand their coverage limits and obligations under their policies.
Licensed Customer relations coordinator
GEICO
05.2005 - 04.2006
- Creating and adding auto damage appointments for Arx, DI/ DB
- Communicating with Body shops
- Calling customers to provide status on DI/ DB Apt
- Assisting auto damage adjuster at DI/DB appointments
- Handling POA, T/L paperwork, Title for Total loss Department
- Communicating with Lien holder
- Communicating with Policy holder
- Ensuring policyholder is satisfied on first call
- Coordinating files and filing in order
- Scanning files and filing this properly.
- Enhanced customer satisfaction by addressing inquiries and resolving issues promptly.
- Optimized response times by implementing efficient ticketing system for better management of incoming requests.
- Produced and implemented customer satisfaction guarantee program which directly resulted in 90% increase in customer service
- Managed department call volume of 50 calls per day and coordinated department schedules to maximize coverage during peak hours
- Directed 10-person team of customer service personnel while helping front-line team members work effectively with over 100 daily customers
Education
BBA - Business Administration
Florida Southern College
Lakeland, FL06.2025
SCLA (Society of Claim Law Associates)
03.2025
Associate of Arts - Restaurant Management
Art Institute of NYC
New York, NY04.2005
Skills
- Business Development
- Schedule development
- Strategic Planning
- Staff Discipline
- Process Improvement
- Staff Management
- Goal-Oriented
- Project Management
- Priority management
- Training and mentoring
- Employee Motivation
- Staff Development
Timeline
Supervisor
GEICO
01.2019 - Current
Senior Litigation Bodily Injury Adjuster
GEICO
05.2013 - 12.2018
Licensed Telephone Claims Adjuster II
GEICO
09.2008 - 04.2013
Licensed Claims Adjuster I
GEICO
05.2006 - 09.2008
Licensed Customer relations coordinator
GEICO
05.2005 - 04.2006
BBA - Business Administration
Florida Southern College
SCLA (Society of Claim Law Associates)
Associate of Arts - Restaurant Management
Art Institute of NYC