Tuesday, March 3rd, 2020
10:45 a.m. - 11:45 a.m.
Speakers: Michael Stahl, DC, Chiropractor
Kolby Bates, SIU Investigator, Mercury Insurance Company
1:30 p.m. - 2:30 p.m.
Speakers: Brian Mizell, Partner, Resnick & Louis
Michael Lamb, SIU Manager, National General Insurance
Larry Lusk, SIU Investigator, Kemper
3:00 p.m. - 4:00 p.m.
Speakers: Vic Pence, SIU Supervisor, Mercury Insurance Company
Eric von Geldern, Assistant District Attorney, Alameda County District Attorney's Office
Thomas Fraysee, Attorney, Knox Ricksen LLP
Wednesday, March 4th, 2020
8:30 a.m. - 9:30 a.m.
Speakers: Joanne Thomas, Managing Shareholder, Defense Attorney, Stander Reubens Thomas Kinsey
Dalene Bartholomew, CFE, CIFI, Vice President, Probe Information Services, Inc.
TBD Claims Professional
10:00 a.m. - 11:00 a.m.
Speakers: Chris Morales, Forensic Engineer, Momentum Engineering Corp.
Vadim Perlovskiy, Momentum Engineering Corp.
Shannon Navejas, Special Investigator II, Mercury Insurance Company
11:30 a.m. - 12:30 p.m.
Speakers: Diann Cohen, Vice President, Client Relations, Macro-Pro, Inc.
Chris Champlin, Chief Executive Officer, C&W Claims Solutions
TBD Claims Professional
This lecture will present multiple “real world” examples where healthcare providers have wholly fabricated diagnostic testing procedures in furtherance of a medical-legal claim. The presentation will also educate the attendees how to identify commonly available techniques that have been used to enhance the appearance of pathology on CT, MRI or plain film x-rays.
The subject topic will discuss all of the electronic forms of evidence that can be used when investigating fraud for both auto theft and bodily injury claims.This will include the use of EDR, infotainment systems, cell phone records and tower information, petitions to obtain records in an investigation setting and more.
This presentation focuses on both historical and current factors that have given rise to ethical challenges in the Insurance industry and the offices of those that prosecute insurance fraud. This course will offer suggestions and solutions to the professionals in both arenas to confront and resolve those challenges.
This dynamic session will provide a legal understanding of employees’ rights to privacy with regard to gathering evidence in your claim investigation. Attendees will learn the following:
• Gain clarity on the legal aspect of various investigative tools to ensure your evidence is gathered lawfully and ethically. • View cases that in-house surveillance evidence was utilized to deny claims and prosecute insurance fraud. • Observe how social media evidence stopped unwarranted benefits and surveillance resulted in returning malingerers to work.
This high-energy, multi-media presentation provides employers and claim professionals with solutions they can utilize immediately to successfully secure investigative evidence, track chain of custody, enter into evidence, share with medical providers, use strategically in depositions and fraud abatement. Learn how you can confidently leverage your lawfully obtained evidence to assist with compensability determination, claim management, settlement and to combat fraud.
Behind the eight ball with a dealership? Learn the ins-and-outs of dealership operations and how to use it in an investigation.
With over 20 years of insider experience, Morales is a cat who used his peepers to get you the keen details. He’ll explain how to pick out the wise guys and the grifters. We’ll also mention how to spot a ‘straw borrower’ in a fraud investigation and how it impacts your claim.
Don’t let yourself be a mark for these hinky mechanics! Come learn the secrets if you want to save your company some dough.
During this session, you will learn:
• How to use social media findings during depositions and recorded statements, including what to say and how to say it. • Secure records from Uncle Sam, out-of-state and from other difficult facilities to determine the true value of a claim. • Interesting Social Media case results. • Case studies on how these findings were used to shut down a claim. • Identify free discovery to advance your claim/case.