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Adjusting Bodily Injury & Wrongful Death Claims

Tuesday 3:30 - 5:00
Wednesday 10:30 - 12:00

Joe Epps, CPA CFE, President, Epps Forensic Consulting PLLC
Meryl Fein, Claim Director-Excess Claims, Allianz Global Corp. & Spec.
Josh M. Snell, JD, Partner, Jones, Skelton & Hochuli, PLC

  • Describe claim investigation options for pre- and post-litigation bodily injury and wrongful death claims
  • Identify potential members of the claims team and the collaboration needed to effectively resolve these cases
  • Outline the types of potential economic damages that the adjuster might anticipate
  • Compare the differences in various claims settlement procedures, including negotiation, mediation and litigation through trial
  • Bad Faith Damages in Third-Party Claims

    Tuesday 1:30 - 3:00
    Wednesday 3:30 - 5:00

    Asim K. Desai, JD, Partner, Gordon & Rees LLP
    Kevin Willging, Executive Counsel, Travelers Companies

  • Spot warning signs of bad-faith exposure in third-party contexts
  • Review emerging bad-faith issues and trends in the third-party claims
  • Identify warning signs of bad faith "set ups" by third-party claimants and develop responsive action plans
  • Biomechanics of Injury Causation: How People Get Hurt

    Monday 3:30 - 5:00
    Wednesday 8:30 - 10:00

    Richard V. Baratta, PE, VP-Biomechanical Division, Rimkus Consulting Group, Inc.

  • Identify the mechanical properties of the different types of tissues
  • Review anatomy in the context of accidental injuries
  • Compare different accident/incident scenarios that can cause specific injuries
  • Evaluate consistency between accident scenarios and injuries claimed
  • Catastrophic Injury Damages Models

    Tuesday 8:00 - 9:00
    Wednesday 1:30 - 2:30

    Clint V. Cox, IV, JD, MS, Partner, Fee Smith Sharp & Vitullo, LLP
    Howard Zandman, CPA, MAFF , Partner, Aprio

  • Describe damages models used by plaintiffs in catastrophic bodily injury claims
  • Examine the bases for these models, their elements, how each element is proven, and methods to defend against their use
  • Explore methods that the defense can employ to construct responsive, alternative models
  • Identify experts critical to constructing a damages model
  • Claims Handling for Construction Site Accidents

    Monday 10:30 - 12:00
    Tuesday 10:30 - 12:00

    Carrie L. Ciliberto, Esq, CEO, ASM
    Jeffrey Price, CPCU AIC SCLA, Corporate Technical Director, Main Street America Group
    Anna Torres, Esq, Partner, Torres Law Group

  • Explore procedures essential to effectively investigating the accident site
  • Describe potential theories of liability and identify the parties who may liable
  • Pinpoint parties who are additional insureds under the named insured's liability coverage and determine relevant coverage exclusions
  • Identify other carriers which are on the risk assess coverage priorities when multiple policies are involved
  • Anticipate a claimant's damages model and discuss how its elements are proven
  • Confronting the “Reptile Theory”

    Tuesday 10:30 - 12:00
    Wednesday 3:30 - 5:00

    Kenneth Bunn, AIC, AVP, Claims, Builders Mutual Insurance Co.
    JD Keister, JD, Attorney, MGC Insurance Defense

  • Examine considerations for litigation
  • Analyze the foundations of the Reptile Theory and the teachings of Ball and Keenan
  • Compare the various ways plaintiff attorneys are putting the Reptile Theory into action across the country
  • Identify how to spot the reptile and manage a claim before suit is filed
  • Strategize ways to effectively and efficiently defend against a reptile case during discovery
  • Construction Defect Claims: CGL Coverage Issues

    Monday 3:30 - 5:00
    Tuesday 1:30 - 3:00

    John Mumford, JD, Partner, Hancock Daniel Johnson et al

  • Survey trends in liability claims against builders and subcontractors
  • Describe differences in coverage issues relating to contractors, subcontractors, additional insureds, and indemnitees
  • Scrutinize key terms in the policy's insuring agreement and examine national trends and legislation as to what constitutes an “occurrence”
  • Analyze key CGL exclusions and exceptions, including the “damage to property”, “your work”, and others
  • Contractual Indemnity & Additional Insured Liability

    Tuesday 8:00 - 9:30
    Wednesday 1:30 - 3:00

    John S. Hanlon, Complex Claims Unit Manager, Selective Insurance Group
    Dan Kohane, JD, Senior Partner, Hurwitz & Fine, P.C.

  • Distinguish between an insurer's obligations to those who qualify as additional insureds and those who benefit from contractual indemnity obligations
  • Evaluate how tenders of defense and indemnity should be made under both policy and trade agreement
  • Describe the protocols to be considered when tenders are received under both insurance policy and contract
  • Identify the relevant factors when sending or receiving tenders
  • Declaratory Judgment Actions: How, When & Why?

    Tuesday 8:00 - 9:30
    Wednesday 8:30 - 10:00

    Christopher W. Martin, JD, Partner, Martin Disiere Jefferson et al

  • Explore reasons for and against seeking a declaratory judgment
  • Assess the most effective time to bring a declaratory judgment action
  • Identify parties that should be joined in the declaratory judgment action
  • Address potential responses that an adverse party may have to the declaratory judgment action and examine methods to combat them
  • Defending Negligent Security Claims

    Monday 1:30 - 3:00
    Tuesday 1:30 - 3:00

    Oscar J. Cabanas, JD, Partner, Wicker Smith PA
    Kelly S. Klatt, CEO, Center for Security Solutions
    Michele Mecca, MCU Liability Claim Specialist, Zurich Financial Services NA

  • Identify issues and challenges of defending premises security claims
  • Describe tools to be used in combating premises security cases
  • Examine strategies in resolving and defending security claims today
  • Diminished Value in Auto Claims

    Monday 1:30 - 2:30
    Wednesday 10:30 - 11:30

    Seth M. Friedman, JD, Partner, Lewis Brisbois
    Sari B. Marmur, JD, LLM, General Counselor, Travelers Companies

  • Examine the pertinent auto policy provisions that serve as the basis for policyholder diminished value claims
  • Define "diminished value" and describe the three general types of diminished value
  • Identify the jurisdictions that permit a policyholder to recover diminished value and discuss the reasons why jurisdictions are split on the issue
  • Analyze methods used by courts in those jurisdictions permitting recovery to calculate the diminished value
  • Driverless Cars: Liability & Coverage Issues

    Monday 10:30 - 12:00
    Tuesday 3:30 - 5:00

    Tiffany M. Alexander, Esq., Partner, Tanenbaum Keale LLP
    Terrence L. Graves, Esq., Shareholder, Sands Anderson PC

  • Identify various parties who may be liable for loss arising out of the use of driverless vehicles such as manufacturers, engineers, designers, and retailers
  • Examine likely theories of liability that may asserted against these potentially liable parties
  • Describe liability insurance coverage available to potentially liable parties
  • Explore the co-ordination of insurance coverage among these parties
  • Emerging CGL Risks: Challenges for 2018 & Beyond

    Monday 1:30 - 3:00
    Wednesday 10:30 - 12:00

    Larry Mason, JD, Partner, Goldberg Segalla
    Crystal Uebelher, JD CPCU, Claims Attorney, SECURA Insurance Companies

  • Identify new and emerging risks that CGL insurers should be prepared to evaluate
  • Analyze potential claim exposures for emerging risks
  • Explore relevant policy language and how courts may resolve coverage disputes based on current CGL forms
  • Food Liability Exposures & Insurance Coverage

    Monday 3:30 - 5:00
    Wednesday 10:30 - 12:00

    Jonathan Toren, JD, Associate, Cozen O'Connor

  • Illustrate various claims that may be made against food service providers including negligence and product liability
  • Identify the types of food service providers against whom claims could be made
  • Describe liability insurance coverage for those claims, including CGL policies and other stand-alone coverages applicable to food liability
  • Evaluate appropriate, responsive crisis management methods and practices
  • Homeowners Liability Coverage: Current Trends

    Monday 1:30 - 3:00
    Tuesday 1:30 - 3:00

    Kenneth P. Williams, JD, Shareholder, Segal McCambridge Singer et al

  • Describe the expansion of homeowners policy liability coverage to respond to increasing exposures affecting personal liability
  • Survey evolving state and federal law with respect to courts' broadening interpretation of policy language to address coverage for exposures posed by cyber-bullying and other social media use, and liability for the conduct of minors
  • Scrutinize court decisions addressing coverage for intentional acts
  • Analyze approaches to coverage for these liability exposures
  • Independent Counsel Fees: Keeping Control

    Tuesday 8:00 - 9:30
    Wednesday 1:30 - 3:00

    Julia Molander, JD, Member, Cozen O'Connor
    Victoria H. Roberts, JD, Vice President & Counsel, Meadowbrook Insurance Group

  • Identify circumstances in which the insured has a legitimate right to independent counsel
  • Determine whether billing guidelines apply to independent counsel
  • Evaluate whether fees are reasonable and necessary
  • Learn how to negotiate protocols with independent counsel for reporting to insurer
  • Litigated Bodily Injury Claims

    Tuesday 10:30 - 12:00
    Wednesday 10:30 - 12:00

    Thomas N. Brace, Claims/SIU Manager, Security Mutual Insurance
    Anthony J. Spiga, JD, Partner, Gladstein, Keane & Partners

  • Define the basic elements of litigation
  • Identify and target relevant issues presented during the course of litigation
  • Create effective and prudent strategies in the handling of a litigated claim
  • Litigation Management College

    Tuesday 8:00 - 12:00
    Wednesday 1:30 - 5:00

    Bruce D. Celebrezze, JD, Partner, Sedgwick LLP
    Edward J. Currie, JD, Shareholder, Currie Johnson & Myers, PA

  • Create effective litigation plans and budgets
  • Evaluate policy coverage, choice of counsel, and issues raised by multiple insureds
  • Identify resources to assist with liability determinations in complex, multi-party cases
  • Analyze methods of resolving litigation
  • Multiple Claimant Cases: Minimizing Exposure

    Monday 10:30 - 12:00
    Tuesday 3:30 - 5:00

    Patricia Farve, AIC, Team Manager, Crawford & Company
    Kimberly Ramey, JD, Partner, Butler Weihmuller Katz Craig

  • Scrutinize court decisions from various jurisdictions addressing a carrier's duties and obligations when faced with multiple claimants and insufficient policy limits
  • Describe and illustrate effective strategies for investigating, evaluating and settling in good faith multiple claims with insufficient policy limits
  • Devise solutions to problems that frequently arise when attempting to resolve multiple claims with insufficient policy limits
  • Negotiating Strategies in Bodily Injury Claims

    Monday 3:30 - 5:00
    Tuesday 8:00 - 9:30

    Richard Nouza, JD, Home Office Claims Manager, Central Insurance Companies
    Christine A. Sullivan, CPCU AIM, President, CAS Consulting, LLC

  • Identify the key components of an effective negotiation strategy
  • Build an effective negotiation strategy based on the merits of the case
  • Describe what tactics to employ to effectively negotiate a bodily injury claim
  • Apply the strategy and tactics to successfully negotiate the claim from the defense and plaintiff's point of view
  • Recovering Payments Through Third-Party Claims

    Monday 1:30 - 3:00
    Wednesday 8:30 - 10:00

    John A. Lee, Esq, Partner, Goldberg Segalla

  • Examine different third-party recovery options
  • Identify facts that determine when each recovery option may be used
  • Describe the various legal strategies employed in pursuing each recovery option
  • Pinpoint relevant policy language providing the basis for each recovery option
  • Reservation of Rights & Coverage Declinations

    Tuesday 8:00 - 9:30
    Wednesday 10:30 - 12:00

    Charles W. Browning, JD, Partner, Plunkett Cooney

  • Examine highly effective practices for handling claims while under reservation of rights
  • Identify and describe critical aspects of reserving rights and declining coverage, including when notice is required, the content of such notice, its timing, and applicable statutory and regulatory requirements
  • List the essential elements of sound reservation of rights and coverage declination letters and explore consequences of failing to address one or more of these elements
  • Assess the scope of defense control while defending under reservation of rights and the potential for defense cost recoupment
  • Traumatic Brain Injury: Evaluating Claims

    Monday 3:30 - 5:00
    Tuesday 1:30 - 3:00

    David R. Price, PhD, President, The Forensic Network
    Robert S. Stickley, Eaq, Founder, Stickley Law, LLC

  • Describe what constitutes a mild traumatic brain injury, moderate traumatic brain injury, and severe traumatic brain injury
  • Identify what records and documents are needed for appropriate brain injury evaluation
  • Distinguish the prognosis for recovery from mild, moderate, and severe traumatic brain injuries
  • Evaluate the high probability of fraud and malingering in mild traumatic brain injury claims
  • Uninsured Motorist Claims: Complex Issues

    Tuesday 8:00 - 9:30
    Wednesday 1:30 - 3:00

    David B. Krouk, JD, Partner, Butler Weihmuller Katz Craig

  • Recognize complex issues in uninsured and underinsured motorist claims handling
  • Explore approaches to resolving the complex issues
  • Assess when litigation will be necessary to resolve the difficult claims
  • Analyze situations that lead to bad faith exposure and approaches to avoid them
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    Learning with and from others in our industry. A lot of great information was exchanged among attendees in the classes. interesting to hear about what others are doing and how it is working for them. I feel like it provides a perspective on common issues, insights that is difficult to gain in any other way.

    Opportunity to network with other professionals and discuss relevant topics of the day.


    PLRB remains the "gold standard" for insurance industry conferences.

    For my first time attending I really felt like I took away many helpful points to use.


    The conference was amazing and provided top notch educational opportunities, as it always does.

    The sessions I attended were relevant to my job, engaging, and well done.

    PLRB greatly appreciates the following claims service providers for their outstanding support for the 2018 Claims Conference.

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