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Adjusting Property Alternate Dispute Resolution Casualty Campus Catastrophe Commercial Time Element Losses General Interest Large Property Losses Management PLRB Property Coverage Special Investigations/Fraud Subrogation Technology Underwriting and Claims

Abuse & Molestation Claims & Coverage Issues

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

Jeffrey F. Chen, JD, Senior Claims Specialist, AXIS
Jonathan Toren, JD, Member, Cozen O'Connor

  • Identify the trends and sources of liability in abuse and molestation claims
  • List methods to locate lost and/or old policies
  • Determine whether coverage has been triggered and/or excluded
  • Evaluate allocation and limits issues
  • Autonomous Vehicles: Liability & Coverage Issues

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

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

  • 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 be asserted against these potentially liable parties
  • Describe liability insurance coverage available to potentially liable parties
  • Explore the coordination of insurance coverage among these parties
  • Bad Faith Damages in Third-Party Claims

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

    Asim K. Desai, JD, Partner, Gordon & Rees, LLP
    Kevin Willging, JD, 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

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

    Richard V. Baratta, Ph.D., SVP-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
  • Bodily Injury & Wrongful Death Claims: Effective Adjusting

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

    Joe Epps, CPA, CFE, Sr. Consultant, HSNO The Forensics Firm
    Meryl Fein, Claims Service Consultant, 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
  • Review both standard and specialized information to obtain, depending on the bodily injury or wrongful death facts alleged that must be gathered to complete your evaluation
  • Identify at least three potential situations which greatly complicate the determination of economic damages
  • Compare the timing in various claims settlement procedures, including pre-litigation negotiation, mediation and litigation through trial and posture the claim for resolution
  • Casualty Case Law Update

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

    Andrew Lambert, Director of Claims Operations, FedNat
    W. Lane Neilson, JD, Partner, Neilson & Associates, P.A.

  • Identify current casualty claim law trends across the nation
  • Evaluate current issues and improve your abilities to forecast court decisions
  • Analyze third-party liability factual scenarios
  • Conditional Settlement Demands: Defusing Third-Parties’ Tactics

    Wednesday 3:30 - 4:30
    Tuesday 10:30 - 11:30

    Brady Yntema, JD, Partner, Goldberg Segalla

  • Identify tactics by claimants’ attorneys that are meant to trigger bad faith set-ups in policy-limit demands
  • Analyze the carrier’s basic duty to settle claims in good faith and the consequences of failing to fulfill this duty
  • Evaluate factual scenarios as well as conditions imposed on policy-limit demands by claimants’ attorneys
  • Compare steps to help defuse a bad faith set-up
  • Confronting the “Reptile Theory”

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

    Kenneth Bunn, AIC, AVP, Claims, Builders Mutual Insurance
    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
  • Contractual Indemnity & Additional Insureds Liability

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

    John S. Hanlon, SCLA, 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 consider when tenders are received under both insurance policy and contracts
  • Identify the relevant factors when sending or receiving tenders
  • Criminal Acts, Terrorism & Liability Claims

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

    Bradford S. Purcell, JD, Partner, Purcell & Wardrope Chartered

  • Identify who is potentially liable for criminal acts, including terrorism
  • Review the theories of liability against typical target defendants
  • Evaluate defenses available to the target defendants
  • Describe the unique challenges and exposures with litigation arising out of criminal acts
  • Declaratory Judgment Actions: How, When & Why?

    Wednesday 8:30 - 10:00
    Monday 10:30 - 12:00

    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
  • Determining the Number of Occurrences Under CGL Policies

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

    Dick Cammett, Owner, EG Claims Adjusting/Consulting
    John Mumford, JD, Partner, Hancock Daniel Johnson et al

  • Identify the scenarios in which the issue of the number of occurrences arises
  • Discover how the parties' respective positions on this issue may change based on the policy provisions (including limits and deductible) and facts of the claim
  • Review the key liability policy provisions which impact the determination of the number of occurrences
  • Describe the different "tests" utilized by courts nationally for determining the number of occurrences and survey recent case law addressing this issue
  • Analyze various fact patterns in which the issue of the number of occurrences must be decided
  • Duty to Defend: When Does It End?

    Monday 1:30 - 2:30
    Wednesday 8:30 - 9:30

    Rina Carmel, JD, Senior Counsel, Anderson McPharlin & Connors

  • Describe the situations in which the insurer’s duty to defend may end
  • Analyze whether and when settlement can end the duty to defend, especially in mixed claims
  • Evaluate whether the insurer can terminate the defense by writing a letter, or whether coverage litigation is needed
  • Examine strategies for avoiding prejudice to the insured and avoiding bad faith allegations when the defense obligation ends
  • Environmental Loss Coverage

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

    Ginny L. Peterson, JD, Partner, Kightlinger & Gray, LLP

  • Describe common environmental liability loss hazards that arise from the release of chemicals, mold, asbestos, lead and biological agents
  • Review provisions of commercial general liability and environmental impairment liability policies which may be triggered by such environmental liability loss hazards
  • Examine trigger of coverage and loss allocation for environmental liability loss hazards
  • Determine the alternative methods for identification of the policies triggered and the effect of continuing or/ and progressive damages on coverage
  • Assess available subrogation and contribution when multiple insurance policies are triggered for the same loss and/or continuing damage
  • Faulty Construction Coverage Disputes: Current Status

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

    Linda Monaco, Construction Claims, State Auto Insurance Cos.
    Barbara O'Donnell, JD, Partner, Sulloway & Hollis, PLLC

  • Explain the interplay between the CGL policy's threshold insuring agreement and applicable policy exclusions
  • Survey significant recent court decisions highlighting the importance of examining the CGL policy insuring agreement's property damage and occurrence requirements
  • Scrutinize courts' approaches to the availability of coverage for Rip and Tear damages
  • Navigate coverage disputes when efforts are made by the insured to resolve faulty workmanship claims without litigation
  • Fraternity & Sorority Hazing: Liability Exposures & Coverage

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

    Danielle N. Malaty, JD, Shareholder, Kopka Pinkus Dolin PC

  • Describe the graduated levels of duties owed by fraternities and sororities to their social guests
  • Scrutinize case law, social host statutes, and anti-hazing statutes as they apply to personal injury suits arising out of events hosted by these social organizations
  • Review applicable policy forms providing coverage and pinpoint key provisions
  • Examine effective defense strategies
  • Homeowners Liability Coverage: Current Trends

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

    Patti Deuel, JD, Partner, Leahy, Eisenberg & Fraenkel
    Jennifer Kreil, Managing Attorney, American Family Insurance

  • 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: Managing the Costs

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

    Kelly M. Lippincott, JD, Member, Carr Maloney P.C.

  • Determine if independent counsel is actually needed
  • Identify approaches to managing litigation costs if independent counsel is retained
  • Weigh consequences of withdrawing a reservation of rights to take over the litigation defense
  • Multiple Lawsuits From One Cause: Taking Charge

    Tuesday 10:30 - 11:30
    Wednesday 3:30 - 4:30

    Thomas F. Glassman, JD, Shareholder, Bonezzi Switzer Polito & Hupp
    Jennifer Klase, CCPU, SCLA, CARE Manager, State Auto Insurance Cos.

  • Develop strategies to investigate and triage a loss involving dozens of claimants
  • Balance mounting a cost-effective defense while still properly protecting the insured
  • Identify when and how to settle claims en masse to protect the insured and minimize indemnity payments and defense costs
  • Negotiating Strategies in Bodily Injury Claims

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

    Richard Nouza, JD, Claims Manager - Home Office, Central Insurance Companies
    Christine A. Sullivan, CPCU, 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
  • Privacy Claims: Emerging Coverage Issues

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

    Matthew S. Foy, JD, Partner, Gordon & Rees, LLP

  • Specify coverage issues raised by cyber liability and privacy claims generated by data breaches
  • Analyze coverage for these claims under CGL policies
  • Highlight case law addressing CGL coverage
  • Describe coverages provided under more specifically designed insurance products
  • Reservation of Rights & Declination Letters

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

    David Jarrett, JD, AVP-Legal Counsel, Western Reserve Group
    David B. Krouk, JD, Partner, Butler Weihmuller Katz Craig

  • Recognize when a reservation of rights letter is needed
  • Identify the components and content of a reservation of rights letter
  • Describe how to deal with the insured’s response to a reservation of rights letter
  • Analyze the differences and consequences of reservation of rights versus declination letters
  • Social Media Liability Exposures & Coverage

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

    Kevin T. Merriman, JD, Partner, Ward Greenberg Heller & Reidy
    Meghan E. Ruesch, JD, Associate Attorney, Lewis Wagner, LLP
    Nicole Weir, JD, Senior Claims Attorney, SECURA Insurance Companies

  • Examine liability exposures and coverage for cyberbullying and other conduct arising out of social media use
  • Explore present and emerging causes of action enhanced or generated by social media use
  • Assess coverage issues under personal and commercial liability policies for social media-related claims
  • Traumatic Brain Injury: Evaluating Claims

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

    David R. Price, Ph.D., President, The Forensic Network
    Robert S. Stickley, JD, 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
  • Workplace Discrimination & Harassment: Emerging Issues

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

    Amy E. Johnson, JD, Of Counsel, HeplerBroom, LLC

  • Review policy forms applicable to workplace claims
  • Examine statutory claims arising out of workplace discrimination and harassment
  • Identify and describe typical companion common law claims
  • Explore approaches for assessing liability and policy coverage

    Please join us at the Property & Liability Resource Bureau 2019 Claims Conference!

    Learning Has No Finish Line

    Rev Up your education with course selections from 14 education tracks with 100 sessions taught by industry leaders, preparing you for an ever-changing world.

    Fuel Up your network by connecting with a diverse range of claims professionals and service providers from among hundreds of companies across the nation, all in one location.

    Speed Up connections at the Insurance Services Expo by interacting with a diverse, innovative group of the industry's leading service provider organizations.

    I've been attending PLRB Conferences for over 30 years and continue to enjoy attending and plan to do so in the future. Keep up the good work.

    It was a very positive experience and well worth the trip. I hope to attend future PLRB events.

    Met people who I've wanted to identify and meet for many years.

    I really appreciated the opportunity to be a part of this event as a student. These events make me even more excited for the future in this career field.

    Great job as always. Kudos to PLRB!

    I was a first timer - I enjoyed the conference and thought it was very well put together.

    Great job of keeping up with the times with education and speakers. Look forward to next year.

    I was able to make some new contacts and revisit with some old.

    Overall a great experience and opportunity to gain knowledge

    PLRB greatly appreciates the following claims service providers for their outstanding support for the 2019 Claims Conference.



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