Schedule/Sessions
Level 1 - Insurance Industry Primer - MANDATORY
- Speakers:
Robert Bowers, Westfield Insurance
Melissa Hill, Sompo International Insurance
Dennis Jay, Coalition Against Insurance Fraud
Fausto Martin, Fausto J Martin & Co., LLC
Christopher Morrison, Swiss Re
Hedy Linette Ranieri, Berkley Technology Underwriters
Allan Robinson, Ago
Ronna Ruppelt, Freeman Mathis & Gary, LLP
Deborah Saunders, Comcast NBCUniversal
Caryn Siebert, Gallagher Bassett Services, Inc.
Claims College presents a unique educational experience created by and for industry professionals. To set the stage for these intensive 3 days of learning, several senior level claims executives will present on 10 important insurance topics for 15 minutes each:
1. Insurance 101
2. Types of P&C Companies
3. Key Ratios
4. Determining Coverage
5. Reserves
6. Stakeholders in the Claim Process
7. Risk Management
8. Fraud
9. Reinsurance
10. Negotiating Settlements
Breakfast and Keynote
We live in a world of accelerating change today. Evidence abounds all around us: take as a single example the shift from paper maps to real-time GPS on your mobile phone that has occurred over the past decade. Insurance is not immune: long resistant to change by design, the recent rise of insurtech holds the promise of a radically different future. While entrepreneurs and technologists are seeking to change insurance from the outside, industry professionals are also seeking to shape the future from within. Come learn from innovation expert and author Rob Galbraith why we are on the cusp of the end of insurance as we know it and how investing in your professional education is the best way to prepare yourself for what’s to come.
Back to topCoverage "Know Before You Go" - Part 1
Understanding the coverage afforded and knowing what coverage is available is a challenge to the adjuster upon receipt of a new loss. This course will provide the participants with key coverage concepts for both Homeowner and Commercial policies both prior to their contact with the policyholder and throughout the course of their investigation.
After completion of this course, participants will be able to:
- Understand the coverage afforded under the applicable policy
- Recognize the need for non-waiver and/or reservation of rights
- Identify interest and property insured
- Explain and report coverage issues
- Confirm policy conditions
Coverage "Know Before You Go" - Part 2
Understanding the coverage afforded and knowing what coverage is available is a challenge to the adjuster upon receipt of a new loss. This course will provide the participants with key coverage concepts for both Homeowner and Commercial policies both prior to their contact with the policyholder and throughout the course of their investigation.
After completion of this course, participants will be able to:
• Understand the coverage afforded under the applicable policy
• Recognize the need for non-waiver and/or reservation of rights
• Identify interest and property insured
• Explain and report coverage issues
• Confirm policy conditions
Investigation of Property Claims
- Speakers:
Valerie Edwards, Luks, Santaniello, Petrillo & Cohen
Joel Moore, Champions Insurance Services
The purpose of the Investigation Course is to introduce the audience to the life cycle of a property claim, both personal property claims and commercial property claims. Special focus is given to the importance of new loss taking within a claims organization. Further emphasis is given to the triage process, as well as the discipline of contents adjusting and management of additional living expenses. The course then proceeds to introduce the student to the role of cause and origin experts, special investigation experts and finally to the discipline and importance of subrogation and recovery.
After completion of this course, participants will be able to:
- Develop the proper scope of the investigation
- Understand the tools that are available
- Explain the investigation life cycle
- Properly document the stages of the claim
- Recognize first party good faith investigation
- Recognize alternatives to consider prior to a lawsuit
- Identify the timing and uses of mediation
- Recognize when and how to choose arbitration over litigation
- Understand situations when a bench trial is possible and appropriate
Property Evaluation
This course has been designed for the Beginner to Early Intermediate Level Property adjuster or an experienced adjusters handling other insurance lines looking to make a transition into property claims adjusting. The student attending this course should expect to leave with a broad knowledge of Property Loss Value definitions and determinations, a basic outline of Property Claims Inspection Workflow Models, an understanding of personal lines policy provisions, conditions and limitations and basic Co-Insurance calculations as they apply to handling home owners type policies.
After completion of this course, participants will be able to:
- Understand the difference between RC and ACV and calculate the ACV and Market Value of property structure.
- Explain the settlement valuation for the different policy provisions.
- Calculate and value the loss adjustment.
- Explain waiver and estoppel, insured’s duties, proof of loss, and the appraisal procedure
Resolving Property Claims: Fulfilling the Commitment
Settling first party property claims with premium paying insureds who have suffered a loss to their personal property or their business can be routine or challenging. A claim is a customer’s moment of need, an opportunity for insurers to validate years of premium payments which can be crucial to retention and profitability. This course is designed to provide some tools to assist claim handlers in resolving claims promptly and fairly based on the terms and conditions in the insured’s policy.
After completion of this course, participants will be able to:
- Identify methods to permit swift and accurate resolution of non-disputed claims
- Understand the techniques to properly address coverage denials
- Explain the techniques for resolving disputed claims
- Describe how to evaluate cost/benefits of appraisals, arbitration, mediation and other dispute resolution processes
Navigating the Property Claims Environment
- Speakers:
Carson B. Lester, CPCU, AIC, CCP, Charles Taylor Adjusting & Technical Services
Justin Whedbee, MAS Solutions
Navigating the property claim environment can be very challenging for those who do not fully understand the various stakeholders and claim requirements. This course is designed to provide a broad overview of the property claim environment.
After completion of this course, participants will be able to:
- Identify key stakeholders in residential and commercial property claims and their roles and responsibilities.
- Understand common property insurance claims organization and workflow models.
- Identify regulatory and legal entities and understand their requirements.
- Manage each stakeholders claim experience and provide for mutually successful claim outcomes
