Schedule/Sessions
SESSION 1 - Identity Theft and Identity Fraud - Does It Affect Insurance Claims?
- Speakers:
Maria Elena Abate, Colodny Fass, P.A.
Stephen Jones, Admiral Insurance Company
Mariela Perez-Pennock, Assurant
This panel discussion will provide real life examples of both identity theft and identity fraud and discuss how they impact insurance. The panelists will discuss the latest schemes and scams and emphasize the checks and balances need to be in place to combat a growing epidemic. Participants will be asked to join in the discussion and examine their own “risk” score. After the presentation, participants will be able to define Identity (ID) Theft and ID Fraud as well as recognize ID Theft/Fraud in several different lines of insurance. They will also be able to identify action steps to counter ID Theft/Fraud and how it applies to applications, claims and coverage.
Back to topSESSION 1 - Where's Waldo? Using Technology Tracking in Claims Investigations
- Speakers:
Brett Kelley, Assurant
Matthew J. Smith, Coalition Against Insurance Fraud
Gene A. Weisberg, GladstoneWeisberg ALC
The technology explosion is dramatically changing how insurance claims involving potential fraud are being investigated and litigated. Insurance carriers who are “ahead of the curve” are using everything from smart phone and GPS tracking to consideration of drone technology as tools in the claim investigation process. As with any form of new technology new risks and concerns also arise. These range from government regulations to the need to update policy language and claims authorizations. This course will address all aspects of these and other new ways to successfully investigate and litigate insurance claims involving fraud.
Back to topSESSION 2 - On the Record: The Value of Cell Phone Records in Suspicious Claims Investigations
- Speakers:
Gianina Dimitriou, McDowell Shaw & Garcia
Nancieanne Hopkins, Mercury Insurance Group
Princess Spencer-Kuc, Renue Systems of Indiana
The course objective is to educate those working in Special Investigations in obtaining and using cell phone records in claims investigations. Participants will walk away with a better understanding as to why cell phone records are a powerful investigative tool, and how to better overcome the legal and practical obstacles faced in acquiring these records.
Back to topSESSION 3 - The Black Car Blues: Investigating and Adjusting Potentially Fraudulent Claims Involving Suspected Rideshare Drivers
- Speakers:
Stephanie Glickauf, Goodman McGuffey LLP
Todd Keller, AFICS
Valerie Moore, Self Employed
Constance Woods, American Southern Insurance Company
Uber, Lyft, and Sidecar, etc. are “ridesharing services.” Through the each company’s own smartphone app, passengers request a ride from a driver who is driving their own car, not a taxi or limousine. The drivers receive passenger requests through the app, decide whether to take the fare, and pick up and drop off the passenger at the passenger’s desired location. Drivers turn on the app when they want to take fares and turn off the app when they’re done working for the day. At the end of the ride, the passenger’s credit card is automatically billed to a credit card on file with the company.
Although we’ll use the term “ridesharing companies” throughout our presentation and paper, most ridesharing companies describe themselves as “technology companies.” There are two significant implications of ridesharing companies’ self-description. First, if ridesharing companies self-identify as “technology companies” that connect passengers with drivers, not “transportation service providers”, liability coverage under the ridesharing company’s policy versus the driver’s personal auto policy becomes a complicated question. Second, the lack of available liability coverage due to commercial exclusions in personal auto policies can lead to fraud. We will discuss how and why and how to detect and prevent fraud.
Back to topSESSION 4 - Investigating and Litigating Large Scale Fraud Claims
The panel will discuss the unique challenges associated with investigating and litigating large scale fraud claims. Topics will include multi-claimant/suspect fraud actions such as RICO, plant wide Workers’ Compensation actions, medical billing, class actions and construction defect. While many of the tools applicable to single claimant fraud actions are applicable in the large scale situation, there are additional procedural, practical and strategic differences in investigating and litigating these large scale and multi-party fraud claims. Experienced SIU investigators will discuss on the ground investigative techniques while claims and outside counsel personnel will discuss the practicalities of pursuing an affirmative claim of fraud or asserting an affirmative defense of fraud. This is intended to be an interactive panel discussion with practical examples.
Back to topSESSION 5 - Mock Trial Seminar
- Speakers:
Richard Duffy, The Hartford
Vincent Gerbino, Bruno Gerbino Soriano & Aitken
Cathy Gicker, Self Employed
Monica O'Neill, Thomas, Thomas & Hafer, LLP
Through a mock trial presentation, we will discuss the claim investigation process and what factors lead to the SIU referral. We will focus in on what frontline claims representatives should look for with respect to claims that are or should be referred to SIU.
Back to topNo Learning Objectives Available