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Abuse & Molestation Claims & Coverage Issues

Curriculum: Casualty Campus

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

Jeffrey F. Chen, JD, Senior Claims Specialist, AXIS Capital
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
  • Adjuster Efficiencies: Tap that App

    Curriculum: Technology

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

    Nathan Clay, Vice President of Claims, American Integrity Insurance
    Jarod Clayberg, Property Claims Supervisor, Erie Insurance Group
    Ryan Matchack, Property Claims-HO Specialist, Grange Mutual Casualty Group

  • Explore available apps that can assist claims adjusters
  • Highlight how apps can improve performance and efficiency for adjusters
  • Review the way apps are shifting and impacting the claim handling industry
  • Describe the advances and future impact of apps for adjusters
  • Adjusters, Fire Claims & 21st Century Technology

    Curriculum: Adjusting Property

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

    Ulises Castellon, CPCU, RPA, Chief Operating Officer, Fire Cause Analysis
    Douglas K. Wood, JD, Trial Attorney, Law Offices of Matthew Salazar

  • Explore the impact of modern technology and products – including the Internet of things
  • Evaluate the reliability of your fire experts’ methodology against modern-day professional standards
  • Describe practical tips to effectively manage investigations of fire claims or cases involving emerging products, technologies, and the Internet of Things – “IoT”
  • Assess the implications of the interplay between legal liability issues and the rapid pace of new technology products
  • ALE Claim Handling & the Adjuster's Balancing Act

    Curriculum: Adjusting Property

    Tuesday 8:00 - 9:00
    Wednesday 3:30 - 4:30

    Kent Peterson, Property Claims Specialist, Shelter Insurance
    Teresa Vidger, President, Temporary Housing Directory

  • Determine when additional living expense occurs and when coverage applies for such expense
  • Evaluate the importance of timely and critical estimating to damage assessment
  • Describe the many roles of ALE vendors
  • Examine lodging needs and availability in the context of the new landscape of options
  • Analyzing Written & Recorded Statements: See the Truth

    Curriculum: Special Investigations/Fraud

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

    Cassandra Lee, CIFI, Special Investigations Unit, Westfield Group
    Larry D. Lee, CFE, CFI, CIFI, CCCI, Owner/President, Double L Invest. & Consultants

  • Evaluate the interviewee by reading the statement from their perspective
  • Identify the truth by understanding the language used by the interviewee
  • Pose powerful follow-up questions after understanding the truth found in their initial answers
  • Make use of the perceived non-useful information in an interviewee's statement
  • Appraisal: Evolution & Evaluation of the New Normal

    Curriculum: Alternate Dispute Resolution

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

    Robert T. Horst, JD, Partner, Timoney Knox, LLP
    Shawn D. Woodie, CIC, AIC, AIS, Claims Examiner, Erie Insurance Group

  • Evaluate an appraisal demand in the context of a coverage dispute or partial denial
    ** Assess whether an appraisal and a coverage lawsuit may legally (and practically) co-exist
  • Explore responses and solutions when an appraiser or umpire is inactive, or literally goes silent
  • Evaluate when and why to involve the courts and remedies including vacate, enforce, appoint, and compel
  • Identify emerging trends for insurers and appraisers
  • Arbitration: Pros & Cons of Its Use in Claims

    Curriculum: Alternate Dispute Resolution

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

    D. Grayson Kelly, JD, Senior Associate, Butler Weihmuller Katz Craig
    Tyler Patterson, Senior Claims Examiner, Berkshire Hathaway Specialty
    Mohammad S. Sherif, Esq., Counsel, Cabrillo Holdings, LLC

  • Describe what arbitration is and its use as a resolution tool
  • Compare statutes/rules across jurisdictions
  • Identify new trends in insurance policy language where arbitration is required
  • Evaluate which claims may benefit from Arbitration and how to use it
  • Artificial Intelligence: Redefining Workflows

    Curriculum: Technology

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

    Bill Banta, General Mgr.-Enterprise Sol., EagleView
    David Williams, CPCU, AIC, PMP, Vice President of Claims, Texas Windstorm Ins. Assn.

  • Review the possible the applications of artificial intelligence (AI) utilization across the claims workflow
  • Describe how the industry is implementing AI and how it could evolve in the future
  • Evaluate ways insurers can measure their effective use of AI and their implications moving forward
  • Assignment of Benefits: Policy Giveaway

    Curriculum: Adjusting Property

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

    Michael Guerra, Director, Claims Governance, Citizens Property Ins. Corp.
    Joshua Schone, CAT Team Manager, Auto Club Enterprises Group

  • Describe what an assignment of benefits contract is and who benefits from it
  • Review how assignment of benefit contracts comport with the established law in various jurisdictions
  • Identify “red flags” for potential fraud involved with assignment of claim presentations
  • Evaluate various strategies to help navigate your customer's claim through the waters of an assignment of benefits situation
  • Auto Casualty Claim Management Technologies

    Curriculum: Technology

    Tuesday 1:30 - 2:30
    Monday 3:30 - 4:30

    Ben Fisher, Strategy & Product Manager, Liberty Mutual Insurance
    Norman Tyrrell, , Sr. Director-Product Mgmt., Mitchell International

  • Identify recent technology innovations
  • Explain how technology innovations can be applied to claims workflows
  • Describe how technology can improve efficiency, service, and outcomes for the carrier and the injured party
  • Avoiding First- & Third-Party Bad Faith Allegations

    Curriculum: General Interest

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

    Lindsey Davis, JD, Partner, Zelle LLP
    Jocelyn M. Rodgers, AIC, Mgr.-Claims Quality & Training, Western Reserve Group
    Nicole Slate, Property Reinspection Manager, Erie Insurance Group

  • Describe good faith claim handling practices and effective claim-file management.
  • Review fact patterns and judgments from bad faith cases from various federal and state jurisdictions.
  • Apply good faith claim handling practices and effective claim-file management techniques.
  • Make effective and good-faith based claim-file management decisions.

    Outstanding Claims Professionals, 2020: Call for Nominations

    Please join us at the Property & Liability Resource Bureau 2020 Claims Conference!

    Expand Your Horizons & Challenge your Thinking at the PLRB Claims Conference

    Join us in Washington, DC, for our claims talent revolution where you'll:

    • Expand your horizons with 100 educational course selections within 14 education tracks taught by industry leaders, preparing you for your future
    • Challenge your thinking, redefine what it means to be a claims professional today
    • Expand your network by connecting with a diverse range of claims professionals from hundreds of companies across the nation
    • Build connections at the Insurance Services Expo by interacting with a diverse, innovative group of the industry's leading service providers

    About 100 educational sessions will be offered during the 3-day conference from a wide variety of curricula including:

    Adjusting Property
    Alternate Dispute Resolution
    Casualty Campus
    Commercial Time Element Losses
    General Interest
    Large Property Loss

    Leadership & Management
    Property Coverage
    Special Investigation/Fraud
    Underwriting & Claims

    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 2020 Claims Conference.




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