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Casualty Case Law Update

Curriculum: Casualty Campus

W. Lane Neilson, JD, Partner, Neilson & Associates, P.A.

  • Identify current casualty claim law trends across the nation
  • Evaluate current issues and improve your ability to forecast court decisions
  • Analyze third-party liability factual scenarios
  • Casualty Fraud & Abuse: Personal Injury

    Curriculum: Special Investigations/Fraud

    Matthew Gray, CIFI, FCLA, Major Case Investigator, Grange Insurance

  • Recognize personal injury claim fraud and abuse
  • Compare medical records to medical bills using consistency, common sense, and credibility
  • Identify key techniques to effectively interview a claimant regarding medical treatment
  • List powerful tools available for fair and objective negotiations
  • CAT Planning & Response to Catastrophes

    Curriculum: Catastrophe

    Kevin McKinnis, , Catastrophe Team Manager, Auto Club Enterprises Group
    Craig Sakraida, CPCU, AIC, Claims Director CAT Operations, Citizens Property Ins. Corp.

  • Prepare for the event with pre-season meetings to identify the resources and protocols needed to respond
  • Perform initial reconnaissance of the damaged area to evaluate severity and determine how best to deploy your resources
  • Improve your response by conducting ongoing evaluations and post-mortem sessions to improve the planning and response process
  • Civil Authority Coverage

    Curriculum: Property Coverage

    K. Clark Schirle, JD, Partner, Butler Weihmuller Katz Craig

  • Identify various coverage elements including civil authority, ingress, and egress
  • Analyze key cases involving riots, September 11, hurricanes, and COVID-19
  • Manage, investigate, respond to, and litigate civil authority claims and lawsuits
  • Claim Evaluation with Large Deteriorated Properties

    Curriculum: Large Property Losses

    Kenneth R. Gilvary, PE, President, Revizion Inc.
    Michael Kopsa, AINS, AIC, CCLA/FCLA, Claims Director, American Capital Assurance

  • Identify the key issues to consider when handling claims regarding a large deteriorated property
  • Organize and control large property loss claims while separating sudden damage from ongoing conditions
  • Separate multiple causes of loss using appropriate allocation methods
  • Evaluate risk and resolve complicated claim disputes on commercial and residential properties
  • Claims Analytics: Insights & Expertise

    Curriculum: Leadership

    Janet Davis, AVP-Analytics Integration Lead, Chubb
    Veena Gregoire, Head of Claims Analytics, NA, Allianz Global Corp. & Spec.

  • Identify strategies for claims examiners to improve outcomes with predictive analytics
  • Describe the impact of claims outcomes on the company's financial results
  • Discover how to successfully integrate analytics into the adjusting process
  • Connect the dots on how claims can work collaboratively through a cross-functional process to drive extraordinary results
  • Claims Handling During a Pandemic

    Curriculum: Technology

    Chaz Mello, Senior Vice President, JS Held LLC
    Marcus Reath, Vice President | EGA, McLarens

  • Analyze the impact of COVID-19 on the insurance claims market
  • Compare the methods our industry is adopting to improve response to the current challenges
  • Assess the impact of technology on claims handling now and in the future
  • Evaluate how the necessity of utilizing technology today may impact the industry moving forward
  • Climate Change: How the Industry is Responding

    Curriculum: Underwriting and Claims

    Steven Bowen, Meteorologist-Impact Forecast., Aon
    John A. Lee, , Attorney in Private Practice

  • Define the underlying science behind climate change
  • Identify potential future regional impacts related to climate change
  • Explore efforts by the insurance industry to model and prepare for future impacts
  • Describe current legal developments related to climate change
  • Identify insurance policy provisions that could impact coverage
  • Commercial Roofing: Damages & Investigations

    Curriculum: Adjusting Property

    Tom Carlson, Director of Field Claims, North Star Companies
    Shannon Pierce, PE, Senior Project Manager, Pie Consulting & Engineering

  • Identify common types of commercial roofing systems found in the United States and applicable performance considerations.
  • Outline claim investigation procedures and complexities regarding damages to these roofing systems.
  • Describe methods for working with contractors and managing varying levels of roof repairs and replacement strategies.
  • Evaluate building code considerations when faced with repairs and replacements.
  • Complex Causation Issues in Disputed Property Claims

    Curriculum: Property Coverage

    John Eggum, JD, Partner, Foran Glennon Palandech et al
    Lisa Seutter, CPCU, Chief Examiner, Liberty Mutual Insurance

  • Analyze policy provisions addressing causation, such as anti-concurrent causation provisions and ensuing loss provisions, and trends in how courts have interpreted these provisions
  • Evaluate complex causation issues and problems of proof that can impact outcomes in disputed claims
  • Identify causation-related coverage determinations, from initial investigation to communicating coverage decisions
  • Compare multiple causes, proximate cause, anti-concurrent causation and ensuing/resulting loss causation issues
  • Confronting the “Reptile Theory”

    Curriculum: Casualty Campus

    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
  • Strategize ways to effectively and efficiently defend against a reptile case during discovery
  • Contaminated Water Claims: Disinfectants Needed?

    Curriculum: Adjusting Property

    Daniel Bernazzani, Ph.D., SVP Environmental Division, YOUNG & Associates
    Steve Daglio, General Adjuster, Vermont Mutual Group
    Robert J. Donahue, Jr., AIC, National General Adjuster, Sedgwick

  • Evaluate appropriate procedures for contractors when using disinfectants
  • Identify contaminated situations when water or mold damage standards and guidelines are appropriate
  • Review the importance of coverage issues when contaminated water is present
  • Describe accurate records needed when dealing with contaminated water claim scenarios
  • Contents Claims Adjustments that Sizzle

    Curriculum: Adjusting Property

    Todd Breton, Project Manager, Germania Insurance
    Deborah Johnson, President & CEO, Contents Adjuster Team, LLC

  • Evaluate the strengths and weaknesses of traditional personal property adjustments
  • Identify the most critical features of contents adjustments
  • Review ways to increase your expertise in handling contents claims
  • Explore the differences between customer attention and customer service
  • Contractors' Equipment Claim Challenges

    Curriculum: Adjusting Property

    Debra Brickner, Sr. National Claims Director, W. R. Berkley Group
    Thomas M. Everette, Jr., Heavy Equip. Truck Gen. Adj., T.M. Everette Claim Service
    Tom Fergus, Heavy Equip. Claims Specialist, N.E. Truck & Equipment Claims

  • Examine and apply policy coverages in a variety of contractors' equipment losses
  • Evaluate issues with scope of damage and reparability with specialty equipment
  • Review valuation provisions and settlement strategies with various contractors' equipment claims
  • Contractual Indemnity & Additional Insureds Liability

    Curriculum: Casualty Campus

    John 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
  • Coverage Challenges with Common Property Endorsements

    Curriculum: Property Coverage

    Anthony Antonellis, JD, Attorney, Sloane and Walsh, LLP
    Mark E. Wilson, CPCU, Head of Claims-Marine & Surety, Hanover Insurance Group

  • Dissect critical provisions contained in common property endorsements, such as sewer and drain backups, mold/fungi, cosmetic damage, and hurricane deductibles, among others
  • Evaluate new and emerging commercial and homeowners property endorsements and their implications for established claim adjusting practices
  • Identify frequent and unique coverage issues arising from common property endorsements
  • Describe recent court rulings impacting the application of common property endorsements
  • COVID-19 Liability Exposures & Coverage Issues

    Curriculum: Casualty Campus

    Paul S. White, JD, Partner, Wilson Elser Moskowitz et al

  • Describe COVID-19 liability exposures
  • Identify various lines of businesses affected by COVID-19 liability exposures
  • Recognize plaintiff’s potential causes of action and potential defendants
  • Evaluate coverage issues under CGL, Errors & Omissions, Directors & Officers, and Employment Practice Liability insurance policies

    Join us in Chicago for the 2021 PLRB Claims Conference.

    • Expand your horizons with more than 90 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 90 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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