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ALL SYSTEMS ARE GO, the future looks bright!lift off!

Conference Program

PRESENTS

2014 Combined Claims Conference Committee

Caryn Siebert , J.D., Committee ChairPresident & CEOCarl Warren & Company770 S. Placentia Ave.Placentia, CA [email protected]

Mark McClain, CPI, Conference TreasurerVice PresidentKrout & Schneider Investigators2250 Lindsay WayGlendora, CA 91740909-599-9500, ext. [email protected]

Linda Doi-Scheid, Golf Tournament ChairRegional Acount ExecutiveAmerican Technologies, Inc.210 W. Baywood AvenueOrange, CA [email protected]

Gary George, CPCU, RPAService and Retention LeaderCarl Warren & Company701 N. Brand, Suite 600Glendale, CA [email protected]

Colin GlenVice President, Business DevelopmentIMS Bill Review1 Spectrum Pointe Dr., #140Lake Forest, CA [email protected]

Carol McDonald, CPCU, AIM, CE Credits ChairBusiness DevelopmentFire Cause Analysis (FCA)2060 D Avenida De Los Arboles, PMB #146Thousand Oaks, CA [email protected]

Samantha MorganClaims SpecialistCarl Warren & Company11840 Pierce St., Suite 100Riverside, CA [email protected]

Brian Moss, Esq.PartnerManning & Kass, Ellrod, Ramirez, Trester LLP19800 MacArthur Blvd., Suite 900Irvine, CA [email protected]

Dawnde Pence, CPCU, SCLA, CIFI, Program Committee ChairClaims Manager/ExaminerAutomobile Club of Southern California3333 Fairview RoadCosta Mesa, CA [email protected]

Diana RichConsultantClark Enterprise Partners3443 Pine BrookCosta Mesa, CA [email protected]

John Ruiz, Scholarship ChairPresidentClaims Education PanelP.O. Box 90152San Bernardino, CA [email protected]

Kathleen TorresPresidentArissa Cost Strategies15901 Red Hill Ave. Suite #201Tustin, CA [email protected]

Combined Claims Conference Meeting ManagementJenifer McDonald, Meeting PlannerSean McDonald, Exhibit Hall CoordinatorP.O. Box 255431Sacramento, CA [email protected]@combinedclaims.comP.O. Box 255431Sacramento, CA 95865-5431Phone: 714-321-3847

March 4-5, 2014 | Hyatt Regency Orange County3

Welcome FROM CARYN SIEBERT, CHAIRPERSON

Last year over 900 of us celebrated the Silver Anniversary of the Combined Claims Conference. Now it’s time to blast off and welcome you all as you land in Orange County – the new and exciting venue for this conference for the next few years.

While many conferences have experienced decreased attendance and a drop in exhibitors, this year’s conference has once again bucked the trend. I am proud to say that all systems are a go at the CCC – we have a great program, great exhibitors, great venue and great committee. This ignites our engine and results in a great educational conference, networking and fun (especially via the golf tournament and Casino Night).

The multi-year deal we struck with the Hyatt here in Orange County should allow us to keep attendance and exhibitor fees the same for the next few years. Carl Warren & Company is already looking ahead and proud to be the presenting sponsor for the conference for March 10-11, 2015, so save the date. Thanks to the sponsors of the Bill King Memorial Golf Tournament, we expect to be able to offer even more scholarships to the 2015 Combined Claims Conference. American Technologies (ATI) will be the presenting sponsor of the 2015 golf tournament. The Claims Education Panel, Fire Cause Analysis and Impact General will be assuring that continuing education credits are available for attendees.

Please thank our sponsors and exhibitors for making this event possible. Enjoy meeting and networking with the bright people in the industry who are here. Have a blast interacting with experienced speakers and colleagues so you win all the way around and your investment of time and money will pay dividends. And last, but not least, consider volunteering to be a speaker next year or submitting your name for the planning committee.

We hope you’ll plan in advance and clear the calendar to invest in your future and gain a competitive advantage over others when we gather at the spectacular Hyatt from March 10-11, 2015, Master Our Careers!

Caryn Siebert, J.D., is President and CEO of Carl Warren & Company, an award winning employee-owned third party claims administrator providing “gold level” claim service nationwide to hundreds of public entities, Fortune 500 companies, various businesses and insurance companies since 1944. Caryn, honored by Ernst & Young as a Finalist for Orange County Entrepreneur of the Year in 2013 and recognized by Business Insurance in 2010 on their Top 25 Women to Watch List, has been an insurance executive for over 20 years. She is Chair of the CCC and has presented at several conferences including CLM, DRI, PRIMA, PARMA, NRRDA and NASP. Carl Warren & Company was named 2013 National ESOP Company of the Year; 2012 California/Western States Company of the Year; one of the “Best Companies to Work For” by Business Insurance in October 2010; and Orange County Metro Magazine and the Orange County Register in July 2009 and 2010.

2014 Combined Claims ConferenCe 4

moon walkers Thank You!Thank You!

Commanders

Bartwood Construction, Inc.

Forza Lien

Veracity Research Co. Investigations

astronauts

BELFOR Property Restoration

Fire Cause Analysis

Frontier Adjusters

FRSTeam

Haag Engineering

Home Design Contents Restoration

LWG Consulting

Manning & Kass, Ellrod, Ramirez, Trester LLP

Medata

Nelson Architectural Engineers

The Garment Restoration Company

Ward-Tek Construction, Inc.

4x Forensic Engineering Laboratories, Inc.

Accurate Leak Locators, Inc.

Advanced Analysis, Inc.

Air-Tech Environmental, Inc.

All County Environmental & Restoration

American Technologies, Inc.

Bottomline Technologies

Carl Warren & Company

Emercon Construction, Inc.

Envirocheck, Inc.

Insurance Recruiting Specialists (IRS)

Knox Services, Inc.

MS Builders

Paul Davis Restoration & Remodeling

Restoration Industry Association

Taylor Morse

UltraCare Restoration

Unisource Discovery


sponsors: Thank You!Thank You!McDowell Shaw Colman & Garcia – Title SponsorAccurate Leak LocatorsActivate StaffingAdvanced Analysis, Inc.ALE SolutionsAmerican Environmental GroupArissa Cost StrategiesB&B General Construction ServicesBELFOR Property RestorationBremer Whyte Brown & O’Meara, LLPCentury Pacific MedicalCertified Restoration Drycleaning Network (CRDN)DALLASWHITE Property RestorationDefiniti Healthcare ManagementEmercon ConstructionEnvirocheck, Inc.Exponent Failure Analysis Associates, Inc.Fire Cause Analysis (FCA)Forensic Analytical Consulting ServicesFrontier AdjustersFRSTeamHaag EngineeringHealthcare Solutions, Inc.Home Design Contents RestorationInline Distributing CompanyInsurance Professionals of Orange CountyInterstate RestorationJAMS - The Resolution ExpertsKoning & AssociatesLWG ConsultingManning & Kass, Ellrod, Ramirez, Trester LLPMaster Plumbing & Leak DetectionMedataMEDEXMomentum Engineering Corp.Nelson Architectural EngineersPolestar Performance ProgramRJN Investigations, Inc.ServiceMaster AAA RestorationState Restoration, Inc.Superior Abatement ServicesThe Garment Restoration CompanyWard-Tek Construction, Inc.White Van Real Estate ServicesWindham Group

Madsen, Kneppers & Associates, Inc. – Title SponsorPadgett’s Cleaning & Restoration, Inc. – Title SponsorAccurate Leak LocatorsAir-Tech Environmental, Inc.All County Environmental & RestorationAlliance Environmental Group, Inc.Allied Restoration Services, Inc.American Geotechnical, Inc.American Technologies, Inc.AramscoBartwood Construction, Inc.BELFOR Property RestorationBlu SKY Restoration ContractorsCOTTONDynamic Environmental Services, Inc. Emercon ConstructionEnvirocheck, Inc.EvistaFRSTeamGreer & Kirby CompanyP.W. Stephens Environmental, Inc.Patriot Environmental Laboratory Services, Inc.Phoenix Textile RestorationQwikResponse Restoration & ConstructionReliant InvestigationsRestoration Management CompanyRGL ForensicsServPro North OceansideStrictly ContentsT.O.S.C.O.The Garment Restoration CompanyTitan Environmental Solutions, Inc.Ward-Tek Construction

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Tuesday, March 4 7:30 a.m. - 9:00 a.m. Registration, Exhibit Hall Open and Continental Breakfast Grand Ballroom and Foyer 7:30 a.m. - 4:30 p.m. Exhibit Hall and Registration Desk Open Grand Ballroom and Foyer 9:00 a.m. - 10:15 a.m. General Session Skyrocketing Claims Costs: What is the Real Cost of Fraudulent Claims? Royal Ballroom 10:15 - 10:45 a.m. Break in Exhibit Hall Grand Ballroom 10:45 a.m. - 11:45 a.m. Breakout Sessions Liability Royal E – F The Use and Admissibility of Black Boxes in Assessing the Severity of Low Speed Accidents Property Garden 1 - 3 Water Loss Mitigation: What to Expect and Why SIU Plaza Terrace Fire Proofing’ Your Claim - Don’t Get Burned! Workers’ Comp Garden 4 How Claims Management is Impacted by Co-Morbidities 11:45 a.m. - 1:00 p.m. Luncheon and Keynote Speaker Vince Ferragamo – Former NFL Quarterback Los Angeles Rams and Green Bay Packers “The Claims Profession and Its Importance to Society” Royal Ballroom

1:00 p.m. - 1:45 p.m. Dessert in the Exhibit Hall Grand Ballroom 1:45 p.m. - 2:45 p.m. Breakout Sessions Liability Royal E – F Effective Tools for the Claims Professional in the UM/UIM Claim Environment Property Garden 1 - 3 Successful Investigation of Commercial Industrial Fires SIU Plaza Terrace Abuse vs. Fraud: When Does a Claim Become a Crime? Workers’ Comp Garden 4 In Space, No One Can Hear You Scream: Surviving a DWC Audit 2:45 p.m. - 3:15 p.m. Break in Exhibit Hall Grand Ballroom 3:15 p.m. - 4:15 p.m. Breakout Sessions Liability Royal E – F To Settle or Defend, That is the Question Property Garden 1 - 3 Computer Simulation and Laboratory Testing Methods for Use in Fire and Water Loss SIU Plaza Terrace Ethics for Insurance Professionals Workers’ Comp Garden 4 An Updated Evidence Based Medicine (EBM) Approach to Appropriate Opioid Use 4:15 p.m. - 4:30 p.m.. Prize Drawing in the Exhibit Hall Grand Ballroom

4:30 p.m. - 7:30 p.m. Casino Night for all registrants Royal Ballroom

program at a glanCe


Wednesday, March 5 8:00 a.m. – 4:00 p.m. Registration Desk Open Grand Ballroom Foyer

8:00 a.m. – 2:00 p.m. Exhibit Hall Open Grand Ballroom Foyer

8:00 a.m. - 9:00 a.m. Continental Breakfast in Exhibit Hall Grand Ballroom Foyer 9:00 a.m. - 10:00 a.m. Breakout Sessions Liability Royal E – F Bodily Injury Defense: Key Aspects and Strategies Every Claims Professional Should Know Property Garden 1 - 3 Turning Paid Property Claims into a Revenue Source: Subrogation Power Tools-Get Noticed for Turning Claims into Gold SIU Plaza Terrace Rental Car Fraud and Current Trends Workers’ Comp Garden 4 Subrosa Secrets 10:00 a.m. - 10:45 a.m. Break in Exhibit Hall 10:45 a.m. - 11:45 a.m. Breakout Sessions Liability Royal E – F Identifying Construction Defects/Long Term Conditions Versus Event Driven Damages Property Garden 1 - 3 Is there a Cause for “Bad Faith” Due to Lack of “Due Diligence? SIU Plaza Terrace Investigating Suspect Claims From A - Z Workers’ Comp Garden 4 Effective Resolution of Small Workers’ Compensation Cases Noon – 1:00 p.m. Luncheon for all attendees Royal Ballroom 1:00 p.m. - 1:30 p.m. Dessert and Exhibitor Prize Drawings in the Exhibit Hall Grand Ballroom 1:30 p.m. - 2:30 p.m. Breakout Sessions Liability Royal E – F Developmental Negotiation: Effective Preparation and Execution Property Garden 1 - 3 Ethics for the Insurance Adjuster SIU Plaza Terrace The Role and Practice of Social Media in Claims Handling Workers’ Comp Garden 4 Workers’ Compensation Legislative and SB 863 Update: What’s Next?

2:30 p.m. - 3:45 p.m. Closing General Session Electrical Facts, Myths and More Royal Ballroom 3:45 p.m. Final Prize Drawing Royal Ballroom

4:00 p.m. Conference Concludes

program at a glanCe


Bruce AgleManaging Engineer & Partner4x Forensic Engineering Laboratories, Inc.5262 Oceanus Dr.Huntington Beach, CA 92649 Phone: 714-450-8500Email: [email protected]

Dawn AlvaradoCity of Los AngelesEmail: [email protected]

Todd AndrewDirector of Clinical OperationsCID ManagementPhone: 866-301-6568, x 712Email: [email protected]

Brad BalentineSIU DirectorDavid Morse & Associates330 N. Brand Blvd., Suite 230Glendale, CA 91203 Phone: 323-275-2100Email: [email protected]

Lee Jay BermanPMA Dispute ResolutionPhone: 310-272-0800Email: [email protected]

Jack BlyskalChief Claims OfficerCSAC Excess Insurance AuthorityPhone: 916-850-7300Email: [email protected]

Mark BruaskiExecutive General AdjusterYork Insurance Services, Inc.Phone: 714-620-1385Email: [email protected]

Ulises CastellonDirector of OperationsFire Cause Analysis (FCA)935 Pardee St.Berkeley, CA 94710 Phone: 800-726-5939Email: [email protected]

Edward CrossAttorney at LawLaw Offices of Edward H. Cross & Associates72-980 Fred Waring Drive, Suite CPalm Desert, CA 92260 Phone: 760-773-4002Email: [email protected]

Annette DeutschelWorkers’ Compensation ManagerHuntington Memorial Hospital100 W. California Blvd.Pasadena, CA 91105 Phone: 626-397-5000Email: [email protected]

John EdsonPartnerMcKenna Long & Aldridge LLP600 West Broadway, Suite 2600San Diego, CA 92101-3372 Phone: 619-699-2442Email: [email protected]

Tony FalcoAccurate Leak Locators, Inc.26025 Newport Rd., A413Menifee, CA 92584 Phone: 888-333-5325Email: [email protected]

Vince FerragamoTouchdown Real Estate6200 E. Canyon Rim Road, Suite 204Anaheim, CA 92807 Phone: 714-921-1515Email: [email protected]

Carl FessendenShareholderPorter Scott300 University Avenue, Suite 300Sacramento, CA 95825 Phone: 916-929-1481, ext. 327Email: [email protected]

Brian FooteBELFOR Property Restoration2920 E. White Star Ave.Anaheim, CA 92806 Phone: 714-632-7685Email: [email protected]

Heather FregeauSenior Liability Claims SpecailistCSAC Excess Insurance Authority75 Iron Point Circle, Suite 200Folsom, CA 95630 Phone: 916-850-7300Email: [email protected]

ConferenCe speakers


Edward CrossAttorney at LawLaw Offices of Edward H. Cross & Associates72-980 Fred Waring Drive, Suite CPalm Desert, CA 92260 Phone: 760-773-4002Email: [email protected]

Annette DeutschelWorkers’ Compensation ManagerHuntington Memorial Hospital100 W. California Blvd.Pasadena, CA 91105 Phone: 626-397-5000Email: [email protected]

John EdsonPartnerMcKenna Long & Aldridge LLP600 West Broadway, Suite 2600San Diego, CA 92101-3372 Phone: 619-699-2442Email: [email protected]

Tony FalcoAccurate Leak Locators, Inc.26025 Newport Rd., A413Menifee, CA 92584 Phone: 888-333-5325Email: [email protected]

Vince FerragamoTouchdown Real Estate6200 E. Canyon Rim Road, Suite 204Anaheim, CA 92807 Phone: 714-921-1515Email: [email protected]

Carl FessendenShareholderPorter Scott300 University Avenue, Suite 300Sacramento, CA 95825 Phone: 916-929-1481, ext. 327Email: [email protected]

Brian FooteBELFOR Property Restoration2920 E. White Star Ave.Anaheim, CA 92806 Phone: 714-632-7685Email: [email protected]

Heather FregeauSenior Liability Claims SpecailistCSAC Excess Insurance Authority75 Iron Point Circle, Suite 200Folsom, CA 95630 Phone: 916-850-7300Email: [email protected]

Kevin HansenAttorneyMcCormick Barstow, LLP7647 North Fresno St., P.O. Box 28912Fresno, CA 93729-8912 Phone: 559-433-1300Email: [email protected]

Scott HartProgram ManagerCarl Warren & Company770 S. Placentia Ave.Placentia, CA 92870 Phone: 800-572-6900Email: [email protected]

Stephen HuchtingPartnerMorris, Polich & Purdy LLP1055 W 7th St. 24th FloorLos Angeles, CA 90017 Phone: 213-417-5151Email: [email protected] Eric HunterDirector of Knowledge - Innovation & Technologies StrategiesBradford & Barthel404 Camino del Rio South, Suite 510San Diego, CA 92108 Phone: 619-641-7942Email: [email protected]

Nick JannettoComplex Loss ConsultantLWG Consulting3002 Dow Ave., Suite 410Tustin, CA 92780 Phone: 800-326-5075Email: [email protected]

Steve JirsaManaging EngineerExponent Failure Analysis Associates, Inc.320 Goddard, Suite 200Irvine, CA 92618 Phone: 760-207-2232Email: [email protected]

Jim KamanskiLaw Offices of James B. Kamanski6601 Center Drive West, Suite 500Los Angeles, CA 90045 Phone: 888-907-4111Email: [email protected]

David KingPartner & Senior EngineerMEA Forensic Engineers and Scientists23281 Vista Grande Dr.Laguna Hills, CA 92653 Phone: 949-855-4632Email: [email protected]

Richard KnappPartnerKnapp & Spurlock, LLP5 Hutton Center Dr. Suite 900Santa Ana, CA 92707 Phone: 714-434-9600Email: [email protected]

Blake LanderMadsen, Kneppers & Associates, Inc.18301 Von Karman Ave., Suite 750Irvine, CA 92612 Phone: 949-752-5946Email: [email protected]

Cora LeeManagerUninsured Employers Benefit Trust Fund320 West 4th Street, Suite 690Los Angeles, CA 90013 Phone: 213-576-7300Email: [email protected]

Mike MattixVice President Claims-Chief Claims OfficerArmed Forces Insurance550 Eisenhower Rd.Leavenworth, KS 66048-5000 Phone: 913-651-5000Email: [email protected]

Randy McWilliamsDetectivePlacentia PD/Orange County District Attorney401 E Chapman AvePlacentia, CA 92870 Phone: 714-634-1385Email: [email protected]

Jeff MolinaProperty Subrogation ManagerMercury Insurance Services, LLCPO Box 4600Rancho Cucamonga, CA 91729 Phone: 909-919-7050 x25672Email: [email protected]

ConferenCe speakers - Continued


Bob NaglePresidentRJN InvestigationsPhone: 888-323-3832Email: [email protected]

Erwin NepomucenoPartnerManning & Kass, Ellrod, Ramirez, Trester LLP19800 MacArthur Blvd., Suite 900Irvine, CA 92612 Email: [email protected]

Joe NowikowskiDistrict Manager/Service Line LeaderEFI Global, Inc.4355 E. Lowell St., Suite AOntario, CA 91761 Phone: 800-693-9922Email: [email protected]

Ezequiel OrtizNational General AdjusterYork Insurance Services, Inc.Phone: 714-620-1386Email: [email protected]

Ken OswaldInsurance Claim ExecutiveEmail: [email protected]

Kraig PalmerInvestigatorCalifornia Highway PatrolPO Box 25546Anaheim, CA 92825 Phone: 714-231-5985Email: [email protected]

Bernyce PeplowskiSVP, National Medical Strategy and InnovationUS Health Works Medical GroupPhone: 818-963-0054Email: [email protected]

Alexander PolskyMediator & ArbitratorJAMS - The Resolution Experts500 N. State College Boulevard, 14th FloorOrange, CA 92868 Email: [email protected]

Paul PoulinVice President, Investigations & Los Angeles Regional ManagerDavid Morse & Associates330 N. Brand Blvd., Suite 230Glendale, CA 91203 Phone: 323-275-2100Email: [email protected]

Brenda RadmacherPartnerWood, Smith, Henning & Berman LLP505 North Brand Blvd., Suite 1100Glendale, CA 91203-3804 Phone: 818-551-6000Email: [email protected]

Bill RandallVice-PresidentVeracity Research Co.111 Dallas St.Argyle, TX 76226 Phone: 940-240-5029Email: [email protected]

Carolyn RichardPublic Agencies DirectorLaw Offices of Stacey L. TokunagaPhone: 714-634-7000Email: [email protected]

John RiggsDisneyland ResortEmail: [email protected]

Jeff RobitailleProperty Branch Claims SupervisorMercury Insurance Services, LLCEmail: [email protected] Steve RolonClaims AnalystCarl Warren & Company770 S. Placentia Ave.Placentia, CA 92870 Phone: 800-572-6900Email: [email protected]

Lester SacksChief Medical OfficerArissa Cost Strategies15901 Red Hill Ave. Suite #201Tustin, CA 92780 Phone: 714-259-1053Email: [email protected]



Rob ShatsniderVice PresidentCompWest Insurance24 Copperstone LaneMission Viejo, CA 92692 Email: [email protected]

Richard SmithVice PresidentFRASCO Investigative Services215 W. Alameda Ave.Burbank, CA 91502 Phone: 877-372-7261Email: [email protected]

Erik StremkeBusiness DevelopmentNational Commercial Services6644 Valjean Ave., Suite 100Van Nuys, CA 91406 Phone: 888-355-4400Email: [email protected]

Jeff TaxierEducation and Training ManagerAmerican Technologies, Inc.1021 E. Palmdale, #100Tucson, AZ 85713 Phone: 520-203-5004Email: [email protected]

John TooheyManaging PartnerBremer Whyte Brown & O’Meara, LLP20320 SW Birch Sr, Second FloorNewport Beach, CA 92260 Phone: 949-221-1000Email: [email protected]

Malisa TrimbleSpecial Agent, West Region/MedicalNICB1637 E. Valley Parkway, #182Escondido, CA 92027 Phone: 760-484-7370Email: [email protected]

Phil Van HerleManaging Engineer & Partner4x Forensic Engineering Laboratories, Inc.5262 Oceanus Dr.Huntington Beach, CA 92649 Phone: 714-450-8500Email: [email protected]

Bruce VogtDirector of Business DevelopmentRainbow International1010 W University Park Dr.Waco, TX 76707 Phone: 757-344-8554Email: [email protected]

Michelle WashingtonField Claims Supervisor, LitigationFarmers Insurance14624 N. Scottsdale Road, Suite 190Scottsdale, AZ 85254 Phone: 909-636-8365Email: [email protected]

Daniel WatkinsManaging PartnerWatkins & Letofsky, LLP4040 MacArthur Blvd., Suite 240Newport Beach, CA 92660 Phone: 949-476-9400, ext 224Email: [email protected]

Lori WenderoffAttorneyWenderoff Solomon LLP9221 Corbin Avenue, #110Northridge, CA 91324 Phone: 818-407-1413Email: [email protected]

Michelle WilliamsVice President, ClaimsReliant General Claim Services3281 E. Guasti, #625Ontario, CA 91761 Phone: 909-456-2457Email: [email protected]

Doug WoodAttorneyMorris, Polich & Purdy LLPOne Embarcadero Center, Suite 400San Francisco, CA 94111 Phone: 415-984-8502Email: [email protected]

Paul ZeglovitchLiability Program ManagerCalifornia Joint Powers Insurance Authority (CJPIA)8081 Moody StreetLa Palma, CA 92689 Phone: 562-631-4111Email: [email protected]



program details & session desCriptions

Monday, March 3

3:00 p.m. - 6:00 p.m. Registration Desk OpenGrand Ballroom Foyer

Tuesday, March 4

7:30 a.m. - 9:00 a.mRegistration, Exhibit Hall Open and Continental BreakfastGrand Ballroom and Foyer

7:30 a.m. – 4:30 p.m.Exhibit Hall and Registration Desk OpenGrand Ballroom and Foyer 9:00 a.m. - 10:15 a.m. General Session Royal BallroomSkyrocketing Claims Costs: What is the Real Cost of Fraudulent Claims?

Complex or large exposure fraudulent claims mean significant expense, both in terms of indemnity dollars and costs as well as the greater impact on the business of insurance. Using examples that run the gamut of claims, including staged accident rings, sophisticated workers’ compensation scams, major property loss cases and padded catastrophe claims, an experienced panel of speakers-an SIU Director, an NICB agent, an engineer and a lawyer-will discuss and analyze the true cost of fraud, from investigation through resolution, and beyond.Speakers: Steve Jirsa, Managing Engineer, Exponent, Inc. Malisa Trimble, Special Agent, National Insurance Crime Bureau (NICB), West Region, Medical Bill Randall, Vice President, Veracity Research Co. Investigations Kevin D. Hansen, Esq., McCormick Barstow LLP

10:15 - 10:45 a.m.Break in Exhibit HallGrand Ballroom

10:45 a.m. - 11:45 a.m.BREAKOUT SESSIONS: Property, Liability, SIU, Workers’ Compensation

Track 1 – PropertyGarden 1 - 3Water Loss Mitigation: What to Expect and Why

Water loss claims, whether from plumbing breaks, overflows or rain are the most common claims handled by property adjusters in California. Even so, there remain misconceptions about what is reasonable and necessary when a qualified water loss mitigation company is called out on a claim. This often leads to questions about billing that can leave the property owner in a difficult situation. This session will address the key requirements as laid out by the IICRC and what the claims adjuster should expect to see when reviewing the work and invoice from a qualified mitigation company. This course is designed for beginning to intermediate level adjusters. Experience adjusters may also benefit from getting a refresher on IICRC requirements.Speakers: Jeff Taxier, SCLA, BA, Education and Training Manager, American Technologies, Inc. Jeff Robitaille, Property Claims Branch Supervisor, Mercury Insurance Services, LLC


Track 2 - LiabilityRoyal E – FThe Use and Admissibility of Black Boxes in Assessing the Severity of Low Speed Accidents

Currently, accident reconstruction investigators can download information from most late model GM, Ford, Chrysler and Toyota vehicles using a publicly available, albeit specialized, electronic tool. NHTSA has introduced new rules (49 CFR 563) to standardize the data recorded by “black boxes” and the access to such data. The new rules are scheduled to apply to every model year 2013 vehicle sold in the US and also require the manufacturers to make the necessary access that can be used to assess the minimal damage case. The goal of this presentation is to educate attendees on the role of information contained in the so-called “black boxes” found in motor vehicles. Attendees will learn about the type and volatility of data collected by vehicle manufacturers and the accuracy as it relates to assessing the severity of a collision. Published research will be cited and case studies will be presented. The legal admissibility of the data will also be discussed along with the foundational requirements. Speakers: David J. King, P.E., Partner & Senior Engineer, MEA Forensic Engineers & Scientists Steve Rolon, Claims Analyst, Carl Warren & Company

Track 3 - SIUPlaza TerraceFire Proofing’ Your Claim - Don’t Get Burned!

This program utilizes visually compelling fire cases to illustrate effective forensic fire investigation. The insurance claims professional’s responsibilities include the demanding challenge of evaluating the technical abilities of experts. The investigation, evaluation and resolution of coverage, liability and damages require good judgment to discharge their contractual responsibilities to their customers. They aren’t expected to be experts. They are expected to use good judgment in evaluating experts. This workshop is designed to provide thoughtful understanding among claims professionals to provide some tools and perspective to cost effectively utilize experts in the context of the overall claim resolution goals.Speakers: Ulises Castellon, CPCU, RPA, Vice President, Operations, Fire Cause Analysis Douglas K. Wood, Esq., Partner, Morris, Polich & Purdy, LLP

Track 4 - Workers’ CompensationGarden 4How Claims Management is Impacted by Co-Morbidities

For most of the past years, we focused on workers’ compensation, from the medical perspective as “TARGET MEDICINE.” In other words, if an injury was to the shoulder, we were only concerned about the shoulder. With the increasing oversight of the managed care components and evidence based medicine driving the claims requirements, it has become increasingly more important to view the injury case from a “30,000 foot approach.”Speakers: Lester Sacks, MD, PhD, Chief Medical Officer, Arissa Cost Strategies Rob Shatsnider, Vice President, Claims, Compwest Insurance

11:45 a.m. - 1:00 p.m.Luncheon and Keynote Speaker Vince Ferragamo – Former NFL Quarterback – Los Angeles Rams and Green Bay PackersRoyal Ballroom

The Claims Profession and Its Importance to SocietyWhat we do keeps the economy moving ahead and helps out society be it workers’ compensation, property, SIU or liability. Building a home is the American dream and young and veteran insurance professionals are pivotal to that dream. Vince also had dreams as a football star and knew having an education was critical for his future. Vince will discuss how the work we do as insurance professionals, whether it’s establishing values of repairs, assisting the homeowner in getting temporary housing, assisting an insured worker in getting back on their feet to earn income so they don’t lose their job and home, mediating disputes, diffusing challenging situations and the importance of always remembering we work in a relationship business, play a huge part in realizing the American Dream.Speaker: Vince Ferragamo, Touchdown Real Estate



1:00 p.m. - 1:45 p.m.Dessert in the Exhibit HallGrand Ballroom

1:45 p.m. - 2:45 p.m.BREAKOUT SESSIONS: Property, Liability, SIU, Workers’ Compensation

Track 1 - PropertyGarden 1 - 3Successful Investigation of Commercial Industrial Fires

Upon completion of this course, participants will be able to introduce, explain and discuss key terms and concepts of electrical and industrial systems (generation, transmission and distribution to end users) and explain and discuss acceptable methods for investigating electrical incidents, including power quality losses, industrial fires and injury due to contact.Speaker: Nick Jannetto, Complex Loss Consultant, LWG Consulting Mark Bruaski, Executive General Adjuster, York Insurance Services Ezequiel Ortiz, National General Adjuster, York Insurance Services

Track 2 - LiabilityRoyal E – FEffective Tools for the Claims Professional in the UM/UIM Claim Environment

This course will address policy limit settlement demands with associated time limits and settlement conditions and applicable California Case Law. The interplay between counsel and the claims representative in the course of litigation, including policy limit demands, in a non-standard insurance context with an emphasis on litigation strategies resulting in efficient and economical resolution of claims in a non-standard insurance context.Speakers: Ken Oswald, Insurance Claim Executive Michelle Williams, Vice President, Claims, Reliant General Claim Services Daniel R. Watkins, Esq., Managing Partner, Watkins & Letofsky

Track 3 - SIUPlaza TerraceAbuse vs. Fraud: When Does a Claim Become a Crime?

The cost of insurance fraud in California is $15 billon each year, or $500 per resident, the cost of which is eventually passed along to the consumer. If insurance fraud was a legitimate business enterprise, it would rank among Fortune 500 Companies. Also, insurance fraud is the second most committed crime after income tax evasion. The course Abuse vs. Fraud: When Does a Claim Become a Crime? covers topics ranging from the use of red flag indicators to identify a potentially fraudulent claim, principles to take control of a potentially fraudulent claim, investigation options, privacy concerns, ethical concerns, investigation restrictions, legal considerations for investigating fraudulent claims, and case studies of actual prosecutions.Speakers: Richard F. Smith, National Director of Business Development, Frasco Investigative Services Erwin Nepomuceno, Partner, Manning & Kass Ellrod, Ramirez & Trester, LLP

Track 4 - Workers’ CompensationGarden 4In Space, No One Can Hear You Scream: Surviving a DWC Audit

The City of Los Angeles was faced with a major challenge following an audit by the Division of Workers’ Compensation (DWC): How to improve the credibility and integrity of its workers’ compensation claims administration, and do it within the constraints of a tight budget and an adverse litigation environment. Regardless of the program – insured, large deductible, self-insured - audit criteria exist for a reason. Learn the basis for auditing on statutes and regulations, understand the importance of accuracy in calculating benefits, appreciate the importance of timelines for payments and notices and apply this knowledge to administer benefits fairly and accurately.Speakers: Cora Lee, Manager, Uninsured Employers Benefit Trust Fund (UEBTF) Dawn Alvarado, City of Los Angeles



2:45 p.m. - 3:15 p.m.Break in Exhibit HallGrand Ballroom


Track 1 - PropertyGarden 1 - 3Computer Simulation and Laboratory Testing Methods for Use in Fire and Water Loss

This session will cover such topics and thermal and strain testing, fire testing, DAQ system testing, fire models, thermal models and FEA stress models. At the end of the session, participants will be able to understand how temperature testing, fire testing and fire and thermal models can aid in structure and product fire related subrogation; how strain gage testing and finite element modeling can aid plumbing and other product defect related failures and develop a better understanding of how testing and computer simulations can aid in support of failure theories in complex product defect subrogation.Speakers: Phil Van Herle, P.E., Managing Engineer & Partner, 4x Forensic Engineering Laboratories, Inc. Bruce Agle, P.E., Managing Engineer & Partner, 4x Forensic Engineering Laboratories, Inc.

Track 2 - LiabilityRoyal E – FTo Settle or Defend, That is the Question

This session will better prepare the attendees for control of litigation expenses on their files, and focusing on legal costs on the right files and right elements of those files.Speakers: Jack Blyskal, Chief Claims Officer, CSAC Excess Insurance Authority Heather Fregeau, Senior Liability Claims Specialist, CSAC Excess Insurance Authority Carl Fessenden, Shareholder, Porter Scott Paul Zeglovitch, California JPIA

Track 3 - SIUPlaza TerraceEthics for Insurance Professionals

The Ethics for Insurance Professionals continuing education course will be presented to insurance professionals as a study of the requirements and prohibitions governing actions based on values. The course will be presented in a classroom style. This is an open forum allowing for questions and answers as the class progresses. After completing the course, the licensee should be aware of the ethics and ethical dilemmas that may be present in business practices. The core values of respect, integrity, customer focus and having fun in the process will be presented along with ethical and legal obligations of the insurance professional. The course objective is to provide information to agents and adjusters that they can use to understand what ethics is and how it applies to the insurance professional’s responsibilities in the insurance industry, business and daily life. (This course qualifies for ETHICS CE Credits . If you have taken this Rainbow course (#303614/300592) in the last two-year licensing period, you will not be eligible to receive credits again for this course during the CCC.)Speakers: Bruce Vogt, Director, Business Development & Education-Key Accounts, Rainbow International Mike Mattix, J.D., CPCU, General Counsel, Armed Forces Insurance



Track 4 - Workers’ CompensationGarden 4An Updated Evidence Based Medicine (EBM) Approach to Appropriate Opioid Use

This course’s content will further the attendees knowledge of the appropriate use of opioids in patients’ medical care. Attendees will be able to apply this knowledge in determining if their claimant’s use of opioids is medically appropriate and/or appropriate in terms of coverage. Attendees will have an understanding of EBM approaches for opioid use, and alternatives for opioid use, in managing acute and chronic pain. Further, they will be able to recognize when patients are at risk for opioid abuse, know how to evaluate the appropriateness of opioid weaning programs, and be able to objectively measure the success of the patients that participate in pain management programs. With a better understanding of methods to identify patients at risk for delayed recovery and/or opioid abuse, attendees will be able to manage their claims more effectively by expediting channeling of identified patients to opioid weaning and/or pain management programs.Speakers: Bernyce Peplowski, D.O., M.S. BP, Senior Vice President, National Medical Strategy and Innovation, US Health Works Medical Group Todd Andrew, Director of Clinical Operations, Comprehensive Industrial Disability (CID)

4:15 p.m. - 4:30 p.m.Prize Drawing in the Exhibit HallGrand Ballroom

4:30 p.m. - 7:30 p.m.Casino Night for all registrantsRoyal Ballroom

At the end of a full day of educational programming, Casino Night is a CCC tradition. Gather “bucks” in the exhibit hall and use them at the Casino Night gaming tables. Chips are redeemed for tickets that can be used to win prizes donated by our sponsors and exhibitors. (Chips to be redeemed at 6:30 p.m. Raffle will start at 6:45 p.m.) There are no Casino Night only tickets. You must be registered to attend the conference to attend.

Wednesday, March 5

8:00 a.m. – 4:00 p.m.Registration Desk OpenGrand Ballroom Foyer

8:00 a.m. – 2:00 p.m.Exhibit Hall OpenGrand Ballroom and Foyer

8:00 a.m. - 9:00 a.m.Continental Breakfast in Exhibit HallGrand Ballroom and Foyer




Track 1 - PropertyGarden 1 - 3Turning Paid Property Claims into a Revenue Source: Subrogation Power Tools-Get Noticed for Turning Claims into Gold

Statutes effecting successful subrogation, such as The Sutton Rule and evidence handling will be discussed. The attendees will expand their understanding regarding third-party liability for company recovery the potential added value for insured opportunities to recover deductible and other out of pocket costs.Speakers: Erik Stremke, Business Development, National Commercial Services Jeff Molina, CSRP, Property Subrogation Manager, Mercury Insurance Company

Track 2 - LiabilityRoyal E – FBodily Injury Defense: Key Aspects and Strategies Every Claims Professional Should Know

This session will assist every claims handler responsible for adjusting bodily injury cases by discussing core concepts in all bodily injury claims together with key defense strategies to employ when a claim enters litigation. Because these claims require an understanding of human anatomy and medicine, the content will include a practical discussion of anatomy, together with common medical issues and how they relate to specific legal issues in which claims professionals must be knowledgeable. In particular, there will be discussion on the legal standard of causation in California, with reference to the relevant jury instructions, the legal rules for apportionment of damages under California’s Proposition 51 regarding noneconomic damages, and other related jury instructions that affect the evaluation of a bodily injury case by a claims professional.Speakers: James B. Kamanski, Attorney, Law Offices of James B. Kamanski Michelle Washington, Field Claims Supervisor, Litigation, Farmers Insurance

Track 3 - SIUPlaza TerraceRental Car Fraud and Current Trends

The presenters will engage the participants in a review of current criminal trends involving rental car fraud and theft. The students will participate in an interactive, facilitated discussion utilizing audio visual material with real life cases involving the CHP/Orange County Auto Theft Task Force.Speakers: Kraig Palmer, Investigator, California Highway Patrol Randy McWilliams, Detective, Placentia PD/Orange County District Attorney

Track 4 - Workers’ CompensationGarden 4Subrosa Secrets

Ever wonder how investigators get those great shots of “injured” workers doing all kinds of surprising things? See a real-life demonstration of the gadgets and gizmos used in uncovering frauds and malingerers. See actual footage of surveillance used to successfully prosecute fraud.Speaker: Bob Nagle, President, RJN Investigations, Inc.

10:00 a.m. - 10:45 a.m.Break in Exhibit Hall


Track 1 - PropertyGarden 1 - 3Is there a Cause for “Bad Faith” Due to Lack of “Due Diligence?

Homeowners insurance companies perform their due diligence in ruling out/discovering all aspects that lead up to and/or cause “Bad Faith Claims,” i.e.: ground movement/settlement losses. This session will address steps performed by an insurance friendly plumber in order to rule out plumbing in “Bad Faith Claims.”Speaker: Tony Falco, Accurate Leak Locators John Edson, Partner, McKenna Long & Aldridge LLP



Track 2 - LiabilityRoyal E – FIdentifying Construction Defects/Long Term Conditions Versus Event Driven Damages

Attendees will gain an understanding of how to identify types of claimed damages which are representative of construction defect and or long term systemic conditions verse event driven damage such as wind, seismic, water intrusion, soil subsidence, impact or other. This will be illustrated by case studies/photographs/findings and will cover different types of construction/materials and varied types of buildings such as commercial structures and residential.Speakers: Blake Lander, P.E., LEED GA, Madsen, Kneppers & Associates, Inc. John Toohey, Managing Partner, Bremer Whyte Brown & O’Meara, LLP Scott Hart, Carl Warren & Company

Track 3 - SIUPlaza TerraceInvestigating Suspect Claims From A - Z

This presentation is directed towards first line claim adjusters and SIU, and auto or homeowners’ claims personnel. It includes the various steps which precede examinations under oath, from first contact, recorded statements, proofs of loss, authorizations and other contact with the insured. The presentation also includes a review of common NICB indicators, financial issues and issues warranting further investigation.Speakers: Richard O. Knapp, Partner, Knapp & Spurlock, LLP Stephen Huchting, Partner, Morris, Polich & Purdy

Track 4 - Workers’ CompensationGarden 4Effective Resolution of Small Workers’ Compensation Cases

The session will address how to reserve, how to value the smaller cases for quick resolution, how to work up for a quick settlement, quick referral to attorney for settlement evaluation and settlement negotiations and discussions with applicant’s attorney regarding settlement value.Speakers: Lori Wenderoff, Managing Partner, Wenderoff Solomon LLP Annette Deutschel, Workers’ Compensation Manager, Huntington Memorial Hospital

Noon – 1:00 p.m.Luncheon for all attendeesRoyal Ballroom

1:00 p.m. - 1:30 p.m.Dessert and Exhibitor Prize Drawings in the Exhibit HallGrand Ballroom


Track 1 - PropertyGarden 1 - 3Ethics for the Insurance Adjuster

Reliable insurance coverage is critical for the financial safety of households, businesses and the overall economic well-being of the country. Insurance adjuster ethics is a major factor in maintaining confidence in the insurance system. With a focus on the big picture, this course covers the importance of general ethical guidelines and the motivations to be ethical, as well as specific ethical concerns for adjusters, including laws, licensing and claims settlement practices. (This course qualifies for ETHICS CE Credits . If you have taken this BELFOR course (#303615/302230) in the last two-year licensing period, you will not be eligible to receive credits again for this course during the CCC.)Speakers: Brian Foote, BELFOR Property Restoration Edward H. Cross, Esq. Attorney at Law, Law Offices of Edward H. Cross & Associates, PC



Track 2 - LiabilityRoyal E – FDevelopmental Negotiation: Effective Preparation and Execution

The session will provide the attendees with information on the five stages of negotiation, effective analysis and use of interests in preparation for negotiation and analysis of risk-based negotiation techniques.Speakers: Alexander S. Polsky, Esq., Mediator & Arbitrator, JAMS, JAMS International Lee Jay Berman, PMA Dispute Resolution Brenda Radmacher, Wood, Smith, Henning & Berman LLP

Track 3 - SIUPlaza TerraceThe Role and Practice of Social Media in Claims Handling

The Role and Practice of Social Media Investigations in Claims Handling utilizes actual case studies of social media investigations which have affected claims outcomes. The procedures of conducting social media investigations is discussed, including the legal parameters of this activity. It analyzes the role of an independent investigator to collect and preserve evidence for potential litigation and testimony.Speakers: Brad Balentine, SIU Director, David Morse & Associates Paul Poulin, Vice President-Investigations and Los Angeles Regional Manager, David Morse & Associates Eric Hunter, Director of Knowledge, Innovation & Technology Strategies, Bradford & Barthel, LLP

Track 4 - Workers’ CompensationGarden 4Workers’ Compensation Legislative and SB 863 Update: What’s Next?

The combined efforts of many led to Senate Bill 863, enacted in 2012 to put the delivery of benefits to injured employees back into the center of workers’ compensation. Are we done? The final components of SB 863 take effect January 1, 2014, and there is clean-up legislation on the way to continue to tighten up benefit delivery and minimize the waste and distractions we saw in the past. Hear about the lessons learned, what is still needed and what we can expect to see over the next few years.Speakers: Carolyn Richard, Director-Public Agencies Division, Law Offices of Stacey L. Tokunaga John Riggs, Disney

2:30 p.m. - 3:45 p.m.Closing General SessionRoyal BallroomElectrical Facts, Myths and More

This class is fast paced and truly reaches the masses. Whether you are a beginner just entering into the industry or a seasoned adjuster, everyone will leave with new knowledge. It has been a common occurrence for attendees to take pictures during the class as they are amazed with the demonstrations used.Speaker: Joe Nowikowski, Western Regional Vice President, EFI Global

3:45 p.m.Final Prize DrawingRoyal Ballroom

4:00 p.m.Conference Concludes


e X H i B i t o r s

400 4x Forensic Engineering Laboratories, Inc. Casino Bucks210 ABI Document Support Services107 ABLE Restoration710 Accurate Leak Locators, Inc. Casino Bucks507 Actief Case Management300 Advanced Analysis, Inc. Casino Bucks201 Air-Tech Environmental, Inc. Casino Bucks500 All County Environmental & Restoration Casino Bucks712 All Systems Lab102 Alliance Environmental Group, Inc.206 American Claims Experts/American Emergency Services402 American Geotechnical, Inc.801 American Institute for CPCU/IEA301 American Technologies, Inc. Casino Bucks613 ATIStaffingSolutions,LLC308 Bartwood Construction, Inc. Casino Bucks312 BELFOR Property Restoration608 Bottomline Technologies Casino Bucks808 California Association of Independent Insurance Adjusters (CAIIA)401 Carl Warren & Company Casino Bucks805 Carr Allison Medicare Compliance Group511 CID Management104 Cleaning and Restoration Association714 Crawford & Company411 CRS Temporary Housing512 Cunningham Lindsey726 Custard Insurance Adjusters, Inc.204 David Morse & Associates510 EFI Global, Inc.603 Electronic Waveform Lab, Inc.404 Emercon Construction, Inc. Casino Bucks303 Envirocheck, Inc. Casino Bucks105 ExamWorks109 Excel Managed Care103 Exponent Failure Analysis Associates, Inc.305 Fire Cause Analysis409 Forensic Analytical Consulting Services, Inc.504 Forza Lien Casino Bucks200 Frontier Adjusters615 FRSTeam611 Garland Restoration, Inc.313 GlobalOptions604 Grecco Construction Consultants503 Haag Engineering212 Home Design Contents Restoration

802 Impact General, Inc.403 IMS Bill Review311 Insurance Recruiting Specialists (IRS) Casino Bucks202 K.B. Construction Co.100 Knox Services, Inc. Casino Bucks606 LWG Consulting108 Macro-Pro, Inc.413 Madsen, Kneppers & Associates, Inc.722 Manning & Kass, Ellrod, Ramirez, Trester LLP806 Matson Driscoll & Damico LLP610 MEA Forensic Engineers & Scientists600 Medata302 MEDVAL114 MS Builders Casino Bucks807 myMatrixx211 National Commercial Services113 Nelson Architectural Engineers209 Oakwood Construction & Restoration Services502 Orlys Draperies & Interiors, Inc.407 P.W. Stephens Environmental, Inc.605 Padgett’s Cleaning & Restoration205 Patriot Environmental Laboratory Services, Inc.306 Paul Davis Restoration & Remodeling Casino Bucks203 Phoenix Textile Restoration213 PMA Dispute Resolution505 Puro Clean

506 QwikResponse Construction607 Restoration Industry Association Casino Bucks617 Restoration Management Company110 RGL Forensics310 RIMKUS Consulting Group, Inc.207 Santoni Investigations601 Schifrin, Gagnon and Dickey, Inc.602 Second Image National, Inc.208 Sequoia Financial Services804 Southern California Claims Association (SCCA)112 Steamatic716 T.D. Graphics501 Taylor Morse Casino Bucks405 TempHome Services, Inc.724 Temporary Accommodations803 The Garment Restoration Company410 UltraCare Restoration Casino Bucks101 UnifiedInvestigationsandSciences,Inc.800 Unisource Discovery Casino Bucks508 Vale Training412 Veracity Research Co. Investigations Casino Bucks111 VeriClaim, Inc.509 Veteran ED’s304 Ward-Tek Construction, Inc.809 Work Comp Resolutions

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