Schedule/Sessions

Breakfast

Insurance Industry Primer - MANDATORY

Claims College presents a unique educational experience created by and for industry professionals. To set the stage for these intensive three 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. Reinsurance
5. Reserves
6. Stakeholders in the Claim Process
7. Risk Management
8. Fraud
9. Determining Coverage
10. Negotiating Settlements

Break

History and Principles of Workers Compensation

• Speakers:

• Jim Frerking, Paradigm

• Lindsey Mills, Smith Mills Law P.C.

This course provides an explanation of the history of workers’ compensation and why workers’ compensation exists.  Attendees will conclude the course with basic knowledge of state workers’ compensation and Federal schemes, what statutes and regulatory agencies are involved in the workers’ compensation system, and types of insurance and insurance alternatives available.   
Course objectives:

• Explain the history of worker’s compensation and why it exists.
• Understand basic types of state WC plans and Federal plans.
• Understand types of workers’ compensation insurance or insurance alternatives.
• Have a basic knowledge of what regulatory agencies/law/statutes affect workers compensation.

Lunch

Determining Compensability

• Speakers:

• Charles Clark, Clark, May, Price, Lawley, Duncan & Paul LLC

• Kent Smith, Smith Mills Law P.C.

Claims professionals should have the training and knowledge to determine on each claim the scope of investigation required/proper analysis of the information obtained and then how to execute the decision on compensability. This course teaches the skills/steps necessary to put each claim in the best possible position to defend a compensability decision.

After completion, participants will be able to:

• Identify the steps required to investigate a claim both at first notice and as new information is received regarding compensability.
•  Be confident in their skills to obtain information in an investigation.
•  Be confident in their ability to deal with plaintiff/applicant attorneys.
• Understand how to deny body parts/medical treatment/disability.
• Understand the basic steps needed to deny a claim and jurisdictional considerations.
• Be able to identify the information necessary to determine if any third party liability.
• Be knowledgeable regarding unfair claims practices and what steps to take to avoid this potential issue.

Break

Introductory Workers Compensation Fraud

• Speakers:

• Kirsten Kaiser Kus, Downey & Lenkov LLC

• Claire Muselman, Self Employed

Managing the claim to bring forth the best possible outcome is crucial in the early stages, and ongoing, during the life of the claim. This course engages the learner by challenging them to think differently to achieve a superior claim outcome. 

Break

Study Groups

• Speakers:

• Brendon De Souza, Sanderson Firm PLLC

• Lindsey Mills, Smith Mills Law P.C.

Networking Reception