Schedule/Sessions
SESSION 1 - The Other Tripartite Relationship - Navigating the Relationship Between TPAs, Insurers, and Panel Counsel
- Speakers:
Stephanie Glickauf, Goodman McGuffey LLP
Mary Haefer, Retired
Henrietta Hinojosa, National Claim Services LLC
A TPA representative, insurance company representative, and panel counsel will discuss the relationship, use, and liabilities surrounding using third party administrators (TPAs) and panel counsel in the handling of claims. Topics discussed will include liability of a TPA versus an insurance company for breach of contract and bad faith towards an insured. Is the ability for TPAs and adjusters to escape liability due to lack of privity of contract with an insured still viable? Will it be in the future? Last, the parties will discuss tips and tricks for navigating the TPA/insurer/counsel relationship "in the trenches" to include things such as panel counsel bill reviews and a discussion of "who should do what on a file?”
Back to topSESSION 2 - Best Practices for Medicare Secondary Payer Compliance - Industry Perspectives
- Speakers:
Thomas Best, Home Depot U.S.A., Inc.
Cliff Connor, Gallagher Bassett
Roy Franco, Verisk
Michael McCue, Safeway Inc.
Best practices for Medicare Secondary Payer (MSP) compliance are most comprehensively demonstrated by a panel of Industry professionals, each with a different perspective. This session will examine a case study and attendees will be provided with an insider look at compliance by a Third Party Administrator (TPA), self-Insured, and compliance professional. The Medicare Secondary Payer Act impacts each aspect of the Industry in identifying Medicare status, managing conditional payments through disputes and appeals; use of Medicare Set-Asides to protect Medicare’s interests; and satisfying MMSEA Section 111 reporting. Each unique perspective lays out the impact of the case law and Centers for Medicare & Medicaid Services (CMS) policy as it has developed in the past twelve months and how they have adjusted their processes in response. The panel’s goal is to help you understand how other Federal laws, such as the False Claims Act influences MSP compliance for these Industry professionals and how best practices for the case study work to mitigate such exposure. The importance of proactive methods, combined with the value of working collaboratively with all Parties to litigation, can result in finality with Medicare. This includes the critical steps of appropriate use of discovery, entering MMSEA Section 111 Data, release drafting and education of the Court.
SESSION 3 - Expedited/Summary Jury Trials - Are They Good for Carriers, Clients and the Court?
- Speakers:
Elizabeth Ganiere, EnergySolutions
Angela Newsome, Federated Insurance
Robert Palmer, Robert C. Palmer III LLC
Mary Sharp, Unknown
This presentation will explain the opportunities, benefits, and alternative way of case resolution, known as Expedited Trials or Summary Jury Trials. These abbreviated Civil trials are becoming increasingly popular as the Federal and States court judges are promoting as a high bred way to utilize courts and juries to determine particular case or also serve as a benchmark for several similar cases. The panelists will further prepare and educate the attendees what jurisdictions they are generally accepted, which type of cases are effective and the probable cost and time savings for courts, parties, witnesses and jurors.
Keynote Speaker - Running Towards the Sound of Gunfire
As my team and I ran towards the automatic weapons fire that was concentrated on our position, it is not lost on me that this is “not” a normal response.
To me, all of my teammates were somewhat normal, albeit extraordinary individuals, they moved without hesitation or fear for their own lives. They moved as a “unit” strengthened by the individuals they chose to surround themselves.
This team was forged from years of training, planning and dedication, often at the expense of missing out on family, friends and personal freedom.
All teams must be designed, built, and trained to perform at the desired level and then led to the desired outcome. My team’s outcome was to “win” at all cost.
Your team will never need to “run towards the sound of gunfire”, hopefully, but it will need to have many of the elements that it took for my team to do this.
We will discuss some of the elements that are important for any successful team and the myriad of challenges encountered to ensure that your team succeeds at all cost.
SESSION 4 - What Matters in Measuring Success?
- Speakers:
Mike Ethridge, Ethridge Law Group
Steve Popelsky, Encova Insurance
Kristina Satkunas, LexisNexis Risk Solutions
Counsel and clients often assume they have a clear understanding of each other’s goals. Most would agree that winning a litigated case would be a good example of a shared goal. Yet the question of whether or not this is actually a shared goal, or even one of the more important outcomes desired by the parties, can become complex when the culture of each organization is brought to the discussion. This critical first stage - analysis of what constitutes success – must be reached before the organizations can have meaningful discussion of success measurement. More to the point of today’s discussion, we would state the question as one of performance management. We will discuss the behaviors that should be encouraged to generate success as you have defined it, and how we measure the elements of that behavior in order to have meaningful, productive, and non- pejorative discussion towards those goals.
SESSION 5 - Current Issues in the Wireless World
- Speakers:
Robert Biagi, The Hartford
Susan Burgess-DeMarco, Indiana Lumbermens Mutual Insurance Company
Joseph Garin, Lipson Neilson P.C.
Richard E. King, Melchiode Marks King LLC
The “Wireless World” has become an asset to risk management, litigation, and marketing but it also is ripe for potential pitfalls. Thus, this seminar will focus on the advantages and disadvantages of the “Wireless World”, including potential pitfalls due to the wording of your biography in social media, resumes, etc. including the violation of professional responsibility rules and having to potentially make a claim to your Professional Liability carrier. Alternatively, we will also discuss the positives of social media, including the use of social media in litigation management and trial.
No Learning Objectives Available
