INSURANCE FRAUD CONFERENCE
Robert Bodoni
SIU Regional Manager
MetLife, Inc.
Robert Bodoni is speaking in the following session(s):
What You Say Can Hurt You: Cross Examination Based on Claim File Entries May 8 2015 9:45AM
Rob Bodoni is a SIU Regional Manager for Metlife. He is responsible for the oversight of investigations throughout a multi-state territory, the development and rollout of national training initiatives, producer/underwriting training, as well as public outreach programs.
Mr. Bodoni joined MetLife Auto & Home in 1991 as a SIU Supervisor. In 1995, he became the National SIU Trainer in which he developed and delivered a number of fraud awareness training courses countrywide. In 2007, he was elevated to the level of Regional Manager.
Before joining MetLife, he was an SIU Investigator for CIGNA Property and Casualty Insurance Company, a Special Agent for NICB, an investigator with the National Investigation Bureau and a police officer in a north shore suburb of Boston.
Mr. Bodoni holds the certification of CIFI as well as has earned the professional designation FCLA through the American Educational Institute. He has written a number of published articles addressing insurance fraud detection, prevention and investigation.
Mr. Bodoni holds a Bachelor of Science Degree in Criminal Justice (Cum Laude) and a Master of Science degree in C.J. Administration both from Northeastern University in Boston. In 2011, he completed his AIC designation and in 2012 his AIS designation.
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Jeanine Clark
Partner
Margolis Edelstein
Jeanine Clark is speaking in the following session(s):
Black Box Technology: the Other Expert Witness in the Courtroom in Soft Tissue Cases May 7 2015 3:15PM
Jeanine D. Clark is a partner of Margolis Edelstein. Ms. Clark's practice focuses on complex litigation. Ms. Clark handles matters at the trial court level and at the appellate level. She was admitted to the Supreme Court of New Jersey and the United States District Court for the District of New Jersey in 1998. Ms. Clark is also admitted in Pennsylvania and the Eastern District of Pennsylvania. She is active in CLM and other professional organizations. She is a regular presenter on litigation topics.
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Richard Duffy
SIU - Medical Fraud and Major Case Consultant
The Hartford
Richard Duffy is speaking in the following session(s):
Will the Real Foreclosed Property Claim Please Stand Up? May 7 2015 4:30PM
I am proud to work in the insurance industry, specializing in combating insurance fraud and abuse. I am currently with The Hartford as a Medical Fraud and Major Case Consultant in Northern California. I have been in the SIU leadership positions for several insurance companies including, Travelers, Allstate, Encompass, NJ Manufacturers Insurance, NJ Skylands and OneBeacon Insurance. I also managed TPA SIU operation for Esurance Insurance Company. I have received several awards from local NJ Insurance organizations as well as my entire SIU Team at NJ Skylands(OneBeacon) receiving the NJ Office of the Insurance Fraud Prosecutor Annual Prosecutor's Excellence in Investigations Award in 2005.
My goal is to continue to contribute to a successful SIU operation that performs in a professional manner while providing a valued service to the insurance industry to deter, educate, investigate, and prosecute insurance fraud.
Community Service: Volunteer Firefighter Town of Avon, CT, Past Fire Commissioner/Volunteer Firefighter/Hunterdon County Arson Task Force at Clinton Fire Department, Councilman at Town of Clinton, NJ
Education: Rutgers, The State University of New Jersey-New Brunswick
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Mary Galvin
Executive Counsel
Travelers
Mary Galvin is speaking in the following session(s):
Affirmative Litigation: Do's and Don'ts from Carrier and Counsel's Perspective May 8 2015 11:00AM
Mary M. Galvin is Executive Counsel with Traveler’s Claim Legal, and is primarily responsible for anti-fraud efforts. In this role she works closely with Travelers Investigative Services, and manages their fraud based affirmative litigation cases.
Attorney Galvin served as the State's Attorney in Milford, CT where she was the first woman in Connecticut history appointed to the position of State's Attorney. Her prosecutorial career in Connecticut spanned over 30 years. Attorney Galvin tried the first DNA rape case and the first spousal/cohabiting rape case in Connecticut. She also achieved national recognition as an expert in the prosecution of arson cases. She was appointed by Governor Malloy in 2011 as a member of the Connecticut Criminal Justice Commission.
Attorney Galvin was named Dean of the National College of District Attorneys in Columbia, S.C. in 2006. She returned to Connecticut in 2010 when she joined Travelers as Executive Counsel. She is a graduate of the Columbus School of Law of the Catholic University of America and received her undergraduate degree from Southern Connecticut State University.
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Dwight Geddes
Owner
Metro Claims & Risk Mgmt
Dwight Geddes is speaking in the following session(s):
Black Box Technology: the Other Expert Witness in the Courtroom in Soft Tissue Cases May 7 2015 3:15PM
Dwight Geddes is the head of Metro Claims & Risk Mgmt., a claims and risk management company based in New York. Dwight has worked in the fields of insurance claims and litigation management for over twenty years in various roles, including Director of Claims for a multistate commercial P&C carrier based in New York, where he was instrumental in creating the claims, SIU and in-house legal departments from the ground up and oversaw the daily operations. Metro Claims Mgmt. is an industry leader in claims handling, consulting and auditing for insurance carriers and self-insured entities on property & casualty lines. Dwight has also been involved in captive and RRG formation for clients interested in alternative risk placement.
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Cathy Gicker
Sr. Claim Consultant
Self Employed
Cathy Gicker is speaking in the following session(s):
(Part 1 of 2) Navigating the Land Mines - How to Properly Use Social Media in Claim Investigations May 7 2015 3:15PM
(Part 2 of 2) Get the Bang but Avoid the Explosion May 7 2015 4:30PM
Cathy Gicker has 45 years with Allstate with the last 30 years in the SIU as a field investigator, manager and now the Litigation Specialist investigating all suit cases in Pennsylvania. This involves investigating and directing house and retained counsel on case strategy, medical defense, preparing the insured for trial and referring fraudulent claims to the National Insurance Crime Bureau (NICB) and local Law Enforcement agencies. Cathy is also an Allstate Ambassador promoting the company to the public through speaking engagements and community involvement.
Cathy was the Vice-President and then President of the Delaware Valley Chapter of the International Association of Special Investigation Units (IASIU) from 1994-2000. She was elected to the International Board of IASIU for 2000-2002 and then served as the Vice-President of IASIU from 2003-2009, chairing the Chapter and Seminar Committees.. She was the President of the Philadelphia Loss Conference (PLC) for 2011-2013. Cathy’s professional designations are Fraud Claim Law Specialist (FCLS) and Certified Insurance Fraud Investigator(CIFI)
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Jill Henriques
Consultant
Coalfire
Jill Henriques is speaking in the following session(s):
The ABCs of Premium Fraud Litigation: Identifying Suspected Fraud, Pre-Suit Considerations and Frequent Procedural Challenges May 7 2015 2:00PM
Jill Henriques is currently working as a ISO/SOC Advisory Senior Consultant at Coalfire. Prior to this role she was a Compliance Manager at Fiserv a large financial services technology company with a focus on PCI, SOC and HITRUST audit accessments. Jill has over 20 years of claims and fraud insurance industry experience. Her prior responsibilities included overseeing a dedicated SIU investigative staff as well as annual state fraud reporting and training. Her background includes the development and oversight of SIU and Fire and Theft units, liaison to law enforcement and claims training . She has specialized training in the field of property/casualty claims including investigation of auto, home, bodily injury, commercial lines, special lines and mobile home claims. In addition she has also worked wihin the non-standard carrier and vendor arenas. Before her insurance career, she worked as an internal fraud investigator in the retail industry. Ms. Henriques earned her bachelor’s degree in Criminal Justice from CSU Fullerton and holds a Certified Insurance Fraud Investigator (CIFI) designation, GA Private Investigation License and HITRUST CCSFP designation. She has been an active IASIU member holding many positions at the local chapter level.
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Dennis B. Kass
Partner
Manning & Kass, Ellrod, Ramirez, Trester LLP
Dennis B. Kass is speaking in the following session(s):
Affirmative Litigation: Do's and Don'ts from Carrier and Counsel's Perspective May 8 2015 11:00AM
Dennis Kass is a founding partner of Manning & Kass, Ellrod, Ramirez, Trester, LLP. Dennis has received a number of honors for his trial skills, including:1999 IASIU Southern California Chapter Defense Attorney of the Year; 2001 California Lawyer Attorney of the Year for litigation; 2002 Loyola Law School Trial Lawyer of the year; and 2004-2017 Los Angeles Magazine Super- Lawyer.
Dennis runs the firm’s Complex Litigation team, including focusing on insurance fraud litigation. Dennis has been featured on T.V., radio and numerous periodicals for his work on “whistle-blower” actions, and prevailed in the first ever trial under California’s Whistle-Blower law, obtaining a $8.2 million verdict against the defendant doctors. Dennis also litigates high exposure tort matters and defends class action cases. Dennis has been called as an expert witness on behalf of the insurance industry, testifying many times before the CA State Assembly and Senate. Dennis also litigates declaratory relief and other fraud related matters.
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Douglas Osborne
Asst. Vice President - SIU
Kemper Insurance Corporation
Douglas Osborne is speaking in the following session(s):
Will the Real Foreclosed Property Claim Please Stand Up? May 7 2015 4:30PM
Doug Osborne is a Major Case Investigator/Manager with The Kemper Special Investigation Unit. He has worked in the industry for 30 years, the last 22 of which have been dedicated to the investigation of suspicious Property, Casualty and Worker’s Compensation claims.Doug has investigated claims in all 50 states and in Canada and Mexico. Doug holds the designations of Certified Fraud Examiner (CFE), Certified Insurance Fraud Investigator (CIFI) and Fraudulent Claims Law Specialist (FCLS). He has presented seminars on the use of Social Networking in investigations and Web research all over the US for PLRB, IASIU, CPCU, the American Bar Association and several other associations and law enforcement agencies.
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Jennie Philip
AVP, Coverage & Complex Claims
Chubb
Jennie Philip is speaking in the following session(s):
Will the Real Foreclosed Property Claim Please Stand Up? May 7 2015 4:30PM
Jennie Philip is an AVP in Coverage and Complex Claims at Chubb. Jennie manages first party property litigation throughout the country. Previously, Jennie spent several years in private practice defending insurers in first party coverage litigation and investigating potential claims of insurance fraud. Jennie is a frequent national speaker on various topics related to good faith claims handling, first party property and SIU Issues.
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Steven Piper
2nd Vice President
Travelers
Steven Piper is speaking in the following session(s):
What You Say Can Hurt You: Cross Examination Based on Claim File Entries May 8 2015 9:45AM
Steve Piper is the 2nd Vice President for National Programs, Investigative Services at Travelers Insurance overseeing medical provider fraud, major case organized fraud and surveillance management countrywide. Steve is a graduate of the University of Georgia and holds a Bachelor of Business Administration in Risk Management and Insurance. Steve also has received his Senior Claim Law Associate (SCLA) designation from the American Educational Institute. Steve is active within the anti-fraud industry working with the Coalition Against Insurance Fraud, the National Health Care Anti-Fraud Association, the International Association of Special Investigation Units, and National Insurance Crime Bureau related to medical provider fraud and investigator ethics training programs. Steve is a member of the Steering Committee for the Consortium to Combat Medical Fraud, participates in the federal private public Healthcare Fraud Prevention Partnership, on the board of directors for IASIU and chairs of the NICB SIU Management Advisory Committee. Steve is a former law enforcement officer and has been with Travelers for the past 24 years.
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Matthew J. Smith
Executive Director
Coalition Against Insurance Fraud
Matthew J. Smith is speaking in the following session(s):
(Part 1 of 2) Navigating the Land Mines - How to Properly Use Social Media in Claim Investigations May 7 2015 3:15PM
(Part 2 of 2) Get the Bang but Avoid the Explosion May 7 2015 4:30PM
Matthew Smith is Of Counsel, and formerly served as President of Smith, Rolfes & Skavdahl (skav-doll) Company, LPA. He founded the firm in 1989 after beginning practice as an insurance defense attorney in Florida. From starting as a one-attorney office, the firm has grown to eight offices and provides insurance law services throughout the United States and Puerto Rico.
Originally from Dayton, Ohio, Mr. Smith attended the University of Cincinnati College Conservatory of Music graduating with a degree in Radio, TV and Film. While working his way through college and law school he served as Director of Marketing Communications for the Kings Island Theme Park Complex in Ohio and founded Smith-Kaufman Public Relations representing such companies as Wendy’s International, Hyatt Hotels and The Cincinnati Reds.
Mr. Smith graduated from the Salmon P. Chase College of Law at Northern Kentucky University. He is admitted to practice in both federal and state courts in Ohio, Florida, Kentucky, Michigan and Washington, D.C. as well as the United States Supreme Court.
He serves as legal counsel to the Coalition Against Insurance Fraud, is a past President of the National Society of Professional Insurance Investigators, chairs the Insurance Committee of the International Association of Arson Investigators, and is a member of the Defense Research Institute, Claims and Litigation Management Alliance and numerous other insurance law related organizations. Mr. Smith is a frequent lecturer on insurance law matters throughout the United States.
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Miranda Soto
Partner
Buchanan Ingersoll & Rooney
Miranda Soto is speaking in the following session(s):
(Part 1 of 2) Navigating the Land Mines - How to Properly Use Social Media in Claim Investigations May 7 2015 3:15PM
(Part 2 of 2) Get the Bang but Avoid the Explosion May 7 2015 4:30PM
Miranda Soto is Florida Bar Board Certified in Civil Trial Law and has tried approximately 50-70 cases to verdict. She specializes in high-stakes litigation and complex commercial cases on behalf of private equity, hedge funds, high-end insurance companies, law firms and other sophisticated businesses in cases involving commercial and business disputes, professional and legal malpractice claims, product liability, complex fraud matters, public policy matters, cases of first impression, high-stakes personal injury cases, franchisee/franchisor litigation, trust and estate litigation and premises liability at the state and federal levels. Miranda also handles tobacco, addiction and smoking-related injury litigation. Additionally, she has a strong reputation as a lawyers’ lawyer and often serves as a consultant on legal and accounting malpractice claims.
Understanding her clients’ business is at the core of Miranda’s solution-based approach. She knows that learning the ins and outs of her clients’ business is crucial in order to provide the best legal advice possible. As legal issues often extend to the company as a whole, Miranda focuses on minimizing disruptions to the business that can and do arise from legal challenges. Her goal is to leverage all possible opportunities for a quick resolution.
Miranda began her career as an Assistant State Attorney in the Miami-Dade County State Attorney’s office. Miranda was Lead Counsel for Allstate’s Miami and Ft. Myers legal offices.
When Miranda is not practicing law, she enjoys hand building pottery, watching Alabama football games, reading, traveling and spending time with her daughters and friends.
Education:
Drake University School of Law, J.D., 2002
University of Alabama, B.A., 1998, Communications and Information Sciences
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Jesse A. Torisky
Attorney
Ciao, Torisky & O'Connor, LLC
Jesse A. Torisky is speaking in the following session(s):
Black Box Technology: the Other Expert Witness in the Courtroom in Soft Tissue Cases May 7 2015 3:15PM
Jesse began his legal career in 1985 as a prosecutor for the Allegheny County District Attorney’s Office. For ten years, Jesse worked as an Assistant District Attorney, and was responsible for investigating and prosecuting virtually every type of crime, including rape, robbery, theft, narcotics, and homicides. During his tenure at the District Attorney’s Office, Jesse tried over sixty jury trials.In 1995, Jesse was recruited by a civil defense attorney, which focused on First and Third Party defense and insurance fraud investigations. His practice also included UM/UIM cases, as well as serving as Guardian ad litem on behalf of the Orphan’s Court Division of Allegheny County. After three years as an associate, Jesse became partner in in 1998. Jesse handled over 250 insurance fraud cases for several large insurance companies, at all stages of litigation. Jesse tried the first Insurance Fraud Jury trial in Allegheny County, PA, where he obtained a favorable verdict on behalf of the insurance company. Jesse also tried numerous third party cases to juries throughout the Commonwealth.
In 2001, Jesse started his own firm, which provided insurance defense in all phases of litigation, First and Third Party defense, UM/UIM, and insurance fraud investigations. During this time, Jesse continued his emphasis on insurance fraud litigation, including Examinations Under Oath and breach of contract and Bad Faith litigation.In 2007, Jesse became the Managing Attorney for an in-house counsel law firm for AIG, responsible for assigning and reviewing cases, in addition to handling a caseload of Property, Casualty, Professional Liability, Auto, Commercial Trucking, and Premises Liability cases in litigation. In 2014, Jesse left AIG and became a partner with the firm of Segmiller & Mendicino, P.C.Jesse is admitted to practice in Pennsylvania, Ohio, and West Virginia. He is also an Adjunct Professor at Point Park University, where he teaches Criminal Procedure, Transnational Crime, and the History of Organized Crime. He also teaches Advanced Legal Research and Writing at Allegheny County Community College.
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Gene A. Weisberg
Attorney
GladstoneWeisberg ALC
Gene A. Weisberg is speaking in the following session(s):
What You Say Can Hurt You: Cross Examination Based on Claim File Entries May 8 2015 9:45AM
Gene A. Weisberg is a name partner with GladstoneWeisberg, ALC , in Culver City, California. He has more than 41 years of trial and appellate experience focusing on insurance coverage and complex litigation involving insurers and other businesses. His extensive experience includes analyzing insurance coverage issues, investigating insurance fraud and litigating insurance coverage, bad faith and subrogation lawsuits in California and throughout the United States. An accomplished speaker, Gene has designed and presented seminars on numerous insurance issues including coverage, fraud and bad faith.
Gene is "AV Preeminent" rated by Martindale Hubbell; a member of the American Board of Trial Advocates, an invitation-only organization of the most experienced trial attorneys in the nation; and a Southern California Super Lawyer since 2007 and is repeatedly named to the list of Best Lawyers. He is admitted to practice in the State and all Federal district courts in California, Texas state court and the Southern District of Texas, the Court of Appeals for the Ninth and Tenth Circuits and the United States Supreme Court.
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Sean Zavala
Head of SIU
Farmers Insurance Exchange
Sean Zavala is speaking in the following session(s):
Affirmative Litigation: Do's and Don'ts from Carrier and Counsel's Perspective May 8 2015 11:00AM
Sean Zavala is the Director of Special Investigations at Farmers Insurance Group of Companies. He has over 20 years of fraud investigation experience and 15 years of leadership experience. At Farmers he has developed several successful specialty Major Case Unit’s tackling complex fraud including; Large Loss Arson, Fire and Ash, Auto Repair Fraud and Medical. He implemented advanced technology, created dedicated analytic teams, hired nurse consultants and assisted in public awareness campaigns. Filing national affirmative litigation, has allowed him to evolve strategic efforts against insurance fraud at Farmers as well as for collaborative members of our community and law enforcement.
Prior to working with Famers Insurance, Mr. Zavala worked as corporate investigator managing investigations into credit card fraud, embezzlement and employee fraud. Sean is a graduate of California Polytechnic University Pomona with dual degrees in Behavioral Science and Criminal Justice. He holds a Fraud Claims Law Specialist certification and has completed multiple leadership schools including the Presidential Leadership Program in Simi Valley, CA.
Mr. Zavala serves as Vice President of IASIU, a Coalition of Insurance Fraud board member and an instructor at the NICB Academy. He is a standing member of ATAP, Infragard and ACFE.
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WORKERS' COMPENSATION CONFERENCE
Sean Calderwood
Claims Supervisor
Self Employed
Sean Calderwood is speaking in the following session(s):
The Race Against the Clock: Practical Tips to Close Your Cases Quickly May 7 2015 2:00PM
Sean is the Claims Manager, for the SE Region, at Patriot Risk Services. He started in workers’ compensation claims in 2000, at Liberty Mutual, as a lost time adjuster. After adjusting claims for 4 ½ years with Liberty Mutual, he went to work for Crawford and Company. Within a year, Sean was promoted to a Team Manager. After 6 years, he was offered an opportunity with Patriot Risk Services, and has been there for 3 years now.
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Andy Condrey
Claims Operations Manager
The Gray Insurance Company
Andy Condrey is speaking in the following session(s):
Expanding MSP Recovery and Its Impact on Claims Handling Practices in 2015 May 7 2015 3:15PM
Currently employed as Claims Operations Manager at The Gray Insurance Company, Metairie, LA. Duties include home office manager for Worker's Compensation, Medicare Section 111 compliance, manage fraud/SIU activities, governmental affairs, vendor management, has assisted in the development of a claims management system, and oversee subrogation activities, among other duties.
Licensed as a resident adjuster in Louisiana, with non-resident licenses in Florida and Texas.
Prior to arriving at Gray, he served at Gallagher Bassett Services, Bankers Insurance Group (where he served as Claims Manager to Louisiana Citizens Insurance - most notably during the aftermath of Hurricanes Katrina and Rita) and American International Group in both managerial and claims functions.
CLM Worker’s Compensation Committee Co-chair.Member of CLM Fire and Explosion Committee
He has obtained Associate in Claims and Certified Workers' Compensation Professional designations. He has completed coursework in Aviation Insurance for both Aircraft and Airport FacilitiesHe is a certified firefighter and has provided expert testimony in Fire Cause and Origin testimony in state district court. Former Fire Chief of a metropolitan fire department. Is POST Certified in Law Enforcement
Past or present affiliations/memberships include: Louisiana Claims Association, Louisiana Association of Business and Industry, Longshore Claims Association, National Fire Protection Association, American Society for Industrial Security, International Association of Arson Investigators, International Association of Fire Chiefs, Louisiana Association of Business and Industry and Infragard.
Was a speaker at the 2006 American Claims Exposition, 2013 WCI360 Conference, as well as the 2012 and 2013 CLM Annual Conference, and a speaker at the LASIE Medicare Secondary Payer certification seminar.
Member of Advisory Council to Louisiana Association of Self Insured Employers.
Attended Louisiana State University and Delgado Community College.
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Cliff Connor
Vice President of Medicare Compliance
Gallagher Bassett
Cliff Connor is speaking in the following session(s):
Expanding MSP Recovery and Its Impact on Claims Handling Practices in 2015 May 7 2015 3:15PM
Cliff Connor currently serves as Vice President of Medicare Compliance to Gallagher Bassett Services, Inc. ("GB"), a subsidiary of Arthur J. Gallagher & Co., in Itasca, Illinois. GB is a leading Third Party Claims Administrator serving customers in the administration of workers compensation, property and casualty lines of coverage in the US and around the world. Mr. Connor manages all aspects of Medicare Compliance for Gallagher Bassett and has been with the company since 1992.
Prior to joining GB, Mr. Connor held Senior WC Examiner positions at Argonaut, Industrial Indemnity and The City of Long Beach. Mr. Connor holds a Bachelor's Degree in Economics.
Mr. Connor is currently a member of The National Alliance of Medicare Set Aside Professionals, The Medicare Advocacy Recovery Coalition (MARC) and holds both MSCC and CMSP designations.
With his wife and son, Mr. Connor lives in Southwest Florida.
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Donna Farrell
Risk Manager/Human Resources
Teamcraft Roofing, Inc.
Donna Farrell is speaking in the following session(s):
The Race Against the Clock: Practical Tips to Close Your Cases Quickly May 7 2015 2:00PM
Donna Farrell is the Executive Risk Manager for TeamCraft Roofing, a privately owned commercial roofing business. Her risk management program sets high quality standards while offering practical experience and high-energy seminars to help continuously improve her employees. She manages the company’s insurance coverage and offshore captive.
Donna is a loyal fan to her alma matter, Duke University, and believes the school gave her the experience she needed to pursue a successful career in risk management.
After finishing her degree in accounting from Duke, Donna became a consultant for Ernst & Young. She left Ernst & Young to help manage BB&T’s plan and trust division. Donna then took a position as the HR Manager for Tops, a large grocery chain. Her last stop before Teamcraft Roofing was at Selective Insurance. She spent eight years working with top executives on the property/casualty management team.
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Roy Franco
Director of Casualty Claims
Verisk
Roy Franco is speaking in the following session(s):
Expanding MSP Recovery and Its Impact on Claims Handling Practices in 2015 May 7 2015 3:15PM
Over the past two decades, Roy A. Franco has emerged as one of the principal architects of policies and practices that define the world of Medicare Secondary Payer (MSP) compliance. From his experience as Director of Risk Management for Safeway, Inc. from 1993-2010, he realized the need for greater clarity and efficiency in matters related to Medicare compliance. Pursuant to that realization, he became a serious student of Medicare policy and its impact on risk management and revenue.
The Medicare Advocacy Recovery Coalition (MARC) became the vehicle for that reform effort. Founded in 2008 by Franco and others interested in Medicare policy, its membership comprises most sectors of the MSP-regulated community, including plaintiffs, defense attorneys, brokers, trade associations, and third part administrators. The coalition’s primary mission is to advocate for MSP on behalf of Medicare beneficiaries and companies. Its major achievement to date is the Strengthening Medicare and Repaying Taxpayers (SMART) law of 2013.
Drawing on his experience with Safeway and MARC, in 2011 Roy Franco and Jeff Signor founded Franco Signor LLC, which specializes in Medicare compliance. In his capacity as Chief Legal Officer, Roy Franco continues to lead national efforts to streamline the world of Medicare Secondary Payer compliance.
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J. Russell Goudelock
Attorney
McAngus Goudelock & Courie, LLC (MGC)
J. Russell Goudelock is speaking in the following session(s):
National Challenges to the Workers Compensation Exclusive Remedy Doctrine May 7 2015 4:30PM
Rusty Goudelock graduated from The Citadel with a degree in business administration and obtained his Juris Doctor from the University of South Carolina School of Law. Rusty is a founding member of MGC. He has been representing business interests in workers’ compensation and related matters exclusively for more than 38 years. He prides himself in understanding his clients’ workforce, products, services and industry. Rusty is an active member in key national professional organizations devoted to workers’ compensation and claims industry issues, including the Claims and Litigation Management Alliance (CLM) and the Defense Research Insitute (DRI). In addition, he has served the Bar and community as president of the South Carolina Workers’ Compensation Educational Association, treasurer of Kids Chance of SC, chair of the SC Bar’s Workers’ Compensation Section, and Advisory Board member of the USO South Carolina. Rusty regularly lectures before various organizations on issues related to workers’ compensation and litigation management issues. He frequently appears before the South Carolina Workers’ Compensation Commission and in state courts representing employers, self-insureds and insurance carriers. Rusty is one of the South Carolina attorneys practicing workers’ compensation law named in The Best Lawyers in America and South Carolina Super Lawyers.
Outside of MGC, Rusty can be found spending time with his family, including his wife, three daughters, sons-in-law, granddaughter, and a host of family dogs. He and his family enjoy college football together, spending time at the beach and traveling. Rusty enjoys fishing and flying. He has been a licensed pilot since age 17 and volunteers to support medical air transport missions for Mercy Flight. He is a US Army veteran.
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Angela Henderson
Claims Supervisor
ESIS
Angela Henderson is speaking in the following session(s):
How Did We Lose this Case? A Postmortem - Identifying What Went Wrong and Learning How to Prevent It from Happening Again May 7 2015 2:00PM
Angela Henderson is a Claims Supervisor for ESIS Inc, a subsidiary of Chubb Insurance. Angela has more than fifteen years of experience in the workers’ compensation industry spanning technical and managerial responsibilities. Angela has a varied background of corporate experiences and worked in marketing research for eight years prior to moving into the insurance industry. She has managed claims for captive self-insured organizations, large national third party administrators and regional carriers. Angela has recently relocated to Southern California where she continues her adjusting career as an Independent Consultant in Commercial and Residential Property loss estimating. Angela also manages the public site Learn To Adjust, helping contractors who are new to the industry network with other professionals to obtain job leads and training resources.
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Michael Kelley
Senior Vice President
HUB International
Michael Kelley is speaking in the following session(s):
Negotiation Skills that Every Workers' Compensation Professional Needs to Know May 8 2015 9:45AM
Michael P. Kelley currently serves as Senior Vice President and Director of Claims Operations at HUB International New England in a position held since May 2014.
As the leader of the Claims Management Department, his duties include: claim advocacy, meetings with clients, adjusters, and loss inspectors; claims management; and settlement strategies.
Michael holds over 32 years of insurance industry experience, beginning his career with the American Mutual Insurance Companies in 1982. He held various positions including Field Investigator, Claim Supervisor, Assistant Claim Manager and Regional Claim Manager. He became the Operations Manager for an independent consulting firm in 1993. He spent the next 20 years as the Vice President of Claims at the A.I.M. Mutual Insurance Companies. He is considered an expert in the area of workers’ compensation claim handling, and is a frequent speaker on the worker’s compensation claim process.
Michael holds both an Associate in Risk Management (ARM) and an Associate in Claims (AIC) designation from the Insurance Institute of America. He has been an instructor at the Insurance Library Association of Boston for the last ten years.
Michael holds a Bachelor of Science degree in Business Management from Merrimack College where he majored in accounting.
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Shannon Krabel
Claims Team Manager
Liberty Mutual
Shannon Krabel is speaking in the following session(s):
The Race Against the Clock: Practical Tips to Close Your Cases Quickly May 7 2015 2:00PM
Shannon Krabel is a Claims Team Manager in the SE Region of Liberty Mutual Insurance. She earned her B.S. in Risk Management & Insurance and her M.B.A. in Operations Management from Florida State University. She has worked various lines and roles in the insurance and risk management industries, primarily in workers’ compensation, for 20 years.
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Rich Lenkov
Attorney
Downey & Lenkov LLC
Rich Lenkov is speaking in the following session(s):
Negotiation Skills that Every Workers' Compensation Professional Needs to Know May 8 2015 9:45AM
Rich Lenkov brings a killer instinct and unparalleled focus to representing his clients. He partners closely with his clients, ranging from Fortune 50 Corporations to small businesses, to achieve successful litigation outcomes.
Selected to the 2013 Illinois Super Lawyers List (given to no more than 5% of lawyers in Illinois), named Leading Lawyer from 2012-2014 and honored by SEAK as one of the 50 Most Influential People In Workers’ Compensation, Rich enjoys the respect of his peers. He is also a frequent lecturer and involved in a number of national organizations, including:
Claims and Litigation Management Alliance – Chicago Chapter President RIMS Illinois Association of Defense Trial Counsel Illinois Retail Merchants Association Foodservice Industry Risk Management Association Workers’ Compensation Defense Institute
Rich is also very involved in his community, including serving on the Board of Visitors for the Northern Illinois University College of Law, as Local School Counsel Chairperson for Agassiz Elementary School and on the Advisory Board of Legal Prep Charter Academy, Chicago’s only legal-themed charter school. Rich was recently honored as NIU School of Law Alumnus of the Year.
Licensure
Illinois Supreme CourtU.S. District Court for the Northern District of IllinoisEducationJ.D., Northern Illinois University, DeKalb, Illinois, 1995B.A., McGill University, Montreal, Quebec, 1992 Professional Memberships & AssociationsAgassiz Elementary School, Local School Council (Chairperson)Canada-US Business Council ChicagoCentral Ohio Self-Insurers AssociationChicago Claims AssociationClaims Association of Greater ChicagoCity Club of ChicagoCook County Mandatory Arbitration Program Panel (Chairperson)Claims and Litigation Management Alliance – President, Greater Chicago ChapterDefense Research InstituteDuPage County Bar AssociationFoodservice Industry Risk Management AssociationIllinois Association of Defense Trial Counsel Illinois Chamber of CommerceIllinois Manufacturers' AssociationIllinois Retail Merchants AssociationIllinois State Bar AssociationIllinois Workers’ Compensation Lawyers AssociationNational Retail & Restaurant Defense AssociationNorthern Illinois Adjusters AssociationNorthern Illinois University College of Law Board of VisitorsRisk & Insurance Management Society, Inc. (RIMS)Workers’ Compensation Claims AssociationWorkers’ Compensation Defense Institute
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Michael Mattix
Consultant - Mattix Consulting
Self Employed
Michael Mattix is speaking in the following session(s):
National Challenges to the Workers Compensation Exclusive Remedy Doctrine May 7 2015 4:30PM
Michael Mattix has thirty-two years experience in the insurance industry, beginning his career as an attorney in private practice specializing in insurance defense matters. He has more than 20 years experience in managing primary, excess and reinsurance claims with an emphasis in both personal and commercial property and casualty lines, as well as workers compensation and professional liability claims. Michael was named General Counsel and Chief Claims Officer for Armed Forces Insurance in 2011 and Chief Underwriting Officer in 2013.
Prior to his association with Armed Forces Michael spent nearly 25 years with Swiss Re (formerly known as Employers Reinsurance) During his tenure, he created and managed a state-of-the-art claims and financial transactional audit team, as well as a claim consulting group. He is a recognized expert in claims management, process redesign and effecting change within organizations, and is a frequent speaker at industry events.
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Leo McCann
Director - Carrier Relations
Sedgwick
Leo McCann is speaking in the following session(s):
How Did We Lose this Case? A Postmortem - Identifying What Went Wrong and Learning How to Prevent It from Happening Again May 7 2015 2:00PM
Leo A. McCann, CPCU, ARM, ABCP is Vice-President – Carrier Relations for York Risk Services Group and is based in Dublin, Ohio. In his capacity, Mr. McCann is responsible for all aspects of insurance carrier relations across the U.S. York is an established and innovative national service organization committed to providing the best risk management services. Founded in 1960’s in New Jersey, York has 80+ offices nationally, providing claims administration and risk management services in all fifty states.
His background before York includes ten (10) years with American Electric Power (AEP) in their corporate risk management department. While at AEP, Mr McCann was responsible for Business Continuity Management and the Security Program Management Office of Risk Management – Enterprise Security (RMES). His work involved overseeing the development of continuity plans and implementing strategies for AEP as well as the financial and project management of RMES. Previous to this position Leo was Director – Risk & Insurance Management for AEP for nine (9) years. He taught the activity based costing system, Activity Based Management System (ABMS) during its implementation. Mr. McCann joined AEP, the largest electric utility in the US, in April 1995.
His background before AEP includes nine (9) years of underwriting, selling, brokerage and, business recovery planning experience at Nationwide Insurance company based in Columbus. Leo has taught the complete course in the Associate in Risk Management program for the Columbus Chapter of Chartered Property and Casualty Underwriters (CPCU) for ten (10) years. For the 1993-1994-semester year, the Columbus Chapter CPCU awarded him their Instructor of the Year award. For the 2001 to 2002 year, The Spencer Educational Foundation awarded LaSalle University a grant for the Risk Manager in Residence Program for a series of lectures by Mr. McCann. In addition to this, he has lectured at Ashland University and Ohio University on the subject of Risk Management and Insurance.
Leo earned his Bachelors of Science Business Administration (BSBA) degree with a major in Insurance and Risk Management in 1986 from The Ohio State University in Columbus, Ohio. While there, his core class work centered on Insurance, Risk Analysis, Statistical Analysis, Risk Management, and Finance. He was the Treasurer of the Alpha Chapter of Gamma Iota Sigma (GIS), the professional insurance fraternity. Leo has spoken several times for student meetings of this organization. In addition, he was a member and squad leader for The Ohio State University Marching Band.
In February 1989, he was awarded the Associate in Risk Management (ARM) designation. His CPCU professional designation was earned in October 1995. Leo is also a Competent Toastmaster, given by Toastmasters International. In April 2002, Leo attended Cornell University’s Leadership Development Program. In the fall of 2003, he attended the Fisher College of Business at The Ohio State University’s OSU/AEP Strategic Leadership Program for Executive Education. Disaster Recovery International awarded him the Associate Business Continuity Professional designation in January of 2005.
Mr. McCann previously was the treasurer for the Risk Management Committee of Edison Electric Institute (EEI).
He resides in Hilliard, Ohio with his wife Crystal, and their children, Allison and Andrew.
Leo A. McCann, CPCU, ARM, ABCPVice-President – Carrier Relations
York Risk Services Group, Inc. 614.791.76425000 Bradenton Avenue Fax. 614.932.8663Dublin, Ohio 43017 Mobile. 614.394.5172www.yorkisg.com leo.mccann@yorkrsg.com
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Robert McNemar
AVP - Regional Claims Manager
Ameritrust
Robert McNemar is speaking in the following session(s):
National Challenges to the Workers Compensation Exclusive Remedy Doctrine May 7 2015 4:30PM
Bob McNemar, Vice President @ Swiss Re. Bob received his BS degree in Public Relations from West Virginia University and a Law Degree from the University of Missouri – Kansas City School of Law.
During his career he has worked as a regional claims manager for a primary insurer – all lines, a client claims executive for a national broker and as risk manager for a company with an international presence. His experience includes workers compensation, products liability, environmental & toxic torts, general casualty claims, and property.
Bob joined Swiss Re (ERC) in May 1999 as Excess Workers Compensation Claims Counsel, moved into the role of Team Leader External Audit in 2001 and joined the P&C Re Claims Team in 2004. In 2015 he transferred to Swiss Re's Toronto office managing Canadian property, auto and general casualty claims.
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Channing Migner
Shareholder
Law Office of Channing Migner, P.C.
Channing Migner is speaking in the following session(s):
Getting to Yes Regarding Treatment of Injured Worker with Chronic Pain Diagnosis without Opioids May 8 2015 11:00AM
Mr. Migner began his career in workers’ compensation while working for an insurance company and has focused his law practice on Workers’ Compensation since 1985. These early experiences “on the other side” would give him an insider’s knowledge that prepared him to be a better advocate for his clients. My cases have involved a wide variety of work related conditions such as repetitive strain injuries, traumatic brain injuries, second hand smoke, post-traumatic stress disorder, and chronic pain.
He is a member of the Massachusetts Bar Association Workplace Safety Task Force Chronic Pain Subcommittee, whose goal is to help develop resources for injured workers. He is a member of the Mass Academy of Trial Attorneys; serves on the Board of Directors of the Workers' Injury Law & Advocacy Group; and is a Fellow of The College of Workers' Compensation Lawyers.
On a personal note he enjoys hiking, travelling abroad, gardening and cooking, spending time with his children and grandkids, and being very active in his local church. He is a volunteer with 350 Massachusetts - Better Future Project, a statewide movement to address climate change; and tries to “walk the walk” in his law practice by maintaining a paperless document management system.
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Edward Moriarty
Senior Partner
Moriarty & Associates, P.C.
Edward Moriarty is speaking in the following session(s):
Getting to Yes Regarding Treatment of Injured Worker with Chronic Pain Diagnosis without Opioids May 8 2015 11:00AM
Edward M. Moriarty, Jr., is Senior Partner at Moriarty & Associates, with offices in Massachusetts and Connecticut. Ed specializes in the defense of workers’ compensation claims for insurers, self-insurers, and third party administrators, as well as claims filed directly against the employer alleging serious and willful employer misconduct. Ed is AV-Rated by Martindale-Hubbell, is a Pre-Eminent Martindale-Hubbell Attorney, and one of Boston’s Best Attorneys. Ed, an active member of CLM, since 2011, has written the CLM publication relative to Massachusetts Workers’ Compensation Law and was a co-author of the CLM publication regarding Massachusetts civil law.
Ed is a frequent lecturer for Massachusetts Continuing Legal Education (MCLE), the Massachusetts Bar, and Massachusetts insurer and self-insurer groups. In two of the last three years, Ed has written provocative MCLE articles relative to the problematic use of opioids in treatment of chronic pain in the Massachusetts injured worker. Ed is also active on the state and municipal level in proactive and empathic responses to the Opioid Epidemic.
Ed is married to Joanne Scott, Executive Director of The Salem Boys and Girls Club. The Boys and Girls Club is Ed’s philanthropic passion, along with his three wonderful children, two adorable grandchildren, two dogs, and four cats.
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Heath Sherman
Member/Owner
The Sherman Law Group
Heath Sherman is speaking in the following session(s):
How Did We Lose this Case? A Postmortem - Identifying What Went Wrong and Learning How to Prevent It from Happening Again May 7 2015 2:00PM
HEATH SHERMAN, Esq. is the managing member of The Sherman Law Group, LLC. A graduate of the University of Michigan (B.A.) and DePaul University College of Law (J.D.), Heath has handled all aspects of workers’ compensation litigation for over twenty years. Heath has tried numerous cases before the Illinois Workers’ Compensation Commission and has argued cases on appeal at the Commission, Circuit Court and Appellate Court levels. Heath is retained by insurers, third-party administrators and self-insured employers throughout the State of Illinois to represent their unique interests in the underlying workers’ compensation claim as well as employer’s liability defense, subrogation lien recovery, and employment litigation.
In addition to workers’ compensation, Heath has a national product liability practice and has successfully handled cases on behalf of domestic and foreign clients in state and federal courts in multiple jurisdictions including Alabama, California, Florida, Idaho, Illinois, Kentucky, Minnesota, Nevada, New Jersey, New York, Pennsylvania, Ohio, Texas, and Wisconsin. Heath is admitted to the Illinois bar, the general and trial bars of the United States District Court for the Northern District of Illinois, and United States Court of Appeals for the 9th and 11th Circuits.
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Michael Shor
Managing Director
Best Doctors Occupational Health Institute
Michael Shor is speaking in the following session(s):
Getting to Yes Regarding Treatment of Injured Worker with Chronic Pain Diagnosis without Opioids May 8 2015 11:00AM
Michael J. Shor, M.P.H., is the Managing Director of the Best Doctors Occupational Health Institute, part of Best Doctors, Inc. an international healthcare improvement organization. Mr. Shor also co-founded and served as President of Healthcare First, a managed occupational health plan acquired by a Division of Nationwide Insurance.
He is a prolific writer and speaker on contemporary medical care cost and quality issues. His professional writings have appeared in the Journal of Workers Compensation and Annals of the American Orthopedic Association among others. His current work and research focuses on improving quality of care for those suffering work-related injury.
He currently chairs the Mass Bar Association Workplace Safety Taskforce Opiate Subcommittee.
Michael is a graduate of the Boston University School of Public Health, Syracuse University School of Management and the Newton Wellesley Hospital School of Nursing.
An avid skier, flyfisher, and restorer of classic, rusted out British sports cars, he lives with his wife, three terrific kids and one sort-of housebroken golden retriever in Boston and Stockbridge Vt.
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Eric Spalsbury
Director, Risk Management
Stanley Steemer International, Inc.
Eric Spalsbury is speaking in the following session(s):
Negotiation Skills that Every Workers' Compensation Professional Needs to Know May 8 2015 9:45AM
Eric W. Spalsbury is the Director of Risk Management for Stanley Steemer International, Inc., a large U.S. based residential and commercial cleaning company headquartered in Dublin, OH.
Eric has over 30 years of experience managing risk at various levels and differing applications. He received a Bachelor’s degree in Science from Ohio University in 1983. He has been with Stanley Steemer for over eight years where he oversees all aspects of risk control. He leads a small team of in-house professionals that utilize a range of external partners to pursue proactive and reactive continuous improvement.
Prior to Stanley Steemer, Eric spent nine years working in global logistics with DHL and Exel Logistics; nine years in the chemical manufacturing and distribution industry with Ashland Chemical; and six years in the nuclear waste management industry with Battelle Memorial Institute.
Eric has been a member of the board of directors for the Central Ohio Chapter of the Risk and Insurance Management Society, serving as current Vice President. He has authored and acted as consulting editor in various publications.
Eric is married with a son recently graduating Wittenberg University and a daughter attending Ohio Wesleyan University. Eric is an avid outdoorsman and patron of the fine arts.
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Adam Whitten
Attorney
Goodman McGuffey LLP
Adam Whitten is speaking in the following session(s):
The Race Against the Clock: Practical Tips to Close Your Cases Quickly May 7 2015 2:00PM
Adam Whitten is the managing partner of Goodman McGuffey's Charlotte office. He began representing large corporations and insurance carriers immediately upon graduation from law school in 2003. He has represented nursing homes, banks, security companies, construction companies, airlines, telecommunication companies, hotels, employment staffing companies and large manufacturers in workers compensation matters across the state of North Carolina. He has also represented clients in civil matters involving negligence, premises liability and third-party liens.
Adam is a member of the North Carolina and Mecklenburg County Bar Associations. He has spoken to various groups including adjusters, human resource managers, risk managers and attorneys on a variety of legal topics including workers' compensation, occupational disease, disability, return to work standards, communication with treating doctors, and the nuances of working with the North Carolina Industrial Commission and within the North Carolina Workers' Compensation system. Adam has worked with the Children's Law Center and Council for Children's Rights in Charlotte advocating for children involved in difficult custody disputes.
Adam received his undergraduate degree in journalism from Brigham Young University in 1999. He was a member of the Golden Key National Honor Society. He was awarded the University Scholarship for his academic achievements. He also was awarded the Communications Department Talent Award scholarship for his performance with writing. He received multiple awards from the Society of Professional Journalists while working as a reporter and sports editor.
Adam earned his law degree from the University of North Carolina at Chapel Hill in 2003. While in Chapel Hill, Adam was on the Dean's List and worked in the school's pro bono program including some time assisting a local district attorney with domestic violence cases. In 2003, Adam was a national finalist in Chicago-Kent's Louis Jackson National Student Writing Competition in Employment and Labor Law.
Adam is actively involved in the local community and has worked as a volunteer coach with the local YMCA and community sports organizations. He has also worked with the Boy Scouts of America as a merit badge counselor and assistant scout master. Adam is also fluent in Portuguese thanks to a two-year stint in southern Brazil as a missionary for his church.
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