FIFEC - Course Information

W-PM I Wednesday, June 9th – 1:20pm - 3:10pm

This program is based upon actual case studies from files, and is a highly interactive program between the presenters and the audience through a series of video vignettes lasting several minutes each.

* approved for Ethics CEUs

Basic fraud issues and how they relate to fire investigation.

How to effectively present to a jury evidence establishing fraud involving a property claim.

This course will provide a comprehensive overview of the latest trends in both Workers' Compensation claims and Premium Fraud. Topics will include basic terminology, claims and underwriting considerations, key documents for solid investigations, burden of proof and successful prosecutions during criminal investigations, and finally some emerging trends the industry will face in the future. The program will be interactive, allowing for attendee participation and questions throughout.

Fraud upon the Court - This presentation is focused on educating the audience with respect to the legal definition and standards for the application of this doctrine as well as how to uncover the types of fraud which have inspired the Courts to impose the ultimate sanction of dismissal.

* approved for Law & Policy CEUs

Work-related or Sunday softball? crash-related or degenerative disc disease? Learn how a Biomechanical Engineering Analysis can help to answer these questions. A continuation of the well received ARCCA FIFEC Seminars of 2008 & 2009. A review of the basics followed by new case studies and examination of new alleged injuries and how & when to involve the Biomechanic.

W-PM II Wednesday, June 9th – 3:30pm - 5:20pm

A class that discusses the methodologies and requirements to eliminate accidental fires while conducting an arson investigation.

This presentation will bring light to many different aspects of the Haitian culture, their understanding about auto insurance, and how investigators and attorneys can best conduct an EUO with a Haitian claimant.

Discussion of how your lawyers use the information gained during the adjuster's evaluation process is used in developing the defense of a case from the responsive pleading all the way through trial.

Damage Analysis for Consistency and Detecting Fraud is a Two-hour course designed to assist adjusters and investigators in determining if the claimed damage is consistent with the accident scenario. This course will cover phantom vehicle claims, wall impact damage versus vehicle impact damage, determining if the damage between two vehicles is consistent, and determining pole or tree impacts versus vehicle impacts. This course will also provide information on evaluating engine damage. Finally, multi-vehicle In-Line collisions will be discussed.

Biomechanics, a modern subject with ancient roots, has become an extremely useful tool in both vehicle accident reconstruction and injury reconstruction. Biomechanics is simply the application of engineering principles to the human body to understand how it responds to external forces and becomes injured. This presentation examines the scientific basis behind biomechanics and biomechanical engineering, as well as how it can and has been applied to different accident scenarios. Case examples include vehicular accidents, pedestrian accidents, industrial accidents, falling objects, falls/slips/trips, and medical devices. In addition, examples of how computer programs, such as MADYMO, are used to provide a comprehensive qualitative and quantitative analysis, as well as an excellent demonstrative tool.

T-AM I Thursday, June 10th – 8:00am - 9:50am

This is a two-hour course designed to educate adjusters and investigators on air bag systems. This course will provide familiarity with past, present and future technology used in air bag systems. System overviews including deployment loops and thresholds will be discussed.

This class will provide the attendee with an understanding of the Florida Statutes, Administrative Rules and Codes. How they are crafted, enforced and how they apply to both the public and private insurance fraud sector. The attendee will be provided the necessary information so that they will recognize violations of the Statutes, Rules and Codes and know what their level of responsibility is on reporting these violations and the proper procedure for reporting the violations. This class will provide the attendee with resource information so that they can stay abreast of the most current Statutes and Rules.

* approved for Law & Policy CEUs

This presentation is an introduction to CPT Codes & ICD-9 Codes, what they are and how they are used. Explanations regarding the proper use of these codes and descriptions of common areas of abuse are also discussed. A hands on case study allows participants the opportunity to put what they have learned to use.

The objective of this course is to have the student realize that conducting a fire investigation using the proper methodolgy will insure that you can identify the cause of a fire, even if it is "unusual".

This presentation will address the rights and obligations of the insured and insurer when potential fraudulent submissions occur in property loss claims by a public adjuster.

* approved for Law & Policy CEUs

An overview and comparison of the Civil and Criminal process in regards to insurance fraud claims.

T-AM II Thursday, June 10th – 10:10am - 12:00pm

This presentation will show the successful handling of two equally challenging claims - one, the alleged theft of a $280,000 classic car, that was dropped pre-suit and the other, the alleged theft of a late model sports car that went to trial, given by two different SIU representatives from two different companies and the lawyer that assisted them.

When minor vehicle accidents are reported, injuries are often claimed. In some cases the reported injuries raise the question: "Is the collision damage proportional to the claimed injury?" This presentation examines the method of recreating these types of accidents for the purpose of determining if the claimed injury is consistent with the impact. The steps taken to determine the impact magnitude are explained, including what documentation is needed and how it is used. The science of biomechanics is described; specifically, how it relates to minor accidents. In addition, examples showing how computer programs, such as MADYMO, can help illustrate the lack of impact severity.

The session will use the development, testing, approval, marketing, and sale of artificial discs to talk about issues inherent in the device approval process that can work to increase both the number and amount of claims in personal injury litigation. By examining the FDA approval process, tools will be provided to examine claims in the following ways: appropriateness of device for recommended patient; approval of device for recommended application; and determining approval dates and conditions for use within FDA protocols. Also discussed is the CPT code generation process for new devices/procedures, and how manufacturer billing recommendations may not follow CPT protocols.

This class will focus on 626 compliance and why 626 is in place. In this corporate environment, there is going to become intense oversight of financial institutions. As an attorney handling SIU cases, I have been privy to much misuse and abuse of the 626 statute. I have also seen it used properly where it assists companies and the Florida Division of Insurance Fraud, as it was intend. Misusing the 626 Statute can bring a bad faith action, civil litigation and can become exculpatory information in a prosecution of an insurance fraud case. This class will address the statute, the compliance and how to work with DIF (and not against it) to bring a successful prosecution; looking at the difference between burdens of proof in criminal v. civil. Professionalism is Key!

* approved for Law & Policy CEUs

Using information from Customs and Border Patrol, a national trend has been uncovered involving human smugglers insuring their high-performance boats. This presentation identifies the most common schemes. Innocent buyers are approached to insure boats for the smugglers, jeopardizing the lives of defenseless refugees. Each claim can total $70,000-$180,000+. With growing instability in Cuba, and organized crime in Mexico, each investigator should be aware of the suspicious indicators, especially with new policyholders. By investigating (or avoiding) the most popular vessels, you can minimize your company's exposure.

Overview of recent case law and statutory amendments affecting application misrepresentation, provider examinations under oath, clinic ownership guidelines, and statutory requests for information.

* approved for Law & Policy CEUs

T-PM I Thursday, June 10th – 1:30pm - 3:20pm

This two-hour presentation will provide an overview of fire loss coverage, legal issues that arise in fire loss claims, and necessary steps to conduct an effective coverage assessment in a suspicious fire loss. The presentation will include a workshop format that focuses on coverage under standard fire policies and discussion of Florida law on applying the vacancy coverage exclusion in fire loss claims, and will address how insurers should conduct effective claim investigation and coverage assessment to properly evaluate contractual obligations in a fire loss claim.

* approved for Law & Policy CEUs

This presentation covers numerous websites that can be potentially useful in the course of any investigation including an arson investigation. It focuses primarily on non-fee based sites and is designed to open the eyes of those not already using the internet for investigations.The course does not go into how to actually surf the web and is presented in a manner as though the attendee already is versed in utilizing a computer and the web. The course is presented in a two-part manner. The second part of the program goes into specific cases that have been investigated in the Nationwide Special Investigation Unit wherein the Internet played a major and vital role in ferreting out the fraud.

This class will focus on conditions precedent to filing an action under §627.736, more specifcally, examinations under oath and requests for information pursuant to §627.736(6)(b).

* approved for Law & Policy CEUs

The presentation will discuss the use of the Racketeering & Corrupt Organizations (RICO) act as well as other claims by insurers against providers suspected of PIP fraud. Potential defenses by providers as well as pitfalls for insurers will be part of the presentation.

* approved for Law & Policy CEUs

This workshop will address taking effective Examinations Under Oath. This workshop will offer a comprehensive discussion of legal issues that arise before, during, and after the Examination Under Oath takes place, or in some instances, after it does not take place. The course will involve practical, legal and ethical aspects of the examination, including handling exhibits, objections to testimony, inquiries directed to the insurer during the examination, and reserving the right of the insurer to take further examinations. Common issues regarding production of documentation before, during and after the examination under oath will be covered, including a discussion of current case law, as to what documentation may be required for production.

This presentation will provide the attendee with information concerning privacy rights and privileges in handling the investigation, protection and disclosure of confidential matters. The seminar presents Florida State and Federal laws and rules regarding privacy rights and provides tips to the attendee on how to obtain and exchange information without violating any rule or law,

A seminar that explores the problem of unsupported lightning claims by service technicians. Includes a discussion of the problem, technical information about common losses, and recommendations to combat fraud. Includes case studies illuminating the problems and issues.

T-PM II Thursday, June 10th – 4:10pm - 6:00pm

This presentation would cover current issues and trends in personal injury protection (PIP) claims and litigation, to include the submission of questionable for fraudulent claims.

* approved for Law & Policy CEUs

Investigators will learn to obtain accurate information during the interview if doctors deliberately try to mislead them and we will review methods for maintaining control of the professional interview. Hone your skills at assessing verbal and non-verbal behavior in non-confrontational conversational interviewing of technical experts.

The course's goal is to provide layman a cursory exposure to a variety of automotive failures and additional insight to assist adjusters during claim adjusting efforts.

How to effectively present to a jury evidence establishing fraud involving a property claim

The class will explore the difficulties often encountered with the use of an interpreter, the importance of hiring a reputable and knowledgeable interpreter as well as the legal ramifications for not obtaining a “clean” statement from the witness. The class will intertwine the “dos and don’ts” of interpreting and the downfall of a claim/case should the interpreter not perform as required. There will be a mock Examination Under Oath (EUO) of a witness to show the examples of literal interpretation versus non literal and the evidentiary pitfalls of obtaining a non-literal interpretation.

F-AM I Friday, June 11th – 8:00am - 9:50am

Learn the secrets to transferring your SIU years of experience into interactive professional presentations.

This course will provide the tools required to understand when rehabilitative care is justified, and when it is not medically necessary. In order to better understand the core principles of rehabilitative care, CPT coding for modalities and therapeutic procedures, orthopedic and neurological special testing, and documentation standards will be discussed and reviewed in detail. Through the utilization of validated references, evidence-based medicine, and video demonstrations attendees will develop a strong knowledge and skill set to appropriately review the medical care of physicians, physical therapists, occupational therapists, and massage therapy professionals.

This presentation will teach your investigators how to spot fraudulant claims concerning Crime and Trauma Scene Cleanup (CTS). What are the ways CTS firms can hid exorbitant claims. It will teach what is considered within the industry to be "Reasonable and Customary Charges" and Why.

Practical methods to combat excessive medical billing practices and tools to determine reasonable pricing.

F-AM II Friday, June 11th – 10:10am - 12:00pm

This presentation is designed to show the investigator, SIU rep or adjuster the basics of fire origin and cause and the important role that NFPA 921 plays in the investigation of every fire loss. It also examines the existence of parallel investigations conducted at the same fire loss by public and private sector investigators.

Speaker will discuss the principles of Shadowing whereby you will be able to track your claimant's every move using pattern recognition applications without compromising the integrity of the case.

To enchance and illuminate the importance and recognition of ethical standards in our daily SIU work.

* approved for Ethics CEUs

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COURSE LISTING - 2010 FIFEC CONFERENCE

W-PM I Wednesday, June 9th – 1:20pm - 3:10pm
COURSE NUMBER	COURSE TITLE	DESCRIPTION	INSTRUCTOR(S)
110	Ethical Considerations in the Investigation of Insurance Claims - PART 1	This program is based upon actual case studies from files, and is a highly interactive program between the presenters and the audience through a series of video vignettes lasting several minutes each. * approved for Ethics CEUs	Matthew Smith, Esq. (Smith, Rolfes, & Skavdahl) and Jack Morgan, Regional Mgr/Asst V.P. SIU (The Cincinnati Insurance Company)
120	Fraud and Fire	Basic fraud issues and how they relate to fire investigation.	Michael Grubowski, Forensic Fire Investigator (HSA Engineers & Scientists)
130	Preparing for a Fraud Trial	How to effectively present to a jury evidence establishing fraud involving a property claim.	Andrew Rock, Esq. (The Rock Law Group)
140	Workers' Compensation Fraud - A 2010 Overview	This course will provide a comprehensive overview of the latest trends in both Workers' Compensation claims and Premium Fraud. Topics will include basic terminology, claims and underwriting considerations, key documents for solid investigations, burden of proof and successful prosecutions during criminal investigations, and finally some emerging trends the industry will face in the future. The program will be interactive, allowing for attendee participation and questions throughout.	Major Geoffrey Branch (Florida Dept. of Financial Services), G. Don Craig, Founder & President (Premium Audit Consultants, Inc.), and Deborah Martin, Esq, Chairperson, Premium Fraud Committee (Workers' Compensation Fraud Task Force)
150	De-fleecing the Wolf in Sheep's Clothing - Motions to Dismiss for Fraud Upon Court	Fraud upon the Court - This presentation is focused on educating the audience with respect to the legal definition and standards for the application of this doctrine as well as how to uncover the types of fraud which have inspired the Courts to impose the ultimate sanction of dismissal. * approved for Law & Policy CEUs	Frank Goldstein, Esq. (The Goldstein Law Group) and Stephen Rosansky, Esq (The Goldstein Law Group)
160	Advanced Biomechanical Analysis of Injuries Alleged in Low Speed Impacts, Slips, Trips & Falls, Workers Comp & Products Liability.	Work-related or Sunday softball? crash-related or degenerative disc disease? Learn how a Biomechanical Engineering Analysis can help to answer these questions. A continuation of the well received ARCCA FIFEC Seminars of 2008 & 2009. A review of the basics followed by new case studies and examination of new alleged injuries and how & when to involve the Biomechanic.	David Gushue, Director of Biomechanical Engineering (ARCCA, Inc.)
W-PM II Wednesday, June 9th – 3:30pm - 5:20pm
210	Ethical Considerations in the Investigation of Insurance Claims - PART 2	This program is based upon actual case studies from files, and is a highly interactive program between the presenters and the audience through a series of video vignettes lasting several minutes each. * approved for Ethics CEUs	Matthew Smith, Esq. (Smith, Rolfes, & Skavdahl) and Jack Morgan, Regional Mgr/Asst V.P. SIU (The Cincinnati Insurance Company)
220	Eliminating Accidental Fire Causes	A class that discusses the methodologies and requirements to eliminate accidental fires while conducting an arson investigation.	Michael Reynolds, Territorial Mgr. (Unified Investigations & Sciences, Inc.) and David Dixon, Special Investigator (Unified Investigations & Sciences, Inc.)
230	Understanding the Haitian Culture for a Better EUO or Recorded Statement	This presentation will bring light to many different aspects of the Haitian culture, their understanding about auto insurance, and how investigators and attorneys can best conduct an EUO with a Haitian claimant.	Ernst Thervil, President (Reliable Interpreters)
240	Evidence of Insurance Fraud	Discussion of how your lawyers use the information gained during the adjuster's evaluation process is used in developing the defense of a case from the responsive pleading all the way through trial.	Troy McRitchie, Esq. (Banker, Lopez & Gassler, P.A.) and Dale Parker, Esq. (Banker, Lopez & Gassler, P.A.)
250	Damage Analysis for Consistency and Detecting Fraud	Damage Analysis for Consistency and Detecting Fraud is a Two-hour course designed to assist adjusters and investigators in determining if the claimed damage is consistent with the accident scenario. This course will cover phantom vehicle claims, wall impact damage versus vehicle impact damage, determining if the damage between two vehicles is consistent, and determining pole or tree impacts versus vehicle impacts. This course will also provide information on evaluating engine damage. Finally, multi-vehicle In-Line collisions will be discussed.	Michael Urban, Senior Consultant (Rimkus Consulting Group, Inc.)
260	Biomechanics and Biomechanical Engineering	Biomechanics, a modern subject with ancient roots, has become an extremely useful tool in both vehicle accident reconstruction and injury reconstruction. Biomechanics is simply the application of engineering principles to the human body to understand how it responds to external forces and becomes injured. This presentation examines the scientific basis behind biomechanics and biomechanical engineering, as well as how it can and has been applied to different accident scenarios. Case examples include vehicular accidents, pedestrian accidents, industrial accidents, falling objects, falls/slips/trips, and medical devices. In addition, examples of how computer programs, such as MADYMO, are used to provide a comprehensive qualitative and quantitative analysis, as well as an excellent demonstrative tool.	Dawn Freyder, Biomechanical Engineer (SEA Limited)

T-AM I Thursday, June 10th – 8:00am - 9:50am
310	Air Bag and Pretensioner Technology	This is a two-hour course designed to educate adjusters and investigators on air bag systems. This course will provide familiarity with past, present and future technology used in air bag systems. System overviews including deployment loops and thresholds will be discussed.	Joe Maseda, Eastern Region Forensic Div. Mgr. (Rimkus Consulting Group)
320	Compliance Update for FL Statutes, Rules & Insurance Code for all Adjusters & SIU Investigators	This class will provide the attendee with an understanding of the Florida Statutes, Administrative Rules and Codes. How they are crafted, enforced and how they apply to both the public and private insurance fraud sector. The attendee will be provided the necessary information so that they will recognize violations of the Statutes, Rules and Codes and know what their level of responsibility is on reporting these violations and the proper procedure for reporting the violations. This class will provide the attendee with resource information so that they can stay abreast of the most current Statutes and Rules. * approved for Law & Policy CEUs	Ernie King, SIU Mgr., Asst V.P. (Tower HIll Insurance Group) and Eric Purvis, Financial Administrator (Florida Dept. of Financial Services)
330	CPT Codes - Use and Misuse	This presentation is an introduction to CPT Codes & ICD-9 Codes, what they are and how they are used. Explanations regarding the proper use of these codes and descriptions of common areas of abuse are also discussed. A hands on case study allows participants the opportunity to put what they have learned to use.	Tami Rockholt, RN, BSN, President (Health Cost Management) and orthopedic surgeon Dr. Donald Schroeder
340	Investigating Unusual Fire Causes - PART 1	The objective of this course is to have the student realize that conducting a fire investigation using the proper methodolgy will insure that you can identify the cause of a fire, even if it is "unusual".	Jack Ward, CEO (Jack Ward Fire Consultants)
350	Claim Exaggeration or Fraud by a Public Adjuster: Does it Void Coverage for the Claim?	This presentation will address the rights and obligations of the insured and insurer when potential fraudulent submissions occur in property loss claims by a public adjuster. * approved for Law & Policy CEUs	Robert Groelle, Esq. (Groelle & Salmon, P.A.) and Gina Clausen, Esq. (Groelle & Salmon, P.A.)
360	The Civil and Criminal Process	An overview and comparison of the Civil and Criminal process in regards to insurance fraud claims.	Crystal Broughan, Esq. (Allen Dyer, Doppelt, Milbrath & Gilchrist, P.A.) and Joe Licandro, Asst. State Atty. (Special Prosecution Division, Duval County)
370	Understanding the Haitian Culture for a Better EUO or Recorded Statement	This presentation will bring light to many different aspects of the Haitian culture, their understanding about auto insurance, and how investigators and attorneys can best conduct an EUO with a Haitian claimant.	Ernst Thervil, President (Reliable Interpreters)
T-AM II Thursday, June 10th – 10:10am - 12:00pm
410	Anatomy of the Successful Investigation and Defense of Two Car Theft Claims	This presentation will show the successful handling of two equally challenging claims - one, the alleged theft of a $280,000 classic car, that was dropped pre-suit and the other, the alleged theft of a late model sports car that went to trial, given by two different SIU representatives from two different companies and the lawyer that assisted them.	Hayes Wood, Esq. (Law Offices of Wood & Bronstein), Beth Rouse, SIU Manager (Infinity Insurance Company), and Patrick Monegan, Senior Investigator (Unitrin Direct Auto Insurance Group)
420	Minor Vehicle Accident Reconstruction and Biomechanics	When minor vehicle accidents are reported, injuries are often claimed. In some cases the reported injuries raise the question: "Is the collision damage proportional to the claimed injury?" This presentation examines the method of recreating these types of accidents for the purpose of determining if the claimed injury is consistent with the impact. The steps taken to determine the impact magnitude are explained, including what documentation is needed and how it is used. The science of biomechanics is described; specifically, how it relates to minor accidents. In addition, examples showing how computer programs, such as MADYMO, can help illustrate the lack of impact severity.	Dawn Freyder, Biomechanical Engineer (SEA Limited) and Eric Sauer, Mechanical Engineer (SEA Limited)
430	Manufacturing Claims: How Device Makers, Distributors, and Users Increase Litigation Costs	The session will use the development, testing, approval, marketing, and sale of artificial discs to talk about issues inherent in the device approval process that can work to increase both the number and amount of claims in personal injury litigation. By examining the FDA approval process, tools will be provided to examine claims in the following ways: appropriateness of device for recommended patient; approval of device for recommended application; and determining approval dates and conditions for use within FDA protocols. Also discussed is the CPT code generation process for new devices/procedures, and how manufacturer billing recommendations may not follow CPT protocols.	Julie Lewis Hauf, Esq (Law Office of Julie Lewis Hauf)
440	Investigating Unusual Fire Causes - PART 2	The objective of this course is to have the student realize that conducting a fire investigation using the proper methodolgy will insure that you can identify the cause of a fire, even if it is "unusual".	Jack Ward, CEO (Jack Ward Fire Consultants)
450	626 Compliance - Is Your Company Following the Rules?	This class will focus on 626 compliance and why 626 is in place. In this corporate environment, there is going to become intense oversight of financial institutions. As an attorney handling SIU cases, I have been privy to much misuse and abuse of the 626 statute. I have also seen it used properly where it assists companies and the Florida Division of Insurance Fraud, as it was intend. Misusing the 626 Statute can bring a bad faith action, civil litigation and can become exculpatory information in a prosecution of an insurance fraud case. This class will address the statute, the compliance and how to work with DIF (and not against it) to bring a successful prosecution; looking at the difference between burdens of proof in criminal v. civil. Professionalism is Key! * approved for Law & Policy CEUs	Melissa McCullough, Esq. (Vernis & Bowling, P.A.)
460	Boat Theft and the Rise of Human Smuggling	Using information from Customs and Border Patrol, a national trend has been uncovered involving human smugglers insuring their high-performance boats. This presentation identifies the most common schemes. Innocent buyers are approached to insure boats for the smugglers, jeopardizing the lives of defenseless refugees. Each claim can total $70,000-$180,000+. With growing instability in Cuba, and organized crime in Mexico, each investigator should be aware of the suspicious indicators, especially with new policyholders. By investigating (or avoiding) the most popular vessels, you can minimize your company's exposure.	Rich Wickliffe, Team Manager (State Farm Insurance Company) and Stephen Andris, Special Investigator (State Farm Insurance Company)
470	Learn How to Make Recent Law Work for You in PIP Claims	Overview of recent case law and statutory amendments affecting application misrepresentation, provider examinations under oath, clinic ownership guidelines, and statutory requests for information. * approved for Law & Policy CEUs	Steven Manno, Esq. (Andrews & Manno, P.A.) and Elizabeth Andrews, Esq. (Andrews & Manno, P.A.)
T-PM I Thursday, June 10th – 1:30pm - 3:20pm
510	Applying the Law to an Effective Investigation of a Fire Loss Claim	This two-hour presentation will provide an overview of fire loss coverage, legal issues that arise in fire loss claims, and necessary steps to conduct an effective coverage assessment in a suspicious fire loss. The presentation will include a workshop format that focuses on coverage under standard fire policies and discussion of Florida law on applying the vacancy coverage exclusion in fire loss claims, and will address how insurers should conduct effective claim investigation and coverage assessment to properly evaluate contractual obligations in a fire loss claim. * approved for Law & Policy CEUs	Robert Groelle, Esq. (Groelle & Salmon, P.A.) and Michael Reynolds, Territorial Mgr. (Unified Investigations & Sciences, Inc.)
520	Internet Investigations	This presentation covers numerous websites that can be potentially useful in the course of any investigation including an arson investigation. It focuses primarily on non-fee based sites and is designed to open the eyes of those not already using the internet for investigations.The course does not go into how to actually surf the web and is presented in a manner as though the attendee already is versed in utilizing a computer and the web. The course is presented in a two-part manner. The second part of the program goes into specific cases that have been investigated in the Nationwide Special Investigation Unit wherein the Internet played a major and vital role in ferreting out the fraud.	Robert Elliott., SIU Manager (Nationwide Insurance Company)
530	Conditions Precedent	This class will focus on conditions precedent to filing an action under §627.736, more specifcally, examinations under oath and requests for information pursuant to §627.736(6)(b). * approved for Law & Policy CEUs	Don Masten, Esq. (Masten, Lyerly, Peterson & Denbo), Michelle Davis, Esq. (Masten, Lyerly, Peterson & Denbo), and Tammy Denbo, (Masten, Lyerly, Peterson & Denbo)
540	Civil RICO and other Remedies in PIP Fraud Cases	The presentation will discuss the use of the Racketeering & Corrupt Organizations (RICO) act as well as other claims by insurers against providers suspected of PIP fraud. Potential defenses by providers as well as pitfalls for insurers will be part of the presentation. * approved for Law & Policy CEUs	James Stepan, Esq. (Feldman Gale, P.A.)
550	Taking Effective Examinations Under Oath	This workshop will address taking effective Examinations Under Oath. This workshop will offer a comprehensive discussion of legal issues that arise before, during, and after the Examination Under Oath takes place, or in some instances, after it does not take place. The course will involve practical, legal and ethical aspects of the examination, including handling exhibits, objections to testimony, inquiries directed to the insurer during the examination, and reserving the right of the insurer to take further examinations. Common issues regarding production of documentation before, during and after the examination under oath will be covered, including a discussion of current case law, as to what documentation may be required for production.	Ralph Leemis, Esq. (Neilson & Associates) and Aimee Nocero, Esq. (Neilson & Associates)
560	Investigation, Protection & Disclosure of Confidential Matters: Privacy & Privileges	This presentation will provide the attendee with information concerning privacy rights and privileges in handling the investigation, protection and disclosure of confidential matters. The seminar presents Florida State and Federal laws and rules regarding privacy rights and provides tips to the attendee on how to obtain and exchange information without violating any rule or law,	William Mariash, Esq. (Neilson & Associates) and Lane Neilson, Esq. (Neilson & Associates)
570	Fraudulent Lightning Repair Claims	A seminar that explores the problem of unsupported lightning claims by service technicians. Includes a discussion of the problem, technical information about common losses, and recommendations to combat fraud. Includes case studies illuminating the problems and issues.	Samuel Sharpless, Electrical Division Manager (Rimkus Consulting Group, Inc.)
T-PM II Thursday, June 10th – 4:10pm - 6:00pm
610	PIP Law Update: Hot Topics and Current Trends	This presentation would cover current issues and trends in personal injury protection (PIP) claims and litigation, to include the submission of questionable for fraudulent claims. * approved for Law & Policy CEUs	Scott Dutton, Esq. (Dutton Law Group P.A.), Hayes Wood, Esq. (Law Offices of Wood & Bronstein) and James Rinaman, Esq. (Rinaman & Associates P.A.)
620	Preparing for and Interviewing the Medical Professional	Investigators will learn to obtain accurate information during the interview if doctors deliberately try to mislead them and we will review methods for maintaining control of the professional interview. Hone your skills at assessing verbal and non-verbal behavior in non-confrontational conversational interviewing of technical experts.	Dr. Rick Wakefield (Int'l Healthcare Consultants)
630	Automotive Failures	The course's goal is to provide layman a cursory exposure to a variety of automotive failures and additional insight to assist adjusters during claim adjusting efforts.	Barry Peak, Senior Accident Reconstructist (HSA Engineers & Scientists)
640	Preparing for a Fraud Trial	How to effectively present to a jury evidence establishing fraud involving a property claim	Andrew Rock, Esq. (The Rock Law Group)
650	Compliance Update for FL Statutes, Rules & Insurance Code for all Adjusters & SIU Investigators	This class will provide the attendee with an understanding of the Florida Statutes, Administrative Rules and Codes. How they are crafted, enforced and how they apply to both the public and private insurance fraud sector. The attendee will be provided the necessary information so that they will recognize violations of the Statutes, Rules and Codes and know what their level of responsibility is on reporting these violations and the proper procedure for reporting the violations. This class will provide the attendee with resource information so that they can stay abreast of the most current Statutes and Rules. * approved for Law & Policy CEUs	Ernie King, SIU Mgr., Asst V.P. (Tower HIll Insurance Group) and Eric Purvis, Financial Administrator (Florida Dept. of Financial Services)
660	Utilizing an Interpreter: Did Your Company Obtain an Admissible Statement?	The class will explore the difficulties often encountered with the use of an interpreter, the importance of hiring a reputable and knowledgeable interpreter as well as the legal ramifications for not obtaining a “clean” statement from the witness. The class will intertwine the “dos and don’ts” of interpreting and the downfall of a claim/case should the interpreter not perform as required. There will be a mock Examination Under Oath (EUO) of a witness to show the examples of literal interpretation versus non literal and the evidentiary pitfalls of obtaining a non-literal interpretation.	Melissa McCullough, Esq. (Vernis & Bowling, P.A.)

F-AM I Friday, June 11th – 8:00am - 9:50am
710	Presentation Skills for SIU	Learn the secrets to transferring your SIU years of experience into interactive professional presentations.	Frederick DIckens (The Hartford)
720	Understanding Rehabilitation Coding and Documentation: Fraudulent vs. Medically Necessary Care	This course will provide the tools required to understand when rehabilitative care is justified, and when it is not medically necessary. In order to better understand the core principles of rehabilitative care, CPT coding for modalities and therapeutic procedures, orthopedic and neurological special testing, and documentation standards will be discussed and reviewed in detail. Through the utilization of validated references, evidence-based medicine, and video demonstrations attendees will develop a strong knowledge and skill set to appropriately review the medical care of physicians, physical therapists, occupational therapists, and massage therapy professionals.	Dr. David Omura (Omura Consulting)
730	What to Know When Approaching a Trauma Site	This presentation will teach your investigators how to spot fraudulant claims concerning Crime and Trauma Scene Cleanup (CTS). What are the ways CTS firms can hid exorbitant claims. It will teach what is considered within the industry to be "Reasonable and Customary Charges" and Why.	Don McNulty, Entrepeneur and 17 year veteran of CTS (Bio Cleaning Services of America)
740	Practical Arguments for Handling Excessive Billing	Practical methods to combat excessive medical billing practices and tools to determine reasonable pricing.	Daniel Martinez, Esq. (Callahan & Martinez)
750	Check Endorsements for Coverage A - Is the insurance money making it to the mortgagee? Trends and investigative techniques.	This course will explore the issuing of checks under Coverage A on property policies and the interrelation of the banking institution when the checks are not properly endorsed; or do not make it to the mortgage company. The mortgagee is an additional insured under the homeowners’ policy and is owed a duty of protection of the interest. This class will give a snapshot of trends discovered during an investigation where it was determined that the mortgagee bank endorsement was forged which resulted in the theft of approximately $1 Million dollars in insurance proceeds. We will also walk the class through what steps are to be undertaken when the forgery is confirmed in the middle of a pending appraisal; complying with the 626 obligations and fully investigating the loss and suspicious activity. The civil causes of action will be explored as well; along with a review of the interplay of a public adjuster and their fiduciary relationship to the insured; focusing on their duties and legal responsibilities.	Melissa McCullough, Esq. (Vernis & Bowling, P.A.) and Cassandra Callegos, Claims Director (American Integrity Insurance Company)
F-AM II Friday, June 11th – 10:10am - 12:00pm
810	Fire Origin and Cause - Public vs. Private	This presentation is designed to show the investigator, SIU rep or adjuster the basics of fire origin and cause and the important role that NFPA 921 plays in the investigation of every fire loss. It also examines the existence of parallel investigations conducted at the same fire loss by public and private sector investigators.	David Cheers, Fire Consultant (Jack Ward Fire Consultants)
820	Paradigm Surveillance Models	Speaker will discuss the principles of Shadowing whereby you will be able to track your claimant's every move using pattern recognition applications without compromising the integrity of the case.	J.P. Merlano, President (WildCard Investigations, Inc.)
830	Educating Producers on Workers' Compensation Fraud - Why and How?	- CANCELLED -
840	Ethics	To enchance and illuminate the importance and recognition of ethical standards in our daily SIU work. * approved for Ethics CEUs	Frederick Dickens, SIU Investigator (The Hartford)
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