Combined Claims Conference News

Attorney Turned Criminal Apologizes to Insurers for Giant Workers’ Comp Fraud

Sean Enrique O’Keefe said he started out as a “humanistic attorney,” but he became a mercenary and then a criminal who netted $700,000 a year by sending San Diego workers’ compensation claimants to dirty medical providers. O’Keefe on Wednesday morning …

3-D Images, Surveillance Cameras Touted as Truth-Tellers for Claims Adjusters

The physician couldn’t tell what was causing the smudge on a CT scan of his wife’s lungs, so he referred her to a pulmonologist. That would likely have meant a two-week delay. Instead of waiting, Jorey Chernett, chief executive officer …

10 Common EUO Questions Answered

Insurers often require an insured to attend an examination under oath – a formal proceeding where insurers ask questions about a loss that may affect coverage – related to first party property insurance claims. During a recent Combined Claims Conference …

Women Especially Benefit From Improving Communication Skills

Honing good communication skills can assist claims handling and aid women, in particular. Deborah Shames and David Booth, partners at Eloqui, a Los Angeles-based public speaking training provider, explained the value of communicating well during the Combined Claims Conference held …

Why Hoarding Impacts Claims

Adjusters who encounter hoarders on property claims can expect to have trouble in determining the cause of a covered loss as well as damages, said Jeff Taxier, education and training manager for American Technologies, Inc. Typically, a hoarder equals more …

Why Avoiding a Jury Trial is the Best Defense

Because juries can be unpredictable, awarding large sums even in conservative jurisdictions, jury trials should be considered as a last resort, according to Nicole Whyte, founding partner at Bremer Whyte Brown & O’Meara. Whyte sat down with Claims Journal, during …

The Impact of Technology in Document Discovery

Document production during litigation can be costly and time consuming but evolving technology and effective communication among parties can positively impact the process, according to Daniel Garoutte, director of Knox Services, a California-based company that provides electronic and paper document …

Industry Claims Conference Keeps up with Changes

Going for Gold was the theme of the annual Combined Claims Conference held in Orange County, California, earlier this month. The theme was selected, according to Caryn Siebert, conference chairperson, because “claims professionals are really the champions of the insurance …

Addressing Medical Marijuana in Claims

With the approval of marijuana as a treatment for medical conditions in 23 states, plus Washington D.C., and the legalization of recreational marijuana use in two states (Colorado and Washington where its legal medically and recreationally), there are several factors …

Media Portrayal of Workers’ Comp Fraud Impacts Real Life Claims

The depiction of workers’ compensation fraud in television shows has impacted the public’s perception of the crime, said two experts during a session on the subject at the Combined Claims Conference held recently in Orange County, California. While workers’ comp …