AGENDA
DAY 1
APRIL 27, 2021
DAY 2
APRIL 29, 2021*
DAY 3
MAY 4, 2021*
DAY 4
MAY 6, 2021*
*Courses facilitated on April 29th, May 4th, & May 6th will be approved for Continuing Education (CE) Credit. Credit will be provided by day, not by course. Each day will provide 4 hours of credit (based on state review). In order to receive daily CE credit, individuals will be required to attend all sessions for that day.
Continuing Education Credit will be provided for:
Delaware, Florida, Georgia, Louisiana, Oklahoma, & Texas
APRIL 27, 2021
OPENING REMARKS
NICB Leadership
10:00am - 11:00am CST
PSYCHOLOGY OF FRAUD
Dr. J. Michael Skiba (Dr. Fraud ®)
1:00pm - 2:00pm CST
This session is founded on the presenter's newly released book entitiled, "The Psychology of Fraud". Understanding what motivates criminals is the basis of criminological theory, and applying these proven theories in insurance fraud will assist with developing highly effective counter fraud strategies. This session will discuss the main components of criminological theory and how they can be specifically applied in a fraud setting. Time permitting, this session will also included a "hands-on" vulnerability workshop, where the participants will analyze their own companies counter fraud programs and assess for effectiveness; in corporating these newly learned criminological theories. Attend if you date to get into the mind of a fraudster.
ISO CLAIMS SOULUTIONS
Shabaz Ali, Verisk
11:30am - 12:30pm CST
Learn how to effectively leverage the robust claims intelligence features built into ISO ClaimSearch, the industry's largest participatory database. Our newest advances in claims-matching technology are essential in fraud detection and accelerating the claims handling experience.
This session highlights the new features that visually provide seamless access to integrated claims fraud detection and investigative analysis tools.
TACTICAL COMMUNICATION & FIELD SAFETY
Gus Hitz, NICB
2:30pm - 3:30pm CST
Most conflicts are the result of poor communication and ineffective situational management. What starts as a simple misunderstanding can potentially escalate into an argument, threats to personal safety and even physical aggression. By teaching both environmental awareness and tactical communication, this course will enhance your confidence and competence, so that you become better at recognizing, avoiding, and defusing potentially dangerous situations. You will learn situational awareness, and how to properly prepare for and respond to, a variety of situations both natural and human caused. You will also learn effective communication skills to help you become better at gaining cooperation from insureds, claimants and witnesses. This course is designed to help both the field and desk SIU investigator improve their safety awareness, interpersonal skills, optimize interview results, and effectively manage difficult subjects.
APRIL 29, 2021
THE ROLE OF SIU
Brian Bilderback, Erie Insurance
10:00am - 11:00am CST
This presentation will cover the overall role of a SIU Investigator by discussing what we do, how and why we do it and the importance it has on how we are considered experts in our field. We will touch on the types of investigations such as; single claim and major case investigations within multiple lines of business. There will be a discussion about the daily investigative tasks that we complete as both a field investigator and desk investigator. We will talk about the variety of tools that we have available to us when conducting an investigation and how to apply them in the different situations we encounter. A section of the presentation will cover working hotline calls/tips from both anonymous tipsters and those who are willing to be identified. We will then discuss the importance of setting realistic yet challenging expectations. The success of having strong communication skills along with collaboration on a multitude of levels will also be highlighted with regards to how they play such a crucial role. Lastly, we will talk about how critical it is for us to provide valuable training to others as well as seek out training for ourselves.
PHONE INTERVIEW TECHNIQUES AND OTHER EVIDENTIARY INVESTIGATIONS YOU CAN DO FROM YOUR DESK
Tracy Stevenson, Tracy Law
1:00pm - 2:00pm CST
This course will give you instruction and practical experience in taking phone interviews (or phone EUS) with and without claim counsel present to obtain proper foundational information. We will also look at ways you can conduct investigations, even from your desk, which can lead to obtaining evidence which may be admissible should the case move into litigation all while protecting the adjuster from bad faith claims.
WORKING WITH SIU, LE, ANALYSTS, & NICB
Ron Bryant, Erie Insurance
Dwight Christensen
Shawn Conrad, NICB
11:30am - 12:30pm CST
This course will provide information on how SIU, Law Enforcement and NICB can move towards common groud to support each other's successes. We will focus on the importance of planning and preparation, effective communications and ultimately what is considered a success from all three perspectives. And, most importantly, that fighting fraud is team sport!
DISCOVERING MOBILE DATA
Joseph Stephenson, Intertel
2:30pm - 3:30pm CST
How many of you spend an entire day away from your phone? Do you panic when you can’t find it? It’s likely one of the top things you make sure you have before you leave the house, right? So why is it that as investigators, we don’t ask people to see their phones during interviews? Much like your own insurance policy, I bet you’ve never taken the time to look through it to understand what’s there. But don’t worry, you are about to. A mobile phone is a plethora of information, containing all kinds of data on where you’ve been, what you’ve purchased, and how you communicate (which isn’t always by standard text and phone calls). This presentation will show you how to find important data on a mobile device, from location information to search histories, to receipts. We will also discuss privacy issues and why just looking at someone’s apps alone could redefine the questions you ask in an interview.
MAY 4, 2021
IDENTITY THEFT & ONLINE APPLICATION FRAUD
Jim Hammonds, GEICO
10:00am - 11:00am CST
Identity theft is an ever growing crime that is adversely impacting insurance companies and their policyholders. This presentation will examine the crime, methods utilized to commit insurance fraud, what information is at risk, and how the SIU can find & combat it. The presentation will also examine how fraudulent online activity plays into the insurance world through things such as policy application and claim filing online.
FRAUD & THE MINOR INJURY SOFT TISSUE (MIST) CLAIM
Mike Markushewski, ARCCA
Matt Orcutt, ARCCA
1:00pm - 2:00pm CST
After attending this technical course, the attendees will have a better understanding of fraud in injury biomechanics and how a properly trained biomechanical engineer evaluates injury claims.
Biomechanics is the study of injury causation. Therefore, the relationship between a described accident and the associated injuries must be analyzed. The accident forces will be evaluated and the specific nature of the injury claim will be studied. If the mechanism for the injury claim existed in the accident, then causation for the presented injury may be possible. However, if the mechanism for the injury does not exist in the evaluated accident, then the injury did not occur during the accident.
The attendees will gain a better understand of how biomechanics is applied to the typical low speed car accident. This will be presented through studies of human tolerance, as well as the mechanisms to cause injury to different parts of the body. Case studies of accidents involving different types of injuries will also be examined.
INTRODUCTION TO ELDER FINANCIAL EXPLOITATION
Missy Coyne, NICB
11:30am - 12:30pm CST
This course will provide the learner with an introduction to Elder Financial Exploitation. This type of abuse is the most common form of abuse when it comes to the older population. This course will provide the learner with an overview of what elder financial exploitation is, who the victims and perpetrators are and what the most common schemes are. The course will detail the indicators most often encountered, ways to resolve those indicators and resources that are available to assist both victims and professionals when elder financial exploitation has been identified.
CPT CODING BASICS
Raun Bass, NICB
Scott Arena, NICB
2:30pm - 3:30pm CST
This course explains the basics: how CPT codes are used, abused, and what they mean. CPT is defined and we cover why it's important to know which CPT codes were billed when evaluating a case. This course focuses on evaluation and management. Additionally we look at the key components in selecting the appropriate level of an E/M service, code modifiers and treatment.
MAY 6, 2021
VEHICLE FIRE INVESTIGATIONS
Jim Hammonds, GEICO
10:00am - 11:00am CST
This course will provide the SIU Investigator with a basic understanding of fire science and how it relates to vehicle fires. It will introduce the attendee to vehicle fire investigations and how they differ from common structure fires and how various parts of the vehicle react to fire. The course will provide steps for the inspection of burned vehicles and the handling of questionable fire claims/cases. We will also discuss product liability and subrogation claims.
IDENTIFICATION OF STOLEN/ALTERED VEHICLES
John Mitchell, NICB
1:00pm - 2:00pm CST
This class will begin with a Basic Auto Theft 101 refresher. The student will learn to distinguish a VIN switch vehicle, whether it's a clone, counterfeit, or salvage vehicle. The student will learn how to detect these types of vehicles by utilizing several databases available to both the insurance industry and law enforcement. Also discussed will be the National Motor Vehicle Title Information System (NMVTIS) and how it's designed to prevent introduction or reintroduction of stolen and salvage vehicles into interstate commerce. This class will cover the latest auto theft methods and targets.
FIRE ORIGIN AND CAUSE INVESTIGATIONS
Dean Hensley, Waller County Fire Marshal's Office
11:30am - 12:30pm CST
This course will cover how fires are investigated, burn patterns, fire damage and common ignition sources. After this course, students will have a etter understanding of the scientific methods of fire investigations.
INFOTAINMENT & TELEMATICS
Mike Markushewski, ARCCA
Matt Orcutt, ARCCA
2:30pm - 3:30pm CST
Vehicle Systems Forensics is a new technology that can be used to fight fraud and reconstruct accidents including reported stolen vehicle losses, arson investigations and more.
It offers a new look into the actions of vehicle performance & driver interaction with the digital world inside a vehicle.
In this seminar, we will discuss how vehicle infotainment and telematics systems store vast amounts of data such as recent destinations, SMS messages, call logs, favorite locations, contact lists, emails, pictures, audio, social media feeds and navigation histories. Many systems can even store when/where a vehicle’s lights were turned on, when/where a door was opened/closed, when/where Bluetooth devices were disconnected, and odometer readings with date and time histories.