Tuesday, August 8, 2017

Breakout for Adjusters, Program Two

8:45 – 5:00 pm    
Palms Ballrooms - Canary & Sabal
Convention Level
    
8:45 – 9:45 am    
Live Wrist Surgery

Palms Ballroom - Canary
Convention Level

Surgery Moderator:
Lawrence S. Halperin, MD
Orlando Orthopaedic Center
Orlando, FL

Surgeon:
Michael D. Riggenbach, MD
Orlando Orthopaedic Center
Orlando, FL

The 10th Annual Orlando Orthopaedic Center Live Surgery Event offers a unique interactive look into an operating room as Michael D. Riggenbach, MD, performs a wrist ligament procedure live from the Orlando Orthopaedic Center Outpatient Surgery Center. With moderator Lawrence S. Halperin, MD, Dr. Riggenbach, a board certified orthopaedic surgeon specializing in adult and pediatric hand and upper extremity peripheral nerve surgery and microsurgery, will explain the procedure step-by-step and answer questions from the audience. The goal of the presentation will be to explain wrist ligament injuries and surgery (a common minimally invasive outpatient procedure) and examine how the injury and recovery period affect day-to-day activity, employment restrictions, and workers’ compensation claims processing.

Although this presentation is part of Breakout for Adjusters, everyone is invited to attend.
    
9:45 – 10:00 am    
Break
    
10:00 – 11:00 am    
Seven Tips in Sixty Minutes

Palms Ballroom - Sabal
Convention Level
     
Moderator:
Raymond A. Lopez, Attorney
Rissman, Barrett, Hurt, Donahue, McLain and Mangan, PA
Orlando, FL
    
Panel:
Lisa Wagner
Vice President of Claims
Next Level Administrators, LLC
Bradenton, FL
     
Maria Davila
Claims Manager
Summit Consulting
Lakeland, FL
    
Robert I. Seliskar, RN, CRRN, CCM
Director of Managed Care
Next Level Administrators, LLC
Bradenton, FL
    
Maria M. Dayi
Senior Claims Adjuster
AmTrust
Maitland, FL

The anatomy of a workers’ compensation claim changes frequently. As the hub of the wheel, the adjuster must be able to manage all of the spokes of the claim wheel (injured worker, medical management, reserves, litigation, and resolution). Our expert panel will present tips on knowing when to switch gears by understanding the cause and effect of change and providing effective claim handling strategies. 
    
11:00 – 12:00 pm    
Creating and Implementing a “New World” Claims Survival Guide

Palms Ballroom - Sabal
Convention Level
    
Moderator:
Scott H. Silver, Attorney
MKRS Law
Fort Lauderdale, FL
    
Panel:
Kimberly Sprouse
Claims Supervisor
Gallagher Bassett Services, Inc.
Orlando, FL
    
Heidi Sellers
Program Manager
Next Level Administrators, LLC
Bradenton, FL
    
Crystal Chancey
Workers’ Compensation Claims Manager
Publix Super Markets, Inc.
Lakeland, FL

As in the movie “Taken,” the protagonist possesses a “special set of tools” for saving the life of the victim (his daughter). In our new world of claims handling, post-Castellanos and Westphal decisions, this esteemed panel of industry insiders will attempt to identify what a claims handler must now do to possess “a special set of [legally supported/aggressive] tools” to identify areas of exposure and best-practice claim defense techniques to successfully defend/resolve claims while minimizing fee and excessive benefit exposure “pitfalls.”
    
12:00 – 1:00 pm    
Lunch (on your own)

Purchase lunch in the Exhibit Hall. Visit the “Comp Time” Diner... grab & go, or sit and network with clients and exhibitors!
    
1:00 – 2:45 pm    
Oral Argument

Palms Ballroom - Canary
Convention Level
    
Presented by the First District Court of Appeal    
Tallahassee, FL

    
Panel:
Honorable Bradford L. Thomas, Chief Judge
First District Court of Appeal
Tallahassee, FL 
    
Honorable T. Kent Wetherell, II
First District Court of Appeal
Tallahassee, FL 
    
Honorable M. Kemmerly Thomas
First District Court of Appeal
Tallahassee, FL 
    
Jon S. Wheeler
Clerk
First District Court of Appeal
Tallahassee, FL
    
J. Daniel McCarthy
Marshal
First District Court of Appeal
Tallahassee, FL

This session is back by popular demand! Talk about a reality show. Two actual cases will be argued live before a panel of Judges of the First District Court of Appeal. The decision of the Court will be posted on the Court’s website several weeks after the oral arguments take place. The facts and issues argued should be posted mid-June 2017 on the WCI® website, www.wci360.com, referencing Annual Conference, Breakout for Adjusters, Program Two.

Although this presentation is part of Breakout for Adjusters, everyone is invited to attend.
    
2:45 – 3:00 pm    
Break
    
3:00 – 4:00 pm    
Major Contributing Confusion

Palms Ballroom - Sabal
Convention Level
    
Moderator:
Elizabeth V. Bogle, Attorney
McConnaughhay, Coonrod, Pope, Weaver & Stern, PA
Pensacola, FL
    
Panel:
Erik C. Nilssen, MD
The Andrews Institute
Nilssen Orthopedics
Pensacola, FL
    
Adam Oliver, MD
Tallahassee Neurological Clinic, PA
Tallahassee, FL

How did we get here and why are we paying for that? Medical treatment intended for care of only a work-related, acute injury can easily morph into a perpetual course of treatment also involving pre-existing or chronic conditions which exponentially increase the costs and life of a claim. Drs. Nilssen and Oliver will discuss from orthopedic and neurosurgical perspectives early identification and delineation of acute injuries and personal conditions through examination, diagnostic testing and application of medical literature. The panel will provide practical methods for effective management of the medical aspect of a claim and discuss how to address these important issues with treating physicians, secure evidence for defense, and ultimately obtain the information you need to make cost-efficient claims handling decisions.
    
4:00 – 5:00 pm    
Supreme Court Rulings in Westphal and Castellanos: Learning to Create a “Wave” of Pro-Active Claim Defense Instead of Being Forced to Swim Against Its Force

Palms Ballroom - Sabal
Convention Level
    
Moderator:
Scott H. Silver, Attorney
MKRS Law
Fort Lauderdale, FL
    
Panel:
Malenis Aponte-Davila, CCA, CWC
Corporate Claims Specialist
PMA Companies
Tampa, FL
    
Candice Buchanan, CWC, CWCL
Senior Resolution Manager
Gallagher Bassett Services, Inc.
Orlando, FL

This panel of experts will create the “attitude adjustment” necessary to implement a claim handling protocol that identifies and memorializes exposure before facing the fast-paced, litigation initiated timetable toward fee entitlement, and extended benefit exposure. The focus of this presentation will be on early, aggressive, and comprehensive investigation and initiation of a strategy to best control claim exposure and avoid the “traps” of fee-focused litigation.