How to Build an Affirmative Litigation Case – Client and Counsel Perspectives

Insurance fraud continues to proliferate. Combating fraud takes a multifaceted approach, focusing on defending claims and knowing what affirmative actions can be taken to fight the varying fraud schemes that exist. Building an affirmative litigation case presents a wide array of novel issues not seen in the normal course of defending a lawsuit. This workshop will address many of those issues, from both a client and counsel perspective, including: (1) identifying the various types of fraud being engaged in, including illegal ownership of medical corporations, illegal ownership of diagnostic facilities, billing for services not rendered, premium fraud, and medical fraud (CPT and DME), (2) the type of solid evidence required to bring a case, (3) who is a proper defendant, (4) the varying causes of action available to combat fraud, (5) the type of investigation required to combat each scheme, (6) what tactics the defendants use to defeat affirmative cases and dissuade carriers from bringing future actions, (7) creative tactics used to achieve and enforce settlements, and (8) alternatives to litigation.

Adjuster CE Credit Agent/Broker CE Credit Basic Investigation Pgm Legal/Regulatory MCLE (CDAA) CE Credit POST Accredited
Location: Cypress Date: April 18, 2019 Time: 3:00 pm - 5:00 pm Laura McAdams Dennis Kass Janine Farrell