2017 Agenda











CONFERENCE SCHEDULE

 

Tuesday, September 5th

7:00 am - 8:30 am: Golf Tournament Registration (Monarch Beach Golf Links)

8:30 am - 2:30 pm: Golf Tournament (“Scramble” at Monarch Beach Golf Course)

2:30 pm - 3:30 pm: Golf Tournament Awards Reception (Club 19)

1:00 pm - 6:00 pm: Pre-Conference: Leadership Forum & Cocktail Reception (Monarch Ballroom)

      Everyone is Welcome

      Hosted by: Sedgwick & The Alliance of Women in W/C

3:00 pm - 9:00 pm: Attendee Registration & Exhibitor Set Up/Registration (Aegean Ballroom, 3rd Floor)

5:30 pm - 8:30 pm: CWCRC Advisory Board Cocktail Reception & Dinner (Wine Terrace & Wine Cellar)

      INVITE ONLY

 

Wednesday, September 6th

6:30 am - 11:00 am: Attendee Registration (Aegean Ballroom)

7:00 am - 8:00 am: Continental Breakfast (Monarch Foyer by Sessions)

8:00 am - 5:15 pm: Conference Sessions (Monarch Ballroom)

9:30 am - 4:30 pm: Expo Hall Hours (Expo Hall)

9:45 am - 10:30 am: Networking Refreshment Break (Expo Hall)

12:15 pm - 1:30 pm: Networking Lunch (Pacific Lawn & Expo Hall Networking)

                                      Sponsored by: ezURs

1:30 pm - 2:00 pm: Motivational Keynote Speaker, Erin Andrews (Monarch Ballroom)

                                     Sponsored by: Stockwell, Harris, Woolverton & Helphrey

2:00 pm - 3:15 pm: Meet & Greet/Photo Opportunity with Keynote Speaker (Expo Hall)

5:30 pm - 7:00 pm: Opening Night Networking Cocktail Reception (Grand Lawn)

                                     Music By: Kaitlyn Weathers

                                     Sponsored by: Medcor, Inc.

7:00 pm - 12:00 am: Musical Entertainment (Hotel Lobby Bar & Aveo)

 

Thursday, September 7th

7:00 am - 8:00 am: Continental Breakfast (Monarch Foyer by Sessions)

8:00 am - 5:15 pm: Conference Sessions (Monarch Ballroom)

9:30 am - 4:30 pm: Expo Hall Hours (Expo Hall)

9:45 am - 10:30 am: Networking Refreshment Break (Expo Hall)

12:30 pm - 1:45 pm: Networking Lunch (Pacific Lawn & Expo Hall Networking)

                                      Sponsored by: WorkCompCentral

3:30 pm - 4:15 pm: Networking Refreshment Break (Expo Hall)

5:30 pm - 8:30 pm: "Run for the Roses" Kentucky Derby Themed Casino Night - Dinner, Drinks & Music (Grand Lawn)

8:30 pm - 12:30 am: DJ / Dancing with the Risk Professionals (Monarch Ballroom) 

                                      Sponsored by: Medata, Inc.

 

Friday, September 8th

7:30 am - 10:00 am: Networking Breakfast (Expo Hall)

7:30 am - 10:00 am: Expo Hall Hours (Expo Hall)

9:00 am - 12:30 pm: Conference Sessions (Monarch Ballroom)

10:00 am - 12:30 pm: Exhibitor Breakdown

12:30 pm - Conference Concludes

 

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FULL AGENDA

 

Tuesday, September 5th

 

1:00 pm – 6:00 pm (Pre-Conference – Optional – Register Separately)

 

CWCRC, Dana Point Pre-Conference Leadership Workshop & Cocktail Reception

Hosted by: Sedgwick & The Alliance of Women in W/C

Summary:

 

Almon Gunter will kick off the conference with his key note. The session is customized for our audience and is set to resonate with people early in the career, mid-career, and senior leaders.

Almon is an exceptional, high energy presenter and passionate. He will resonate with all attendees with varying career backgrounds and experience. He will be touching on coaching teams and being a leader. 

Following the key note we will have table collaboration which will be on 7-leadership traits (key part of Almon’s message): Vision, Communicate the Vision, People Skills, Character (men and women of character), Competent, Boldness and Servants.

Attendees will have a chance to attend 2 – 20 minute focused collaboration discussion. This focused approach allows attendees to collaborate on topics which are most interesting to them. 

Following the collaboration we will have a 15-minute break. In the last session Almon will lead a panel reflecting on the collaboration sessions, personal experience, and our topic; Lead From the Front. 

Keynote Speaker:

 

·        Almon Gunter, CEO/President, Almon Gunter Motivates, Inc.

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3:00 pm – 9:00 pm

 

Attendee Registration & Exhibitor Set Up/Registration

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Wednesday, September 6th

 

6:30 am – 11:00 am

 

Attendee Registration

__________________________________________________________________________________________________

 

7:00 am – 8:00 am

 

Continental Breakfast in Monarch Foyer

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9:30 am – 4:30 pm  

 

Exhibit Hall Hours

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8:00 am – 9:45 am

 

Employer & Stakeholder Panel: State of the Workers’ Compensation and the Influence of California on National Workers’ Compensation Programs

 

Summary:

 

Workers’ Compensation is constantly evolving with new case law and legislation around the nation every year. Because of this, managing a worker’s compensation program is a huge challenge for risk managers. In addition, although recent reform efforts in California have been successful by most measures, it remains the highest cost state for worker’s compensation in the nation. This exciting panel kicks off the California Workers’ Compensation and Risk Conference discussing the current state of workers’ compensation and the impact that California has on national employers.

Speakers:

 

·        Janine Kral, Vice President of Risk Management, Nordstrom, Inc.

·        Jennifer Saddy, Director of Workers Comp/Corporate Insurance & Risk Management, American Airlines, Inc.

·        Miriam Levario, Director, Workers' Compensation, Warner Bros. Entertainment Inc.

·        Duane Hercules, President, Safety National

·        Rick Taketa, President and Chief Executive Officer, York Risk Services Group, Inc.

·        Tom Ryan, Managing Director, Workers’ Compensation Market Research Leader, Marsh LLC

 

Moderator:

 

·        Mark Walls, Vice President Communications & Strategic Analysis, Safety National

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9:45 am – 10:30 am

 

Networking Refreshment Break in Expo Hall

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10:30 am – 11:30 am

 

Science vs. Compliance: How to Teach Ergonomics to Employees Sponsored by: FIT, Inc.

Summary:

 

This fast-moving session will explore the art of getting employees to change behavior to eliminate sprains and strains. Learn from our 25 years of experience as we explore key concepts:

 

·        What is the root cause of most back, shoulder and ergonomic injuries?

·        Do your employees seem to reject the company’s attempts to help them to prevent injuries?

·        Are your workplace injury trends stagnant or getting worse? What can be done about that?

·        How are you doing? How are you back, neck and shoulders doing? Who is taking care of the “carer”?

 

Turn the science of prevention into the art of wellness with time-tested techniques to improve ergonomic compliance and eliminate injuries.

 

Speakers:

 

·        Dennis Downing, CEO, Future Industrial Technologies, Inc.

·        Al Smith, Director of Safety & Security, Greyhound Lines, Inc.

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10:30 am – 11:30 am

 

Stranger Things: The Oddest, Weirdest, Most Bizarre Claims I Have Ever Had

 

Summary:

 

A superstar panel of risk and claims professionals will discuss the strangest claims they’ve ever had. They will discuss strategies they employed to transform these bizarre cases into successful outcomes. The attendees will leave with practical, real world takeaways they can employ in their practice.

 

Speakers:

 

·        Danny Flores, Global Associate Coordinator Workers Compensation, Whole Foods Market

·        Kurt Leisure, Vice President of Risk Services, The Cheesecake Factory, Inc.

·        Laurie Wenyon, Senior Manager, Claims, MasTec, Inc.

 

Moderator:

 

·        Rich Lenkov, Partner, Bryce Downey & Lenkov

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11:30 am – 12:15 pm

 

Coordination of Medicare Benefits and Coverage Denials – The Latest Impact of Section 111 Reporting Sponsored By: Burns White LLC

 

Summary:

 

Though Medicare has not collected any civil monetary penalties from responsible reporting entities to date, there are other adverse impacts of Section 111 mis-reporting and miscommunication.  Get inside information about the importance of reporting accurate diagnostic codes to CMS, the coordination of benefits after the Section 111 reporting is done, and the overall impact on your risk management program, MSAs, conditional payment recovery and professional administration services.   

 

Speakers:

 

·        Ciara F. Koba, Associate, Burns White LLC

·        Nicole Sauk, VP of Finance and Operations, Ametros Financial

·        Anca Trifa, Regional Director, Workers Compensation Claims Crum & Forster

·        Beth Savelli, Risk Manager, Swissport USA

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11:30 am – 12:30 pm

 

Understanding the Intersection between Employment Law and Workers' Compensation

 

Learning Objectives:

1.      ADA, FEHA and RTW for people that did not graduate law school

2.      Worker’s Comp 101 for people that have conference training but rather hire an attorney

3.      The understanding and misunderstanding of two parallel litigation systems

4.      How and when do these systems intersect

5.      The Employees’ Rights and how the Employer needs to Protect them

6.      When to call your lawyer

7.      When to call 911!

Speakers:

 

·        Negar Matian, Managing Partner, Matian Law Group

·        Dana Peterson, Senior Partner, Seyfarth Labor Law Firm

·        Darin Hampton, National Safety Coordinator, International Paper Company

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12:15 pm – 1:30 pm

 

Networking Lunch on the Pacific Lawn & Expo Hall Networking

 

Sponsored by: ezURs

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1:30 pm – 2:00 pm

 

Motivational Keynote Speaker Erin Andrews

 

Sponsored by: Stockwell, Harris, Woolverton & Helphrey

 

Moderator:

 

·        Jamie Beth Fox, Vice President, Stockwell, Harris, Woolverton & Helphrey

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2:00 pm – 3:15 pm

 

Meet & Greet with Erin Andrews in the Expo Hall

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3:15 pm – 4:15 pm

 

Advanced Claim Strategies using Social Media

 

Summary:

 

With approximately 80 percent of 18- to 49-year-old individuals engaged in social media, the insurance claims community routinely investigates this medium to better educate themselves regarding the specific activities of their claimants. Are you? Using social media as a tool can better ensure positive claim and investigative outcomes. Examine social media trends, history, demographic statistics, privacy issues and privacy expectations. The panel discusses enterprise level integration strategies using this unique intelligence source.  Fusion cells and the effective use of synchronized intelligence as a claims tool is also analyzed.

 

Learning Objectives:

 

1.      Select social media investigative methods to use at your organization

2.       Essential privacy issues, case law, evidentiary discovery rules and pretexting for social media investigations

3.      Enterprise strategies on how to engage social media investigations to support effective claim handling.

Speakers:

 

·        Steve Cassell, President & CEO, Command Investigations, LLC

·        Andy Olwert, President, Next Level Administrators

·        Beth Savelli, Risk Manager, Swissport USA

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3:15 pm – 4:15 pm

 

Chronic Pain with an Aging Workforce: Keep your aging workforce productive, happy and claim free through a Total Worker Health approach

 

Summary:

 

Impending risks of an aging workforce are hot topics in executive meetings across the globe. The statistics are compelling. The workforce is steadily aging, a reflection of declining birth rates and the graying of the baby boom generation. The percentage of the U.S. workforce between the ages of 55 and 64, for example, is growing faster than any other age group. With this dramatic demographic shift comes inherent health risks and an increase in problematic presenteeism. The workforces shifting age welcomes unfortunate chronic disorders. Musculoskeletal disorders (MSDs) are the most frequent health complaint with over 25 million Americans afflicted. MSDs account for 29% of all U.S. workplace injuries and one third of all workers’ compensation claims causing significant disruption to productivity and costing companies billions every year. Workers’ compensation and health care costs are on a rapid rise affecting a business’s bottom line. 

 

Understanding workplace health is now an essential aspect of any successful company. During this presentation, we will explore day-to-day experiences from multi-sector organizations and discuss the various tools, techniques and lessons learned to ensure these impending risks are mitigated. When a company is engaged in proactive worker’s health they can prevent costly injuries from occurring and create a culture for success.

 

Learning Objectives:

1.      Learn impactful and tangible ways to reduce presenteeism in the workplace.

2.      Break down the cost savings and productivity benefits of a proactive worker’s health mindset.

3.      Understand how to achieve your return on investment when implementing a worker’s health program.

4.      Hear best practices on how to create a corporate culture that encourages employees to be mentally and physically present.

5.      Take a Total Worker Health approach to your employees to keep them healthy and productive.

Speakers:

 

·        Kevin Lombardo, President & CEO, DORN Companies

·        William Woyshner, Western Regional EHS Manager, Saint-Gobain Corporation

·        Lynne Watt, Manager, Risk Management and Insurance, Saint-Gobain Corporation

·        Kristie Elton, Systemwide Healthcare Risk and Safety Program Manager, University of California, Office of the President

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3:15 pm – 4:15 pm

 

Employer Roundtable: Workers’ Compensation

 

Summary:

 

Exclusively for risk managers, workers’ comp managers, claims managers, and HR managers. This session will consists of a round table format that will be highly interactive and will focus on best practices. Due to the format of this session, only the first 50 risk and claims managers will be invited to participate.

 

Topics for discussion at Roundtable:

·        Early Intervention 

·        Return To Work Programs

·        Employer Pitfalls

·        CT Claims

·        Cost Drivers

·        WC Hot Topics 2017

·        WC Program Tips

 

Moderators:

 

·        Tyrone Spears, Workers' Compensation Administrator, City of Los Angeles

·        Denise Evans, Director of Work Comp Claims, Staffmark

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4:15 pm – 5:15 pm

 

Ridesharing Technology: Transforming Transportation in Workers’ Compensation - Sponsored by: One Call Care Management

 

Summary:

America’s century-long love affair with the automobile may be coming to an end. With seamless access to ridesharing services within minutes, many drivers are beginning to view transportation as a service rather than as ownership of a vehicle. 

In the world of risk management, this megatrend requires attention to and understanding of three major developments:

·        The cost of risk (i.e. insurance) and risk implications for ridesharing – by employees, vendors, and injured workers.

·        The impact of connected communication and ridesharing services, especially those with a healthcare focus, on safe transportation for injured or ill employees.

·        The ability of technologically-enabled ridesharing fleets to improve compliance of injured workers by ensuring that provider appointments are kept, and to enhance efficiency and speed return-to-work by rapidly connecting patients to services and providers.  

 

Learning Objectives:

1.      Understand the risks associated with ridesharing related to the workforce.

2.      Learn how ridesharing technology can be utilized in workers’ compensation scenarios for non-emergent transportation needs. 

3.      Identify how use this technology to streamline medical management in workers’ compensation.

Speakers:

 

·        Joseph McCullough, Senior Vice President of One Call Transportation and Translation, One Call Care Management

·        Nadir Vissanjy, Strategy Manager for Healthcare, Government & Education Partnerships, Lyft, Inc.

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4:15 pm – 5:15 pm

 

TARGETED VIOLENCE IN THE WORKPLACE: Understanding why attacks occur and how to prevent a catastrophe in your workplace

 

Summary:

·        What is an active shooter and why do they do what they do?

·        What should you train your employees to do in the event of targeted violence event?

·        How does an employer recover its operations after an event?

·        How important is resiliency in the workforce and how does an employer avoid large attrition rates after an event?

·        How real is the possibility that an attack could occur in YOUR workplace.

 

Speakers:

 

·        Michael Simmons, Director, Risk Management, Riverside Community College District

·        Robert Gunzel, Chief of Police, Riverside Community College District

·        Matthew Yost, Office of Safety and Security Manager, County of San Bernardino

·        Ken Hernandez, Director of Risk Management, County of San Bernardino

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5:30 pm – 7:00 pm

 

Opening Night Networking Cocktail Reception located at the Grand Lawn

 

Sponsored by: Medcor, Inc.

 

Cocktails & Music by: Kaitlyn Weathers

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7:00 pm – 12:00 am

 

Musical Entertainment at Hotel Lobby Bar

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Thursday, September 7th

 

7:00 am – 8:00 am

 

Continental Breakfast in Monarch Foyer  

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9:30 am – 4:30 pm

 

Exhibit Hall Hours

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8:00 am – 9:00 am

 

Today’s Gold Rush: Data Mining Like Never Before

 

Summary:

 

Describe key data being captured, discuss technology advancements, and project the impact this data will have on the industry in the future.

 

Speakers:

 

·        Bill Zachry, Senior Fellow, Sedgwick Institute

·        Dawn Watkins, Director, Integrated Disability Management, Los Angeles Unified School District

·        Troy Kisiel, Claims and Risk Management Consulting, Control Point Strategies, Inc.

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8:00 am – 9:00 am

 

Low Back Pain:  A step–by–step guide to better outcomes - Sponsored by: MedRisk, Inc.

 

Summary:

Millions of dollars are spent annually on treating low back pain (LBP). It accounts for one third of all occupational musculoskeletal injuries and illnesses resulting in work disability. In recent years, LBP has garnered much press for its role in changing how the medical community and the workers’ comp industry views pain and the value of conservative care. 

Learning Objectives:

1.      Review and discuss the latest, break-through research on LBP and chronic pain management and how it is impacting treatment guidelines.

2.      Identify how and when to use sub-specialty radiologists to improve outcomes.

3.      Learn how to avoid triggering psycho-social barriers to recovery in patients with LBP.

4.      Understand the impact that state workers compensation policies, wage replacement policies and employer behavior can have on patient outcomes.

5.      Evaluate, through actual case studies, the pros and cons of conservative care and the value in implementing an integrated, patient-focused approach to the diagnosis and treatment of LBP.

Speakers:

 

·        Michael Rosenthal, Assistant Professor in the Doctor of Physical Therapy Program, San Diego State University

·        Matthew Walsworth, MD, PT Interventional Radiologist, West Los Angeles VA Medical Center and Faculty Member, University of California, Los Angeles

·        Jennifer Christian, MD, President and Chief Medical Officer, Webility Corporation

·        Angela DeBortoli, Program Manager, Workers’ Compensation, University of California, Office of the President

 

Moderator:

 

·        Mary O’Donoghue, Chief Clinical and Product Officer, MedRisk, Inc.

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9:00 am – 9:45 am

 

Out Front Ideas: Employer Best Practice Panel

 

Summary:

 

In this session, a panel of risk managers will discuss their thoughts on best practices around a wide variety of topics. Learn from your peers how to improve your workers’ compensation program in this interactive panel discussion. Topics will include:

·        Return to work

·        Vendor relations

·        Claims handing approach

·        Pre-employment physicals / drug testing

·        Key performance indicators

·        Loss prevention

·        Communication with C-suite

 

Speakers:

 

·        Tamara Ciraulo, Director Insurance Administration, Stater Bros.

·        Monica M. Lichtenstein, AVP Strategic Claims Operations, Aramark

·        Michael Alio, Director of Risk Management, County of Orange

·        Dawn Watkins, Director, Integrated Disability Management, Los Angeles Unified School District

 

Moderators:

 

·        Mark Walls, Vice President Communications & Strategic Analysis, Safety National

·        Kimberly George, Senior VP, Senior Healthcare Advisor, Sedgwick CMS

 

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9:00 am – 9:45 am

 

The Intersection of Risk Management and Human Resources

 

Summary:

It is critical that Risk Management and Human Resources work closely together relating to issues such as Workers’ Compensation claims, health and welfare benefits, leaves of absence and workplace accommodations. In this session, the speakers will discuss the ever changing legal landscape as well as experiences and lessons learned.

 

Speakers:

 

·        Matt Friend, VP of Risk Management, Stonebridge Companies

·        Bill Streitberger, Chief People Officer, Logan’s Roadhouse

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9:45 am – 10:30 am

 

Networking Refreshment Break in Expo Hall

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10:30 am – 11:30 am

 

Employer Roundtable: Risk and Liability

 

Summary:

Exclusively for risk managers, workers’ comp managers, claims managers, and HR managers. This session will consists of a round table format that will be highly interactive and will focus on best practices. Due to the format of this session, only the first 50 risk and claims managers will be invited to participate.

 

Moderators:

 

·        Monica Lichtenstein, Director of Claims Operations/Claims/Global Risk Management, Aramark

·        Shaun Jackson, Director of Risk Management, El Pollo Loco, Inc.

 

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10:30 am – 11:30 pm

 

Strides of Making the California Workers’ Compensation System Better

 

Summary:

Thoughts from the Director of the CA Department of Industrial Relations Office on how to make the workers’ compensation system better. Find out what progress the department has made in addressing current challenges.

 

Speakers:

 

·        Christine Baker, Director, California Department of Industrial Relations

·        David Lanier, Secretary, California Labor and Workforce Development Agency

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11:30 am – 12:30 pm

 

Putting Your Data to Work: Turning your data driven insights into cost savings

 

Summary:

Gain insights to developing and executing a holistic approach to controlling the cost of claims by:

  1. Defining your partnerships by performance and outcomes versus service levels and tactics
  2. Selecting and quantifying key targets that establish proper focus and accountability on few greatest opportunities to reduce your costs of risk 
  3. Integrating a comprehensive data management plan for better decision making and accountability
  4. Implementing and executing data driven solutions that are proven to reduce loss costs

Speakers:

 

·        Kevin Grady, Managing Director and ZOOM Practice Leader, Beecher Carlson

·        Chris Brown, Risk Manager, AutoZone, Inc.

·        Tim Colli, Sr. VP - Account Management, Gallagher Bassett

 

Moderator:

 

·        Scott Ritto, VP, Risk Management, Kilroy Realty Corporation

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11:30 am – 12:30 pm

 

HCO Option to Gain Direct Control Over Medical Care and Liens In CA, Employers experience under HCO. Exploring the HCO/MPN Dichotomy

 

Summary:

 

The session will have a moderator, HCO expert, and include two or three employers with significant experience administering the HCO Program in California. Session participants have previous experience in conducting presentations and fully understand prohibitions against sales or marketing of services.

 

You cannot control your workers’ compensation claim without controlling the medical treatment. How have we found the best way to achieve that control?

 

History of the HCO and MPN Programs

·        How did we get here from there?

·        Program differences

o   Plusses and minuses of each program

 

What if the employee is non-compliant? What happens at the WCAB? Examples of medical control litigation.

·        The need for training of claims adjusters and defense attorneys

 

Specific experiences from each employer

§  What were our company’s historical problems prior to instituting their current program?

§  How did I assemble a competent team?

§  What has worked best?  What I have found to be mandatory for my integrated program to work well?

§  How have specific problems been alleviated?

§  What are the challenges we face every day?

§  Specific metrics that show positive program impact.

o   What is the employer trying to achieve? For example:

§  Timely, professional, quality, and coordinated medical care

§  Defensible medical reports

§  Getting my employees cured and back to work

§  Elimination of unnecessary TD and medical payments

 

Speakers:

·        Jon Burney, Vice President and Senior Counsel, GCA Services Group, Inc.

·        Cherie Johnson, Work Comp Manager, Grimmway Farms

·        Don Balzano, Chief Legal Counsel, MEDEX

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12:30 pm – 1:45 pm

 

Networking Lunch on the Pacific Lawn

 

Sponsored by: WorkCompCentral

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1:45 pm – 2:30 pm

 

ADA vs. WCC - Return to Work & the Interactive Process

 

Summary:

 

·        To understand the role of the TPA versus the employer as it relates to ADA versus workers’ compensation.

·        What it means to return to work for a work related injury versus a non-industrial injury.

·        What to do when you have a conflicting medical reports.

·        What is a reasonable accommodation? A review of the interactive process.

·        What are the consequences for failing to accommodate adequately?  How to avoid disgruntled employees and unnecessary litigation.  How to create a smooth process for returning an employee to work that is in compliance with the law. 

 

Speakers:

 

·        Matthew Graulich, Global Claims Specialist, Whole Foods Market

·        Megan Sullivan, Managing Partner, Michael Sullivan & Associates LLP

·        Lisa Aguiar, Managing Partner, Employment Law Section, Michael Sullivan & Associates LLP

·        Nicole Chappelle, Assistant Vice-President Reserve Administration, Gallagher Bassett

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1:45 pm – 2:30 pm

 

Enforcement & Legislative Update. Recent Developments from Cal/OSHA and How to Minimize its Impact

Summary:

 

This informative session address will provide you with an in-depth discussion on the latest trends in Cal/OSHA Enforcement and what it really means for employers. Learn about the major provisions of the law and how they could change the way you do business, including employer compliance & safety requirements.

Speakers:

 

·        Juliann Sum, Chief of Cal/OSHA, California Department of Industrial Relations

·        Brandon Hart, Program Manager of Cal/OSHA, California Department of Industrial Relations

__________________________________________________________________________________________________

 

1:45 pm – 2:30 pm

 

Employer Roundtable: Workers’ Compensation

 

Summary:

Exclusively for risk managers, workers’ comp managers, claims managers, and HR managers. This session will consists of a round table format that will be highly interactive and will focus on best practices. Due to the format of this session, only the first 50 risk and claims managers will be invited to participate.

 

Moderators:

 

·        Heidi Bastien, Director of Risk Management, Rubio's Restaurants, Inc.

·        Kurt Leisure, Vice President of Risk Services, The Cheesecake Factory, Inc.

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2:30 pm – 3:30 pm

 

Self-Insurance Update & Trends for 2018

Summary:

This session will provide a recap of issues and developments impacting self-insurance and self-insured employers for 2017. Additionally, participants will be provided an overview and important insights into expected developments for 2018 - including a recap of national trends and regulatory developments impacting self-insured employers.

 

Speakers:

 

·        Lyn Asio-Booz, Chief, California Office of Self Insurance Plans

·        Jon Wroten, Senior Vice President, Sedgwick CMS

·        Joe Carresi, Manager, Workers’ Compensation, Southern California Edison

__________________________________________________________________________________________________

 

2:30 pm – 3:30 pm

 

Attacking the Opioid Crisis in Workers' Compensation

 

Summary:

The vastness of the opioid crisis is all around us. The impact of the opioid epidemic can be felt across all states and confronts us no matter where you look. It’s time to take action. As with any large-scale, complex phenomenon, there is no silver bullet to address this problem. A framework from the Johns Hopkins Bloomberg School of Public Health suggests three areas to focus our efforts: preventing new cases of opioid addiction, identifying opioid-addicted individuals early, and ensuring access to effective opioid addiction treatment. This panel discussion will dig deep into each of these areas.

 

Speakers:

 

·        Joseph Guerriero. Sr. Vice President, Reed Group

·        Alex Swedlow, President, California Workers’ Compensation Institute

·        Marcos A Iglesias, MD, SVP/Chief Medical Officer, Broadspire, A Crawford Company

 

Moderator:

 

·        Jayant Lakshmikahthan, President, CLARA analytics

__________________________________________________________________________________________________

 

3:30 pm – 4:15 pm

 

Networking Refreshment Break in Expo Hall

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4:15 pm – 5:15 pm

 

Pick and Choose: Creating Your Own Integrated Plan

 

Summary:

 

Explain how to establish an integrated program, discuss key components that can be integrated early on, and provide actual examples that illustrate how to capitalize upon these advancements at any stage of the program.

Speakers:

 

·        Dr. Teresa Bartlett, Sr. VP, Medical Quality, Sedgwick CMS

·        Dr. Craig Uejo, Medical Director, Occupational Health and Wellness, Scripps Health

·        Dr. Roman Kownacki, Medical Director of Occupational Health, Kaiser Permanente

__________________________________________________________________________________________________

 

4:15 pm – 5:15 pm

 

The Advantages and Pitfalls of the Alternative Risk Marketplace

 

Summary:

The “alternative market” is a risk financing term used to describe risk funding techniques outside those provided by traditional property & casualty insurers.  These programs generally involve retaining a significant amount of risk incorporating features such as high retentions and risk sharing mechanisms. An insured will discuss their long term experience in managing their risk in the alternative risk market. An Actuary and Alternative Risk Consultant will then provide input with regards to the program design and the actuarial process.  Participants can expect to learn the rewards you can reap if you perform well in the alternative market, and the consequences if you don't.

 

Speakers:

·        Rudy Garza, President & CFO, Eclipse Berry Farms, LLC

·        Erich Brandt, Consulting Actuary, Pinnacle Actuarial Resources, Inc.

·        Chris Nash, Vice President - Sales, York Risk Services Group, Inc.

__________________________________________________________________________________________________

 

4:15 pm – 5:15 pm

 

Since When is Running a Marathon a Workers' Compensation Claim?

 

Summary:

Evaluating wellness programs, physical fitness policies, and workers compensation claims. In a grab bag style, this interactive session tests the audience’s knowledge of when to accept and deny claims of employees working out.

 

Speakers:

 

·        Robert Cartwright, Jr., Division Manager-Environmental, Health, Safety and Sustainability, Bridgestone Retail Operations, LLC

·        Sean Monaghan, Partner, Laughlin, Falbo, Levy & Moresi LLP

·        Darren Cartwright, Sr. VP Claims Auditing and Consulting Group, Woodruff-Sawyer & Co.

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5:30 pm – 8:30 pm

 

“Run for the Roses” Kentucky Derby Themed Casino Night on the Grand Lawn 

 

Food, Drinks, Music, Casino Games and Prizes

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8:30 pm – 12:30 am

 

Dancing with the Risk Professionals

 

Sponsored by: Medata, Inc.

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Friday, September 8th

 

7:30 am – 10:00 am

 

Networking Breakfast in Expo Hall

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7:30 am – 10:00 am

 

Exhibit Hall Hours

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10:00 am – 12:30 pm

 

Exhibitor Breakdown

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9:00 am – 10:00 am

 

Important Medicare & Medicaid Changes Primary Plans Need to Leverage for Savings

Summary:

CMS has been actively pursuing conditional payments for close to a decade where there is a settlement, judgment or award. In the fall of 2015, CMS expanded recoveries to include unresolved cases with Ongoing Responsibility for Medical. Given the larger volume of cases, the Courts have finally caught up to decide what CMS is allowed to collect. This session is designed to go over the law to determine how Parties should approach CMS to dispute unrelated medicals and the basis for such arguments.  Listen as our industry leading presenters discuss the recent C IGA case and how it changes the landscape in the favor of primary plans.

Of course CIGA applies to traditional Medicare, learn from panel experts as to the applicability of this ruling against Medicare Advantage and Part D Prescription Plans that have recently increased recovery efforts. Given most decisions provide the same rights to such Plans as the Secretary, the panel will discuss how such Plans may react to CIGA type dispute claims to be filed.

While Medicare is certainly being more aggressive, we can expect additional effort by State Medicaid programs as well. Understand how changes by the Trump Administration may result in aggressive handling of lien recoveries by these State Programs.

 

Speakers:

 

·        Heather Sanderson, Chief Legal Officer, Franco Signor LLC

·        Cliff Connor, CMSP, MSCC, Vice President of Medicare Compliance, Gallagher Bassett

·        Michael McCue, Director TPA Claims, Albertsons Companies

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9:00 am – 10:00 am

 

Current Update on AB 1124: Drug Formulary in the California Workers’ Compensation System - Dr. Ray Meister will provide the latest Status Report on Drug Formulary how it will effect stakeholders including Updates to Medical Treatment Guidelines

Summary:

·        Effective date of Formulary

·        Explain how the formulary works with the CA DWC MTUS

·        When is Prospective Review Required for drugs?

·        When and / or What drugs don’t need Prospective Review?

·        Explain the special rules for drugs during the peri-operative period and for certain pain medications for acute injuries.

·        What updates have been made or are planned for the CA DWC MTUS and what impact will these have on the Formulary?

·        How a health care provider can use the MTUS, including the treatment guidelines and formulary.

 

Speakers:

 

·        Raymond Meister, MD, MPH, Executive Medical Director, Division of Workers’ Compensation, California Department of Industrial Relations

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10:00 am – 11:00 am

 

Elevating Leadership – How to decrease flying high WC cost at Mach1 speeds – a Flight Surgeon’s Journey

 

Summary:

Building better rapport with employees can directly decrease worker compensation cost. Dr. Lee, a former USAF Flight Surgeon, will discuss his experience as a FS and how that has influenced his practice as an occupational medicine physician. He will teach top techniques employers can use to help build rapport quickly with employees. The audience will learn: 1. How participation can build incredible bonds 2. The importance of enthusiasm 3. How education can decrease litigation.

 

Speakers:

 

·        Clarence Lee, Jr. MD, MBA, Center Medical Director, U.S HealthWorks Medical Group

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10:00 am – 11:00 am

 

How Cognitive Bias Impacts Our Decision Making in Organizations

 

Summary:

Our brain is wired to respond to six types of human bias.  These pre-wired ‘tripping hazards’ impact our judgment and decision-making on powerful ways. This presentation explains each type of human bias, provides impactful examples of each type and implications for the risk/management safety world.  Understanding biases in relation to safety and risk management deals directly with the processing of the ultimate risk-maker - our brain.

Speakers:

 

·        Dr. Angela Huntsman, Head of Organizational Development, The Wonderful Company

·        Tony Shelton, Vice President, Environmental, Health and Safety, The Wonderful Company

·        Drue Rutledge, CPCU, ARM, AIC, Director, Risk Management, The Wonderful Company

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10:00 am – 11:00 pm

 

Employer Roundtable: Risk and Liability

 

Summary:

Exclusively for risk managers, workers’ comp managers, claims managers, and HR managers. This session will consists of a round table format that will be highly interactive and will focus on best practices. Due to the format of this session, only the first 50 risk and claims managers will be invited to participate.

 

Moderators:

 

·        Scott Ritto, VP, Risk Management, Kilroy Realty Corporation

·        Robert Cartwright, Jr., Division Manager-Environmental, Health, Safety and Sustainability, Bridgestone Retail Operations, LLC

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11:00 am – 12:30 pm

 

New Trends in California Workers’ Compensation Fraud

 

Summary:

With ground breaking news involving recent indictments and precedential bad faith claims mishandling decisions, the audience will hear from three of the industry’s top speakers about recent indictments, how to identify suspicious activities and risks, and consequences for stakeholders. With fraud being prevalent in our system at all levels, this Panel will look at billing, capping, and other potentially fraudulent practices often involving attorneys that could be considered as cappers. The Panel will identify the most recent cases in this area, the consequences to the injured workers, the responsibility of the employers and the payer’s, as well as potential MPN responsibilities and potential exposure to defense counsel.  In short, this Panel will discuss the ripple effect that all of these activities have had and will likely continue to have on California’s workers compensation system.

 

Speakers:

 

·        Trish Poe, Senior Director, Marriott International, Inc.

·        John Floyd, Partner, Floyd Skeren & Kelly, LLP

·        Nicholas Roxborough, Partner, Roxborough, Pomerance, Nye & Adreani, LLP

·        Shaddi Kamiabipour, Senior Deputy District Attorney, Orange County District Attorney’s Office

 

Moderator:

 

·        Ronnie Caplane, Former Chair of the WCAB, Retired VP at Zenith Insurance Company

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12:30 pm

Conference Concludes

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