6:45 am – 7:45 am: Continental Breakfast in Monarch Foyer
7:50 am – 9:00 am
Employer & Stakeholder Panel: The Current
State of California Workers Compensation and what’s on the horizon for 2015
Panel will
address the following:
1-From your perspective, what
aspects of the SB 863 reforms have been successful and why?
2-From your perspective, what
aspects of the SB 863 reforms have NOT been successful and why?
3-What do you view as the
greatest challenges (for employers, injured workers) in the California WC system?
4-For the three employers on
the panel: What is the best advise you can give to other employers in
California who are faced with rising costs?
(Good opportunity for you to share success stories about your program)
5-If you were Governor for
the day, what changes would you make to the California WC system and why?
6-California seems to be in a
constant cycle of workers’ comp reform.
How can we achieve lasting reforms and ensure that the main stakeholders
(injured workers and employers) are best served by the WC system
Moderator:
Mark Walls (Vice President Communications & Strategic Analysis) Safety National
Speakers:
William Zachry (VP of Risk Management) Safeway, (Trustee) Self Insurers’ Security Fund
Tim East (Director of Risk Management) The Walt Disney Company
Bill Mudge (President & CEO) WCIRB California
Kurt Leisure (VP, Risk Services/Assets Protection) The Cheesecake Factory Inc.
Seeta Ambati Laughlin, Falbo, Levy & Moresi
James G. Butler Butler Viadro, LLP
9:00 am – 10:00 am
Workers' Comp Insurance Market Trends: CEOs &
Stakeholders "Open Mic" Q&A Panel
This session
will feature Insurance Market E- and C-suite leaders, senior management and
industry stakeholders identifying emerging trends that are of great importance
to employers in California. What's on
the horizon for 2015? Where is the market headed both nationally and on a
regional basis?
Moderator:
Pamela
Ferrandino (National Casualty Practice Leader) Willis North America
Speakers:
William Rabl (Chief
Operating Officer) ACE North America
Robert Darby
(President) Berkshire Hathaway Homestate
Companies (Former Chairman) WCIRB
Duane Hercules
(President) Safety National
Michele Tucker
(Vice President) CorVel
10:00 am – 10:40 am: Networking Refreshment Break in Expo Hall
10:40 am – 11:25 am
Reserving Strategies, or Why Bornheutter-Ferguson
is Not an Exotic Disease
An actuary, a
broker and an insured discuss in simple terms the validity and strategic uses
of diverse WC reserving methodologies, including Point Estimate and Ultimate
determinations. The session will emphasize end goals, include the stability of
financials, the determination of adequate collateral, the impact on adjusting
tactics and the calculation of experience modifiers and loss picks. The
discussion will focus on the core reserving values of consistency and
transparency in the context of meeting management program goals.
Speakers:
Henry H.
Cabaniss (VP Insurance) SOI
Christine M.
Fleming, ACAS, MAAA (Principal Claims Management Consultant) Milliman
Michael V.
Termine (Vice President, National Accounts) Wells Fargo Insurance Services USA, Inc.
Does Morale Really Matter? Creating a Culture of
Civility
This session
highlights the relationship between the organization's work environment and its
future claims for on-the-job injury, the roles that poor communication skills,
personal insecurity and "the rumor mill" play in creating a toxic
culture within your organization & identifies evaluation points and action
steps designed to enhance the work environment toward a more productive,
positive and safer culture. This program is applicable to all staff, but is
especially critical for officials, administrators, department heads, human
resources managers, risk managers, safety coordinators and first-line
supervisors.
Speaker:
Michael G. Fann
(Director of Loss Control) TML Risk
Management Pool
11:30 am – 12:15 pm
Chronic Pain: The Effects on Employee Productivity and Workers’
Compensation Experience, and How to Better Manage It
The session will highlight the issue of chronic pain in workers’ compensation
and how it affects employers and employees. Dr. Goldberg will moderate the
panel and discuss the ACOEM Chronic Pain Guidelines and how they can be
utilized to better guide the management of chronic pain and reduce medical
costs and indemnity.
Speakers:
Robert L. Goldberg, MD, FACOEM (Chief Medical Officer) Healthesystems
Bernyce Peplowski, DO, Sr VP, US HealthWorks
11:30 am – 12:30 pm
Cyber Security: Implementing a Strategic Risk
Management Strategy
Discover how to
achieve a monumental savings by implementing a strategic risk management
strategy which includes cyber-insurance.
This session
will cover:
-Understand the risks to your company’s data and critical systems
-Explore ways that information can be compromised & discover
methods to mitigate it, including insurance solutions
-Business
impacts of cyber-insurance
-Re-defining of
the rules of cyber-insurance, using an approach called, ‘reverse underwriting’
Speaker:
Grace Crickette
(Senior Vice President and Chief Risk &
Compliance Officer) AAA NCNU
12:15 pm – 1:30 pm: Networking Lunch in Expo Hall and Pacific
Lawn
1:30 pm – 2:20 pm
Improving Outcomes: Cost Effective Expedited
Processes & Communications
Expedited
quality care can improve medical and functional outcomes, return to work and
cost savings. Industry experts will discuss cost & time saving strategies
to proactively streamline communications and reduce adversarial situations
between Injured Workers, Medical Providers, Payors, Reviewers and Employers.
Takeaways will include easy to implement steps & tools to expedite and
improve clinical outcomes with the appropriate use of Guidelines and the
medical information flow, authorizations, utilization review and Independent
Medical Review processes.
Speakers:
Kenneth Eichler
(Director, Regulatory and Outcome Initiatives) Work Loss Data Institute
Dr. Bernyce
Peplowski (Senior VP, National Med Strategy and Innovation) US HealthWorks
Francine Johnson
(VP, Regulatory Business Consulting and Analysis) Coventry Workers’ Comp Services
Jill A. Dulich
(Senior Director) Marriott Claims
Services
Platinum Claims Audits
Attendees
will gain improved understanding of reason to perform a claims audit; approach
to soliciting
professional assistance to complete the claims audit; measurable performance
objectives to
assess
in the claims audit – including Safety and Health perspective; sample
selection; on-site performance;
audit results wrap-up – including employer program management perspective.
Speakers:
Dennis
Mitchell, Senior Claims Consultant (Bickmore)
David
Barragan, COSH (President) Barragan Corp
International
Diana
Rich (Risk Manager) Foundation Building Materials
2:25 pm – 3:15 pm
Navigating Through the New Penalty Landscape
From Medical
Provider Networks to Independent Medical Reviews, there is exposure to a new
crop of penalties. This session reviews penalties created by Senate Bill 863
and what you need to know to avoid and mitigate this new exposure.
Speakers:
Kevin Confetti
(Director, Employment Practices & Workers’ Compensation) University of California
David Smith
(Divisional Vice President – Risk Management) Family Dollar Stores, Inc.
Dawn Watkins
(Director Integrated Disability Management) Los Angeles Unified School District
Edward Canavan
(Vice President, WC Practices & Compliance) Sedgwick
WCAB UPDATE: 2014 Decisions & Latest Trends
in Workers’ Comp Litigation
Workers' Comp
Appeals Board Update: 2014 Decisions & Latest Trends in Workers' Comp
Litigation. Session will address: 2014’s most significant WCAB decisions & how
it will impact stakeholders. Session
will also address what's on the horizon for 2015 and how you can be proactive.
Speakers:
Ronnie Caplane
(Chairwoman) California Workers’
Compensation Appeals Board
Katherine
Zalewski (Commissioner) California
Workers’ Compensation Appeals Board
3:15 pm – 4:00 pm: Networking Refreshment Break in Expo
Hall
4:00 pm – 5:15 pm
Technological Interventions to Prevent Loss
Presenters will
describe projects that have successfully leveraged technology to provide timely
actionable changes that result in loss reduction. The technology itself along
with the training and administration needed to support the technology will be
outlined. Also included in this session is the Next Frontier in Workers’
Compensation, Telemedicine (Telehealth). Participants will leave the session
with the ability to put together the ingredients necessary for successful
technological interventions.
Speakers:
Karen
Kridel-Schwabe (Senior Manager, Risk Management) The Walt Disney Company
Kurt Leisure (VP
Risk Services) The Cheesecake Factory
Robert Dickerson
(Session Coordinator- Sr. Account Executive) Liberty Mutual – Helmsman
George Brogmus
(Technical Director) Liberty Mutual
–Helmsman
Dr. Laurence
Miller (Medical Director) Anthem
Workers’ Compensation
4:00 pm – 4:45 pm
“Let’s Get Ready to Rumble”
Match Up # 1: Take a ringside seat to claims litigation avoidance
during this “Hot Debate” when a Defense and applicant’s Attorney Go
Head-to-Head on Lack of Diligence, Acceptance and Denial of Claims . This CA WC
Law session will take a look at the claims process through the eyes of the
carrier, the risk professional, defense & applicant attorney.
Topics to be addressed include:
· Developments and best
practices in handling new claims
· Discover why workers’
compensation claims end up in litigation
· The importance of
taking careful and proactive control of the claim
· How to pick and
choose your battles – it’s not cost effective to fight and challenge everything
Examine the statute of limitations, reservation of rights
letters, attorney-client privilege, rights in and out of the policy and
settlement theories
Moderator:
Jeff Pettegrew
(Chief Imagination Officer) InsuranceThoughtLeadership.com, Retired after
10+ Years at SISF and 37 years in Risk Management
Speakers:
Bill Goldstein
(Senior Vice President/Regional Claims Manager) Wells Fargo Insurance Services
Robert G. Rassp,
Esq. The Law Office of Robert G. Rassp
Richard M.
Jacobsmeyer Shaw, Jacobsmeyer, Crain
& Klaffey PC
Jeff Ponta (Vice
President of Claims) Gallagher Bassett
Services, Inc.
4:45 pm – 5:30 pm
“Let’s Get Ready to Rumble”
Match Up #2: Take a ringside
seat for the Inside Scoop on TPA liability during this “Hot Debate.” Find out the legal inside scoop why so many
cases in CA are still open while attorneys representing employers and claims
administrators will go head to head.
Moderator:
Jeff Pettegrew (Chief Imagination Officer) InsuranceThoughtLeadership.com, Retired after
10+ Years at SISF and 37 years in Risk Management
Speakers:
Nicholas P.
Roxborough RPNA
Susan England, Esq. (Attorney) England
Ponticello & St. Clair
5:30 pm – 7:00 pm: Networking Cocktail Reception located at the Grand
Lawn in the St. Regis (Welcome Reception) Sponsored by Medcor, Inc.
Thursday,
September 11th
7:15 am – 8:00 am: Continental Breakfast in Monarch Foyer
8:00 am – 8:55 am
4th Annual MSP/MSA Compliance Open Mic Panel
This panel will
discuss “current issues” and “best practices” in regards to MSP, MSAs and
Section 111 reporting with allotted time for attendee Q&A. This session
will reach out to an Intermediate/Advanced level of attendees.
-Pending
legislation around MSP
-Whistleblower
lawsuits
-Expansion
into Medicaid
-MSP
insurance – is this needed or a waste of money?
Moderator:
Mark Walls (Vice President Communications & Strategic Analysis) Safety National
Speakers:
Rafael Gonzalez (Vice President) PMSI
Jessica Smythe (National Medicare Compliance Consultant) ISO Claims Partners
Melisa Zwilling (Medicare Compliance, Chair) Carr Allison
Marie Henry (Staff Counsel) ExamWorks
Best Practices in Workers' Comp Loss Prevention: Reducing Hazards
to Prevent Workplace Injuries and Control Claim Costs
Speakers:
Rick Sumner (Director
of Insurance and Safety) Dollar General
Robert
Cartwright (Loss Prevention Manager) Bridgestone
Retail Operations, LLC
9:00 am – 10:00 am
Self-Insurance Update
This session
will provide an update on key workers’ compensation issues impacting
self-insurance in California providing a 360 degree view including a major
self-insured employer, the Security Fund and regulatory perspective.
Speakers:
Jon Wroten
(Chief) Office of Self-Insurance Plans
William Zachry
(VP of Risk Management) Safeway, (Trustee) Self Insurers’ Security Fund
Opiate Prescribing in Workers
Compensation: We know the problem, what are the solutions?
The problem of opiates in Workers’
Compensation is well known. But what are companies and medical organizations
doing in response? What is working, what is not working, and what are the
barriers to appropriately prescribing opiates?
Representatives from 2 large employers and a medical director from a
large medical group will update the success, or failure, to curtail the
negative claim consequences seen in Workers’ Compensation as a result of
opiates.
Speakers:
Roman
Kownacki, MD, MPH (Medical Director, Regional) California Kaiser Permanente
Patti Williams (Risk Manager) City of Huntington Beach
10:00 am – 10:40 am: Networking Refreshment Break in Expo Hall
10:45 am – 12:00 pm
Let
the Rumble Begin – The Interaction of ADA, Return to Work Programs, and
Workers’ Compensation Concerns:
This session will discuss how to protect your organization
from new liability risks in managing FMLA/CFRA, ADA/FEHA, wrongful termination,
retaliation, discrimination, and more.
Moderator:
Brian Egan (Partner) Laughlin, Falbo, Levy & Moresi LLP
Speakers:
Susan Lockwood, ARM, Manager
of Risk & Claims San Diego Metropolitan Transit System
Robert Cutbirth (Counsel) Tucker Ellis LLP
Marc Leibowitz (Partner) Laughlin, Falbo, Levy & Moresi LLP
10:45 am – 12:15pm
Connecting the Dots….Tying in the foundational
pieces with your Best Practice Future State
Each Speaker
from a diverse collection of Employers will spend time outlining the
fundamental Best practices in the present state of their organizations Work
Comp & Risk departments and bridging this to the vision of their future
state Best Practices. This diverse collection will serve as an educational
platform for other employers to compare & benchmark against their own
organizations present & future state. Data will be shared along with the
individual matrix that is presently utilized to measure the programs
performance. Goals and proposed measurements for the future states will also be
shared. The practices will include an overview of internal and external claims management,
loss control, safety & cost containment efforts highlighting the financial
success of these programs with associated savings. The goal is to assist
individuals charged with reducing costs and developing/implementing programs to
positively affect their organizations bottom line.
Speakers:
Joe Carresi
(Manager, Project/Product) Southern
California Edison
Joel Sherman
(Director, Safety & Work Comp) Grimmway
Farms
Judie
Tsanopoulos (Director, Work Comp & Loss Control) St. Joseph Health System
12:00 pm – 1:15 pm: Networking Lunch in Expo Hall and Pacific Lawn
1:15 pm – 1:45 pm: Keynote
Speaker: James Worthy
1:50 pm – 2:40 pm
Keynote Session: SB 863…18 months later… Update
from Director Christine Baker, Department of Industrial Relations
This session
will discuss the effects of SB 863 and what this means for employers. Topics to
be discussed include: Challenges for employers, Goals and objectives for 2014
and 2015 & new legal compliance
Speaker:
Christine Baker
(Director) California Department of
Industrial Relations
2:40 pm – 3:40 pm: Networking Refreshment Break in Refreshment
Hall, James Worthy Meet and Greet
3:40 pm - 4:40 pm
Leading Industry
Blogger Panel:
Join the top
industry bloggers to discuss and debate the hottest issues facing the workers'
compensation & risk management industry. This session will be fast paced,
informative and entertaining. Audience members will have the chance to pose
questions to the panel in this interactive format.
Moderator:
Mark Walls (Vice
President Communications & Strategic Analysis) Safety National
Speakers:
David DePaolo
(President) WorkCompCentral.com
Dale Debber
(CEO/Publisher) Providence Publications
Robert G. Rassp,
Esq. The Law Office of Robert G. Rassp
Rebecca Shafer,
JD. Amaxx Risk Solutions
Corporate Sustainability,
Wellness, Injury Prevention
Ergonomic based injuries are a
risk often overlooked by risk professionals. The financial impact of ignoring
ergonomic claims can be significant.
-Hear a VP of Finance’s Perspective on the cost benefits
of PREVENTING ergonomic injuries.
-Define your role in
establishing and managing an ergonomic injury abatement culture.
-Calculate how proactive
management of ergonomic risks will affect your organization finances.
-Identify how early employee
intervention in ergonomic related claims can lower your claims cost.
-Learn the benefits of
behavioral ergonomics.
-Corporate social
responsibility manifested by employee Injury Prevention philosophy.
-Wellness approach to
preventing sprain/strains on and off the job.
-3 major breakthroughs in
sustaining a long-term injury prevention culture
Speakers:
Carlton Jacobson (VP Finance) Adventist Health St. Helena Region
Dennis Downing (President) Future Industrial Technologies
4:40 pm – 5:30
pm
Active Shooter: Preparedness and Planning,
Employer/Broker/Security Perspectives
This topic will
cover security, insurance, and claims (workers’ compensation and general liability)
perspectives on workplace violence. This session will include the following:
graphic videos, terrorism as a form of workplace violence & testimonials
from security and police experts to support the development of a formal
workplace and active shooter response program. Take-Aways: Create a plan
outline for an emergency response, Educate employees about their roles &
Discovery of post incident recovery goals
Speakers:
Michael Simmons
(Director Risk Management) Riverside
Community College District
Kevin Lieberman (former police officer)
4:40 pm – 5:40 pm
Hot Topic: The Impact of Health Care Reform: Find out how
Affordable Care Act (aka "Obamacare") is affecting
California Employers
:Employers must be fully compliant with the
Affordable Care Act (aka "Obamacare") but several aspects
of the law are only now being defined by the Department of Health and Human
Services, including the minimum essential benefits employers must cover, which
employees must be covered, health care exchanges, etc. Find out how the
legal changes have significantly impacted the cost, structure and availability
of workers compensation insurance and other employee benefits in 2014/2015.
Also find out how the ACA will impact workers’
compensation and what all stakeholders should know to prepare for this reform.
Take-away:
• Gain an understanding of the complications involved in
the act and the data underlying its impact
• What risk managers can do to minimize their exposure and
identify the employer advantages of this legislation
• Find out how ACA has and still will affect California
Employers
• Find out how the ACA will impact workers’ compensation
and what all stakeholders should know to prepare for this reform.
Speakers:
Denise Algire
(Director, Managed Care & Disability Corporate Risk Management) Safeway, Inc.
Kimberly George
(SVP/SR Healthcare Advisor) Sedgwick
Mark Walls (VP
Communications & Strategic Analysis) Safety
National
5:30 pm – 8:15 pm
Casino Night/Tailgate Party on Grand Lawn Sponsored by Stockwell, Harris, Woolverton
& Muehl
Prizes, food,
games, drinks, and music
8:15 pm – 12:30 am
Dancing with the Risk Professionals Sponsored by Safety National
Friday,
September 12th
7:30 am – 9:30 am: Networking Breakfast in
Expo Hall
9:00 am – 10:00 am
DWC Update: The latest developments from
California Division of Workers Comp
The panel will
address the following: New Rules & Regulations, Permanent Disability,
Utilization Review, Audit Unit Update & What's on the horizon for 2015
Session Goal: To ensure the audience is up to date
on new regulations in California and how they impact employers and other
stakeholders.
Moderator:
Drenée Miners
(AVP/Governmental Affairs) Gallagher
Bassett Services, Inc.
Speakers:
Destie Overpeck
(Acting Administrative Director) DWC
Rupali Das, MD
(Executive Medical Director) DWC
Cora Lee
(Compliance Manager – UEBTIF \ SIBTF Audit Unit) DWC
10:00 am – 11:00 am
Got MILK? Combating Workers’ Comp Fraud in California
and What to Look Out For
Fraud continues
to occur in epidemic proportions, but the numbers pale in comparison to the
waste from abuse. Panel will educate you about the elements required to obtain
fraud convictions, but will also share things you can do to control or
eliminate malingering and abuse from injured workers, medical providers and
others.
Moderator:
James P. Bradley
(Vice President Strategic Management) The
Reny Company
Speakers:
Jennifer Lentz Snyder, Esq. (Assistant District Attorney) Los Angeles County District Attorney
Laura Clifford
(Executive Director) Employer Fraud Task
Force
Kimberly Gerber (Director, Health & Safety) Universal Services of America
10:00 am – 11:00 am
Living Your Destiny
Motivational
Speaker Presentation of Burn Survivor, Paul Harris, who survived a horrific
burn injury will present his impactful account of the workplace accident that
left him burned over 85% of his body and the steps he has taken to overcome his
fears.
Speaker:
Paul Harris The Grossman Burn Center
11:10 am – 12:10 pm
Don’t Let a Straightforward Work Comp Claim
Turn into a FEHA Nightmare
Increasingly,
employers face significant risk as more and more workers’ compensation claims
evolve into costly disability discrimination claims filed pursuant to the Fair
Employment and Housing Act (FEHA). This risk has been amplified by the new FEHA
regulations, which are in effect as of January 1, 2013, and which broaden the
employer’s FEHA responsibilities in workers’ compensation cases. Too often
employers face the difficult and high risk task of determining such issues as:
whether or not to offer modified/alternative work to an injured worker; how
much time off of work should be granted to allow for recovery; what medical
certification should be required to support extended leaves of absence for a
work related injury; what accommodation should be offered; when and how should
the interactive process be conducted; and, when is it safe to terminate an
injured worker if the worker has been on an extended leave of absence (for
example, more than a year) and still unable to return to work. Failure to take
the appropriate steps in any of these situations can produce significant
liability for the employer resulting in a time consuming and expensive lawsuit.
This presentation will provide guidance and suggestions for best practices on
this critical workplace topic confronting employers on a daily basis.
Speakers:
Bernadette M. O’Brien, Esq., SPHR (General
Counsel for Human Services) Law Offices
of Floyd, Skeren & Kelly, LLC
Thomas Skeren, Esq. (Managing Partner) Law
Offices of Floyd, Skeren & Kelly, LLC
Terry Ann Bodwin (VP, Labor and Employee Relations) Unified Groce
12:15 pm – 1:30
pm
Impact of SB 863 on Lien Regulations
This session will cover WCAB decisions in regards to lien
regulations, emergency regulations that are in place for the filing/activation
fees & consequences for not paying.
Speakers:
Pamela Foust (Vice President Claims/ Legal) Zenith Insurance Co.
Invited: Marguerite Sweeney (Commissioner) WCAB