In-House Roundtable: Counsel and Claims Professional Insights on New and Emerging Issues in Disability Insurance Claims

January 21, 2016 8:05am

Panel 1 8:05 – 9:05

Peter M. Kelly
Chief Employee Benefits Counsel
Blue Cross Blue Shield

Stephen Broer
Assistant Vice President, Senior Counsel, Law Department
The Guardian Life Insurance Company of America

Nicole Guerin
Vice President & Head of Claims
AXIS Accident & Health

Panel 2 9:05 – 10:05

Julie K. Bolt
Assistant Counsel
The Standard

Kevin J. Tierney
Vice President & General Counsel
Disability Reinsurance Management Services, Inc.

Annie Hong
Manager of Claims Solutions Department
Cigna Group Insurance

Maureen T. Mulville CLU, FLMI
Vice President, Compliance & General Counsel
Illinois Mutual Life Insurance Company

Kimberly Evans
The Hartford Financial Services Group, Inc.

Panel 1 and 2 Moderator:

Robert M. Forni Jr., Esq.
Ropers, Majeski, Kohn & Bentley PC

In this valuable panel, hear from in-house on the front lines at the leading carriers. Gain perspective as they walk you through a claim from start to finish, from their side. Join a great discussion with plenty of opportunities for Q&A. Topics include:

  • Thoughts on investigation: using social media, surveillance and modern technology as investigative tools
  • Pre-litigation resolution tactics
  • Complaints to the department of insurance: the in house response
  • Retaining outside counsel: factors to consider
  • Views on mediation and settlement
  • Challenges to sufficiency of the complaint
  • The latest discovery issues and trends; and rule 26 disclosures
  • Claims that result in the grant of benefits vs. those that end up in the denial of benefits – what factors play a contributing role in these determinations?
  • Post litigation investigative techniques
  • Punitive damages in non-ERISA
  • How metrics can help foreshadow potential litigation and regulatory issues
  • Complaints tied to claims – what they can tell us
  • New compliance issues and hurdles created by the Affordable Care Act
  • Handling issues related to self-funded disability plans
  • Issues arising when a claimant is determined to be eligible for Social Security benefits; what impact does that have on the insurance policy?
  • The latest issues in disability reinsurance