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The course, “Arson Claims” is designed to enhance the student’s knowledge,
understanding, and professional competence in the investigation, evaluation, and
resolution of arson claims. The module is presented by Douglas K. Wood, a Partner
at Morris Polich & Purdy LLP.

Doug Wood begins by outlining the importance
of developing and using analytical outlines and investigative plans to keep your
investigation sharply focused and efficient. He explains how to work effectively
with your Origin & Cause Investigator and other important experts to ensure an
accurate and “provable” call on the cause of the fire. Next, he explores the
important investigative tools and tips as well as how to avoid dangerous pitfalls
that frequently arise during an arson claim investigation. Finally, he emphasizes
the importance of balancing an appropriately probing investigation with your
duties of good faith and fair dealing with your insured.

After completing
the course, the attendee should be able to:

define what is an analytical
outline; outline the structure of an analytical outline; identify the typical
coverage issues in an intentional acts outline; define what is incendiarism;
outline the structure of an investigative plan; recognize various aspects of
proving incendiarism, including working with the fire department and private
origin & cause experts, seeking forensic laboratory results, documenting burn
injuries of victims, as well as gathering witness statements; outline the
important aspects of scene documentation; establish the procedures for
interacting with public agencies; document the use and importance of independent
O&C experts; describe the steps involved in proving an intentionally set fire;
list essential investigation tools and tips such as the Reservation of Rights
letter, witness statements, and Examinations Under Oath; and identify the
importance of the Duty of Good Faith and Fair Dealing and its application to an
arson claim.

The course is designed for practitioners and insurance
professionals working in the area of first-party property insurance coverage and
litigation.

What CE Credit is available?

Note: To qualify for credit, you must submit completion (including a passed final exam if required) within five days of completing the last quiz. No partial credits will be awarded.

State:
Adjuster General
CE Hours:
Adjuster Ethics
CE Hours:
Attorney General
CLE Hours:
State's Course ID:
NH 2.0 470236
TX (classroom equivalent) 1.0 99297
NC 2.0 C09783
FL * ( Provider Number: 364169 ) 2.0 1195341
IL 2.0 621419
WY 2.0 27556
OK 2.0 1027777
OK 2.0 1027777

* This course has been approved by the Florida Department of Financial Services for insurance continuing education credit.

Course Content

Lesson Content

1) Introduction
2) Learning Objectives
3) Analytical Outlines
a) What is an analytical outline?
b) Why should you use an analytical outline?
c) Structure of the analytical outline
4) Typical coverage issues
a) Intentional acts
b) Concealment and Fraud
5) Typical intentional acts conditions
a) CIC §533
b) ISO HO 00 03 10 00
c) Intentional Acts
6) Structure of an intentional acts analytical outline
a) Incendiarism
b) The Connective Evidence
7) Recap

Lesson Content

1) More detailed intentional acts analytical outline –
Incendiarism
a) Fire department
b) Private Origin & Cause/Peer review
c) Hydrocarbon detecting canine
d) Forensic laboratory results
e) Other experts
f) Burn injuries
g) Witnesses
2) Investigative Plans
a) What is an investigative plan?
b) Why should you use an investigative plan?
3) Scene security
4) Retain appropriate experts
5) Scene documentation
a) Photos
b) Data collection
c) Diagrams
6) Recap

Lesson Content

1) Scene documentation (continued)
a) Diagrams (continued)
b) Video
c) Physical evidence
2) Evidence Collection/Preservation/Testing
3) Early Recorded Statements
a) From all insureds
b) From known witnesses
4) Burn injuries
5) Interacting with public agencies without getting burned
a) First on scene observations
b) Changes to the scene
c) Witness statements
d) Covenant of good faith and fair dealing
6) Arson/Fraud Reporting
7) Recap

Lesson Content

1) Interacting with public agencies without getting burned
a) Impact of a criminal
investigation/prosecution/conviction/acquittal on your investigation
b) Threat from a public official
c) Significance/role of the public agency conclusion re the
cause of the fire
d) Four potential causes of a fire under NFPA 921
2) Your independent O&C expert(s)
a) Objective, thorough, and reliable
b) Objective validation of hypothesis
c) Specific documentation
d) Credible consideration and elimination of alternative
theories
3) Use and importance of other O&C-related experts
4) Other forensic services
5) Importance of retaining appropriate experts early on
6) Can you prove this fire was intentionally set?
a) Dramatic, impactful photo sequences
b) Photo matches
c) Data gathering
7) Recap

Lesson Content

1) Introduction
2) Access
3) Opportunity
4) Motive/Anti-motive/Motive of others
a) Potential well-recognized motives
b) Financial motive
c) Motive of others
5) Conduct consistent/inconsistent with guilt
a) Delays and evasions
b) Misrepresentations
6) Credibility and the “provable lie”
7) The Concealment or Fraud Condition
8) Recap

Lesson Content

1) Timely Reservation of Rights letter
2) Witness statements
3) Examinations Under Oath
4) Sources of information
5) Details are critically important
6) The mortgagee and their rights
7) Innocent co-insured
8) The “Good Faith” mindset
a) The Duty of Good Faith and Fair Dealing
b) Common “Bad Faith” Themes
c) Common “Good Faith” Themes
9) How it plays out later
10) Lessons learned
11) Recap