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The course, “Defending Large Casualty Claims” is designed to help adjusters and
legal practitioners identify key issues at the outset of a severity case, create
strategies to mitigate risk exposure, and review strengths and weaknesses in
defending these cases in mediation or at trial. The module is presented by Ramona
Hunter, a civil litigator at Cozen O’Connor.

Ramona Hunter begins by
listing the key issues at the outset of litigation — who, what, where, when, and
why. She then distinguishes the tone and approach to cases involving clear
liability versus those that are potentially defensible. She outlines the numerous
areas of exposure reduction in clear liability cases, including litigation tone,
benevolent gestures of sympathy, independent expert review, life care plans,
surveillance, early valuation, and early mediation without discovery. She also
addresses the important aspects of liability investigation, including early
identification of key mitigating factors, dealing with physical evidence,
limiting exposure post-lawsuit, and identifying fraud. Finally, she evaluates the
advantages of mediation, trial, and arbitration as well as a comparison of jury
trials versus bench trials.

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

identify the key issues at the outset of litigation;
identify whether a case involves clear liability or is potentially defensible;
outline the various means of exposure reduction in a case of clear liability;
know the importance of independent expert review; understand the intricacies of
life care plans; explain the use of surveillance, early valuation, and early
mediation when mitigating risk exposure; define the focus areas in liability
investigation of securing the evidence, retaining experts, identifying eye
witnesses, and identifying other potentially responsible parties; better identify
fraud; know the limitations of physical evidence in terms of spoliation,
retention, and testing protocols; and describe how to limit exposure post-
lawsuit.

The course is designed for practitioners and insurance
professionals working in the area of casualty 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 475692
TX (classroom equivalent) 2.0 140034
NC 2.0 C55033
FL * ( Provider Number: 364169 ) 1203070
IL 2.0 542566
WY 2.0 36613
OK 2.0 1026792

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

Course Content

Lesson Content

1) Introduction
2) Three focus areas of the presentation
a) Identify key issues at the outset of a severity case
b) Create strategies to mitigate risk exposure
c) Analyze whether to defend at trial, mediation, or
arbitration
3) Key issues at the outset of litigation
a) Who
b) What
c) Where
d) When
e) Why
4) Recap

Lesson Content

1) Tone and approach
2) Focus in clear liability cases
a) Exposure reduction
b) Limiting expenses
3) Focus in potentially defensible cases
a) Fact investigation
4) Clear liability cases
a) Exposure reduction
i) Litigation tone
ii) Benevolent gestures of sympathy
(1) Funeral expenses
(2) Medical costs
(3) Counseling
5) Recap

Lesson Content

1) Independent expert review
a) Past treatment
b) Future treatment
c) Billing review
2) Life care plans
a) Is the evidence admissible?
b) Is the expected medical treatment reasonable and
necessary?
c) Is the equipment required?
d) Documentation of costs
e) Duplication of care

f) Reduction to present value
3) Recap

Lesson Content

1) Surveillance
a) Confirm validity of catastrophic injuries
b) Obtain background information potentially relevant to
settlement
2) Early valuation
a) Jurisdiction
b) Past and future medical costs
c) Wage loss
d) Property loss
e) General damages
3) Early mediation without discovery
a) Qualified mediator
b) Early independent evaluation of value and risks
c) Good Faith participation
4) Audience question
5) Recap

Lesson Content

1) Early identification of key mitigating factors
a) Secure the evidence
b) Retain experts
c) Identify eye witnesses
d) Identify other potentially responsible parties
2) Physical evidence
a) Spoliation
b) Retention
c) Testing protocols
3) Limit exposure post-lawsuit
4) Identifying fraud
5) Audience question
6) Recap

Lesson Content

1) Mediation
2) Advantages of trial
3) Jury trial vs. bench trial
4) Arbitration
a) Private trial
b) Advantages of arbitration
5) Advantages of mediation
6) Recap