Firm News & Area Events

Firm attorneys regularly participate in state and national education seminars that focus on issues impacting the insurance industry. We are pleased to make the materials presented in these seminars available via this page. If there is a subject that does not appear here that you would be interested in, please let us know by filling out our contact form which you may access by clicking here:  Contact Form

Presentation Title:
Current Issues and Trends in Florida Personal Injury Protection (PIP) Law 2024

Program Description:
This presentation will illustrate the evolving and complex nature of PIP law in Florida, particularly regarding the procedures and methodologies for claiming and calculating reimbursements under the statute. They underscore the ongoing legal challenges and interpretations within Florida’s PIP system, affecting both insurers and medical providers. (Note:  This material is password protected. To access the program, use the same password from our blog. If you would like to request a password, please tap or click the following link:   Request Password)

Click or tap to download:  Current Issues and Trends in Florida Personal Injury Protection (PIP) Law 2024

Presentation Title:
Adjusting First Party Property Claims

Program Description:
Adjusters and examiners will benefit from this presentation regarding what to do and what not to do in adjusting first party property claims under the revised statutes. Insight is provided regarding documenting the claim, handling disputes, and resolving claims for the benefit of insureds and insurers alike. This program underscores the importance of applying facts to policy conditions and exclusions, as well as loss payment and loss settlement provisions of insurance policies. The material covered also addresses relevant statutes and case law, interpreting the statutes and various policy provisions relevant to claims investigations. (Note:  This material is password protected. To access the program, use the same password from our blog. If you would like to request a password, please tap or click the following link:   Request Password)

Click or tap to download:  Adjusting First Party Property Claims

Presentation Title:
How Would They Know? SB 76 is Providing Proper Pre-Suit Notice for Suits under a Property Insurance Policy

Program Description:
This intermediate level course addresses Florida Statute §627.70152 regarding changes to Attorney Fee Entitlement, supplemental, reopened, and amended claims, and consolidation. Also considered are notice requirements and the insurer’s duties instituted rules for solicitation aimed toward contractors. (Note:  This material is password protected. To access the program, use the same password from our blog. If you would like to request a password, please tap or click the following link:   Request Password)

Click or tap to download:  Presuit Notice FIFEC 2022

Presentation Title:
The Florida Motor Vehicle No-Fault (PIP) Law, Current Trends and Issues, Legislative and Case Law Update 2022

Program Description:
This intermediate level course considers updates and trending legal issues affecting insurance professionals who handle PIP claims. (Note:  This material is password protected. To access the program, use the same password from our blog. If you would like to request a password, please tap or click the following link:   Request Password)

Click or tap to download:  PIP Law Update FIFEC 2022

Presentation Title:
The Florida Motor Vehicle No-Fault Law and Current Trends and Issues, Legislative and Case Law Update 2019

Program Description:
This intermediate level course provides a solid understanding of the complexities and nuances of the current Florida No-Fault Law and how these impact the claims process. Consideration is given to PIP related issues such as what constitutes an Emergency Medical Condition (EMC), fee schedule issues, the impact that failure to cooperate by not submitting to examinations under oath may have on the claim and the appropriate response to demand letters (Note:  This material is password protected. To access the program, use the same password from our blog. If you would like to request a password, please tap or click the following link:   Request Password)

Click or tap to download:  PIP FIFEC 2019

Presentation Title:
Material Misrepresentation – An Overview and Current Trends

Program Description:
It is a common belief that if an insured misrepresents facts or information in an insurance application that a policy will be void and insurance benefits will not be available to them. As the case law continues to develop unfavorably for insurers, Plaintiffs have been increasingly successful in finding ways to get around voiding policies, even if the misrepresentations in the application are proven. This presentation will not only provide a case law update regarding this unfavorable trend, but it will provide newest tips and tricks to combat and counter these tactics. (Note:  This material is password protected. To access the program, use the same password from our blog. If you would like to request a password, please tap or click the following link:   Request Password)

Click or tap to download:  Material Misrepresentation

Presentation Title:
Handling the Examination Under Oath in a Medical Case: A “Literally” Hands on Approach

Program Description:
A Guide to Questioning the Witness with “The Definitive Manual for Taking an EUO in a Medical Case.” This discussion will demonstrate how presenting illustrations at Examinations Under Oath can help determine if the services were provided as billed. The focus is 1st-party claims. (Note:  This material is password protected. To access the program, use the same password from our blog. If you would like to request a password, please tap or click the following link:   Request Password)

Click or tap to download:  EUOs in Medical Abuse Fraud Case

Presentation Title:
Emergency Medical Condition (EMC): Magic Words, Magic Coding, Magic Forms = EMC

Program Description:
When a Florida driver is injured in an motor vehicle accident, benefits are limited to $2500 unless and until a qualified provider determines that the patient had an emergency medical condition (EMC). Under Florida PIP law, what exactly is the definition of an EMC? Who in the medical profession are authorized to make this determination? What constitutional challenges have been made regarding PIP claims involving an EMC diagnosis? And what are some of the current strategies the insurance industry confronts in dealing with emergency medical condition determinations and litigation. These and other issues are considered in the following presentation posted by Scott Dutton. (Note:  This material is password protected. To access the program, use the same password from our blog. If you would like to request a password, please tap or click the following link:   Request Password)

Click or tap to download:  EMC Program

Presentation Title:
Adjuster’s Toolbox Part 1

Program Description:
This presentation will consider 4 primary areas of focus: 1) Providers who are authorized to bill for PIP benefits and what services they may bill for 2) the statutory provisions governing Examinations Under Oath 3) the differences between a Utilization/Peer Review and an Independent Medical Examination and
4) requests for information based on Florida Statute 627.736(6)(b) regarding discovery of facts about an injured person. Presentation posted by Kim Sandefer. (Note:  This material is password protected. To access the program, use the same password from our blog. If you would like to request a password, please tap or click the following link:   Request Password)

Click or tap to download:  Adjuster’s Toolbox Part 1

Presentation Title:
Adjuster’s Toolbox Part 2

Program Description:
Adjusters will benefit from this in depth discussion of the role Florida Statutes play with regard to the manner in which medical records are required to be kept by medical providers and the bearing this has on getting a fuller picture of a claim. They will also benefit from a consideration of CPT codes and CMS forms so as to recognize improper billing along with a review as to how depositions can be effective tools in claims/litigation process. Presentation posted by James C. Rinaman, III. (Note:  This material is password protected. To access the program, use the same password from our blog. If you would like to request a password, please tap or click the following link:   Request Password)

Click or tap to download:  Adjuster’s Toolbox Part 2