Objective: Empower insurance professionals to accurately assess medical causation in injury claims, improving claim outcomes and minimizing unnecessary payouts.
Target Audience: Designed for claims handlers, Special Investigations Unit (SIU) professionals, and defense attorneys involved in medical claims.
- Learning Goals: Develop skills to assess causation critically, determining the link between alleged incidents and reported injuries.
- Identify inconsistencies and red flags in medical claims that may indicate unrelated health issues.
- Enhance understanding of medical evidence to support accurate and fair decision-making.
Rob’s 30+ years of experience in claim reviews and analysis, in-depth understanding of the intersection of medical, legal and policy aspects of claims and his tenacity to produce positive outcomes for customers is the reason our customers continue to refer challenging and high exposure claims to TPN.
Rob is a thought leader on claims management and forensic review and analysis, and is often sought out to speak at leading industry conferences and trade shows, including International Association of Special Investigation Units (IASIU), Insurance Fraud Management, as well as Specific Training Seminars for CE credits required of licensed adjusters.
Insurers and corporations frequently request consultative services and training from Rob to help them streamline their claims management process, train claims representatives to identify cases that need forensic analysis early in the process, and improve executive management’s knowledge of key aspects of effectively resolving complex and high exposure medical claims.
Rob earned a Bachelor of Science degree from University of Massachusetts at Amherst, Isenberg School of Management.
- 5 Levels
- Coaching By Robert
- Community Support