Upcoming Lunch & Learns
Rio Hondo Country Club
10627 Old River School Rd.
Downey, CA 90241
New training hours: 10:00 a.m. – 1:00 p.m. including lunch hour. New rates: $35.00 Members; $45.00 Non-Members
Methods of payment: Cash, Check, and all Major Credit Cards
SCFIA LUNCH & LEARNWhen: June 4, 2020
Where: Rio Hondo Country Club
10627 Old River School Road
Downey, CA 90241
Time: 10:00 a.m.
Cost: Members ($35.00) Non-Members ($45.00) Lunch Included
Speaker: Michael Chiriatti, Deputy District Attorney, San Bernardino County
Topic: Claimant Fraud in the Workers Compensation Fraud arena
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Previous Lunch & Learns
March 5, 2020 10:00 a.m.
Speaker and Topic: James Bilek, Orange County Deputy District Attorney
Inv. Todd Franssen, Orange County District Attorney's Office
The presenters will discuss what they are seeing and how the insurance industry (that is being robbed blind!). How the attendants can detect the fraudulent providers. This is a hot topic right now because of the sudden rise in the homeless population in California. Many of these homeless individuals are addicts who were imported into California to undergo treatment in various addiction treatment facilities. Both the prosecutor and investigator on the OCDA team, are great public speakers and are very knowledgeable about the topic. They are subject matter experts and I think your members would enjoy the presentation.
January 9, 2020 10:00 a.m.
Speaker and Topic: David Bogan
Dave will speak on Interview and Interrogation Techniques, using creative interview methods for better results, an overview of the Kinesic and Reid Techniques, and dealing with combative subjects.
Dave Bogan is the owner of DMB Investigators in Temecula, CA. DMB Investigations offers professional SIU services for the insurance industry. Dave is a former DEA Special Agent, Customs Officer, and Police Sergeant. Dave brings nearly 40 years of investigative experience to his presentation.
October 3, 2019 10:00 a.m.
Octavio Sanchez and Sarah Hermosillo are both NICB Special Agents and
provided a two (2) hour presentation.
Sanchez provided an overview of NICB Foreign Operations, covering services and assistance we provide
to insurance and LE on both sides of the border as well as new theft trends.
Sara Hermosillo covered questionable claims and fraud cases.
August 1, 2019 10:00 a.m.
Speaker and Topic
Pamela J. Leitao,
Deputy District Attorney
Insurance Fraud Unit
The topic was “What a Prosecutor Needs to File Your Case.” Pamela Leitoo went over the charging statutes used, depositions and examples of cases that were filed as well as cases that were rejected and why.
June 13, 2019
Topic and Speaker:
Auto Fraud and Technology
Timothy Staab, Delta Analysis
Tim Staab discussed common staged and fraudulent auto collisions schemes that occur in Southern California, how to identify the red flags associated with staged and fraudulent auto collisions, the use of technology in combating staged and fraudulent auto collisions—including the use of event data recorders and infotainment systems—and review case studies involving suspected staged and fraudulent auto collisions.
· Common staged and fraudulent auto collisions that occur in Southern California.
· How to identify the red flags associated with staged and fraudulent auto collisions.
· The use of technology in combating staged and fraudulent auto collisions, including the use of vehicle event data recorders and infotainment systems.
· Review of case studies involving suspected staged and fraudulent auto collisions.
Tim Staab is a court-qualified and accredited Traffic Collision Reconstructionist. He is a retired Police Chief, having served 31 years as a police officer with the City of Glendora. His company, Delta Analysis, has been serving the insurance and legal communities since 1994.
Chief Staab has investigated and reconstructed thousands of traffic collisions, and has conducted crash research and vehicle crash tests. He has been involved in vehicle event data recorder (EDR) technology for the past 19 years. He is a published author and frequent lecturer to law enforcement and insurance professionals.
April 11, 2019
Topic: Workers' Compensation Interview Techniques, Interviewing Medical Providers and Claimants, and Identifying Red Flags
Understanding Workers' Compensation Fraud
Speakers: Los Angeles City Investigator Jimmy Render and LAPD Detective Veronica Escauriza
Click any item to learn more about the previous event:
Thursday, February 7, 2019
When: 2/7/2019 | Where: Rio Hondo Country Club
We hope to see you at our next Lunch and Learn scheduled for:
Thursday, February 7, 2019 from 10:00 a.m. to 3:00 p.m.
- Vicky Summogum RN, PHD, CPC, MFRS – Healthcare Resource Group
- Zazil Mijares BA, MCC, MFRS – Consulting Specialist
- Rik Chavez MD – Clinical Professor Geffen School of Medicine, UCLA
TOPIC: Fraud and Abuse in Substance Use
Rio Hondo Country Club
10627 Old River School Rd
Downey CA 90241
Get Directions →
Vicky Summongum RN, PHD, CPC, MFRS
Medical Fraud Review Specialist
Clinical Director Medical SIU
Healthcare Resource Group. Buena Park CA.
Zazil Mijares BA, MCC, MFRS
Medical SIU Manager
Medical Fraud Review Specialist
Rick Chavez MD
HealthCare Resource Group
Specialty: Pain Management, Addiction Medicine
Clinical Professor Geffen School of Medicine UCLA
TOPIC: Fraud and Abuse in Substance Use Treatment Service Programs
- Delivery Method:
- Discussion on Substance use Disorders
- Types of Treatment Programs
- 23 hour observation
- Crisis stabilization
- Day treatment
- Intensive outpatient
- Partial Hospital
- Residential Treatment Center
- Fraud and Abuse in Substance Abuse Treatment Service Programs
The above will be presented in the first two hours
- Questions and answer on Part 1 presentation
- Presentation of case study.
- Question and answer
Member Cost: $35
Non Member Cost: $45
Thursday, February 1, 2018
Speaker: Jimmy Gomez, Department of Motor Vehicle
TOPIC: Fraudulent Document Detection (2 hours) and Identity Theft Training (2 hours)
This Training will provide information and skills necessary to recognize the characteristics and security features of legitimate Government-issued identification documents, which includes birth certificates, immigration documents, driver licenses and identification. cards, and, passports. The student will be able to identify counterfeit legal presence identification documents. Recognizing counterfeit Driver Licenses and Identification cards. Specific laws regulating counterfeit documents and reference materials pertaining to the subject will be identified. The course will also provide some basic guidelines to assist in investigating crimes involving counterfeit documents. Also, the presentation will provide students with an understanding of identity theft crimes; an understanding of specific laws regulating identify theft.
Thursday, May 3, 2018
Speaker: Andy Berasley, CFEI, CVFI, IAAI-FIT; Fire Investigator
Andrew Berasley is a certified fire investigator with the responsibility of managing and conducting vehicle fire investigations for Fire Cause Analysis. His years of experience include owning and operating his own auto repair facilities & collision company where he was directly responsible for mechanical issues on vehicles, trucks and heavy equipment. He currently works with law firms and the insurance industry, providing investigations and additional services in all fire-related disciplines including Fire Testing and Auto Related Mechanical & Electrical Studies. In addition, Mr. Berasley has given deposition and trial testimony in both civil and criminal cases.
Andrew Berasley is also responsible for all aspects of evidence recovery, handling & storage, and documentation of evidence, including supervising collection and evidence chain of possession at FCA’s facilities in Northern & Southern California and Arizona.
Speaker: KC Hester, CFI; Fire Investigator
KC Hester has over 15 years of professional experience in the fire service, serving in various capacities. He is a fire investigator with Fire Cause Analysis. He is also a certified forensic fire investigator with National Code Service Association. KC is a member of the Orange County Regional Arson Task Force and a terrorism liaison officer with the Fountain Valley Fire Department. He is an active member of the International Association of Arson Investigators, National Code Service Association, and California Conference of Arson Investigators. Mr. Hester is a California State Fire Marshal’s Office certified level II fire investigator and certified fire officer.
Mr. Hester is qualified to investigate fire scenes and explosions, locate the seat of the explosion or point of origin, determine the cause, and collect and record samples for laboratory analysis. Prepare investigation reports containing cause and origin analysis, witness statements, photographs, diagrams, and video when required, along with any other additional components. Conduct complete background investigations, surveillance, interview witnesses and is capable of giving expert testimony as to the results of these investigations. Conduct hazardous materials investigations of fires, spills, leaks and illegal discharges. A systematic approach using the Scientific Method as outlined in NFPA 921 is utilized when performing fire scene investigations.
Topic: “Vehicle Arson Investigations – Don’t Get Burned!”
This program utilizes visually compelling fire cases to illustrate effective vehicle forensic fire investigation involving: Private Passenger Vehicles, Recreational Vehicles, Trucks, and Heavy Equipment. The insurance claims professional’s responsibilities include the demanding challenge of evaluating the technical abilities of experts. They aren’t expected to be experts. They are expected to use good judgment and working with evaluating experts. This workshop is designed to provide thoughtful understanding among claims professionals to provide some tools and perspective to cost effectively utilize experts in the context an arson investigation without getting burned !
Thursday, August 2, 2018
Speaker: David Kersh
David Kersh is the Executive Director of the Carpenters/Contractors Cooperation Committee (C/CCC). The C/CCC is a non-profit labor management organization that collaborates with local, state and federal civil and criminal law enforcement agencies to crack down on wage theft practices and payroll, tax and workers’ compensation premium fraud. Mr. Kersh has been at the forefront of regional efforts throughout the Southwest to promote the creation of fair competition and high quality in the construction industry.
Speakers: Teena Barton (SIU Invetigator – ICW Group Insurance) and Attorney Sean Enrique O’Keefe
TOPIC: FRAUD AND WAGE THEFT PRACTICES IN THE CONSTRUCTION INDUSTRY
TOPIC: AN INSIDE LOOK AT HEALTH CARE INSURANCE FRAUD SYNDICATES
Course Description: A unique perspective into the world of capping schemes, from their evolution, to detection, to defense, and a look inside of the schemes from an indicted attorney.
Indicted Attorney (‘I was greedy and stupid’: Workers’ comp attorney admits to bribes)
Thursday, November 8, 2018
Speaker Information: Sergeant Jimmy Gomez, Department of Motor Vehicles.
TOPIC: Auto Dealer/ Salesperson Overview, investigations, fraud trends, case study on two top trends, Title Washing and VIN Cloning/Switching (stolen vehicles).