In her free time you will find Judge Spitzer at her son s baseball games, doing anything outdoors and in Big Bear with her family.

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2 This one-hour session will provide attendees with some insight as to what is happening at the various district offices and some of the issues that are now coming to the forefront post SB 863. Judge Jamie Sptizer has been the Presiding Workers Compensation Judge in Anaheim since August Prior to that she was the a Workers Compensation Judge, also in Anaheim, from April 2005 to August 2012 Judge Sptizer was an applicant s attorney at Ufkes, Bright & Spitzer beginning in 1992 until April She earned her Juris Doctor from Whittier Law School in Los Angeles 1992 and Bachelor of Arts in Sociology from Cal State University Fullerton in Judge Spitzer was a certified Specialist Workers Compensation from 2002 to In her free time you will find Judge Spitzer at her son s baseball games, doing anything outdoors and in Big Bear with her family. Ellen Flynn was born and raised in Cleveland Ohio. She left Cleveland to attend college at UCLA where she received her Bachelor of Arts degree in Psychology. She then attended University of San Diego School of Law where she received her Juris Doctor degree. After she passed the bar exam she worked in private practice for a firm that specialized in real estate and business litigation. She then went to work for State Compensation Insurance Fund and worked at the Long Beach, Cerritos, and San Diego offices. In 1985, she was appointed as a Workers Compensation Judge at the Santa Ana office of the WCAB. In 1991, she was promoted to Presiding Workers Compensation Judge in charge of the newly created Anaheim office. In June 2012, she was promoted to Associate Chief Judge for the southern region. She has previously been actively involved with the Conference of Workers Compensation Judges and the Executive Committee for the Workers Compensation Section of the State Bar of California.

3 This lecture is an overview of workers compensation claimant fraud. It will cover the identification of suspected fraud, to the investigation and prosecution. You ll hear from Tim Muraki, SIU at APEX Investigation and Debbie Jackson, Deputy District Attorney from Orange County District Attorney s Office. Learn about the typical claimant schemes and the defenses you can employ to reduce losses caused by fraud. Tim has been with APEX Investigation for 8 years. He graduated from California State University Sacramento with a bachelor s degree in business. During his employment with APEX he has worked in the capacity of Investigator, Regional Account Manager and the Director of Claims Investigation. He was promoted in 2012 to Vice President, SIU. Tim oversees all aspects of the APEX SIU Department including investigation of suspected fraud cases, fraud packaging, submission of FD-1s and liaison with the District Attorneys and Department of Insurance. Tim provides ongoing anti-fraud training with clients and employees. Outside of work Tim enjoys snowboarding, golfing, fishing and spending time with his family Debbie Jackson is a Deputy District Attorney at the Orange County District Attorney s Office. She has been assigned to the Insurance Fraud Unit since 2006 where she has been aggressively prosecuting applicant cases, premium fraud cases, insider fraud cases, and conducting freeze and seize operations on defendants charged with a white collar crime enhancement. Debbie is known for her aggressive prosecution style and has been responsible for prosecuting and convicting numerous offenders; and recovering millions of dollars in restitution. She prosecuted Michael Petronella and Devon Kile in 2009 in a highly publicized case where the defendants assets were also seized. Both defendants were convicted; Michael was convicted by a Jury and his conviction was affirmed by the court of appeals this summer. He and his wife were sentenced to 10 years in State Prison.

4 This one-hour session will provide you with up-to-date information and practical tips for claims examiners to minimize the headaches caused by requests for both external medical records and internal claim files. Provide a brief overview of HIPAA issues Discuss strategies for obtaining records without unnecessary delays Review the latest information on the copy service fee schedule Analysis of extensive bill review data from applicant copy bills Minimize the impact of third-party subpoenas and IMR record requests on claims teams Sam Bragg is the President and CEO of Castle Copy Service, Inc. and currently serves on the Board for AWCP as President. Sam literally grew up in the claims industry and started working for Gregory B. Bragg & Associates, Inc. in Since then, he has earned a Bachelor s degree from California State University, Sacramento in Finance, Risk Management & Insurance. Mr. Bragg also passed the Self- Insurance Administrator s Examination in In 2010, he began managing Castle Copy Service and has become in expert in CA discovery procedures and HIPAA compliance. Even before SB863, Sam has been involved in advocating the implementation of a copy service fee schedule to eliminate the waste and abusive billing practices found in CA Workers Compensation.

5 This one-hour session will provide an overview and analysis of recent case law focused on Almaraz/Guzman ratings. Provide a brief overview of Almaraz/Guzman Review current cases pertaining to Almaraz/Guzman case law Provide impairment expert analysis of proper application of the AMA in Almaraz/Guzman cases Provide strategies to ensure proper application of Almaraz/Guzman. Leslie Dilbeck, WCCP, CIR, serves as Vice President of Client Relations for iratings. She is a Workers Compensation Claims Professional who has worked in the California Workers Compensation system since She received her Bachelor of Arts degree in Speech Communications from Point Loma Nazarene University where she had a successful career as a National Speech and Debate competitor. Leslie began her career in workers compensation as a claims adjuster handling both State and Federal workers compensation claims. She has been awarded the State of California Self-Insurance Certificate, Workers Compensation Claims Professional and Certified Impairment Rater. After a 5 year career in the claims industry Ms. Dilbeck went on to work for Sharp Rees-Stealy Medical Group in San Diego where she was responsible for training over 60 multi-specialty care physicians in report writing for workers compensation and long-term disability. Leslie has extensive experience as a Certified Impairment Rater by providing training to physicians, attorneys and claims professionals on the Guides. As an expert in the field of impairment assessment, Ms. Dilbeck has authored several publications on the Guides. Additionally she has reviewed and rated thousands of cases utilizing the 4th, 5th and 6th Edition AMA Guides to the Evaluation of Permanent Impairment.

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