www.NJSIA.org
New Jersey Special Investigators Association, Inc.

2022 Workshops

(Subject to Change)

Workshops

(Subject to Change)

Auto Theft Trends



Cory Rodriquez

Renan Lopes 

Detective Sergeant Cory Rodriguez, is assigned to the New Jersey State Police, Motor Vehicle Crimes North Unit, Auto Theft Task Force.  He has been a member of the New Jersey State Police for over 14 years. DSG Rodriguez has attended the New York City Police Department’s Auto Crimes School, Interpol's Project Formatrain, is an IAATI Certified Vehicle Crime Specialist, a certified Berla vehicle forensics investigator, and a Certified Fraud Examiner.  DSG Rodriguez is also 2nd Vice President of the Northeast Chapter of the International Association of Auto Theft Investigators. 

  

Biomechanical Expert Witness Presentation

FCNA Dove

Kevin Toosi MD, PhD


This workshop will cover the following

The Art of Science-Biomechanics and Identifying Fraudulent BI Claims

  • What’s Behind the Science of Biomechanics; Targeting BI Claims
  • The Red Flags of Fraudulent BI Claims Through Science


Bridging the CX and SIU Gap Through Analytics 

  NJM Insurance Group

Mike Bento   

Loni Hand                                                                                                                                                              

SIU Trivia             

NJM Insurance Group       logo

Lee Befeler, Esq.

Daniel Johns-NJM


LEE BEFELER

Lee Befeler is a principal in the Morristown law firm of Sullivan and Graber, which has provided successful representation to insurance carriers and their insureds for over 35 years. In his 31 years at Sullivan and Graber, Mr. Befeler has lectured numerous times on insurance issues at the New Jersey Special Investigators Association and the New Jersey Vehicle Theft Investigators annual seminars and has prepared seminars for insurance carriers to satisfy CLE requirements. Lee Befeler is a certified R.1:40 Mediator for the New Jersey Superior Court.

Sullivan and Graber has extensive experience litigating insurance claims in Federal and State Courts in New Jersey and New York. The firm’s coverage work includes assisting insurance carries in claim investigations and the taking of examinations under oath. Sullivan and Graber also provides carriers with legal opinions on issues including, but not limited to, coverage and policy conditions such as duty to defend, bad faith claims, subrogation and indemnification.

The firm’s insurance work includes:

  • Arbitration and mediation
  • Auto Theft
  • Arson
  • Bad faith claims and litigation
  • Business and commercial coverage
  • Dram shop litigation
  • Environmental claims, coverage and pollution exclusions
  • Examinations Under Oath
  • First Party and Third Party coverage
  • General liability
  • Homeowner’s insurance
  • No Fault/PIP
  • Personal injury and wrongful death litigation
  • Product and Premises liability
  • Professional liability
  • Subrogation
  • Uninsured and Underinsured Motorist coverage

In addition to general casualty work, Sullivan and Graber is recognized as a leader in the specialty practice of insurance fraud. The firm uses innovative techniques, advanced technology and hard work to fight fraud against insurance carriers. Sullivan and Graber pioneered the use of declaratory judgment actions to combat large fraud schemes resulting in significant savings to the insurance industry. The firm adopted the procedural tools developed in those actions to curtail fraud in POP, personal injury and property damage cases. Sullivan and Graber’s early use of injunctive relief to stay PIP suits and arbitrations pending the resolution of fraud and restitution actions in the Superior Court greatly reduced insurance carrier’s litigation costs as well as obtaining recoveries in the tens of millions of dollars for multiple insurance carriers.

Lee Befeler received his J.D. from the McGeorge School of Law, Sacramento, California in 1987. Mr. Befeler is admitted in New Jersey.   



Electric Bicycles, Low-Speed Electric Bicycles, Motorized Bicycles, and Complex Coverage Questions  

       NJPLIGA full logo

Kennedy Vuernick, LLC

The Meadows Office Complex

301 Route 17 North, Suite 800

Rutherford, NJ 07070

E-Mail: jkennedy@kvlawllc.com

Website: http://www.kvlawllc.com 

Tel: (201) 636-9980

Direct: (201) 636-9988

Fax: (201) 636-9990


Douglas Alba, Esq.

Nicholas Hamm


More than 39 states have legalized the use of low-speed electric bicycles to some degree. Most states do not require the operator to be licensed or the bike to be registered or insured. New Jersey joined that group on May 14, 2019, and in less than 2 years the New Jersey Property-Liability Insurance Guaranty Association is seeing claims involving "electric bicycles" that are approaching 10% of the total new claims received under the Unsatisfied Claims & Judgment Fund. Understanding the legal requirements and the nuances of the different classifications and categories of low-speed electric bicycles, electric bicycles, motorized bicycles, and motorized and/or low speed electric scooters is sometimes difficult but necessary in determining if and where coverage may be found.



Electronic Vehicle Data: What a vehicle can tell you about the accident?

      All images                                                                                             

Joseph Teitelman 

Electronic vehicle data has been a critical tool for accident investigators and reconstructionists since the first commercially accessible event data was introduced in 1994 by General Motors. With the ever-increasing amount of technology being implemented into new vehicles, the future of electronic vehicle data stretches far beyond the traditional “black box”. Collision reconstructionists are able to access more information than ever before from a multitude of computers located within the modern vehicle. ARCCA’s accident reconstruction experts are industry leaders when it comes to accessing and utilizing electronic vehicle data. Information imaged from event data recorders (EDR), infotainment/telematics units, and advanced vehicle data related to driver assistance systems will be explored and the many roles that this data can play in an investigation with be demonstrated.


PEER-TO PEER RENTALS: STRATEGIES TO ADDRESS COVERAGE AND LIABILITY ISSUES.



Matthew Werbel, Esq.

Methfessel & Werbel, P.C.

3 Ethel Road, Suite 300

Edison, New Jersey 08818

Ph. 732-248-4200 ext. 150

Matthew Werbel

Tulane University School of Law, J.D. 1998
Franklin & Marshall College, B.A. 1994

Mr. Werbel joined the firm following a successful clerkship with the Honorable Edward W. Beglin, Jr., Assignment Judge of the Superior Court in Union County. At Tulane he specialized in environmental litigation and regulatory actions, receiving a certification in Environmental Law as well as a J.D.

Mr. Werbel presently represents insurance carriers, insureds, and self-insureds in the investigation and defense of both first and third-party claims.

Mr. Werbel handles cases in many areas, including environmental, fraud, first and third party coverage, inland marine, liability, and subrogation. Additionally, Mr. Werbel has successfully argued several cases before the Appellate Division including several that were approved for publication. Mr. Werbel also handles substantial subrogation claims including the early investigation of those claims.

Mr. Werbel has also presented many seminars on topics such as Mold, Bad Faith, Insurance Fraud, Unfair Claims & Settlement Practices Act, Staged First Party Claims, Additional Insured and Indemnification Claims, Collapse Claims, and Duty to Defend Negligent and Intentional Torts.

Richard A. Nelke

Pace University School of Law, J.D. 1999

Seton Hall University, B.A. 1996

Admitted to the New Jersey Bar, 1999

Admitted to the New York and Washington D.C. bars, 2000

After graduation, Mr. Nelke obtained a clerkship with the Honorable Mark M. Russello, Bergen County Superior Court.

Following his successful clerkship, Mr. Nelke worked for a defense firm representing insurance carriers, insureds and self-insureds in the investigation and litigation of both first and third-party claims in New Jersey and New York. For 11 years he managed and supervised a litigation practice group, defended insureds and insurers in jury and bench trials across the state and specialized in the investigation and prosecution of fraud claims.

How Data Analytics Uncovered an Unlicensed Provider Charging Insurers for…..Working Out?   

What does working out have to do with healthcare fraud?

After tackling the types of data methods to data analytics, investigators and analysts are tasked with assessing what’s a viable lead and the next steps in the process. Learn about how data analytics uncovered an unlicensed provider who was merely performing Personal Training services and billing as if they were a licensed provider providing medical services. The case incorporated data analysis, interviews, medical records, social media research, regulatory agency referral and investigation and more.

Karen Weintraub

With 25 years of data and 20 years of healthcare experience, Ms. Weintraub is currently responsible for the design and development of the company’s healthcare fraud detection software products and services. She provides subject matter expertise on system design and workflow, business rule development, data mining and fraud outlier algorithms as well as SIU policies and procedures. Prior to joining Healthcare Fraud Shield, managed SIUs on various healthcare investigations for all commercial, Medicaid and Medicare business and claims of fraudulent activity. Ms. Weintraub received a BA in Criminal Justice from the University of Delaware and an MA in Criminal Justice from Rutgers University. Ms. Weintraub is a Certified Professional Coder for Payers (CPC-P), a Certified Professional Medical Auditor (CPMA) from the American Academy of Professional Coders and the founder of a local NJ AAPC chapter. She is also an Accredited Healthcare Fraud Investigator (AHFI) from the National Healthcare Anti-Fraud Association (NHCAA). Ms. Weintraub previously taught CPT Coding, Fraud & Audits, and Medical Billing, Laws and Ethics at Mercer County Community College.


Medical Street Fraud

                                                                                   

Lt. Jarek Pyrzanowski

Today’s street Gangs are no longer just focusing on drugs and violence.  The new trend among the street gangs is Fraud.  The course will provide case debriefs on real medical fraud investigations and clarify the nexus between white-collar crime and the street crime underworld.  It will also educate attendees how the rapidly expanding realm of cyber-crime is resulting in increased criminal activity in the areas of medical fraud and street fraud investigations.  Many real world and clear examples of organized criminal activity, money laundering, theft and fraud on a local, national and international scale will be discussed in this course


Lieutenant Pyrzanowski currently oversees a specialized unit investigating medical fraud and prescription drug fraud for the NJ Division of Criminal Justice. He was formerly assigned to the NJSP Auto Theft Task Force and is recognized as a subject matter expert in the areas of Vehicle Theft and Vehicle Finance Fraud. Before joining DCJ/OIFP, he worked in the Special Investigations Section of Liberty Mutual Insurance Company and as a Borough of Belmar Police Department patrol officer. Throughout his twenty-five-year law enforcement career, he has been assigned to various units that conduct complex investigations pertaining to automobile crimes, financial crimes, criminal street gang crimes, drug trafficking, complex fraud investigations, and Official misconduct.  He is a certified technical investigator and has extensive knowledge of electronic surveillance techniques and tactics.  He is also proficient in various cell phone forensics, vehicle infotainment extractions and analysis.     He was the President of the New Jersey Vehicle Theft Investigators Association and is currently the 4th Vice President of the North East International Association of Auto Theft Investigators. He regularly speaks at various Law Enforcement and industry seminars and is a frequent speaker at New Jersey Police Academies. Lieutenant Pyrzanowski’s Auto and Medical Fraud investigation experience, two seemingly unrelated fields, fit together in a complex criminal investigation world. 

             PIP Trends                 

Ken Pringle, Esq.                                                                  

Pringle, Quinn, Anzano, P.C.

Belmar Office:

701 Seventh Avenue

Belmar, NJ  07719

Telephone:  732-280-2400

Kenneth E. Pringle was admitted to the New Jersey and District of Columbia bars in 1983.  He graduated summa cum laude from Mount Saint Mary’s College and cum laude from Georgetown University Law Center, where he was a member of the editorial board of the Georgetown Law Journal.  He served as law clerk to the Honorable Clement F. Haynsworth, Jr., Senior Circuit Judge of the United States Court of Appeals for the Fourth Circuit.  He has been associated with the Washington, D.C. law firms of Hogan & Hartson and Ross, Dixon & Masback. 

Mr. Pringle has extensive experience in a broad range of insurance defense and coverage areas on behalf of numerous U.S. insurance companies, including the CNA Insurance Companies, Harbor Insurance Company, Chubb Insurance Company, the Allstate Insurance Company, the Prudential Property and Casualty Insurance Company, Liberty Mutual Insurance Company, Selective Insurance Company and AMICA Mutual Insurance Company.  Mr. Pringle represents the Special Investigation Units of Allstate, Prudential, Liberty Mutual, CNA, Colonial Penn Insurance Company, Bayside Insurance Company, Selective Insurance Company, AAA/Midlantic (Keystone) and USAA Casualty and Insurance Company, and has represented a number of non-marine syndicates at Lloyd’s, London in connection with insurance fraud matters ranging from fraudulent property and personal injury losses to staged deaths and accidents, to healthcare fraud.  Mr. Pringle has brought suit on behalf of his clients in New Jersey against numerous healthcare providers alleging violations of the NJ Insurance Fraud Prevention Act and the Racketeer- Influenced and Corrupt Organizations Act.  In addition, he has litigated in the state and federal courts in numerous liability areas, including employment law, comprehensive general liability, automobile liability, directors’ and officers’ liability, public officials’ liability and board of education liability.  Mr. Pringle serves as general counsel to the New Jersey Special Investigators Association, Inc.

Surveillance Tips & Tools

  

Dana Pescatore


The Art of Interviewing, Illusions and Courtroom Testimony

George Ripley

The entire process of interviewing and interrogation is often described as the process of creating illusions to obtain information. Perception and impression in the court room are often overlooked in the final stage of your investigative work product. This course talks about human behavior and cognitive psychology and applies them to interviews, interrogations and court room testimony. Information is the commodity for professional investigators. This course will provide insight in the use of traditional and non-conventional DBR, active listening and the power of the question mark. It will also focus on perceptual illusions to aid information collection and courtroom success.

THE GOOD, THE BAD AND THE UGLY – The Current Trends in Pain Management

Matthew J. Smith, Esq. & Scott E. Metzger, MD

This presentation will provide insight and information on the latest trends observed in Pain Management treatment and abuses that are currently being billed to the No-Fault and PIP industry. Attendees will learn what the procedures are and how they are abused from the initial prescription to the service delivery to the manner in which they are billed to insurance carriers.

Matthew J. Smith

MATTHEW J. SMITH is a partner and principal at Callinan & Smith, LLP. His practice includes the defense of general liability claims, motor vehicle negligence claims, premises liability claims, homeowner litigation claims, Personal Injury Protection claims and fraud, bad faith and extra-contractual claims, insurance coverage disputes and suspect/fraudulent insurance claims. In addition, he represents various insurers in declaratory judgment actions, and in affirmative actions. Matthew J. Smith attended Pace University, Pleasantville, New York, where he completed a Baccalaureate in Political Science, in January 1986, graduating Cum Laude. He also received a Master’s Degree in Public Administration (Government Track), from Pace University Graduate School, White Plains, New York, in May 1988. He graduated from Pace University School of Law in May 1993, Cum Laude, and had served on the Environmental Law Review Editorial Board, was the Miller Scholar, was a Ranking/Dean’s scholar, Dean’s List, founding member and second President of the Pace Gaelic Law Society, and served on Moot Court Board. He also published three Legal Articles in Law Review and National Journals before Graduation. He was admitted to the State Bar of New York and New Jersey in 1994, the United States Supreme Court in 1997, the Eastern District of New York in 2007, and, most recently, to the Pennsylvania Bar in 2019. Mr. Smith served as an Assistant District Attorney, at the Bronx County District Attorney’s Office, in Bronx, New York, from August 1993 until May 1996. As an Assistant District Attorney, he was assigned to the Appeals Bureau. While there, he also compiled with another member of his Bureau, a litigation manual for cases subject to the New York State Mental Health laws and Criminal Procedure Law Articles 330 and 710. From May 1996 through September 2011, Mr. Smith was an attorney with the law firm of Melli, Guerin Wall & Messineo, P.C., in Paramus, New Jersey. Subsequently, Mr. Smith became a partner in the insurance fraud and litigation practice section of that mid-sized firm in January 2001 where he remained until September 2011. From September 2011 until May 2013, Mr. Smith was the Managing Attorney for the New York and New Jersey offices of the law firm of Allen, Kopet & Associates, PLLC. From May 2013 until April 2020, Mr. Smith was a Partner with Bruno, Gerbino, Soriano & Aitken, LLP, where he managed their Ramsey New Jersey office and was lead attorney for their New Jersey practice. Mr. Smith frequently lectures on Insurance Fraud issues to clients and professional organizations throughout the United States, and has lectured at the Bergen County Police Academy, as well as NJSIA. He had been previously appointed by the Supreme Court, State of New Jersey, to serve as a Panel Chair and Vice District Chairperson for District II-A Fee Dispute Panel from 2011 until 2015. He also was a decorated ARMY officer serving on active duty, as well as a member of the ARMY National Guard and Reserves. He also served as a Legal Officer attaining the rank of Lt. Col. in the USAF-AUX/Civil Air Patrol from 2006 to 2018. He is a 4th Degree Member of the Knights of Columbus and he and his wife Michele have served as a host family for Project Children since 2002.

The Right Way to Conduct an Insurance Fraud Investigation, Right from the Start


This workshop will cover:

  • Understanding the criminal fraud law of jurisdiction
  • Walk the attendees through example crime elements
  • Address the identification, assessment, collection, & preservation of evidence
  • Conclude with how to write their fraud referral to gain the attention of law enforcement

Bo Barber

Bo Barber, CFE, is a retired, decorated, police officer from Los Angeles County. He has over 18 years of healthcare fraud investigative and behavioral intelligence gathering experience. Bo is the former head of major investigations for a large P&C carrier who since 2020 has served as Director of Investigative Analysis at Verisk (a global insurance-focused data analytics solutions provider).

Bo has been a featured speaker, both nationally & internationally, before anti-fraud conferences, state & federal law enforcement agents and prosecutors teaching on topics ranging from how to conduct healthcare fraud investigations; the use of data analytics in fraud investigations; and how to conduct large scale organized insurance fraud crime investigations. Uniquely, Bo has also taught law enforcement agents on how to perform undercover in healthcare facility settings.

Investigations that Bo has led have resulted in healthcare provider arrests, convictions, millions of dollars in restitution payments, and/or sanctions by regulatory agencies, nationwide.     

Among his many recognitions, Bo Barber received a Commendation from the Los Angeles County District Attorney’s Office for his investigative role and data analysis contributions to the Premier Medical case…the largest workers’ compensation fraud in California state history. 

Outside of work, Bo is an international selling novelist. His 2015 debut crime thriller, Indemnity, has enjoyed sales in four separate countries worldwide.

Legal Trends in Fighting Fraud

Home

The ever-changing landscape in litigation and regulation can be challenging for fraud fighters. Hear from leading fraud defense attorneys who are on the front line in the fraud fight on the current and emerging legal issues affecting the SIU Professionals.

Jeffrey G. Rapattoni, Esq.

Jeffrey joined Marshall Dennehey in 2008 and serves as the chair of the firm’s PIP Litigation Practice Group, co-chair of the firm's Fraud/Special Investigation Practice Group and is a member of the Board of Directors. He focuses his practice on insurance fraud, bad faith and SIU related matters working with carriers both in the US and internationally.

Jeffrey litigates insurance fraud and fraud-related matters throughout the state of New Jersey and many other jurisdictions. He acts as national coordinating counsel to several insurance companies and helps clients develop strategies for defending complex litigation related to medical provider fraud, PIP and other emerging insurance issues. In addition, Jeffrey frequently consults with insurance carriers across the country to help integrate internal analytical platforms, create risk management protocol and conduct fraud-related investigations.

He has extensive training and background in provider-based investigations, underwriting fraud, policy voidance, and staged accidents. Other practice areas include large loss property claims, coverage, general civil litigation, and appellate practice. He is an experienced mediator and coordinates investigations for companies in the healthcare, insurance, gaming, hospitality and other industries. As part of his practice, Jeffrey has worked with experts in the fields of cause and origin and bad faith as well as local and federal authorities.

Jeffrey possesses a unique understanding of the value of big data analytics in improving outcomes in the SIU environment. In 2017, Jeff was invited to join the Advisory Board of the BigData@Rutgers certificate program. In this capacity, he provides input on curriculum development to improve the program's offerings and value to the business community.

He frequently lectures on insurance fraud, bad faith and data analytics topics for a number of local and national insurance organizations. He also provides legal education seminars for clients and organizations across the country.

After graduating with a Bachelor of Arts degree from Villanova University in 1997, Jeffrey served as a legislative correspondent for United States Senator Arlen Specter in Philadelphia and Washington D.C., where he assisted in drafting legislation and conducting legal investigations. While attending Rutgers Law School, he served as a judicial extern to the Honorable Judge John A. Almeida, J.S.C. Burlington County-Civil Division, where he drafted tentative dispositions of the court and assisted in court-ordered mediation sessions. 

FRANCIS X. (FRANK) SZTUK

Frank is the Senior Vice President/Investigative Services for the Delta Group.  He came to Delta after a rewarding 36-year career with the Hanover Insurance Company, where he developed the Special Investigation Unit Program at that company.  He retired as the National SIU Strategist, responsible for oversight of one of the leading anti-fraud programs in the industry.  He served on many boards and councils in his career, most notable being the immediate past-Chair of the Massachusetts Insurance Fraud Bureau.  He is also a former Chair of the national Coalition Against Insurance Fraud as well as the NY Alliance Against Insurance Fraud, where he still chairs the Public Outreach Committee of that organization.  He sat on the NJ Insurance Commissioner’s Fraud Advisory Board and the NJ Insurance Council Anti-Fraud Committee.  He has lectured both nationally and internationally on the subject of insurance fraud and continues to present at various programs such as the ISO/NICB Insurance Fraud Management Conference and the IASIU annual fraud conference.  Frank is a lifelong resident of New Jersey, where he lives with his wife, Angela.


Mysterious Personal Property Losses