Health Insurance Expert Witnesses

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Health insurance expert witnesses practice in a variety of fields, including healthcare administration, medical billing, health policy, insurance fraud investigation, and risk management. Some of the most common specialties among health insurance expert witnesses also include managed care, health economics, health informatics, insurance underwriting, and claims handling. They can opine on the effects of policy coverage disputes, fraudulent claims, improper denial of coverage, standard of care in healthcare delivery, and the impact of healthcare legislation.

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Susan Leigh Combs, PPACAView profile

ID: 6255075

Ms. Susan Leigh Combs, PPACA

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New York

Ms. Susan L. Combs has over 20 years of experience in Insurance and Claims. She earned her BS in Hotel and Restaurant Management from the University of Missouri Columbia. Today, this expert is a Certified Patient Protection and Affordable Care Act Professional, Chartered Health Consultant by the National Association of Health Underwriters, and is licensed as an Insurance Producer in over 25...

Financial Services and Insurance Expert Witness | New HampshireView profile


Financial Services and Insurance Expert Witness | New Hampshire

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New Hampshire

This expert has over 30 years of experiences with securities, investments, and insurance at the financial advisor, supervisory, and managing principal level. He has his producer's license in life, accident, and health insurance, is a certified financial planner, a chartered financial consultant, and a chartered life underwriter. He is also a member of numerous prestigious organizations in the...

Henry Carl Miller, PhDView profile

ID: 6255077

Dr. Henry Carl Miller, PhD

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Dr. Henry Miller has over 45 years of experience in the fields of Healthcare Analytics, Public Policy, and Regulatory Analysis. He earned his BBA and MBA in Accounting from City College of New York, and his Ph.D. in Economics and Accounting from the University of Illinois. Formerly, this expert served as the Managing Director at LECG Corporation and at Navigant Consulting, Inc., He also served as...

Patient Access and Healthcare Expert Witness | AlabamaView profile


Patient Access and Healthcare Expert Witness | Alabama

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This expert is a well experienced health insurance expert, as she has been involved in multiple company's Revenue Cycle Management programs for the past 15 years. She has been involved with negotiations with pharmacies and physicians, and has in depth knowledge of how to work with the Pharmacy Benefit Managers group to effect drug pricing.

Valuation and Economic Damages Expert Witness | IllinoisView profile


Valuation and Economic Damages Expert Witness | Illinois

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This highly qualified expert has provided valuation and corporate finance consulting services since 1987. He is a Chartered Financial Analyst (CFA) and he is a member of several prestigious associations including the Healthcare Financial Management Association and the American Society of Appraisers. He previously worked as the Senior Managing Director of American Appraisal Associates Inc where...

Healthcare and Health Insurance Expert Witness | CaliforniaView profile


Healthcare and Health Insurance Expert Witness | California

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This expert has over 30 years of experience with healthcare and health insurance. She gained her PhD in sociology and health policy at the University of California, Santa Cruz and directed research at the Institute of Health and Aging at UC San Francisco before leading the White House's Health Care Reform Task Force. Since, she has continued to contribute to the private and public sectors,...

Insurance Expert Witness | ColoradoView profile


Insurance Expert Witness | Colorado

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This expert began his career in underwriting in the 1960's, managing a regional general agency with broad underwriting authority specializing in property real and personal coverage, running the gamut from simple auto and homeowners’ policies to complex property, inland marine, manufacturer’s output and ocean marine policies. When he sold his agency in 1988, he had 60 employees and annual...

Health, Life, & Property Insurance Regulation Expert Witness | New YorkView profile


Health, Life, & Property Insurance Regulation Expert Witness | New York

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New York

This highly qualified expert has nearly 40 years of experience in insurance. He earned his BBA in accounting from Hofstra University before beginning his career in insurance with the New York State Insurance Department and the New York State Department of Financial Services. During his 35 years working for the New York State Insurance Department, he held several prominent positions, including...

Healthcare Management Expert Witness | IllinoisView profile


Healthcare Management Expert Witness | Illinois

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This highly-qualified expert has over 30 years of experience in healthcare management. He earned his BA in political science from the American University and completed graduate coursework in health care public policy at the University of Chicago. Throughout his career, he has been highly involved in health care forums, having a hand in healthcare changes such as successfully lobbying Congress to...

Health Insurance Expert Witness FAQs

What is the role of a health insurance expert witness in legal proceedings?

A health insurance expert witness provides specialized knowledge on health insurance policies, claims, and regulations. They can clarify complex issues, provide informed opinions, and testify in court.

What types of cases might require a health insurance expert witness?

Cases involving denied claims, policy disputes, bad faith claims, underwriting practices, or regulatory compliance often require the expertise of a health insurance expert witness.

How can a health insurance expert witness help in a medical malpractice case?

In medical malpractice cases, a health insurance expert can analyze coverage issues, determine if proper procedures were followed, and assess the reasonableness of medical costs.

Are there subspecialties within the field of health insurance that an expert witness may focus on?

Yes, some experts specialize in areas like Medicare/Medicaid, private insurance policies, managed care systems, or healthcare finance and economics.

Why is it important to hire a health insurance expert witness with experience in claim denials?

An expert with experience in claim denials can provide insight into whether the denial was justified based on policy terms and industry standards. This can be crucial evidence in such cases.

How does Expert Institute select its Health Insurance expert witnesses?

Expert Institute offers a personalized approach to help you find the highest quality experts. We source actively-practicing professionals who match all your requirements for specialty areas, work experience, litigation history, fee range, certifications, location, and more.

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