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 include kidney transplantation in HR 1 in the 1970s. He has formerly served ...
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 director of policy initiatives and assistant chief examiner of the property ...
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 revenues in excess of $10,000,000. His career also includes a wealth of claims ...
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, working as a principal at William M. Mercer, Inc, the vice president of the Lewin ...
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 he was the Chair of Healthcare Industry Practice. Currently, this expert ...
This expert has 18 years of experience as a health/LTC/disability actuary with broad experience within the insurance industry and as a consultant. His experience includes the following practice areas:
(1) Individual and Group Medical (Insured) - This expert has served as Appointed Actuary for a health insurance carrier and has expertise in all related matters including ACA 3R issues that are being faced by insurance carriers selling ACA business in the state and ...
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....
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 insurance and financial services fields. This expert is is a former agency ...
This expert has been practicing in the risk management and insurance industry for over 30 years. Ranked first in her graduating Risk Management class and chosen nationally as a Risk and Insurance Management Society scholar, she has defended both insurers and brokers in many cases involving coverage disputes, lack of coverage and property loss. She is currently the President of her own risk management consulting firm, she regularly manages large Property and Casualty ...
This expert has over 60 years of experience in the field of insurance. He earned his BS at David Lipscomb University and is a Licensed Property and Casualty Insurance Agent, as well as a Life and Health Insurance Agent. He a certified Chartered Property and Casualty Underwriter, as well as an Associate in Risk Management. He is active in his field as a member of the National Chartered Property Casualty Underwriter Society, and has published on topics relating to the ...
On Election Day 2020, California voters approved one of the most expensive ballot measures in the state’s history, Proposition 22. The measure was both created and heavily campaigned for by Uber, Lyft, and DoorDash. With the passing of Proposition 22,…
Court: United States District Court for the Western District of Oklahoma Jurisdiction: Federal Case Name: Allianz Life Ins. Co. of N. Am. v. Muse Citation: 2019 U.S. Dist. LEXIS 217447 The plaintiff claims the insurance expert’s testimony is not valuable…
In this class action, the basis of an actuary expert’s report was under review via a Daubert challenge. Daubert focuses on the validity of an expert’s methodology. The plaintiffs claim that a third party’s audit report constituted unsubstantiated “hearsay” and…
Court: United States District Court for the Eastern District of Wisconsin Jurisdiction: Federal Case Name: Merrill v. Briggs & Stratton Corp. Citation: 2015 U.S. Dist. LEXIS 117677 In this class action lawsuit involving alleged violations of the Labor Management Relations…
This case involves a man past retirement age who underwent an elective surgery and subsequently succumbed to a hospital-acquired infection. The patient accrued more than $1 million in medical expenses which had been fully covered under a self-funded plan. An…
This case involves a state-run fund for medical malpractice claims that allegedly claimed disproportionately large reserves from healthcare providers. An actuarial expert familiar with two specific provisions of the fund dealing with actuarial communications and unpaid claims estimates was sought to…
This is a professional negligence case against a large auditing firm. The defendant firm was performing the audits for a property insurance firm in Texas. Insurance companies are required to maintain a certain amount of liquidity, however the property insurance…
This case involves an alleged failure to compensate the plaintiffs for a shortfall in a healthcare revenue management contract despite previous explicit agreements. The law requires that hospitals like that of the plaintiff provide indigent care to persons who do…
This is a professional negligence case against a large auditing firm. The defendant firm was performing the audits for a regional medical insurance firm in southern Texas. According to the relevant laws, insurance companies are required to maintain a certain…
This case involves tens of thousands of retirees from a large company who were promised life-time life-insurance coverage through their employer in Mississippi. Despite these assurances, the company canceled this life insurance benefit for all retirees. Shortly before the cancellation…