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 ...
This case involves an alleged breach of contract between a rehabilitation services system and a health insurance company in Arizona. The plaintiff system alleged that the health insurance company underpaid for inpatient rehabilitation services. It was also alleged that the…
This case involves a certified class of individuals against a pension and healthcare benefits provider as well was an actuarial firm relating to long term care insurance and wrongful premium increases in Oklahoma. Over ten years ago the defendant began marketing a…
Case: Lopez v. Allstate Fire & Cas. Ins. Co., 2015 U.S. Dist. LEXIS 144823 (S.D. Fla. Oct. 26, 2015) Background:Â The plaintiffs brought this third-party auto insurance bad faith action against Defendant Allstate Fire and Casualty Insurance Company (“Allstate”) for…
This disability services case takes place in Iowa and involves a female patient who has been denied long term disability by her insurance company. The patient had multiple medical issues including cancer, chronic intestinal disorders, hormone imbalances, glaucoma, and an undiagnosed…
This case takes place in Connecticut and involves alleged fraud in Medicare. The defendants owned and operated a home health care agency that employed nurses to provide complimentary medical services at assisted living facilities, offering free blood pressure and vital…
A neurology expert advises on a case involving a patient who is seeking disability benefits for a nerve injury. Plaintiff is a surgeon who sustained a herniated disc at the C6-7 level, which was confirmed by a MRI. Four years…
A statistics expert witness advises on a case  involving an insurance company in South Dakota that brought suit against a mortgage capital company over a residential mortgage-backed security transaction. It alleges the mortgage company induced it to enter into the insurance…
Insurance network expert witness advises on a case involving a workplace injury and a long battle for benefits.  The plaintiff slipped and fell on ice while working. She injured her head, lower back and neck. The employer notified its workers’…
A pathology expert witness opines on a case involving Amiodarone toxicity leading to the death of a postoperative patient. The decedent from Rhode Island is a sixty-six-year-old female patient with a past medical history of atrial fibrillation. The patient had…