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Health Insurance Expert Witnesses

Healthcare Management Headshot
E-484047

Healthcare Management Expert

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 ...

Health, Life, & Property Insurance Regulation Headshot
E-502236

Health, Life, & Property Insurance Regulation Expert

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 ...

Insurance Headshot
E-068992

Insurance Expert

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 ...

Healthcare, Health Insurance Coverage, Medical Necessity Determinations Headshot
E-148041

Healthcare, Health Insurance Coverage, Medical Necessity Determinations Expert

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 ...

Valuation and Economic Damages Headshot
E-176591

Valuation and Economic Damages Expert

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 ...

Actuary Headshot
E-021581

Actuary 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 ...

Financial Services and Insurance Headshot
E-009210

Financial Services and Insurance Expert

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 ...

Insurance; Risk Management; Agent/Broker Liability; Loss Control Headshot
E-000891

Insurance; Risk Management; Agent/Broker Liability; Loss Control Expert

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 ...

Insurance Headshot
E-145934

Insurance Expert

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 ...

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Health Insurance Expert Witness Case Studies

Patient is Denied Disability by Insurance Company

Patient is Denied Disability by Insurance Company

Dec 21 2015
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…
Health Agency Allegedly Defrauds Medicare

Health Agency Allegedly Defrauds Medicare

Aug 3 2015
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…

Health Insurance Disciplines

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