Expert 522345 - CA(N) CA(S)

Expertise Description

I have more than 30 years experience in the healthcare/health insurance industry. My experience includes, but is not limited to, sales, sales management, sales distribution channels (including internal sales and outside broker/agents/consultants, operations (billing, claims, customer service), underwriting, product, compensation plans, and profit and loss management. My indirect responsibilities included, but not limited to, actuarial, finance, network development and contracting, compliance, and marketing. My experience includes Individual and Group products/business in commercial and government (Medicare) lines of business. I am offering my services as a healthcare expert witness.

Expert 521470 - AL AK AZ AR BC CA(N) CA(S) CO CT DE DC FL GA HI IA ID IL IN KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA QC RI SC SD TN TX UT VT VA WA WV WY WI

Expertise Description

With over 25 years experience in Medical Billing, I am an expert on Revenue Cycle Management with an expertise in coding, auditing, practice management, risk adjustment/RADV Audits, CMS, Medicaid, Workers Comp, demographic entry, payment posting and adjustment, patient statements, paper and electronic claims, claim follow-ups, practice management system table clean-up, and ASC charge master analysis. I have additional knowledge in coding for Anesthesia, Pain Management, Neurology, OBGYN Laboratory, Ambulance, General Surgery, Physical/Occupational/Speech Therapy, Chiropractic, IDTF, Radiology, and Gastroenterology. I am offering my services as a Medical Billing expert witness.

Expert 519147 - TX

Expertise Description

My career has spanned more than 35 years in the field of Risk Management and Insurance with a particular focus in the oil, gas, marine, and energy industries. I have experience in producing and handling energy, marine, D&O, political risks, liability, accounts and overseeing R&D. I have provided consultations and deposition as an energy insurance expert witness in Texas.

Expert 517724 - TX

Expertise Description

I have more than 30 years of experience as a Life Underwriter. I am the Founder and Principal of an audit, advisory, and actuarial firm focusing on the development of proprietary discovery, analysis, forward modeling and negotiating techniques associated with the employee benefits industry. I also founded a research foundation that focuses on researching healthcare delivery, financing and consumer issues to expand the utility and transparency of statistical and mathematical metric techniques required to accurately forecast future trends. I have prior expert witness experience with consultations and deposition.

Expert 508545 - CA(S)

Expertise Description

I have many years of experience in Economics and Financial Planning. I have helped design life and variable insurance products for insurance companies and have created programs and strategies for brokerages across the country. I also teach and lecture on topics such as Financial Planning, Insurance, and Investments and provide consulting and expert testimony in the areas of Insurance, Investment, Financial and Benefit Planning. I have over 10 years of expert witness experience with consultations, deposition, and courtroom testimony.

Expert 515267 - TX

Expertise Description

I have more than 45 years of experience as an Insurance Agent and Broker. My particular expertise is in insurance coverage analysis, and I am very familiar with all phases of the insurance industry, including consulting on bad faith, customs and practices, and standards of care. I have over 30 years of expert witness experience with consultations, deposition, and courtroom testimony.

Expert 406502 - AL AR DC FL LA MA MS NJ NC PA SC TX VA WV

Expertise Description

I have over 45 years of experience as a licensed life, health and property and casualty insurance agent, broker, and consultant. These licenses have been issued by examination with continuing education in the fields of life, health, disability, variable annuities, property and casualty insurance and mutual funds. I am an expert in forensic reconstruction of insurance transactions, specializing in policy interpretation of the rules, laws and regulations governing insurance and financial matters. I have over 40 years of expert witness experience with consultation, deposition, and courtroom testimony.

Expert 505668 - NJ NY

Expertise Description

I have more than 35 years experience in the field of Risk Management and Public Accounting with expertise in advising commercial clients on property casualty insurance and self-insurance programs. I have experience with analyzing loss exposures and advising on insurance and non-insurance risk management alternatives, including contractual risk transfers, loss control and claims management, and providing due diligence. I have over 15 years expert witness experience with consultation and deposition.

Expert 505517 - AL AK AZ AR CA(N) CA(S) CO CT DE DC FL GA HI IA ID IL IN KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WY WI

Expertise Description

I have more than 45 years of experience in providing analysis of construction defect exposures, including analysis of risk exposure coverage; Labor Code exposures, ADA compliance, including assisting with administration of prevailing wage in California; to assist with operational concerns, logistics, risk management, Workers Compensation underwriting and executive management. As a Claim and Litigation Manager my responsibilities included significant case handling for exposures in excess of client’s self-insured retention through various levels of the reinsurance in the United States and offshore venues. I have over 15 years of expert witness experience with consultation and deposition.

Expert 505560 - NJ NY

Expertise Description

I have more than 45 years experience in the Insurance industry with expertise in Property Casualty for commercial policyholders. I have experience with management consulting for insurance agencies. I have over 10 years expert witness experience with consultations and deposition.

Expert 128146 - NM

Expertise Description

I have over 40 years experience in the field of Insurance and Reinsurance. My extensive experience includes all phases of property / casualty / professional liability insurance, reinsurance, insurance industry custom and practice, and industry standards of care. I also have experience as an underwriting manager for several insurance and reinsurance companies. My experience in underwriting includes complex major commercial casualty accounts as well as manuscript primary and umbrella forms. As a reinsurance broker with several major intermediaries, I placed a broad spectrum of facultative and treaty reinsurance for “Main Street” insurers as well as many carriers writing specialized lines such as Kidnap and Ransom, Professional Liability, Auto Racing, Patent Infringement, and Employment Practices Liability. I have additional experience in insurance company and broker relationships, various types of pool arrangements used as a risk financing / management mechanism for participating members including association captives, group owned captives, insurance disputes, risk retention groups, and joint power of attorney. I have more than 10 years expert witness experience with consultations, deposition, and courtroom testimony.

Expert 135045 - DE NJ

Expertise Description

I have over 40 years as a consulting actuary, reinsurance consultant, and insurance arbitrator. My expertise includes: property and casualty insurance and reinsurance cases where actuarial loss reserving or pricing issues are important; interpretation of insurance policy wording; reinsurance contract terms based upon industry custom / practice and the intent of the parties; calculation of profit commissions; calculation of collateral requirements; estimation of mass torts; incurred but not reported (I.B.N.R.) loss reserves; and reinsurance commutation pricing issues. I have prior expert witness experience.

Expert 460642 - CT NJ NY

Expertise Description

I have more than 30 years of experience in the field of Property and Casualty Insurance with expertise in casualty reinsurance to commercial and personal insurance coverage. I have experience with insurance contracts, coverage, and insurance disputes; as well as knowledge of insurance company and broker relationships, cyber liability and risk, and real estate insurance.