Benefit Claims and Appeals Experts

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Expertise Description: Ph.D., J.D. - Experienced in Human Resources Management. Has managed seven pension plans with 100,000 participants and billions of dollars in assets. Expertise includes: benefit plans, early retirement programs, voluntary severance programs, pension plan conversions, consolidations, life plans, health plans, pension, 401(k) plans, medical plans, Employee Retirement Income Security Act (E.R.I.S.A.) claims and appeals process, and labor arbitration. Member of negotiation / implementation teams for mergers, acquisitions, and divestitures. Fiduciary... » Read Complete Profile
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Expertise Description: C.E.B.S, C.F.P., C.M.F.C., C.R.P.S. - Consulting expert specializing in Financial Planning, Employee Benefits, and the Employee Retirement Income Security Act (ERISA). President of a financial planning and employee benefits consulting firm serving clients throughout the U.S. Firm provides advice to fiduciaries and plan sponsors regarding their obligations under Title I of ERISA and litigation support to employee benefit attorneys. The firm is a registered investment advisor and provides investment advice... » Read Complete Profile
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Expertise Description: Practicing attorney focused on bad faith litigation, products liability, claims handling processes, personal injury, construction, casualty defense, and insurance coverage including insurance policy interpretation, professional liability, and appellate cases. Past insurance industry consulting on claims handling, preparation of claims manuals, application of insurance law to company claims practices, and handling of claims involving automobile accidents. Testified and contributed to language concerning state legislation on appraisal, insurer conduct, and third party... » Read Complete Profile
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Expertise Description: Construction consultant specializing in commercial and residential construction, repair, remodeling, and claims. Expertise includes: construction management; financial analysis; forensic analysis of design- and construction-related subjects; delay analysis; scheduling; means and methods; preservation / restoration; cost / time estimation; structural repair of damages as a result of fire, water, and wind. Prior expert witness experience. Consultations, depositions, and courtroom testimony... » Read Complete Profile
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Expertise Description: Esq. - Consulting expert specializing in construction accidents and disputes with more than 40 years experience in the field. Attorney, Mediator, Arbitrator, and Litigator with expertise in: construction contracts, construction law, products liability, construction claims, construction defects, mechanics' liens, jobsite injuries / deaths, architecture, copyrights, and design defects. Registered Architect, American Institute of Architects (A.I.A.). Registered Architect, National Council of Architectural Registration Boards (N.C.A.R.B.). Registered Landscape Architect. Senior Real Property... » Read Complete Profile
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Expertise Description: Esq. - Experienced in Construction Disputes & Public Bids with more than 30 years experience in the field. Expertise includes complex construction disputes in state and federal courts, including: mechanics' lien; stop notice; surety bond; Miller Act claims; delay; disruption; default; personal injury; defect and policyholder insurance coverage claims; and public bidding process. Experienced with trial, arbitration, and mediation of disputes and insured claims... » Read Complete Profile
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Expertise Description: Consulting expert with over 30 years experience in the Insurance industry. Provided services in all insurance matters. Owned and operated major insurance brokerages and currently teaching insurance for the California Department of Insurance Continuing Education and Licensing. Expertise includes Agency operations, agent due care, bad faith, due diligence, underwriting and risk analysis, right of subrogation, E&O matters, commercial underwriting, workers compensation, placing and binding coverage, agency loss ratio, life and... » Read Complete Profile
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Expertise Description: Experienced in personnel / industrial relations (human resources). Areas of expertise include Affirmative Action plans, compensation plans, EEO/FEHC claims representation, employee relations, organization structure, personnel systems & forms, supervisor training, worker's compensation, benefits evaluation & selection, diversity, employee handbooks, employment, labor relations, paralegal requirements, safety (OSHA), and unemployment claims... » Read Complete Profile
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Expertise Description: C.P.A., A.B.V., C.V.A., C.F.E., C.F.F.A., P.F.S. - Practicing certified public accountant (C.P.A.) with additional accreditation in business valuation and forensic accounting. Expertise includes: asset tracing; business interruption claims; business sales; business valuation; complex taxation issues; economic damages; forensic accounting; fraud loss; gaming; innocent spouse relief; Internal Revenue Service (I.R.S.) appeals; lost profits determination; professional ethics; and shareholder disputes. Peer reviewer of other C.P.A. firms for the American Institute of Certified... » Read Complete Profile
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Expertise Description: B.S.C.E. - Practicing and consulting general contractor which includes expertise in civil engineering, and realtor with over 24-years of experience in the construction industry. Background includes public works, libraries, commercial facilities, retail buildings, restaurants, residential projects, high rise residential buildings, and educational complexes, including surveying, structural design, subdivision design, grading, street improvements, sewers, and storm drains, as well as project management, time impact analysis, contract administration, scheduling, staff training, and... » Read Complete Profile
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Expertise Description: A.S.A. - Consultant appraiser of antiques, residential contents, as well as, fine and decorative arts for collectors, museums, businesses, accountants, attorneys, insurance, municipalities, and individuals. Including wood identification and dating, review of appraisals, documentation of fraud, cataloging of collections, inventory and condition reports, damage and loss claims, diminution of value, acquisitions and divestments, estate planning, tax and probate, charitable contributions, and dissolution of marriage / division of property... » Read Complete Profile
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Expertise Description: General Building Contractor with more than 25 years experience in the field. Expertise includes general building construction; construction defects; noncompliance issues related to UBC (Uniform Building Code); UPC (Uniform Plumbing Code); and standards of care in the industry. Experience includes: providing investigation, analysis, and reporting; assessing property damage and determining causation; providing analysis of general building construction defects and plumbing / mechanical system failures; reviewing the basis of construction claims... » Read Complete Profile
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Expertise Description: A.I.A., N.C.A.R.B. - Consulting expert specialized in commercial and residential architecture, forensic architectural issues, architectural standard of care, and water intrusion failure analysis. More than 20 years of professional experience in architecture. Other areas of expertise include contractor delay claims, ADA analysis, mold remediation repairs, and course of construction claims disputes. Currently licensed as an architect in California, Nevada, and Arizona. Certified by the American Institute of Architects (A.I.A.) and... » Read Complete Profile
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Expertise Description: M.S.H.A. - Consulting healthcare administrator, CEO, and former COO of national healthcare and physician management companies. Experienced in health administration issues, including: project management, staff development, practice analysis, expansion, and operational and financial management. Expertise includes A / R and collections, revenue enhancement, claims processing, acquisitions, mergers, investments, human resources, training, staff development, contracting, marketing, and product line management. Expert witness consultations, depositions, and courtroom testimony... » Read Complete Profile
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Expertise Description: J.D. - Retired insurance company executive specializing in health, disability, life, and managed care insurance issues, including: bad faith, fair dealing, underwriting, claims review, claims coverage, sales, compliance, licensing, home office protocols, field standards, processing, reinsurers, and direct writers. Experienced in litigation and arbitration for insurers and insured. Expert witness consultations, depositions, and courtroom testimony... » Read Complete Profile
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Expertise Description: J.D. - Practicing attorney specializing in insurance law. Expertise includes: agent liability; appraisal; bad faith matters; business law; claims (disability / health / liability / life / property); construction defects; contracts; first / third party coverage; insurance law; intellectual property; and all forms of insurance. Additional expertise in general business, civil, and real estate litigation. Expert witness consultations, depositions, and courtroom testimony... » Read Complete Profile
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Expertise Description: B.A., Esq. - Attorney specializing in real estate, business, and construction legal issues. Real estate expertise includes: acquisition / disposition / leasing of commercial, industrial / residential properties; boundary disputes; easements; foreclosures; insolvency and real estate; land use; real estate law; real property development / finance / transactions; and title insurance. Business expertise includes: asset / stock purchases; bankruptcy; business law; contracts; corporate reorganizations; forged documents; limited liability companies; mergers... » Read Complete Profile
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Expertise Description: CPA, CFF, CVA. - Consulting expert specializing in Forensic Accounting, with an emphasis on measurement of financial damages related to business interruption, business valuation, commercial litigation, construction claims, delays and defects, consequential damages, contractual disputes, economic damages, first party property claims, fraud and fidelity losses, insurance claims, intellectual property, inventory losses, marital dissolution or divorce, loss of earnings, loss of income or profits, partnership disputes, personal injury, product liability, property... » Read Complete Profile
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Expertise Description: Consulting expert with more than 30 years experience in the field of Construction. Expertise includes commercial industrial, multi-family, single family, residential, hotel, retail, office buildings, medical, and all various aspects of construction. Developer and / or owner of numerous residential, commercial, and industrial construction projects. Experience in planning, design review, permitting, financing, and leasing of projects. Consultations further include cost of repair and standards of care as an expert. Has... » Read Complete Profile
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Expertise Description: Consulting expert with over 10 years experience in the Field of Forensic Accounting. Specialization in measurement of financial damages related to business interruption, business valuation, commercial litigation, securities litigation, construction claims, contractual disputes, economic damages, first party property claims, fraud and fidelity losses, insurance claims, intellectual property, inventory losses, marital dissolutions or divorce, loss of earnings, loss of income or profits, partnership disputes, subrogation, third part liability claims, class action... » Read Complete Profile

Disciplines And Expertise Index

Expert Witnesses, Consultants and Litigation Support Consultants by State