Health Insurance Experts

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Expertise Description: Experienced in insurance claim, coverage, and bad faith. Over 14 years claim experience, from claim rep to supervisor. More than 25 years as coverage and bad faith defense lawyer with 24 published and unpublished appellate cases. Qualified trial testimony in over 100 trials involving first and third party claims, underwriting, legal malpractice, coverage, rescission, reformation, cancellation coverage, and advice of counsel. Testimony for both policy holders and insurance companies... » Read Complete Profile
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Expertise Description: D.M.D., M.S. – Consulting Dentistry expert with more than 25 years experience in the dental field. Expertise includes: clinical dentistry (multidisciplinaru); coding / insurance; standard of care issues; informed consent; medical violations / fraud; TMJ injuries, periodontal care / tooth support; anesthesia; oral surgery / exodontial / implants; prosthodontics (crowns, bridges, dentures); record keeping / documentation; treatment planning; dental materials; and quality assurance / risk management. Doctor of Dental Medicine... » Read Complete Profile
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Expertise Description: Experienced in all aspects of the financial services industry with unique and unparalleled hands on experience in hedge funds, mutual funds, and investment management. Has been working on Wall Street for more than 15 years and is fluent in aspects of retail and institutional brokerage, the securities markets, and fixed income and equity securities. Throughout his extensive career, he has worked in institutional brokerage, money management, and mutual fund and... » Read Complete Profile
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Expertise Description: JD, CPCU, ARM, AIC – Consulting expert with over 20 years experience in Insurance & Risk Management. Expertise includes: standard of care for agents and brokers, insurance broker management, systems and procedures, insurance industry customs & practices, insurance carrier/broker relationships, and insurance carrier bad faith. Coverage areas of expertise include: commercial & personal lines of property and casualty insurance, professional liability and errors & omissions insurance, directors & officers liability... » Read Complete Profile
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Expertise Description: MBA, CLU, AEP – Consulting expert in Insurance and Finance with more than 25 years experience in the field. Expertise includes: standard of care involving representations, presentations, sales and placement of life insurance products by licensed agents and Registered Representatives (who sell life and annuity products qualifying as “securities”); supervision issues of broker dealers and their registered representatives; suitability issues surrounding the sale of securities by registered representatives; assessing and... » Read Complete Profile
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Expertise Description: Hydrogeologist experienced in the environmental industry. Experience includes assessment and remediation of soil and groundwater impacted by petroleum hydrocarbons, chlorinated solvents, and heavy metals. Senior Fulbright Scholar winning 3 awards in environmental engineering and science teaching post-graduate workshops and a graduate class in environmental assessment and in-situ remediation methods. B.A. in geology and English and M.A. degree in geology. Over 20 years experience in in-situ remediation as an environmental scientist... » Read Complete Profile
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Expertise Description: M.B.A., M.A. - Economics expert with almost 10 years experience in the field. Expertise includes wage and hours class-action cases in industries such as packaging, hospitality, health care, distribution, entertainment, printing, mining, and government. Wage and hours issues have included overtime, meal breaks, independent contractor vs. employee, temporary vs. regular, work off-the-clock, and exempt vs. non exempt. Experienced in business litigation cases involving breach of contract, royalty fees, business interruption... » Read Complete Profile
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Expertise Description: C.L.U., C.H.F.C. - Experienced insurance, legal, and accounting consultant with more than 25 years experience in the field. Expertise includes IRS audit assistance and support; 419e and 412i plan defense; tax laws; and stock market, mutual fund, and insurance losses. Additional expertise in Employee Benefit plans, Life Insurance, Estates, Trusts, and Pensions. Chartered Life Underwriter (C.L.U.). Chartered Financial Consultant (C.H.F.C.). More than 10 years expert witness experience... » Read Complete Profile
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Expertise Description: Consulting expert specializing in construction safety. Expertise includes: cranes, construction equipment, rigging, excavating and trenching, steel, concrete and wood truss erection, fall protection, aerial lifts, mobile and fixed scaffolding, ladders, forklifts, material handling, concrete forming and pouring, confined space, and dump trucks. Additional expertise includes: Occupational Safety and Health Administration (O.S.H.A.) regulatory compliance / violations; compliance with construction industry practices; general contractor, subcontractor, and owner responsibility for safety; contractual obligations... » Read Complete Profile
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Expertise Description: M.S.N, R.N. – Registered Nurse (R.N.) with expertise in Legal Nurse Consulting. Has owned her own medical-legal service since 1999. Expertise in individual and group health policies, long term care, life insurance, and Medicare health care plans. A Certified Legal Nurse Consultant (CLNC) is a nurse specialist who knows the standards of care. The CLNC can review, summarize and interpret the records, research the literature, and locate expert witnesses from... » Read Complete Profile
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Expertise Description: Consulting expert with more than twenty-two years of experience specializing in the placement of individual and small business health insurance and employee benefits. Expertise includes: the specifics of HMO, PPO, and indemnity medical insurance; disability income insurance; term life and permanent life insurance; dental and vision insurance; and retirement plans such as IRA's and 401k plans. Works closely with human resources departments to help manage these benefits, specifically with COBRA... » Read Complete Profile
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Expertise Description: Consulting expert with more than forty years of wide-ranging experience in the insurance industry. Expertise includes: insurance, risk management, insurance fraud, property insurance, life insurance, disability insurance, excess and surplus lines insurance, homeowners insurance, and workers compensation. Additional expertise in aviation insurance, marine insurance, yacht insurance, liability insurance, errors and omissions insurance, bad faith, insurance claims, excess and umbrella insurance, offshore insurance, duty of care insurance, and custom and practice... » Read Complete Profile
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Expertise Description: A.I.A. - Consulting expert with more than twenty-five years of experience specializing in development, design, and construction management for a wide variety of construction and renovation projects. Expertise includes: multi-family residential, construction defects, condominium, Homeowners Association (H.O.A.), structural, mechanical, electrical, plumbing, acoustical, architectural, roof, windows, finish carpentry, flooring, tile, concrete, stone, cost estimation, scheduling, budgets, government approvals, Office of Statewide Health Planning and Development (O.S.H.P.D.), Division of the State Architecture... » Read Complete Profile
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Expertise Description: Ph.D., C.P.A. - Over 20 years experience bringing a wealth of economics, finance, technical IT, statistical, and accounting knowledge to bear in solving project management, security, insurance, and economic valuation problems. Certified Public Accountant and specialist in forensics, risk, and IT applications. Licensed in Illinois. Renowned expert on Internet marketing, search engine strategy, and the economics of electronic markets. Specialist in computer implementation of advanced trading, finance, risk, and marketing... » Read Complete Profile
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Expertise Description: C.P.A., M.B.A. - Owner of freelance forensic accounting business and contract Associate of civil litigation expert firm in Los Angeles. Expertise in Forensic / Investigative Accounting. Civil case exposure includes breach of contract, negligence, intellectual property, wrongful termination, and personal injury / accident, within sectors such as government agency, defense, manufacturing and distribution, healthcare, insurance, and real estate. Family law knowledge includes determination / tracing of assets, debts and income... » Read Complete Profile
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Expertise Description: Consulting expert specializing in security. Expertise includes: premises liability, security negligence, personal injury, workplace violence, wrongful death, employee screening procedures, security guard procedures, fraud detection and determination, fraud prevention and compliance, assets discovery and recovery, financial investigations, locating hidden assets, complex civil litigation, and private investigator procedures. Additional expertise in security in the following areas: assault, battery, rape, slips, trips, and falls, burglary, robbery, accidents, vehicle accidents, corporations, businesses, hospitals... » Read Complete Profile
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Expertise Description: C.P.A./C.F.F., C.F.E. - Consulting practice focusing on litigation services as well as federal tax services and practice management consulting for professional firms. Has more than 40 years of experience practicing public accounting. Was one of the first to receive Certified in Financial Forensics (C.F.F.) credential from the AICPA. Is a member of the AICPA's Forensic and Litigation Services Committee. Conducts forensic investigations and serves as consulting expert, and/or testifying expert... » Read Complete Profile
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Expertise Description: Risk management and safety consultants, specializing in accident reduction, concentrating in amusement parks. Expertise includes: accident investigation / prevention; behavior analysis for safety issues; claims / litigation management; codes and standards; construction safety; customer safety; emergency / medical response management; employee safety; employee training; insurance (casualty, general liability, property); maintenance / safe operation of thrill rides / attractions; Occupational Safety and Health (O.S.H.A.); public safety; risk / safety management; safety... » Read Complete Profile
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Expertise Description: D.C., Q.M.E. - Chiropractor specializing in sports medicine. Expertise includes: adaptive physical education; biomechanics; chiropractic care; disability evaluations; emergency medicine; physical rehabilitation; physical therapy; spinal trauma / injuries; sports medicine; triage; and workers compensation. Team Doctor / Emergency / Sports Doctor for several sports, including: football, mixed martial arts, rodeos, rugby, and triathlons. Qualified Medical Evaluator (Q.M.E.). 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.S. - Registered landscape architect and certified arborist with experience in residential community planning, single family residence, commercial, and public projects. Arboriculture expertise includes habitat restoration, native plants, xeriscape plantings, water management, insurance appraisals, valuations, tree surveys and inventories, tree preservation, and fuel management planning, with a concentration on oak trees. Expert witness consultations, depositions, and courtroom testimony... » Read Complete Profile
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Expertise Description: M.S.P.H. - Consultant specializing in life insurance and related industries, risk assessment, financial product, and service development utilizing biostatistical methods. Expertise includes: epidemiology; actuarial life expectancy calculations; life insurance research / underwriting; risk assessment evaluation; underwriting policies, procedures, and implementation; health / life insurance misrepresentation; hospital / physician network cost / benefit analysis; survey design, collection, analysis; and disease mortality analysis. Multiple presentations and publications in insurance, health, and business... » 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: Ph.D., F.S.A. - Consulting Actuary with more than thirty years experience in all aspects of life insurance company operations. Financial reporting experience includes: U.S. and Canadian Statutory Reporting; GAAP reporting (including purchase GAAP); and tax reporting. Product development experience includes traditional life, long-term care, and specialty accident and health products. Reinsurance experience includes design, negotiation, and administration of reinsurance programs. Additional experience includes representations of companies before state insurance departments... » Read Complete Profile
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Expertise Description: C.L.U. - Experienced in insurance issues. Areas of expertise include life, health, group, disability and estate planning insurance... » Read Complete Profile
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Expertise Description: M.D. - Experienced in emergency medicine, pre-hospital care, emergency medical care, urgent care, experimental and investigational therapy, triage, EMS, medical trauma, first aid, head injuries, hospital liability, nurse liability, paramedic, paramedic liability, HMO and managed care liability, health care regulations, medical malpractice, elder abuse, medical standards of care, medical necessity determinations, benefit determinations, quality assurance, nursing home quality assurance, utilization review, peer review, risk management, case management, credentialing, informed consent... » Read Complete Profile

Disciplines And Expertise Index

Expert Witnesses, Consultants and Litigation Support Consultants by State