HEALTH INSURANCE EXPERT WITNESSES

Expert Witness: E-502236
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 ...
Expert Witness: E-068992
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 ...
Expert Witness: E-148041
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 ...
Expert Witness: E-176591
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 ...
Expert Witness: E-021581
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 ...
Expert Witness: E-008740
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.
Expert Witness: E-009210
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 ...
Expert Witness: E-000891
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 ...
Expert Witness: E-145934
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 ...
Expert Witness: E-075870
This expert has 21 years experience as Broker Consultant in Insurance & Reinsurance with special expertise in ERISA, and all types of medical stop loss and reinsurance (i.e. Provider Excess Loss and HMO reinsurance, etc.). Active Broker Consultant. Experienced speaker and persuasive writer. Retained for Expert Witness Opinion 37 times. Never been challenged. Helped settle 33 of 34 completed cases without trial. He brings a deep understanding of the managed care field, ...

HEALTH INSURANCE EXPERT WITNESS CASE STUDIES

District Court Finds Multiple Actuary Expert Methodologies Reliable HEALTH INSURANCE Expert Case

…  brought this suit against Briggs and its Group Insurance Plan under LMRA and ERISA alleging that defendants violated the parties’ collective bargaining agreement by reducing health benefits of employees who retired before August 1, 2006. The motion …  expert witness with experience as a senior executive, health benefits, compensation, and human resources consultancy. The …

Revenue Management Expert Evaluates Contract Dispute HEALTH INSURANCE Expert Case

Revenue Management Expert Evaluates Contract Dispute

…  failure to compensate the plaintiffs for a shortfall in a healthcare revenue management contract despite previous explicit agreements. …  provide indigent care to persons who do not have health insurance, and who are not eligible for other health care coverage. There are …

ERISA Experts Evaluate Termination of Retiree Life Insurance Benefit HEALTH INSURANCE Expert Case

…  from a large company who were promised life-time life-insurance coverage through their employer in Mississippi. Despite these assurances, the company canceled this life insurance benefit for all retirees. Shortly before the cancellation took place, …

Insurance Expert Witness Opines on Bad Faith Action HEALTH INSURANCE Expert Case

Insurance Expert Witness Opines on Bad Faith Action

…  plaintiffs brought this third-party auto insurance bad faith action against Defendant Allstate Fire and Casualty Insurance Company (“Allstate”) for its allegedly unreasonable failure to settle …  personal exposure for liability for any damages above your insurance protection,” and that, “A jury could determine that you are liable …