18 Claims Management And Claims Handling Expert Witnesses Found

Pain Management - Medicine, Physical Medicine & Rehab - Pain (spine, nerve, joint, soft tissue), Interventional pain management (epidural steroid/other injections, nerve blocks), Opioids/pain medications, Second opinion, Ineffective/failed spine/other surgeries, Complex/catastrophic cases, CRPS/RSD, Back pain, Motor vehicle accidents, chronic pain

...Fardad Baroumand, MD, is a distinguished medical-legal evaluator in Pain Medicine and Physical Medicine & Rehabilitation. He is the designated evaluator for these fields by ExamWorks Inc., the largest national provider of Independent Medical Evaluations. He is also a prominent California State Qualified Medical Evaluator and a member of the Division of Workers Compensation (DWC) Subject Matter Expert Panel and the Report Quality Panel, which oversees and promotes the quality of medical-legal reporting in the State. Workers compensation judges have repeatedly appointed Dr. Baroumand as the medical-legal evaluator in complex cases that other evaluators could not handle. Dr. Baroumand is a double board-certified subspecialist practicing Pain Medicine and Physical Medicine & Rehabilitation. He has a reputation as "the go-to guy" for the most challenging clinical and medical-legal cases. Dr....

Pain Management - Medicine, Physical Medicine & Rehab - Pain (spine, nerve, joint, soft tissue), Interventional pain management (epidural steroid/other injections, nerve blocks), Opioids/pain medications, Second opinion, Ineffective/failed spine/other surgeries, Complex/catastrophic cases, CRPS/RSD, Back pain, Motor vehicle accidents, chronic pain

...Fardad Baroumand, MD, is a distinguished medical-legal evaluator in Pain Medicine and Physical Medicine & Rehabilitation. He is the designated evaluator for these fields by ExamWorks Inc., the largest national provider of Independent Medical Evaluations. He is also a prominent California State Qualified Medical Evaluator and a member of the Division of Workers Compensation (DWC) Subject Matter Expert Panel and the Report Quality Panel, which oversees and promotes the quality of medical-legal reporting in the State. Workers compensation judges have repeatedly appointed Dr. Baroumand as the medical-legal evaluator in complex cases that other evaluators could not handle. Dr. Baroumand is a double board-certified subspecialist practicing Pain Medicine and Physical Medicine & Rehabilitation. He has a reputation as "the go-to guy" for the most challenging clinical and medical-legal cases. Dr....

Insurance - Insurance Claims Handling Best Practices, Insurance Claims Investigation, Construction Defect, Commercial Insurance, Adjuster Standard of Care, Bad Faith, Investigation, Insurance Coverage, Mediation, Duty to Defend, Premises Liability, Certificates of Insurance, Litigation Best Practices

I offer over 30 years of experience in litigated commercial and personal lines claims handling and case management. I am a former Senior Litigation Specialist with thorough knowledge of carrier best practices and their specific application to the duty to investigate, the duty to defend, and the duty to indemnify. For the last 15 years I have specialized in commercial casualty insurance coverage and how appropriate insurance best practices relate to construction defect claims as well as commercial premises liability claims. I have personally attended over 1000 mediations and settlement conferences in litigated matters as a carrier representative. I have experience and training in giving deposition and trial testimony.

Insurance - Claims Practices, Bad Faith, Duty to Defend, Property & Casualty, Personal and Commercial lines.

...Understands and can explain both the theoretical and practical aspects of claims handling. She served as the Vice President and Chief Claim Officer for Sequoia Insurance Company in Monterey, California. In addition to management duties, personally handled and managed a broad range of complex, high exposure first and third party claims, umbrella claims and suits against the company. Personally handled well over 100 mediations and MSC’s and has extensive experience in giving deposition and trial testimony.

Insurance - Bad Faith, Claims Handling, Bermuda Form, Casualty, Liability, Property, Directors and Officers, Errors and Omissions, reinsurance, Runoff, legacy, loss portfolio transfer, adverse development cover, Compliance

Previously served as senior executive in a global insurance/reinsurance Fortune 500 company with reporting lines to the General Counsel and the Audit Committee; providing guidance to professionals in Legal, Compliance, Underwriting, Claims, Risk Management, and Data; managed in-house lawyers, compliance professionals, claims lawyers, and data privacy officers; • Corporate insurance team co-leader for purchase of corporate Directors and Officers, Errors and Omission, and Cyber liability insurance, including strategy, negotiation, terms, and conditions, claims management, and Board reporting General Counsel for Global Litigation of global insurance and reinsurance group of companies • Reported to Audit Committee on major litigation, large losses, group exposures • Oversaw all major non-claims litigation against group companies • To ensure consistency across group companies, provided overall guidance and strategy on large loss events • As senior lawyer supporting Claims Department, served...

Vocational Rehabilitation, Life Care Planning - Cost Projection, Vocational Evaluation, Vocational Assessment, Life Care Planner, Labor Market Survey, Economic Damages, Disability, Career Counselor

...Julianne Frain is a Certified Rehabilitation Counselor, Certified Life Care Planner, and Diplomate with the American Board of Vocational Experts. Having testified in both state and federal venues in multiple states, this expert has over 200 appearances in combined deposition and trial testimony. Dr. Frain is typically hired in the areas of vocational rehabilitation, life care planning, or both concentrations combined. She possesses 15 years of experience handling claims within varying forms of injury and family law matters and rendering opinions on vocational assessment, disability, pre-and-post incident earning capacity, re-employment, rehabilitation and life care planning, and usual and customary costs of medical care. She is commonly retained by both plaintiff and defense firms. Her company manages a high volume of claims spread primarily throughout the entire state of Florida as well as the mid-west....

Building Inspection, Appraisal & Valuation - General contractor, roofing contractor, plumbing contractor, mold assessor, mold remediator, insurance adjuster, wind damage, hurricane damage, tile roof, plumbing, cause & origin, water intrusion, storm created openings, residential, commercial, industrial, mitigation, estimating, scope & pricing

Florida All-Lines Independent Adjuster – License # P035592 Certified General Contractor – CGC1525515 Certified General Contractor – CGC1529840 Certified Roofing Contractor – CCC1331420 Certified Plumbing Contractor – CFC1429932 Mold Assessor – MRSA2546 Mold Remediator – MRSR2742 Handled high volume of personal lines and commercial losses related to catastrophic windstorms, non-catastrophe claims, mediations, and appraisals. Chosen by numerous insurance companies to handle over 500 appraisal assignments. Performed more than 4,800 detailed roof inspections of hurricane damaged homes. Highly skilled in site inspection and determination of claim validity, damage, and repair costs. Evaluated residential, commercial, and governmental structures, buildings, roads, parks, and golf courses. Experience with losses including fire, water, vandalism, vehicle impact, theft, mold, and sinkholes....

Appraisal & Valuation, Business Damages - Insurance Claim, First Party Property, Cost, Insurance Appraisal, Insurance Umpire, Hurricane, Flood, General Contractor, Damage Appraiser, Insurance Adjuster, Construction, Roofing

Certified Florida General Contractor (Lic# 1265835), WIND Network and IAUA Certified Umpire & Appraiser and party-appointed Arbitrator. Licensed (6-20) Florida-Resident Independent Insurance Adjuster. Certified by IICRC with WRT & AMRT designations. Expertise include(s): Property Damage Appraisal; Scope and Pricing analyses, Claim Handling, Field-adjustments, Interviewing, Subrotarget identification. Positions previously held include Claims Manager; Litigation/ADR Examiner; Field Adjuster Trainer; All-Lines Field Adjuster; National Catastrophe Team Field Adjuster.

Insurance - workers' compensation, premium disputes, Best Practices, policy/contract/collateral analysis, retrospective rated policies, deductible policies, experience modification factor, claim evaluations, policy side agreements, reserving, return to work, payroll audit, classification codes

...He is an insurance professional with a vast knowledge base and extensive command of the insurance industry that has included workers’ compensation, general liability, product liability, professional liability and run-off claims. He was formerly a member of a risk management and consulting firm that provided third party administration for a self-insured workers’ compensation pool which was able to obtain an A.M. Best rating of (A-) that may have been the only pooling arrangement in the United States with such a rating. As a Risk Manager, Consultant and Expert Witness, Mr....

Insurance, Risk Management - bad faith, claims, claim handling, reserves, bad-faith, unfair claims settlement practices; third party administrator, reinsurance, notice, asbestos, extra contractual; receivership, claims management, liquidation, environmental, property and casualty, reserve adequacy, market conduct examination

...Bingham served as a senior claims manager for 3 major property casualty carriers: CNA, the Hartford, and USF&G. As a seasoned senior level Insurance, Reinsurance, Regulatory and Run-Off Practitioner with 4 decades of industry, consulting, and receivership experience, Mr. Bingham possesses a demonstrated ability to analyze complex insurance-related matters in fast paced and evolving environments. Mr. Bingham’s credentials as subject matter expert have been accepted in both state and federal courts across the country. Mr. Bingham has demonstrated an understanding and command of claims handling practices, reinsurance policies, and regulatory and run-off issues of the highest complexity. His wealth of experience in the handling of claims, claims management, regulatory compliance, drafting expert reports, and testifying in complex litigation have made him an asset to businesses and attorneys throughout the United States....

Insurance, Legal - Property & Casualty, Claims, Bad Faith, Industry Standards, Claim Handling, Coverage, BI, PD, MP, PIP, UM/UIM, CGL, Liability, Unfair Claims Settlement Practices, Extra-contractual, Claim Investigation

Property & Casualty Insurance Industry claim consultant with over 25 years’ experience. Consultation in industry standards, practices and norms for personal and commercial claim handling procedure, supervision, and management. Experienced expert witness for both insurer defense and plaintiff cases involving allegations of bad faith.

Building Inspection, Insurance - Property Damage, Insurance Adjusting, Public Insurance Adjusting, Property Damage Consulting, Damage Consulting, Property Damage Appraisal, Appraiser, Fire Damage, Wind Damage, Hail Damage, Estimating, Insurance Estimating, Insurance Adjusting Practices, Insurance Claims, Property Insurance Claims

For 18 years, I have been focusing on the disaster recovery and insurance space. After Hurricane Katrina in 2005, I started with a New Orleans based disaster mitigation & remediation company. Later, I ran my own construction company, reconstructing hurricane-damaged homes. I became an Insurance Adjuster in 2010, handling disaster claims nationwide. Eventually, I managed complex, litigated claims across the country and earned an LPCS designation. In 2019, I became a Public Insurance Adjuster and Appraiser, working catastrophe claims from Hurricanes Laura, Delta, Zeta, and Ida and daily disaster claims including fires, plumbing leaks, hail damage etc.. I expanded services to include Property Damage Appraisals and Expert Witness Consulting. My mission remains devoted to serving the community and ensuring just indemnification for individuals and businesses.

Insurance - Insurance Casualty, Insurance Operations, Bad Faith, Insurance Operations, Insurance Agencies, Claims Handling, Case Value, Insurance Personal, Pre and Post Litigation Management, Workers' Compensation, State Government Reviews of Insurance, Reserves, Insurance Ethics, Casualty Insurance

...Amoruso has given expert witness testimony to identify issues related to bad and good faith claims procedures, providing guidance for pre and post litigation management. In addition, he offers client orientated assistance in relation to accepted claims practices, and provides insight on claim issues to law firms. He also offers evaluations related to workers compensation case management, insurance company procedures, guidance for proper claims handling practices, reviews for State government on insurance company conduct, and advice on issues concerning insurance companies and insurance agents.

Vocational Rehabilitation, Life Care Planning - Cost Projection, Vocational Evaluation, Vocational Assessment, Life Care Planner, Labor Market Survey, Economic Damages, Disability, Career Counselor

...Julianne Frain is a Certified Rehabilitation Counselor, Certified Life Care Planner, and Diplomate with the American Board of Vocational Experts. Having testified in both state and federal venues in multiple states, this expert has over 200 appearances in combined deposition and trial testimony. Dr. Frain is typically hired in the areas of vocational rehabilitation, life care planning, or both concentrations combined. She possesses 15 years of experience handling claims within varying forms of injury and family law matters and rendering opinions on vocational assessment, disability, pre-and-post incident earning capacity, re-employment, rehabilitation and life care planning, and usual and customary costs of medical care. She is commonly retained by both plaintiff and defense firms. Her company manages a high volume of claims scattered all over the country. Rehab Pro Assessment and Consultation's Missouri office is based in St. Louis. Dr....

Pain Management - Medicine, Physical Medicine & Rehab - Pain (spine, nerve, joint, soft tissue), Interventional pain management (epidural steroid/other injections, nerve blocks), Opioids/pain medications, Second opinion, Ineffective/failed spine/other surgeries, Complex/catastrophic cases, CRPS/RSD, Back pain, Motor vehicle accidents, chronic pain

...Fardad Baroumand, MD, is a distinguished medical-legal evaluator in Pain Medicine and Physical Medicine & Rehabilitation. He is the designated evaluator for these fields by ExamWorks Inc., the largest national provider of Independent Medical Evaluations. He is also a prominent California State Qualified Medical Evaluator and a member of the Division of Workers Compensation (DWC) Subject Matter Expert Panel and the Report Quality Panel, which oversees and promotes the quality of medical-legal reporting in the State. Workers compensation judges have repeatedly appointed Dr. Baroumand as the medical-legal evaluator in complex cases that other evaluators could not handle. Dr. Baroumand is a double board-certified subspecialist practicing Pain Medicine and Physical Medicine & Rehabilitation. He has a reputation as "the go-to guy" for the most challenging clinical and medical-legal cases. Dr....

Security, Premises Liability - Security Standards, Security Operations, Security Practices, Major Crime Litigation, Assault, Homicide, Sexual Assault, Hospitality Security, Entertainment Venue Security, Casino Gaming Security, Retail Security, Nightclub Security, Contract Security, Cash-In-Transit Security, Executive Protection

...The ASIS CPP is the Gold Standard for Security Certification, to qualify must have 7 years of private sector security management experience, possess a bachelor’s degree or higher, complete a 225-question assessment test covering security standards and practices topics including; security operations, emergency/crisis management, investigations, risk management, asset protection, executive protection, information technology security, special event security, CCTV and electronic security systems. Recertification requirements including audited 60 CEU’s every three years. Thirty Years of Corporate Security Management in large Gaming Resorts in multiple jurisdictions, five years of experience overseeing Risk Management, Insurance and Claims function for 5 gaming/resort operations. 13 years’ experience as expert witness. Provided premises liability expert witness litigation support and consulting for over 190 cases....

Insurance, Legal - Property & Casualty, Claims, Bad Faith, Industry Standards, Claim Handling, Coverage, BI, PD, MP, PIP, UM/UIM, CGL, Liability, Unfair Claims Settlement Practices, Extra-contractual, Claim Investigation

Property & Casualty Insurance Industry claim consultant with over 25 years’ experience. Consultation in industry standards, practices and norms for personal and commercial claim handling procedure, supervision, and management. Experienced expert witness for both insurer defense and plaintiff cases involving allegations of bad faith.

Insurance - Bad Faith, Coverage, P&C Claims, Commercial Property Claims, Personal Property Claims, Best Practices, Exclusions, Denials, E&O Claims, Class Action, Extracontractual, Catastrophes, Hurricanes, Fraud, SIU, Subrogation, Commercial Auto Claims, P&C Operations

I began my career as an adjuster trainee and worked through every operating level within Claims. As VP of Property, Auto and Liability claims at Liberty Mutual for 36 years and AVP of Commercial Property, Auto and Agribusiness claims with Nationwide for 8 years, I was responsible for Claims operations nationwide. I partnered with defense, coverage and bad faith counsel in the review and oversight of coverage disputes and bad faith litigation. Throughout my career, I have been responsible for the handling, management and leadership of PL and CL Property and Auto claims, field operations along with technical oversight, including the development and implementation of Claim Handling Guidelines "Best Practices". I am extremely familiar with coverage interpretation, best claim practices, bad faith situations, limits, exclusions, claim procedures and building construction issues. As a P&C Insurance claim consultant, I work for both plaintiffs and defendants....