24 Health Insurance Companies Expert Witnesses Found

Real Estate, Insurance - Residential, Commercial, Industrial, Construction, SBA, Lending, Appraisal, RESPA/TIL, Broker standards, Escrow, Title insurance, Leasing, Property management, Foreclosure, Agent/Broker duties, Insurance underwriting, Claims, Bad faith, Life, Health, Disability, Property/Casualty, Reinsurance, etc.

MCS Associates (established 1973) is a nationwide specialist expert witness and litigation consulting group that concentrates in seven key areas:  Banking and Lending  Securities & Investments  Investment Banking & Finance  Financial Services  Insurance  Real Estate  Damages, Economic Analysis & Forensic Accounting Our company takes greater pride and care in identifying and selecting the right experts with the specific specialized expertise needed for each assignment, and we undertake expert witness assignments throughout the United States....

Insurance, Risk Management - Insurance Broker Standard of Care, Insurance Federal Cases, Rule 26, Insurance Pollution, Umbrella Insurance, Excess Insurance, Insurer Bad Faith, Insurance Coverage, Construction Defect Insurance, Insurance Manuscript Policies, Insurance Custom and Practice, Property Casualty Insurance

Trusted by 32 of the Top 100 Insurance Law Firms Bob began his career as a casualty underwriter for Pacific Indemnity Company (Chubb) and later for Industrial Indemnity Company. Bob also served as president, chief executive officer, and chairman of the board of well-known Anderson & Anderson Insurance Brokers. Over nearly 30 years, he built Anderson & Anderson from a four-person company to the fifth-largest brokerage firm in California until the time of its sale to AON Corporation. At Aon, Bob was the president of the Aon Advantage Group which advised 20 industry practice leaders such as the Hospitality Group which insured Hotels, Resorts, and Casinos. Bob attended the Harvard Business School’s OPM program which is similar to its MBA program. He earned his CPCU (Chartered Property Casualty Underwriter) designation in 1970 from the American Institute for Property and Liability Underwriters, Inc....

Neonatal - Perinatal Medicine, Obstetrics & Gynecology - High Risk Obstetric Care in the areas of L&D, Antepartum, Triage, Post Partum, and NICU. Legal Nurse Consulting, Standard of Care, Scope of Practice, Chain of Command, Communication, Team Work, Collaboration, Risk Management, Quality Assurance, Performance Improvement, Administration Responsibility

...She is honored to act as an integral and collaborative member of the Litigation Team on behalf of Attorneys, Insurance Companies, and Hospital Groups. Jan works diligently for Attorneys, Health Care Organizations. and The California Board of Registered Nursing. Jan works as expert witness both for Plaintiff and Defense. The Legal Nurse Consultant Group under the direction of Jan Attard provides comprehensive, timely, thorough opinion for Attorneys, Insurance Companies, Medical Groups in the evaluation of Nurse Negligence, Standard of Care, Scope of Practice, Quality Assurance, Performance Improvement, and Risk Management in specialty areas of High Risk Obstetrical Nursing - L&D, Antepartum, PP, NICU Malpractice, Negligence, Pediatric Oncology, Pediatric Psychiatry, and Personal Injury. Jan analyzes complex Medical Records for the incident made the basis of the action, rendering concise written opinions and or reports....

Securities & Investments, Banking - RIA, Broker Dealers, Banking, Lending, Estates, Trusts, Fiduciary, Securities, Crypto & Specialty Assets, Reg BI, Accredited, International, Firm Practice, Regulatory, Risk Management, 1031/DST, Complex Insurance Plans, FINRA, OCC, SEC, Forensic, Fraud, Human Resources, Case Strategy, Supervision.

...I am the President, Founder, and Owner of Esoteric Advisors, a collaborative consulting and expert witness company that aims to foster a robust and extensive collegial network of fellow experts. My professional journey includes serving as a FINRA and court admitted expert witness. I have authored numerous expert reports, participated in depositions, and provided testimony in arbitration and court proceedings. My unwavering commitment to business and personal compliance, legal integrity, and creditworthiness is impeccable. I have held several significant positions with a major financial institution. These roles have encompassed audit-risk management, regional management, and wealth office management. As a Regional Manager, my responsibilities included overseeing risk management, human resources, public relations, and corporate leadership. I oversaw the performance of over 500 team members....

Safety, Oil and Gas - Oil & Gas, Pipeline, Electrical, Safety Engineering, Arc Flash/NFPA 70E, OSHA, Accident Investigation, Falls, Equipment, Machinery, Accident Reconstruction, Construction, Industrial Plants, Worker's Compensation, Safety Inspection, Safety Management, Training, Employee, Workplace Safety, Toxic Tort.

...Janine McCartney is a Safety Engineer with designation as a Certified Safety Professional, Construction Safety and Health Technician, Registered Professional Industrial Hygienist, and Certified Safety Instructor (Master's Level). Dr. McCartney has held Management safety positions and a Safety Officer II position with OSHA Consultation. She worked for 11 years in the oil & gas industry and pipeline industry on large multi-state pipeline construction projects and as an exploration geologist (onshore and offshore). Dr. McCartney has taught for Texas A&M-Texas Engineering Extension as Adjunct Faculty and teaches the OSHA 10 and 30 hour General Industry and Construction courses for OTI. Her career spans 40 years. Please see her two podcasts on AM Best about Ghostwriting: What an Expert should never allow and Wrongful Expert Designations: What Claims Examiners should know-April 2022....

Economics, Statistics - Lost wages, Antitrust, Class action, Lost profits, Breach of contract, Damages, Liability, Survey design, Conjoint analysis, Big data, Machine learning, Privileged consulting, Discrimination, Wrongful termination, Wrongful death, Industrial espionage, Fraud detection, Employment discrimination

...Working on litigation matters involving antitrust issues, class certification, statistical sampling, survey design, conjoint analysis, health-care reimbursement, wage and hour cases, product liability, economic damages, and environmental damages. Supporting economic and statistical analyses for various industries and government entities, including automotive parts suppliers, health insurers, regional hospital networks, skilled nursing-home facilities networks, financial services, trash haulers, gaming firms, telecommunications firms, energy suppliers, automakers, insurance companies, medical device manufacturers, airlines, universities, law firms, defense and military contractors, the U.S. Department of Labor, the U.S. Department of Defense, and the U.K. Department of Business, Innovation and Skills.

Transportation, Safety - FMCSA, FMCSR, DOT, OSHA, Tank Truck, Loading, Unloading, Forklifts, Driver Qualifications, Drug & Alcohol, Hours of Service, Hazardous Materials, Training, Standard of Care, Vehicle Inspection, Fleet Safety, Commercial Drivers, CDL, Driver Hiring Standards, Record Retention, ELD, Cargo, Accidents

...., a Risk Management & Safety Consulting company based in Jacksonville, FL. which primarily serves the transportation industry, insurance industry and the legal profession. Mr. Carr has been Operations Manager – Transportation for Olin Chlor Alkali Products, Inc. in which he oversaw a private fleet of tractor trailers delivering hazardous materials throughout the western United States until June 2014. Prior to this he was Director of Risk Management, Safety & Health for Masco Contractors Services, Inc.; a nationwide company employing as many as 20,000 employees at 350 facilities and operating up to 10,000 motor vehicles. Prior to this he was Managing Director of Transurance Risk Retention Group, Inc. and Phoenix Risk Services, Inc., an Arizona licensed Risk Retention Group and a third-party claims administrator respectively whose specialty was commercial motor vehicle fleets....

Medical Coding, Medical Billing - CPC, CPMA, COC, CCS, medical coding, medical billing, medical auditing, Qui tam, AAPC, CIA, IRO, Medicare, Inspector General

...She has 20 years of experience as a medical auditor with a company that provided medical auditing services for medical practices, hospitals, and commercial medical insurance companies. She performed audits for compliance with Medicare regulations, other federal programs, and commercial insurance guidelines. She has been a consultant in litigation regarding compliance with both federal and commercial insurance regulations. She has provided both support and defense of Qui tam litigation. At the request of Independent Review Organizations (IRO) due to an order from the Medicare’s Office of the Inspector General, she has audited practices that are subject to Corporate Integrity Agreements (CIA). In addition to her outpatient experience, for inpatient issues she is a Certified Coding Specialist (CCS) by the American Health Information Management Association (AHIMA)....

Agriculture, Environmental - Tree and landscape appraisals, damages or values; forest damages; Land Economist, landscape claims

...Harris works internationally, mostly across the United States and Canada, as an independent expert and has consulted with clients including municipalities, developers, homeowner associations, insurance companies, law firms, and golf courses. Mr. Harris is a Landscape Economist and has worked in the environmental, landscape, arboriculture, forestry, and horticultural fields for over 30 years. He is the Principal of LANDSCAPE ECONOMICS, LLC, a firm providing expertise in damage assessments, economic valuations, work audits, and expert testimony regarding landscapes and land improvements that is increasing the recognition of "Green Assets™" for properties....

Urology & Urological Surgery

I am a well trained General Urologist with extra training and expertise in sub-specialty areas of Endo-Urology, Mens Health, and Infertility. I have reviewed products for industry, as well as cases for insurance companies, and medical malpractice cases. My reviews are independent and objective . I am prompt and thorough.

Pulmonary Critical Care Medicine, Critical Care Medicine - Medical Management, Medical Utilization & Location of Care, Fraud & Abuse, Compliance, Medical Necessity, Medical Devices, Pharmacy Management, Genomics & Personalized Health, Insurance Reviews of Plan Benefits, Insurance Clinical Policy Reviews, Long Term Acute Care & Long Term Care,

...Over 12 years of experience in national insurance and payer companies. Has served as Medical Director for Aetna, Blue Cross Blue Shield Association, and interim CEO for Next Level Health Partners. Consultation services to companies and manufactures in various areas, (pharmacy, genomics, medical devices, medical management, utilization, etc.), regarding healthcare medical necessity, compliance and educational issues. Fraud and Abuse. Government plans: Medicare & Medicaid. Private insurers all plans: HMO, PPO, Specialty networks. Expert reviews and medical litigation support performed. Sub-specialty medical reviews in Pulmonary and Critical Care Medicine. Current license: Illinois; New Mexico; Oklahoma; Kentucky; New Mexico

Construction, Civil Engineering - Construction Engineering, Construction Management, Cost Overruns, Schedule Delays, Construction Safety, Modular Construction, Factory Built Construction, Infrastructure Planning, Data Center Construction, project risk management, Disaster Recovery, Disaster Mitigation, Trade Secret Misappropriation

...Hastak is recognized around the world as an expert in the area of construction engineering and management with specific expertise in profitability of construction companies, disaster risk reduction, infrastructure management, project control, and risk management. He is a licensed Professional Engineer (PE), a Construction Risk Insurance Specialist (CRIS), and a Certified Cost Professional (CCP). Prof. Hastak has worked on numerous projects sponsored by the NSF, State DOTs, City Agencies, and the Construction Industry Institute (CII). As a Fellow of the American Council on Education (cohort of 2013-14) at Cornell University his work focused on the various facets of Hybrid RCM budget, engaged institution, and Public-Private Partnership in academia. He is the current President of the International Council for Research and Innovation in Building and Construction (CIB) (https://cibworld.org/)....

Occupational Medicine, Toxicology - Truck & Transport Accidents, Aerotoxicity (Aerotoxic Syndrome), Covid-19, Firefighters, Police, Cardiovascular, Sleep Disorders, Sleep Apnea, Sleep medicine, Chemical Sensitivities, Environmental Intolerances, Mold, Latex Allergy, Record Review, Causation Analyses, Heavy Metals, Toxicology

...He is Professor & Director of the Occupational Medicine Residency at the Harvard TH Chan School of Public Health (HSPH) and has produced over 225 publications. He is the Chief of Occupational Medicine at Cambridge Health Alliance. Dr. Kales has conducted numerous IMEs, chart reviews and has served as an expert for various Governmental Agencies, Insurance Companies, Corporations and Attorneys. He is Board-certified in both Occupational Medicine and was previously trained and certified in Internal Medicine. Dr. Kales' reports are timely, objective and yield scientific, objective, consistent, convincing opinions. He also has significant experience with deposition and trial testimony.

Obstetrics & Gynecology, Hospitalist - Surgical Complications, Fetal Demise, Policy, Procedure, Maternal Morbidity, Mortality, OB/GYN, Labor, Delivery, Hospitalist, Birth Injury, Device Failure, Standard of Care, Endometriosis, Ablation, Hormone Therapy, Cesarean, Hysterectomy, Ectopic, Pelvic Mass, Delayed Diagnosis, Medical Board, VBAC

...Graduate from Sinai Hopkins Health System with concentration in high-risk obstetrics and special pelvic surgery. OBGYN who grew a significant volume of 15,000+ patients in private practice over the course of 10 years. 5,000+ career deliveries. Extensive experience regarding hysterectomy and laparoscopy. Outpatient experience with average of 30 patients per day. Outpatient surgical suite experience with 300+ non-surgical hysterectomy/ablation procedures. Experienced in Thermachoice, HTA, and Novasure. Approximately 60% of patients seen in the outpatient setting were considered high-risk with multiple comorbidities presenting for OBGYN care. OBGYN provider with skill set in high-volume settings of 20 to 30 deliveries per month. Advanced in Cesarean section and gynecologic surgical cases....

Physical Therapy, Orthopedics - Non-Surgical - Spinal Manipulation, Orthopedic Physical Therapy, Orthopedic Manual Physical Therapy, Joint Mobilization, Soft Tissue Mobilization, Soft Tissue Injury, Physical Therapy Utilization, Physical Medicine and Rehabilitation, Geriatrics, Joint Replacements, Rotator Cuff Injuries, Whiplash Injuries

...Gorman is regarded as an expert in the field of Physical Therapy with extensive knowledge on current best practices, insurance reimbursement, business regulations, and clinician management. Dr. Gorman has achieved the highest level of Orthopedic Manual Physical Therapy training recognized by the American Physical Therapy Association (APTA) as a Fellow of the American Academy of Orthopedic Manual Physical Therapists (FAAOMPT). Dr. Gorman served on the APTA of Missouri State Board from 2010-2023, with the last six years serving as the Vice-President of APTA MO. Dr. Gorman was a private practice physical therapy owner since 2002; during this time growing his company from one to seven locations. In 2017 he successfully sold his practice to a national health care company. He re-entered private practice in June 2020 when he started iMove PT, a mobile physical therapy practice. In addition, Dr. Gorman is a very accomplished speaker....

Urology & Urological Surgery, Medical Management - Diagnosis and treatment of kidney/bladder/prostate/ureteral cancer, sarcoma, complications of surgery, stones, bladder injury, trauma, general urology, general pediatric urology, health insurance, health policy, guidelines, credentialing & privileging, regulatory & legislative affairs.

...He has held numerous positions in leadership and management at Bozeman Health Deaconess Hospital. He served two terms as President of the Montana Medical Association and is currently vice-president of the Montana Board of Medical Examiners. During his tenure as president of the Montana Medical Association, he founded a self-funded insurance company sponsored by the MMA and still serves as CEO/Chairman. He has been active in regulatory and legislative affairs at both the state and national levels.

Insurance, Products Liability - Asbestos, Pollution, Premises Liability, Occurrence Limits, Agent's Liability, Sexual Abuse, Stacking of Limits, Property, Businessowners, Professional Liability, Claims Handling, Compliance.

Have provided expert opinions on cases for insureds as well as insurers. Have testified in state courts, federal courts, hearings, and at an arbitration. Have been deposed multiple times - both in person and via electronic means. Have been retained by counsel for cases throughout the United States. Started my career at the Insurance Services Office, Inc. ("ISO"), the world's largest insurance service organization. ISO has over 1,200 participating companies. Worked in Personal Lines, Commercial Property and Commercial Casualty (CGL and Commercial Auto). Drafted many policy forms and endorsements at ISO including the Personal Auto Policy, the Commercial Property Coverage Form and Businessowners Policy, the occurrence and claims-made versions of the Commercial General Liability Coverage Form, and the pollution, asbestos, and punitive damages exclusions....

Safety, Industrial Hygiene - Construction, Research and Development, Environmental, Occupational Health, Noise, Accident Investigations, Risk Management, Fatality Investigations, ISO Management Systems, Insurance, Emergency Management, Drug/Alcohol Use Management, Behavioral Management, Training, Contractor Safety, Owners Rep.

A highly experienced, Environmental, Health and Safety professional, Certified Industrial Hygienist and Certified Safety Professional, with applied comprehensive skills, a strong commitment to excellence and progressive functional managerial experience with a specialization in the arena of Global EH&S Management Systems. Technical proficiencies in industrial hygiene, safety and environmental disciplines, regulatory compliance analyses, product EH&S program development, permitting, training, ergonomics, EH&S audit and gap analysis, corrective action development, risk management analysis, workers compensation claims management and wellness programs and construction EH&S within a multitude of manufacturing, construction, research and development, governmental and administrative environments....

Psychology, Independent Medical Examinations - IME, Independent Medical Examination, Disability, SSI, Social Security, Injury, Psychological Injury, Psychology, Psychologist, Pain, PTSD, Depression, Anxiety, Accidents, Education Injuries, School Districts, Worker's Comp, Malingering, Symptom Magnification.

...Major aspects of his practice include conducting independent medical examinations, court mandated criminal competency evaluations (CPL 730's), child custody evaluations, no-fault evaluations, worker’s compensation evaluations, disability evaluations, as well as record reviews for courts, attorneys, as well as insurance companies. Dr. Haas also provides expert witness testimony and has been admitted as well as testified in several courts in New York State (including Criminal, Supreme, and Family). He is currently certified by the New York State Mental Health Professionals Panel of the Appellate Division of the First and Second Departments to perform court related psychological evaluations. He is also certified by the Worker's Compensation Board of New York State to conduct independent medical examinations. Dr. Haas has conducted approximately three hundred IME's in his career thus far....

Actuarial, Insurance - life reinsurance, Yearly Renewable Term rate increases, Recapture disputes, life reinsurance coverage issues, reinsurance manager underwriting authority disputes, life reinsurance regulatory issues, life insurance securitization, financial reinsurance, surplus relief, administrative reinsurance

Over 45 years of experience in life (re)insurance practice. Created and ran a reinsurance acquisition division for Fortune 250 company. Managing Director working on life insurance securitizations for a major investment bank. Company roles have included senior officer in charge of reinsurance pricing and/or valuation. Actively lobbied insurance regulators on life reinsurance issues and was chief life reinsurance industry company lobbyist when chair of the American Council of Life Insurers’ Reinsurance Committee from 1999-2000. Chair of the Reinsurance Section of the Society of Actuaries and Chair of a reinsurance committee at the Academy of Actuaries. Chair of task forces that wrote an actuarial standard on life, annuity, and health reinsurance financial reporting and a second that wrote a practice note on credit for reinsurance. Author of the reinsurance chapter in the Society of Actuaries textbook “International Financial Reporting for Insurers.”...

Psychology, Forensic Psychology - PTSD, Trauma, Psychological Autopsy, Suicide Prevention & Risk Assessment, Clinical/Forensic Evaluations, IME, Disability, Compensation, Personal Injury, Fitness for Duty, Inspections, Audits, Investigations, Threat Assessment & Management, Workplace Violence, Malpractice, & Evaluative Mediation.

...matter expert and consulted in cases related to: Psychological Autopsy Investigation (completed suicide) Correctional standard of care Audits/Reviews/Investigation of Correctional Suicide Prevention Programs Competence Evaluation Suicide Risk Assessment Post Traumatic Stress Disorder Compensation Social Security Disability Personal Injury Fitness for Duty Pre-surgery Lethal Weapon Training Act 235 SPECIALIZED TRAINING Postgraduate Certificate in Forensic Psychology National Threat Evaluation and Reporting Master Trainer (NTER) Virginia Adult Forensic Evaluator Psychological Autopsy Investigator National Certified Investigator & Inspector Training (NCIT Specialized Program) Labor & Employment Relations SERVICES Psychological & Forensic Evaluations Threat Assessment & Management Competence Evaluation Reasonable Accommodations Compensation Claims Disability Claims Files Reviews Malpractice / Liability Life Care Planning Presurgical Psychological Evaluations Mental Health...

HMO, Medical Management - Accountable Care, HMO & Managed Care, Appeals & Grievances, Hospital & Provider Credentialing, Utilization/Medical Necessity, Healthcare Fraud/Abuse, Utilization Review, Qui Tam, Physician Quality of Care, Physician Sanctions, Defamation, Disruptive Physicians, Population Health, Sleep Medicine

...Our full suite of services includes: • Free initial phone consultations with expert clinicians • Flat fee initial case reviews • Dynamic clinical case theory analysis and development Phone: (843) 949-0927 Email: [email protected] AREAS OF EXPERTISE: Accountable Care Organizations Appeals & Grievances Case Management Correctional Healthcare Disease Management Disruptive Physicians Elder Abuse Emergency Medicine Geriatrics Healthcare Fraud/Abuse HMO & Managed Care Hospital & Provider Credentialing Internal Medicine Medical Insurance Medical Necessity Patient Grievances and Appeals Patient Safety Pharmacy Pharmacology Physician Burnout Physician Credentialing Physician Defamation Physician Grievances & Appeals Physician Quality of Care Physician Sanctions Population Health Management Public Health Qui Tam Sleep Medicine Utilization Review Value-Based Care LEADERSHIP: Dr. Frank L....

Business Damages, Accounting - Damages Lost Profits, Forensic Accounting, Construction Claims, Business Interruption , Insurance Claims, Product liability claims , Theft of Trade Secrets , Whistle blower cases, Antitrust/Pricing issues, Business valuations, Contract disputes, Dispute Resolution, Energy, Oli & Gas , M & A

...Accounting – 7 years) • Significant engineering & construction experience EJ JANIK, CPA, CFF, CFE, CFLC, MS CPA = Certified Public Accountant CFF = Certified in Financial Forensics CFE = Certified Fraud Examiner CFLC = Certified Forensic Litigation Consultant FIRM SERVICES Business and Dispute Consulting Construction and Contract Claims Damage Analysis / Critiques Fact Finding / Graphic Analytics Opinions / Reports Accounting / Financial / Economic Modeling Contract Accounting Projections and Trend Analysis Color Graphic Damage Modeling Trial Exhibits and Expert Testimony OVERALL EXPERIENCE Antitrust/Pricing Issues Audits Bankruptcy Analyses Business Interruption Business Valuations Construction Claims Contract Disputes Cost Determinations Criminal Investigations Damage Analyses/Critiques Debt & Capital Analyses Dispute Resolution Due Diligence Energy Environmental Claims Feasibility Studies Forensic Accounting Fraud Analyses/Investigations Hazardous Waste/Remediation Health...

Construction, Safety - Construction, falls from elevation, fall protection, fatalities, occupational health & safety management systems, OSHA matters, personal injury, precast erection, safety, standards of care, steel erection, termination for cause or for convenience, wrongful death

...., CSP, CFLC provides consulting services to attorneys, insurance carriers, construction companies, and companies engaged in general industry. Services are offered as a subject matter expert, expert witness, and safety consultant. He has over 40 years of construction and safety experience (17 years union, 23 years non-union), including airports, bridges, casinos, convention centers, convocation centers, distribution centers, hospitals, hotels, manufacturing facilities, office buildings, paper mills, pharmaceutical plants, power plants, prisons, refineries, schools, shopping malls, sports arenas, steel mills, stores, and warehouses. See www.homerpeterson.com for photographs of representative projects. His experience includes 40 years in construction in various positions such as president, senior vice president, vice president, project manager, and timekeeper....