Claims Expert Witnesses

Claims expert witnesses and consultants listed here may be able to form expert opinions, draft expert witness reports, provide expert witness testimony at deposition and/or trial as or serve as consulting (non-testifying) experts on claims. The claims expert witness listings on this page are typically from fields/areas of expertise such as: Appraisal & Valuation, Business Damages, Dispute Resolution, Insurance, Legal, Real Estate, and Risk Management.

Ty R Sagalow, JD, LLM Innovation Insurance Group, LLC

Alabama
Insurance - Professional Liability Insurance, D&O Liability Insurance, Management Liability Insurance, E&O Insurance, Cyber Insurance, Property Insurance, Casualty Insurance, P&C Insurance Financial Lines Insurance, bad faith, underwriting, claims, policyholder, Insurance, EPLI Insurance, Directors, Officers
Mr. Sagalow is a well known expert in insurance disputes representing both the policyholder and insurance carrier. He has been retained by most of the largest law firms on "both sides of the aisle." As of June 2023, he has been retained over 125 times (across over 50 different firms) , testified over 50 times including at trial, arbitration and court hearings. While Mr. Sagalow has been retained for a wide variety of insurance matters, his expertise is especially sought after in Financial Lines cases including directors and officers (D&O) insurance and professional liability (E&O) insurance . Mr. Sagalow has been successful in obtaining his policyholder clients over a billion dollars in recoveries as well as successfully saving for his insurance carrier clients hundreds of millions of dollars via successful declaratory judgment actions or trial verdicts. Mr. Sagalow is a 40 year insurance veteran having held the most senior positions in many insurance companies including at A...

Daniel G Fink, CIC, CRM, CPCU, CRIS, AAI Insurance Expert Witness

Phoenix, Arizona
Insurance - Insurance Agent/Broker Standard of Care, Insurance Bad Faith, Insurance Agents errors and omissions, Insurance Coverage, Insurance Coverages, and Claims, Insurance Industry Claim handling standards, Workers Compensation insurance, Auto Insurance, UM & UIM Insurance, Home Insurance, Insurance Disput
Daniel Fink, [email protected], is an active insurance agent and instructor with over 35 years of experience. He has earned the CIC, CRM, CPCU, CRIS, & AAI insurance certifications. As an insurance instructor, he teaches continuing education & certification classes for the CIC, CISR, and CRIS programs. Daniel is a good communicator (BA in Journalism and English) combined with an extensive background in insurance. He served as President of the IIABAZ (Arizona Agents Association) and has worked on the Arizona insurance licensing exam. Daniel has served as an expert witness for many years with plaintiffs and defendants, reviewing insurance agent standard of care, claims handling, policy and coverage reviews, and bad faith/unfair claim practices.

Advisors / Experts @MCS Associates National Expert Witness/Consulting Group

Tustin, California
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. Our clients include several thousand leading national and regional law firms, as well as many smaller and specialized boutique practices, and we also work extensively with numerous regulatory and government agencies Real Estate, Insurance - Residential, Commercial, Industrial, Construction, SBA, Lending, Appraisal, RESPA/TIL, Broker standards, Escrow, Title insurance, Leasing, Property management, Foreclosure, Agent/Broker duties, ...

Sandra Moriarty, CPCU, AIC, API, AIS, AINS Resolved SF, LLC

San Francisco, California
Insurance - Claims, Claims Handling, Standards and Practice, Property, Casualty, Restoration, Fire, Water, Mold, IICRC
With extensive experience across a broad sector of the property and casualty insurance industry, Sandra has unique insight and perspective into the challenges that arise in the insurance claims process. She has successfully guided both plaintiffs and defendants through hundreds of complex claims; both first and third party, litigated and non- litigated. With her extensive background in the fire and water restoration industry, combined with her outstanding communication and negotiation skills, Sandra excels in helping her clients get their cases RESOLVED.

Pauline Thomas, CRM, CIC, ARM, CISR Effective Risk Management

Costa Mesa, California
Insurance, Risk Management - Insurance, Risk Management, Agent/Broker Standard of Care, MGA, Wholesale Intermediary, Excess & Surplus Lines, Underwriting, Insurance Industry Customs & Practices, Commercial Lines, Personal Lines, E&O, EPLI, Occurrence v. Claims Made, PEOs, Contracts, Certificates, Additional Insureds, Claims
51+ years experience. Insurance & risk management professional. Faculty Member, Big "I" Virtual University Independent Insurance Agents & Brokers of America Practice includes expert witness & transactional consulting. Personal & commercial insurance including property, inland marine, wet marine, builders risk, course of construction, general liability, automobile liability, workers compensation, homeowners, medical malpractice, employment practices liability, professional liability. Traditional insurance & alternative risk programs, captives, self-insurance, large deductibles, retrospective rating. Experience includes underwriting, retail & wholesale production agencies, general agent, excess & surplus lines & franchisor. Producer, agent and broker custom & practice and standard of care. Good faith, bad faith. Experience with design & marketing of insurance programs & design & interpretation of insurance clauses in lease agreements, construction and other business contracts, cer...

David Bano Enterprise Associates LLC

Sarasota, Florida
Insurance, Legal - Bad faith, coverage, p/c operations, contracts, exclusions, denials, underwriting, claims, extracontractual, automotive, E & O, denials, Agency & sales, UI & UIM, class action, homeowner, commercial, XS surplus, negligence, fraud, SIU, investigation, flood, subrogation, catastrophes, hurricane, pet.
Chief Claims Officer - Nationwide Insurance [2007-2019]. Vice President- Home Office Claims [2004-2007]. Vice President -Field Claims Operations [2000-2004]. State Officer / Regional Vice President - Michigan [1998-2000]. General Manager - Philadelphia Operations [1997-1998]. State Claims Manager - Pennsylvania [1995-1998]. International Chief Claims Officer Roundtable [2007-2019]. National Insurance Crime Bureau - Board of Governors. Chairman & Founding Director - Pennsylvania Insurance Fraud Authority. Automotive hobbyist and collector. Insurance industry advisor/technical consultant for Scale AI, a San Francisco technology firm. I began my insurance career as an adjuster trainee and worked through every operating level within Claims to eventually become Nationwide's first Chief Claims Officer. As a hands-on leader with strong experience in both P/C general management [i.e., sales, agency operations, underwriting] as well as claims, I offer expertise across the entire Pro...

Rick Bingham Glynloen Insurance Consulting

Alexandria, Kentucky
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
Throughout his career, Mr. 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. As a past recipient of the Cert...

Britta M Moss, CPCU, SCLA, AIC-M Britta M. Moss

Kentucky
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.

Gregory J. Hill Value Adjust LLC

Dix Hills, New York
Appraisal & Valuation, Insurance - Insurance, Auto Insurance, Auto Claims, Claims, Auto Claims Process, Estimating, Auto Estimating, Salvage, Auto Damage Adjuster, Physical Damage Appraiser, Auto Appraisal, Total Loss Appraiser, Independent Adjusting, Total Loss Dispute Resolution, Independent Appraisal, Damage Analysis
With over 16 years of professional experience in the automotive and insurance industries, my expertise lies in auto damage claims management, procedure, estimation, appraisal, and auto body repair. Throughout my career, I have held various roles including Internal Auto Damage Manager, Auto Damage Field Supervisor, Senior Auto Damage Adjuster, Collision Repair Estimator/Production Manager, Independent Adjusting Firm Owner/Manager, Independent Appraiser, and Independent Valuation Expert. I have managed and trained adjusters, supervisors, vendors, repair technicians, and providers at individual and divisional levels. I hold a B.A. in Business Management and am a certified adjuster/appraiser through IAAA, I-Car, ASE, and New York State. Additionally, I hold an inactive NYS property and casualty agent's license. Areas of expertise include: • Auto damage adjuster training, oversight, management • Insurance claims process and management • Independent adjusting • Vehicle valuation • Tot...

Ty R Sagalow, JD, LLM Innovation Insurance Group, LLC

Syosset, New York
Insurance - Professional Liability Insurance, D&O Liability Insurance, Management Liability Insurance, E&O Insurance, Cyber Insurance, Property Insurance, Casualty Insurance, P&C Insurance Financial Lines Insurance, bad faith, underwriting, claims, policyholder, Insurance, EPLI Insurance, Directors, Officers
Mr. Sagalow is a well known expert in insurance disputes representing both the policyholder and insurance carrier. He has been retained by most of the largest law firms on "both sides of the aisle." As of June 2023, he has been retained over 125 times (across over 50 different firms) , testified over 50 times including at trial, arbitration and court hearings. While Mr. Sagalow has been retained for a wide variety of insurance matters, his expertise is especially sought after in Financial Lines cases including directors and officers (D&O) insurance and professional liability (E&O) insurance . Mr. Sagalow has been successful in obtaining his policyholder clients over a billion dollars in recoveries as well as successfully saving for his insurance carrier clients hundreds of millions of dollars via successful declaratory judgment actions or trial verdicts. Mr. Sagalow is a 40 year insurance veteran having held the most senior positions in many insurance companies including at A...

David Bano Enterprise Associates LLC

Ohio
Insurance, Legal - Bad faith, coverage, p/c operations, contracts, exclusions, denials, underwriting, claims, extracontractual, automotive, E & O, denials, Agency & sales, UI & UIM, class action, homeowner, commercial, XS surplus, negligence, fraud, SIU, investigation, flood, subrogation, catastrophes, hurricane, pet.
Chief Claims Officer - Nationwide Insurance [2007-2019]. Vice President- Home Office Claims [2004-2007]. Vice President -Field Claims Operations [2000-2004]. State Officer / Regional Vice President - Michigan [1998-2000]. General Manager - Philadelphia Operations [1997-1998]. State Claims Manager - Pennsylvania [1995-1998]. International Chief Claims Officer Roundtable [2007-2019]. National Insurance Crime Bureau - Board of Governors. Chairman & Founding Director - Pennsylvania Insurance Fraud Authority. Automotive hobbyist and collector. Insurance industry advisor/technical consultant for Scale AI, a San Francisco technology firm. I began my insurance career as an adjuster trainee and worked through every operating level within Claims to eventually become Nationwide's first Chief Claims Officer. As a hands-on leader with strong experience in both P/C general management [i.e., sales, agency operations, underwriting] as well as claims, I offer expertise across the entire Pro...

Britta M Moss, CPCU, SCLA, AIC-M Britta M. Moss

Delaware, Ohio
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.

David Bano Enterprise Associates LLC

Pennsylvania
Insurance, Legal - Bad faith, coverage, p/c operations, contracts, exclusions, denials, underwriting, claims, extracontractual, automotive, E & O, denials, Agency & sales, UI & UIM, class action, homeowner, commercial, XS surplus, negligence, fraud, SIU, investigation, flood, subrogation, catastrophes, hurricane, pet.
Chief Claims Officer - Nationwide Insurance [2007-2019]. Vice President- Home Office Claims [2004-2007]. Vice President -Field Claims Operations [2000-2004]. State Officer / Regional Vice President - Michigan [1998-2000]. General Manager - Philadelphia Operations [1997-1998]. State Claims Manager - Pennsylvania [1995-1998]. International Chief Claims Officer Roundtable [2007-2019]. National Insurance Crime Bureau - Board of Governors. Chairman & Founding Director - Pennsylvania Insurance Fraud Authority. Automotive hobbyist and collector. Insurance industry advisor/technical consultant for Scale AI, a San Francisco technology firm. I began my insurance career as an adjuster trainee and worked through every operating level within Claims to eventually become Nationwide's first Chief Claims Officer. As a hands-on leader with strong experience in both P/C general management [i.e., sales, agency operations, underwriting] as well as claims, I offer expertise across the entire Pro...

Key Coleman, CPA, CFA, CPCU Litigation Economic & Forensic Consulting Group LLC

Greater Philadelphia, Pennsylvania
Insurance, Business Damages - Economic Damages, General Business Damages, Accounting, Agent/Broker, Employment, Insurance Damages, Lost Profits, Reinsurance Damages, Underwriting, Claims, Force Placed, Managing General Agency MGA/TPA Examinations, PEOs, Agent Errors & Omissions E&O, Insurance, Commercial Disputes
Key Coleman is a damages expert, who works in a variety of industries. For more than 24 years, Key has focused his efforts on forensics, disputes, damages and expert testimony. Key's background is unusual in that he has a deep understanding of many of the functional areas that lead to disputes, including: sales, operations, accounting and finance. One of Key's specialties is the analysis of damages in insurance or reinsurance disputes. He is one of the few experts nationwide who hold both the CPA and the CPCU designations. Key serves clients nationwide from Greater Philadelphia, but spent the bulk of his career in Chicago where he held high level positions at Grant Thornton LLP and LECG/Smart in their disputes practice. Prior to that, he was a Partner at PricewaterhouseCoopers LLP, where for more than 11 years he performed forensic dispute analysis, damages analysis and investigative work. Prior to his consulting career, Key worked more than eight years for an insurance carr...

KYLE VICTOR, MBA-HA, RN, CRRN Expert Consulting Services, LLC

Neenah, Wisconsin
Insurance, Dispute Resolution - Healthcare,Quality & Risk Management,Medical Services,Compliance,Regulation,Clinical Documentation,Appeal Management,Mediation,Claims,Long-Term Care,Arbitration,Litgation,Audits,HIPAA,Consulting,Medicare Supplement,Disability Income,Life,Contracts,Policies,Expert Witness,Consulting,Property Casualty
With more than 30 years of experience consulting in the insurance claims industry (disability, long-term care, major medical, and Medicare supplement), we thrive on sharing our experience and knowledge to assist both plaintiffs and defendants with expert witness work when an insurance claim has been denied. Our track record proves that clear communication and expert collaboration is the key! If you need help understanding or fighting a health insurance claim denial, we've got you covered. Our mantra is: consult, analyze, identify, advise, execute. Our mission is to be your expert witness and create relationships, not transactions. Our promise is that we'll be there, as questions or issues arise, every step of the way. Rest easily with an expert witness on your side. We're prepared to help you every step of the way, from impartial advice to report preparation, deposition, and appearance at trial.