Denials Expert Witnesses

Sarasota, Florida

Life Care Planning, Medical Management - Rehabilitation, Orthopedic, Catastrophic /Complex/Chronic Disease, Developmental Disability, Adult, Pediatric, Workers Comp, Liability, Data Analysis, Medical File Review, Bill Review, Medical Cost Projections, Medicare Secondary Payer, Case Management, Disputes, Denials, Appeals, Legal Nurse Consulting

Nurse Leader Bridging Bedside Clinical Practice and Insurance knowledge. Deborah holds a Master’s in healthcare leadership (MHL), a Master of Science in Nursing (MSN) and an active Registered Nurse (RN) license. She is a Certified Case Manager (CCM), Certified Registered Rehabilitation Nurse (CRRN), Certified Life Care Planner (CLCP), Medicare Set-Aside Certified Consultant (MSCC), Legal Nurse Consultant Certified (LNCC) and a Diplomat of the American College of Lifestyle Medicine. Deborah has bedside experience in Neonatal ICU, Pediatric ICU, Adult ICU, Medical-Surgical and Rehabilitation Nursing, including home health care. Insurance experience in commercial health, Medicare, Medicaid, workers compensation, auto-liability and disability (STD/LTD) medical management, including catastrophic spinal cord injury, brain injury, concussion, amputations, multiple trauma and rehabilitation as well as many chronic disease states. Retained by both Defense and Plaintiff attorneys, she b...

Ninety Six, South Carolina

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. I am currently available as...