Insurance Expert Witnesses

The SEAK Expert Witness Directory contains a comprehensive list of insurance expert witnesses who testify, consult and provide litigation support on insurance and related issues. Insurance expert witnesses and consultants on this page may form expert opinions, draft expert witness reports, and provide expert witness testimony at deposition and trial. The issues and subjects these insurance expert witnesses testify regarding may include: Insurance, Bad Faith, Insurance Coverage, Life Insurance, Claims, Annuities, Insurance Bad Faith, Reinsurance, Risk Management, Bad Faith Insurance, Health Insurance , Property & Casualty Insurance, Standard Of Care, Underwriting, and Claims Handling.

Use the search box above to further refine your search for insurance expert witnesses by keyword and state. Attorneys contact the experts directly – with no middleman.

David L. Stegall, CPCU, ARM, ARe, RPA Risk Consulting & Expert Services

Insurance, Risk Management - Bad Faith, Usual & Customary Practices, Standard of Care, Fair Claim Practices, Alternative Risk, Self-Insurance, Reinsurance, Bonds, Property & Casualty Insurance, Errors & Omissions, Professional Liability for Agents, Brokers, Underwriters, Managing General Agents & Underwriting, Hurricane & Flood
David Stegall has over 43 years of insurance, reinsurance, bond and risk management industry experience. He is a Chartered Property & Casualty Underwriter, an Associate in Risk Management, an Associate in Reinsurance and a Registered Professional Adjuster. He has experience as an underwriter, an agent, a broker, a surety bond producer, a reinsurer, a managing general agent, a third-party administrator, a captive manager, a self- insured fund executive, a risk management consultant, an expert witness and has been retained as an arbitrator. He was President of the Society of Risk Management Consultants in 2017 and continues to serve on the Board of Directors. Mr. Stegall is also a member of the Board of Directors of the Alabama Captive Association, a member of the Society of Chartered Property & Casualty Underwriters, the American Association of Insurance Management Consultants, the Society of Registered Professional Adjusters, ARIAS-US, Defense Research Institute, and an Associate M...

Robert M Anderson, CPCU The Anderson Edge

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
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 a concentrated program for business owners and managers 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. Areas of expertise include, but are not limited to; • ADR (Arbitration/Mediation...

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

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 2022, he has been retained over 118 times (across over 50 different firms) , testified over 45 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...

Timothy A Coleman, PhD Coleman Knupp & DIce, LLC

Birmingham, Alabama
Meteorology, Environmental - Weather, Rainfall, Flood, Hurricane, Tornado, Wind, Fog, Visibility, Atmosphere, Insurance, Slip and Fall, Accident Reconstruction
Dr. Tim Coleman is the founding partner of the meteorological consulting firm of Coleman Knupp & Dice, LLC. He has been working in forensic weather analysis and consulting since 2008, and has 31 years of experience in meteorology. He holds a PhD and MS in Atmospheric Science from The University of Alabama in Huntsville, and a BS in Physics and Mathematics from Samford University. Tim has performed meteorological consulting services in over 80 cases in 12 states and Europe. His work in these cases has been widely varied, including but not limited to: rainfall and flood analysis; building collapse (due to wind or water); wind damage (including straight-line winds, tornadoes, and hurricanes), slip and fall (due to water, ice, and wind), lightning, hail damage, highway accidents, aircraft accidents, fog and visibility, and sun angle. Many of these cases have involved expert testimony. Dr. Coleman’s clients have complimented his ability to locate and analyze complex information, th...

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 2022, he has been retained over 118 times (across over 50 different firms) , testified over 45 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 L. Stegall, CPCU, ARM, ARe, RPA Risk Consulting & Expert Services

Mountain Brook, Alabama
Insurance, Risk Management - Bad Faith, Usual & Customary Practices, Standard of Care, Fair Claim Practices, Alternative Risk, Self-Insurance, Reinsurance, Bonds, Property & Casualty Insurance, Errors & Omissions, Professional Liability for Agents, Brokers, Underwriters, Managing General Agents & Underwriting, Hurricane & Flood
David Stegall has over 43 years of insurance, reinsurance, bond and risk management industry experience. He is a Chartered Property & Casualty Underwriter, an Associate in Risk Management, an Associate in Reinsurance and a Registered Professional Adjuster. He has experience as an underwriter, an agent, a broker, a surety bond producer, a reinsurer, a managing general agent, a third-party administrator, a captive manager, a self- insured fund executive, a risk management consultant, an expert witness and has been retained as an arbitrator. He was President of the Society of Risk Management Consultants in 2017 and continues to serve on the Board of Directors. Mr. Stegall is also a member of the Board of Directors of the Alabama Captive Association, a member of the Society of Chartered Property & Casualty Underwriters, the American Association of Insurance Management Consultants, the Society of Registered Professional Adjusters, ARIAS-US, Defense Research Institute, and an Associate M...

Ramzi Asfour, MD Praxis Infectious Diseases

Arizona
Infectious Diseases, Internal Medicine - COVID-19, nursing homes, long term care, sepsis, necrotizing fasciitis, infections, surgical site infections, infection control, antimicrobial stewardship, consulting, insurance, case review, medical malpractice, standards of care, sepsis, bacterial or viral infections, outbreak management
Ramzi Asfour, MD, is board certified in Infectious Diseases and Internal Medicine, and Assistant Clinical Professor of Medicine at the University of California San Francisco (UCSF). In addition to his 20+ years of extensive private practice, Dr Asfour has privileges at five California hospitals (Alameda County Medical Center, Alameda Hospital, Sutter Lakeside Hospital, Sutter Eden Medical Center, and Mammoth Hospital). Dr. Asfour has worked for the World Health Organization in Geneva in the HIV / AIDS department, developing training programs for doctors in HIV. In addition to his clinical practice, Dr Asfour also advises hospitals, skilled nursing facilities, schools and businesses on infection control, including outbreak control and COVID-19, and antimicrobial stewardship. Dr Asfour has experience working with both plaintiff and defense attorneys to provide clear, independent opinions on matters involving: Medical malpractice, standards of care, sepsis, necrotizing fasciiti...

Neal Bordenave, JD, CPCU, RPLU, ARM, AIC RiskPro Insurance Services, Inc.

Arizona
Insurance - Broker/Agent Standard of Care, Bad Faith, Insurance Industry Customs and Practices, Property & Casualty, Life, Annuities, Excess & Surplus, Managing General Agent, Health, Surety, Professional Liability, Underwriting, Claims Practices,
More than 30 years experience in the insurance industry. President/CEO of RiskPro Insurance Services, Inc., Professor of Risk Management and Insurance at California State University Chico. Established Expert Witness Practice in 2009. As of January 2022, more than 300 retentions and testifying in Deposition, Trial and Arbitration almost 100 times. Education includes Juris Doctor (JD), BS Business Administration/Finance. Chartered Property Casualty Underwriter (CPCU) Registered Professional Liability Underwriter (RPLU) Associate in Risk Management (ARM) Associate in Claims (ARM) Primary States for expert work include, California, Arizona, Nevada, Oregon, Washington, Utah, Colorado and Texas

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.

Carl H. Josephson, PE, SE Josephson-Werdowatz & Associates, Inc.

Arizona
Structural Engineering, Engineering - Wood, masonry, steel, concrete structures. Construction defect, insurance litigation, professional liability claims. Seismic/wind design, code review, standard of care analysis. Also foundations, underpinning, retaining walls, and tie-backs. Extensive graphics and animations capabilities.
Josephson-Werdowatz & Associates(JWA), founded in 1988 and with licenses in twenty-five states, has provided structural design and construction defect investigations/evaluations across the United States and abroad. Structural evaluations included wood, masonry, steel, and concrete structures, with particular emphasis on seismic and wind design. Evaluations also included code review and analysis, and standard of care analysis. JWA also has extensive experience with geotechnical structures such as special foundations, underpinning, retaining walls, tie-backs, and soil nails, among others. JWA strives for a reasoned, accurate, and practical solution to structural engineering problems and deficiencies. Principal Structural Engineers Carl H. Josephson, PE, SE and Dan R. Werdowatz PE, SE have been retained as expert witnesses in over 1,500 cases for plaintiff and defense clients, and have provided testimony in deposition or trial on over 400 occasions. Mr. Josephson has over 40 years of...

Stuart Landsverk NorthStar Partners

Mesa, Arizona
Automotive, Financial - Automotive, Automobile dealerships, Auto Theft, Best Practices, Property and Security, Insurance, Diminished Value Cases, Automobile Dealership Policies & Procedures, Auto Financing, Trademarks, Automobile Sales Finance Act, Improper Disclosures, New & Used Automobile Transactions
Mr. Landsverk has been a veteran of the automotive dealership industry since 1982 and holds the designation of the certified master dealer, one of the highest designations available to an automotive dealer. In his 35+ year automotive career, he has worked his way through the business in sales, sales manager, finance director, used vehicle manager, general sales manager, general manager, managing partner, and dealer principal. Stuart has worked with clients like hedge funds, law firms, peer groups, and venture capitalists that want to learn more about the automobile business or automotive finance business. Stuart has been deposed as an expert witness, provided counsel, expert reports, and testimony regarding hiring, firing, Auto Financing, GAP policies, Automobile theft, property security, P&L, pay plans, property damage, trademarks, auto dealer security measures, auto dealership best practices, F&I, consumer fraud auto dealer inventory practices, diminished value claims, dealersh...

David R. Mitchell, CPCU, CIC, MBA, MA.HR, SPHR, SHRM-SCP Ideal Insurance Agency

Surprise, Arizona
Insurance - insurance standard of care, insurance coverage, insurance bad faith, workers compensation, human resources, property and casualty insurance, life insurance, health insurance, disability insurance, long term care insurance, cyber insurance, auto insurance, home insurance, business insurance
David has been a licensed practicing insurance producer for 39 years. He understands the reasonable care, skill and diligence from not only academia but experience. He has been an insurance agency owner for 37 years. To date he has consulted in over 50 court cases as a consultant/expert. His consultant/expert work is split at about 45% Plaintiff and 55% Defense. David has testified in several depositions and at jury trial with a successful outcome. David is a CPCU. In addition, he has been a Certified Insurance Counselor since September of 1992. The Family Agency in which he is a partner has won both community and industry awards. David has reviewed the Arizona State Licensure Exams since 1998. He has taught various insurance courses through The National Alliance since 2002. He has taught several continuing education courses in Arizona. Since 2002 he has taught various business courses collegiately. Currently has been an adjunct professor at Glendale Community College teaching in...

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

Arizona
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
50+ 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...

Harold "Trey" Fairman III, AIF®, J.D., LL.M.

Arkansas
Insurance, Securities & Investments - Life Insurance, Premium Financing, Irrevocable Life Insurance Trusts, Life Settlement, Stranger Originated Life Insurance, STOLI, Investor Owned Life Insurance, IOLI, Standard of Care, TOLI, Long Term Care, 401k, Annuities, ILIT, Inforce insurance policy review, policy lapse, fiduciary oversight
I am a retirement plan and insurance expert uniquely qualified with decades of experience in the high-net-worth insurance and financial institution marketplace. I provide consulting and expert witness services regarding complex financial and insurance litigation matters to plaintiff and defense attorneys, as well as bank and investment company legal departments. I am experienced as a tax planner and an insurance broker in the high-net-worth market, with a focus on sophisticated life insurance and life settlement transactions. I am available for cases involving: Life Insurance (term, whole, universal, indexed, variable), Insurance Premium Financing, Inforce Insurance Policy Review / Policy Lapse, Life Insurance Settlements, Trust Owned Life Insurance ("TOLI"), Insurance Agent Standard of Care, Premium Financed Indexed Universal Life ("IUL") Insurance, Stranger Originated Life Insurance (aka "STOLI" and "IOLI"), 401(k) Fiduciary Oversight / Prudent Process, Disability Insurance a...

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, ...

Robert M Anderson, CPCU The Anderson Edge

Newport Beach, California
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
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 a concentrated program for business owners and managers 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. Areas of expertise include, but are not limited to; • ADR (Arbitration/Mediation...

Michael F Arrigo No World Borders

Newport Beach, California
HIPAA, Medical Billing - Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid,insurance, CRPS, EMTALA
Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Healt...

Ramzi Asfour, MD Praxis Infectious Diseases

California
Infectious Diseases, Internal Medicine - COVID-19, nursing homes, long term care, sepsis, necrotizing fasciitis, infections, surgical site infections, infection control, antimicrobial stewardship, consulting, insurance, case review, medical malpractice, standards of care, sepsis, bacterial or viral infections, outbreak management
Ramzi Asfour, MD, is board certified in Infectious Diseases and Internal Medicine, and Assistant Clinical Professor of Medicine at the University of California San Francisco (UCSF). In addition to his 20+ years of extensive private practice, Dr Asfour has privileges at five California hospitals (Alameda County Medical Center, Alameda Hospital, Sutter Lakeside Hospital, Sutter Eden Medical Center, and Mammoth Hospital). Dr. Asfour has worked for the World Health Organization in Geneva in the HIV / AIDS department, developing training programs for doctors in HIV. In addition to his clinical practice, Dr Asfour also advises hospitals, skilled nursing facilities, schools and businesses on infection control, including outbreak control and COVID-19, and antimicrobial stewardship. Dr Asfour has experience working with both plaintiff and defense attorneys to provide clear, independent opinions on matters involving: Medical malpractice, standards of care, sepsis, necrotizing fasciiti...

Neal Bordenave, JD, CPCU, RPLU, ARM, AIC RiskPro Insurance Services, Inc.

Chico, California
Insurance - Broker/Agent Standard of Care, Bad Faith, Insurance Industry Customs and Practices, Property & Casualty, Life, Annuities, Excess & Surplus, Managing General Agent, Health, Surety, Professional Liability, Underwriting, Claims Practices,
More than 30 years experience in the insurance industry. President/CEO of RiskPro Insurance Services, Inc., Professor of Risk Management and Insurance at California State University Chico. Established Expert Witness Practice in 2009. As of January 2022, more than 300 retentions and testifying in Deposition, Trial and Arbitration almost 100 times. Education includes Juris Doctor (JD), BS Business Administration/Finance. Chartered Property Casualty Underwriter (CPCU) Registered Professional Liability Underwriter (RPLU) Associate in Risk Management (ARM) Associate in Claims (ARM) Primary States for expert work include, California, Arizona, Nevada, Oregon, Washington, Utah, Colorado and Texas

Dick Bridy, PhD DBI Group Expert Witness

La Jolla, California
Real Estate, Dispute Resolution - Default, personal injury, abandonment, asset - property and portfolio management, commercial litigation, development/redevelopment, insurance, realtor litigation, fiduciary claims, landlord liability, constructive eviction
Dr. Dick Bridy delivers real estate expert witness testimony for the commercial real estate and brokerage industry nationwide. He is an entrepreneur and the CEO of DBI Group (DBI) and Bedrock Investments Group (BIG) with more than forty (40) years of commercial real estate development, brokerage, investment, leasing, private equity sourcing, operations, construction, and asset management experience. He has been engaged by both plaintiff and defense attorneys.

Mason A Dinehart III, RFC FEND - Financial Education Network Development

San Ramon, California
Securities & Investments, Insurance - Due Diligence, Suitability, Supervision, Standards of Care, Breach of Fiduciary Duty, Variable and Fixed Index Annuities, TIC's, Non-Traded REIT'S, Broker Dealer Compliance, Portfolio Analysis,Private Placements, Elder Abuse, Damages, Misrepresentation, Material Omission and Fraud,
I am celebrating 5 decades in the securities Industry. I am both a FINRA Arbitrator and the designated securities expert witness for the CA State Bar. I am a consulting expert in litigation and arbitration having testified in 25 states involving securities, insurance and annuities. Since 1991, I have been retained over 1000 times and have testified in 365 arbitrations before NASD, FINRA, JAMS, PSE, AAA and PSE along with attending and testifying in over 100 mediations. In addition, I have qualified and testified before the L.A. Federal Court along with State Courts in L.A., Orange, Fresno and San Diego. My case track record stands at 328 wins and 37 losses. From a long-standing banking background in corporate finance to underwriting and investment banking and real estate experience, I bring a strong knowledge of modern portfolio theory through the teaching of hundreds of retirement financial planning seminars at the corporate level. It is my goal to bring a refres...

David S. Easton, JD, CPCU Easton Insurance Consulting

San Diego, California
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.

Harold "Trey" Fairman III, AIF®, J.D., LL.M.

San Marcos, California
Insurance, Securities & Investments - Life Insurance, Premium Financing, Irrevocable Life Insurance Trusts, Life Settlement, Stranger Originated Life Insurance, STOLI, Investor Owned Life Insurance, IOLI, Standard of Care, TOLI, Long Term Care, 401k, Annuities, ILIT, Inforce insurance policy review, policy lapse, fiduciary oversight
I am a retirement plan and insurance expert uniquely qualified with decades of experience in the high-net-worth insurance and financial institution marketplace. I provide consulting and expert witness services regarding complex financial and insurance litigation matters to plaintiff and defense attorneys, as well as bank and investment company legal departments. I am experienced as a tax planner and an insurance broker in the high-net-worth market, with a focus on sophisticated life insurance and life settlement transactions. I am available for cases involving: Life Insurance (term, whole, universal, indexed, variable), Insurance Premium Financing, Inforce Insurance Policy Review / Policy Lapse, Life Insurance Settlements, Trust Owned Life Insurance ("TOLI"), Insurance Agent Standard of Care, Premium Financed Indexed Universal Life ("IUL") Insurance, Stranger Originated Life Insurance (aka "STOLI" and "IOLI"), 401(k) Fiduciary Oversight / Prudent Process, Disability Insurance a...

Frederick J Fisher, J.D., CCP Fisher Consulting Group, Inc.

El Segundo, California
Insurance, Business Operations - Professional Liability, Standard of Care, Insurance Bad Faith, Insurance Brokers, Real Estate Brokers, Escrow Procedures, Mortgage Brokers, Claims Procedures, Claims Made Insurance,
Frederick J. Fisher, J.D. is the President of Fisher Consulting Group, Inc., and was the Founder of E.L.M. Insurance Brokers, a Wholesale & MGA facility specializing in Professional Liability and Specialty Line risks. He is a Member of the Editorial Board for Agents of America; a Faculty Member of the Claims College, and Member of the Executive Council, School of Professional Lines as sponsored by the Claims & Litigation Management Alliance. He is a course designer and webinar Instructor for the Academy of Insurance (sponsored by the Insurance Journal). Since his career began, Mr. Fisher focused on one vision: providing financial security to the client. The result was a successful 41 year career in Specialty Lines Insurance. In 1975, Mr. Fisher began his career on the service side, as an Independent E&O claims adjuster. In 1982, he bought the Company, continued with claims, while expanding the firm’s services to include qualitative claim auditing, risk management & loss contro...

Lola Hogan, CPCU ARM ARe Lola Hogan Insurance Consulting LLC

Pacific Grove, California
Insurance - Claims Practices, Bad Faith, Duty to Defend, Property & Casualty, Personal and Commercial lines.
Over 35 years of insurance industry experience, including 20 plus years of experience as an insurance executive. 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.

Carl H. Josephson, PE, SE Josephson-Werdowatz & Associates, Inc.

San Diego, California
Structural Engineering, Engineering - Wood, masonry, steel, concrete structures. Construction defect, insurance litigation, professional liability claims. Seismic/wind design, code review, standard of care analysis. Also foundations, underpinning, retaining walls, and tie-backs. Extensive graphics and animations capabilities.
Josephson-Werdowatz & Associates(JWA), founded in 1988 and with licenses in twenty-five states, has provided structural design and construction defect investigations/evaluations across the United States and abroad. Structural evaluations included wood, masonry, steel, and concrete structures, with particular emphasis on seismic and wind design. Evaluations also included code review and analysis, and standard of care analysis. JWA also has extensive experience with geotechnical structures such as special foundations, underpinning, retaining walls, tie-backs, and soil nails, among others. JWA strives for a reasoned, accurate, and practical solution to structural engineering problems and deficiencies. Principal Structural Engineers Carl H. Josephson, PE, SE and Dan R. Werdowatz PE, SE have been retained as expert witnesses in over 1,500 cases for plaintiff and defense clients, and have provided testimony in deposition or trial on over 400 occasions. Mr. Josephson has over 40 years of...

Arthur B Kagan, FSA, EA A | K Actuarial & Pension Services

Woodland Hills, California
Actuarial, Statistics - Actuary, Pension Plans, retirement plans, 401k plans, ERISA, IRS compliance, audits, pension consulting, life expectancy calculations, marital dissolution, employee benefits, personal injury, wrongful death, disability, loss of income, life estate values, insurance, annuities, executive plans
Professional affiliations include F.S.A, Fellow Society of Actuaries (highest education for an actuary), E. A. Enrolled Actuary, M. A. A. A Member American Academy of Actuaries, ASPPA American Society of Pension Professionals and Actuaries, NIPA National Institute of Pension Administrators, and past affiliation as F. C. A. Fellow of Conference of Consulting Actuaries. Prior Board Member for Conference of Consulting Actuaries and NIPA. Authored several articles early in career on the growing trend of 401k Plans to replace traditional Pension Plans. Implemented one of the early Cash Balance Pension Plans for large law firm; expanded to over 100 Cash Balance Pension Plans. Worked closely with ERISA and client attorneys on client issues; frequently utilized research service of ERISA attorney firm. Presented many seminars on recent developments in pension plan industry and creative plan design to Desert Estate Planning Council, California CPA Society, AXA Advisors and various...

Guy O Kornblum Guy O. Kornblum, A Professional Law Corporation

San Francisco, California
Insurance, Legal - Insurance Claims Handling, Insurance Compliance with Good Faith Claims Principles, Standard of Care in Civil Litigation, Civil Litigation, Case Evaluation, Negotiation and Settlement
GUY O. KORNBLUM is a principal in Guy O. Kornblum, a professional law corporation, with offices in San Francisco, California. He has specialized as a trial and appellate lawyer for over 45 years. The firm specializes in a wide range of civil litigation, including serious injury and wrongful death, financial and physical elder abuse, and all aspects of insurance including “bad faith” claims. Mr. Kornblum himself has handled over 4000 litigated matters to conclusion and has several million dollar plus cases to his credit. He has represented hundreds of clients, small businesses, individuals, and large Fortune 500 corporations during his over 40 years of practice. He is highly regarded for his courtroom and appellate skills, and his representation of his clients in mediations, where he has a strong track record of successful settlements. Mr. Kornblum is certified in Civil Trial Law and Civil Pretrial Practice Advocacy by the prestigious National Board of Trial Advocacy, and is a ...

Sandra Moriarty, AIC, API (formerly Watts) 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 cases; 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.

Thomas M. Neches, CPA, ABV, CVA, CFE, CFF Thomas Neches & Co., LLP

Los Angeles, California
Business Damages, Accounting - CPA expert witness, forensic accounting, damages, business valuation, lost profits, reasonable royalty, alter ego, intellectual property, wrongful termination, wrongful death, breach of contract, lender liability,banking, entertainment, insurance, manufacturing, retail, securities, wholesale.
Thomas Neches, managing partner of Thomas Neches & Company LLP, provides accounting, financial, business valuation and statistical analyses to assist attorneys involved in litigation. Mr. Neches has testified as an expert in state and federal courts in Arizona, California, Florida, Kentucky, Missouri, Nevada, New York and Oregon. He is a Certified Public Accountant, Accredited in Business Valuation, a Certified Valuation Analyst, a Certified Fraud Examiner and is Certified in Financial Forensics. He received his BA in Mathematics and Literature from UC San Diego and his MS in Operations Research from UCLA. Mr. Neches has testified to juries on behalf of both plaintiffs and defendants in antitrust, breach of contract, fraud, intellectual property, lender liability, personal injury and wrongful termination cases. Examples of the litigation issues he has addressed include lost profits, lost business value, determining a reasonable royalty and piercing the corporate veil. Representativ...

David E. Pilcher, CPCU, ARM, AIC, AAI David E. Pilcher, CPCU, ARM, AIC, AAI

Monrovia, California
Insurance, Risk Management - Workers Compensation, General Liability insurance, Personal and Commercial Lines, Errors and Omissions Casualty Claims, Bad Faith, Risk Management / Loss Control, Coverage and/or Contractual Disputes, Employer Practices Liability, Wage and Hour Disputes, and other Casualty issues.
I offer over 35 years of strong technical background and multiple-line experience in personal and commercial casualty insurance including auto, general liability, and workers' compensation. I am the former Risk Manager of Fullerton School District, (enrollment of 13,554 students and approximately 1500 classified and certificated personnel on 22 sites), assuming overall responsibility for the administration of the district’s property, liability, and self-insured workers’ compensation programs and the employee health and welfare benefits programs. I have served on the Risk Management and Threat Assessment Advisory Board for Cal State Fullerton University Extended Education Program and have previously served as a Management Trustee for the Metropolitan Employee Benefits Association and on the Alliance of Schools for Cooperative Insurance Programs (ASCIP) Loss Control Committee. I have significant experience in litigated casualty claims case management combined with a thorough knowledge...

Janice A. Ramsay, Esq. Janice A. Ramsay ALC

Irvine, California
Insurance, Legal - Bad Faith, Property Insurance Claims, Insurance Coverage, Insurance Industry Custom and Practice,
Ms. Ramsay has been retained as an independent expert on the custom and practice of the insurance industry in commercial and residential property insurance claims in over 150 matters. She was previously a lawyer practicing law in the field of property insurance and for over 35 years, she had given coverage advice in thousands of claims to insurers, advised insureds as to their rights and coverage, handled insurance coverage and bad faith litigation for insurers and insureds, litigated coverage, bad faith, subrogation, and defense cases. Ms. Ramsay has worked with claims that have involved arson, insurance fraud, business interruption, landslides, earthquakes, floods, other water losses, underwriting issues, broker and agent error, insurable interest issues, appraisal rights and procedures, examinations under oath, suit limitation, subrogation and mortgagee rights.

Casey Roberts, ACSR, AFIS, CIC Laurus Insurance Consulting

Lincoln, California
Insurance, Agriculture - Insurance Agents/Brokers Standard of Care, Farm & Agricultural insurance, Insurance Agents/Brokers errors & omissions, Property Insurance (personal & commercial), Liability insurance (personal & commercial), Automobile insurance (personal & commercial,
Licensed insurance agent/broker (California) for more than 40 years. Nationally recognized instructor on various insurance coverage topics - both commercial and personal. Expert Commentary writer for IRMI. Casey Roberts is the principal of Laurus Insurance Consulting. He worked in personal insurance sales, commercial insurance sales, and sales management on the retail side of the insurance business from 1976 to 2010. He established Laurus in 2010 when he realized that his some 30 years of teaching insurance classes provided him with a unique viewpoint of what agents and brokers need to succeed- as well as to properly represent their clients...the insureds. He consults nationally and has advised attorneys (to date) in Idaho, Montana and California.

Steven E. Roth Life and Disability Insurance Analyst

Agoura Hills, California
Insurance - life insurance,disability insurance,indexed annuities,annuity,annuities,premium financing,indexed universal life,illustration,bad faith,unfair,deceptive, sales practices,misrepresentation,fraud,negligence,standard of care,STOLI,IOLI,IUL,FIA,class action,premium,lapse,reinstatement, termination.
Served as a consultant and/or testifying expert witness to national law firms and top lawyers in numerous pro-consumer cases, ranging from deceptive investment and insurance sales practices to unfair insurance claims handling (predominantly life and disability insurance and annuity cases). To date, these cases resulting in estimated $200 million plus of settlements, awards and judgments. Testified in state courts, before FINRA and arbitrations. Never disqualified or had opinions stricken. 1991 - present: Life and disability insurance agent. 2014 - present: Life & Disability Analyst. ARTICLES AND SPEAKING ENGAGEMENTS Articles (partial list) Featured in Forbes Magazine: “Sounding The Alarm On Indexed Universal Life Insurance”, a consumer warning piece concerning complex premium financing and Indexed Universal Life insurance – September 23, 2020 Featured in Forbes Magazine: “Kill The Messenger”, an critique of investment advisors and products – December, 2008 Featured in Forbes Mag...

David L. Stegall, CPCU, ARM, ARe, RPA Risk Consulting & Expert Services

California
Insurance, Risk Management - Bad Faith, Usual & Customary Practices, Standard of Care, Fair Claim Practices, Alternative Risk, Self-Insurance, Reinsurance, Bonds, Property & Casualty Insurance, Errors & Omissions, Professional Liability for Agents, Brokers, Underwriters, Managing General Agents & Underwriting, Hurricane & Flood
David Stegall has over 43 years of insurance, reinsurance, bond and risk management industry experience. He is a Chartered Property & Casualty Underwriter, an Associate in Risk Management, an Associate in Reinsurance and a Registered Professional Adjuster. He has experience as an underwriter, an agent, a broker, a surety bond producer, a reinsurer, a managing general agent, a third-party administrator, a captive manager, a self- insured fund executive, a risk management consultant, an expert witness and has been retained as an arbitrator. He was President of the Society of Risk Management Consultants in 2017 and continues to serve on the Board of Directors. Mr. Stegall is also a member of the Board of Directors of the Alabama Captive Association, a member of the Society of Chartered Property & Casualty Underwriters, the American Association of Insurance Management Consultants, the Society of Registered Professional Adjusters, ARIAS-US, Defense Research Institute, and an Associate M...

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
50+ 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...

Michael F Arrigo No World Borders

Colorado
HIPAA, Medical Billing - Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid,insurance, CRPS, EMTALA
Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Healt...

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

Colorado
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.

Laura A. Dambier Insurance Capital Consulting LLC

Avon, Connecticut
Insurance, Business Operations - Life insurance, agent licensing, appointment, commissions, terminations, premium financing, regulatory requirements, operations, customer service, call centers, home office administrative processes & technology, compliance, file review, bad faith, claim practices, annuities, misrepresentation
Laura A. Dambier Accomplished retired senior executive with more than 20 years of experience leading life insurance operations across the life cycle of a policy from life insurance and annuity agent/broker/distribution sales authorization to the sales process, compensation, customer service and claims. Areas of expertise include but are not limited to life insurance and annuity agent licensing, appointments, terminations, commissions, contracting, technology, customer service, call center and claims. Please see also Insurance Capital Consulting LLC for further detail. Insurance Capital Consulting LLC Led by Laura A. Dambier, Insurance Capital Consulting LLC brings together a cross-functional team of seasoned insurance industry professionals with extensive experience in insurance company home office processes covering the lifespan of a life insurance policy or annuity. Hartford, Connecticut presence with nationwide reach and expertise. Consultant backgrounds and experience include:...

Henry T French, JD Bifrost LLC

Farmington, Connecticut
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, se...

David L. Stegall, CPCU, ARM, ARe, RPA Risk Consulting & Expert Services

District Of Columbia
Insurance, Risk Management - Bad Faith, Usual & Customary Practices, Standard of Care, Fair Claim Practices, Alternative Risk, Self-Insurance, Reinsurance, Bonds, Property & Casualty Insurance, Errors & Omissions, Professional Liability for Agents, Brokers, Underwriters, Managing General Agents & Underwriting, Hurricane & Flood
David Stegall has over 43 years of insurance, reinsurance, bond and risk management industry experience. He is a Chartered Property & Casualty Underwriter, an Associate in Risk Management, an Associate in Reinsurance and a Registered Professional Adjuster. He has experience as an underwriter, an agent, a broker, a surety bond producer, a reinsurer, a managing general agent, a third-party administrator, a captive manager, a self- insured fund executive, a risk management consultant, an expert witness and has been retained as an arbitrator. He was President of the Society of Risk Management Consultants in 2017 and continues to serve on the Board of Directors. Mr. Stegall is also a member of the Board of Directors of the Alabama Captive Association, a member of the Society of Chartered Property & Casualty Underwriters, the American Association of Insurance Management Consultants, the Society of Registered Professional Adjusters, ARIAS-US, Defense Research Institute, and an Associate M...

Andrew Allocco, P.E. Indian River Construction Services, Inc.

Port Saint Lucie, Florida
Construction Defects, Construction - Expert Witness, Forensic Consulting Engineer, High Rise, Building Envelope, Roof, HVAC, Electric, Pool, Solar, Public Insurance Adjuster, Developer Turnover Issues, Insurance Litigation Expert, Second Opinions, Forty Year Recertifications
CURRENT LICENSES State of Florida Licensed Professional Engineer PE 39381 State of Florida Certified General Contractor CGC 10724 State of Florida Certified General Contractor CGC 1530529 State of Florida Certified Mechanical Contractor CMC 11653 State of Florida Certified Mechanical Contractor CMC 1250919 State of Florida Certified Air Conditioning Contractor CMC 11653 State of Florida Certified Roofing Contractor CCC 12378 State of Florida Certified Roofing Contractor CCC 1333151 State of Florida Certified Pool Contractor CPC 16138 State of Florida Certified Electrical Contractor EC 00525 State of Florida Certified Electrical Contractor EC 13010885 State of Florida Certified Plumbing Contractor CFC 1425695 State of Florida Certified Plumbing Contractor CFC 1430841 State of Florida Certified Plumbing Contractor CFC 1430972 State of Florida Certified Solar Contractor CVC 57009 State of Florida Certified Mold Assessor MRSA 4173 State of Flo...

Michael F Arrigo No World Borders

Florida
HIPAA, Medical Billing - Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid,insurance, CRPS, EMTALA
Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Healt...

Hayden Burrus, FCAS, MAAA HB Actuarial Services, Inc.

Delray Beach, Florida
Actuarial, Insurance - workers compensation, reserves, rate filing, self insurance
o Deposition regarding the rates and stacking practices of Uninsured Motorist / Auto Liability coverage for a large multistate auto insurer. o Actuarial valuations of commissions due from an insurance company. o Retained Chief Actuary services for a growing publicly traded workers’ compensation insurer; charged with building actuarial expertise from the ground up. o Expert preparation for appeal of NCCI rulings on experience rating modification factor process. o Opinion Letter to Ohio Department of Insurance on a Regulatory Settlement Agreement. o Actuarial Expert for Insurer in Receivership. o Negotiations and sworn statements with Florida Office of Insurance Regulation over excess profits statutes. o Expert opinion and deposition related to the filed policy forms with a state insurance department. o Workers compensation premium calculations for a premium dispute between insurer and insured. • Preparations of actuarial portion of SEC Filings prior to AmCOMP’s IPO • Managemen...

Amina Ghalyoun, PharmD, BCACP Aletheia Consulting Services

Fort Lauderdale, Florida
Pharmacist, Pharmacology- Clinical - forensic pharmacist, pharmacy fraud, medical use necessity, formulary, overdose, dispensing error, drug litigation, medical malpractice, wrongful death, controlled substance, internal medicine, cardiology, endocrinology, women's health, geriatrics, diabetes, insurance
Broadly experienced, board certified clinical pharmacist. Extensive experience treating patients under scope and collaborative of practice agreements as a mid-level provider for the VA, academic, and urban community institutions. 4 years of high-volume retail experience. Licensed to practice in Illinois and Florida. Vast experience in medical necessity and quality. Substantial formulary review experience. Treating experience includes inpatient, outpatient, and telehealth. Peer Reviewer: The Annals of Pharmacotherapy. Extensive public speaking experience.

Dorothy E Muir, JD, MBA, CPCU, ARe, Dorothy E Muir, Consultant & Expert Witness

West Palm Bch, Florida
Insurance - Reinsurance, Coverage, Treaty and Facultative contracts, claims handling, bad-faith issues,
Accomplished Insurance and Reinsurance executive with over thirty years Claims handling experience. Proven ability to successfully manage multi-million-dollar accounts and provide exceptional customer support while meeting company’s objectives. Proven ability to set long term strategy and direction for Insurance and Reinsurance organizations. Ability to teach claims examiners how to spot and handle coverage issues to avoid bad-faith allegations and exposures. Assess overall claims reserving practices of client companies and advise on corrections as needed. Provide contract reviews to avoid bad-faith litigation. Successfully manages a department with responsibility for over $1 billion in treaty loss reserves. Evaluates and provides recommendations on current and potential reinsurance clients’ ability to handle claims Including Bad-faith and overall coverage issues as needed. Conducts research and suggest potential value added services Provide guidance for process improvements as ne...

David L. Stegall, CPCU, ARM, ARe, RPA Risk Consulting & Expert Services

Florida
Insurance, Risk Management - Bad Faith, Usual & Customary Practices, Standard of Care, Fair Claim Practices, Alternative Risk, Self-Insurance, Reinsurance, Bonds, Property & Casualty Insurance, Errors & Omissions, Professional Liability for Agents, Brokers, Underwriters, Managing General Agents & Underwriting, Hurricane & Flood
David Stegall has over 43 years of insurance, reinsurance, bond and risk management industry experience. He is a Chartered Property & Casualty Underwriter, an Associate in Risk Management, an Associate in Reinsurance and a Registered Professional Adjuster. He has experience as an underwriter, an agent, a broker, a surety bond producer, a reinsurer, a managing general agent, a third-party administrator, a captive manager, a self- insured fund executive, a risk management consultant, an expert witness and has been retained as an arbitrator. He was President of the Society of Risk Management Consultants in 2017 and continues to serve on the Board of Directors. Mr. Stegall is also a member of the Board of Directors of the Alabama Captive Association, a member of the Society of Chartered Property & Casualty Underwriters, the American Association of Insurance Management Consultants, the Society of Registered Professional Adjusters, ARIAS-US, Defense Research Institute, and an Associate M...

Brent Winans, CPCU, ARM Clear Advantage Risk Management

Delray Beach, Florida
Insurance, Risk Management - Insurance Agency Standards, Insurance Agent/Broker Duties, Insurance Agent/Broker Liability, Insurance Agents Errors and Omissions, Insurance Broker Duties, Insurance Errors and Omissions, Insurance Wholesale Broker/MGA Liability, Insurance Agent/Broker Standard of Care, Wholesale Broker Duties
Brent Winans focuses his expert witness practice on insurance agent/broker standard of care cases. . He has served as an expert on approximately 120 agent E&O cases in fifteen states and authors “Expert Commentary” articles on insurance agent E&O for the International Risk Management Institute (IRMI). He teaches a Continuing Legal Education class on insurance agent/broker standard of care which has been approved for one hour of CLE. He holds the CPCU and ARM designations and a Bachelor of Science Degree from Lincoln Christian University. He is licensed as a resident General Lines Insurance Agent in Florida and a non-resident Insurance Producer in New Jersey. In his 40 years in the insurance industry, he has become expert in the custom and practice of retail and wholesale insurance brokers as viewed from many perspectives. He began his career as a State Farm agent, then became an independent agent. He has worked for small and mid-sized independent agencies as well as one of the worl...

John O Winter, DDS High Volume Dental Consulting, Inc.

Sarasota, Florida
Dentist, Insurance - FL, NY & Nationwide,Insurance defense,Dental Malpractice injury expert,Crown/Caps/Bridge,Nerve Numbness,Root Canals/Endodontics,Oral Surgery/Extractions, Periodontics/Gum,Broken Instrument/Foreign Body,Failure Diagnose,Infection, Board Claims,Consent, Restaurant trip fall auto hotel defense claims
Dr. John O. Winter, DDS Dental Malpractice Expert Witness, Injury and Claims Consultant represents defense attorneys and insurance companies on a broad range of dental injury and dental malpractice claims. Dental injury defense representation is provided for the automobile, restaurant, hotel, hospitality and construction industry. Dr. Winter employs skillful and aggressive methods to defend against dental negligence allegations and claims. His clients can look to this professional in order to minimize insurance payouts for allegations of dental injuries due to dental malpractice, trip, slip and fall, auto accidents, restaurant customers and construction claims. Having extensive experience with over 400 completed assignments involving $10 million dollars in claims Dr. Winter has a reputation for efficient and reliable communication with his nationwide clients. Prompt and courteous service is provided to both new and existing clients. Litigation Support - Dr. Winter provides...

Bruce Fredrics, RGA (EGA)-SME-CGA-AIC-ACA-CCA-PCLA-LPCS-HCI/R/C-FSRT-WINDP-CMS-AMRT-WRT-CPLA U. S. Accredited Expert - Claims & Appraisals

McDonough, Georgia
Insurance, Appraisal & Valuation - Insurance Claims, Insurance Process, Procedure, Standards, Practices, Protocols, Insurance Appraisal and Umpire, Property and Casualty General Adjuster masterclass, Public and Independent Adjuster, Arbitration, State and Federal Court Qualified Expert, Rule 26, Property Claims
Bruce Fredrics, RGA (EGA), SME, CGA, AIC, ACA, CCA, PCLA, LPCS, HCI/R/C, FSRT, WINDP, CMS, AMRT, WRT, CPLA, CPLU, CPAU, CMI, UCC, CPCUcand, CCPc, ACPc, B.S. INSURANCE CLAIMS EXPERT: P & C Masterclass Executive General Adjuster, Expert (Federal and State Court), IICRC, CMR, CC/CL, IAUA, AAA, CLM, AICP, WAPIA, AIGC Certified: Arbitration, Appraisal, Umpire II, Asbestos, Business Interruption, Fire, Water, Mold, Wind, Earthquake, Roofing, Flood -- EXPERIENCE: 30 years’ experience in multi-lines claims including Adjuster-In-Charge, owner of three (3) claims processing firms, and having declined Claims Manager and Regional Management positions. Can process any claim 360°: Commercial Property, Condominium, Construction Defects, Equipment/Mechanical Breakdown, Business Interruption, Residential Dwelling, Manufactured Housing, Sinkhole, Mold, Fire Investigation and Adjustment, Environmental/Pollution, Property Liability, Catastrophe Losses: Hurricanes, Tornadoes, Total Losses, Alternat...

David L. Stegall, CPCU, ARM, ARe, RPA Risk Consulting & Expert Services

Georgia
Insurance, Risk Management - Bad Faith, Usual & Customary Practices, Standard of Care, Fair Claim Practices, Alternative Risk, Self-Insurance, Reinsurance, Bonds, Property & Casualty Insurance, Errors & Omissions, Professional Liability for Agents, Brokers, Underwriters, Managing General Agents & Underwriting, Hurricane & Flood
David Stegall has over 43 years of insurance, reinsurance, bond and risk management industry experience. He is a Chartered Property & Casualty Underwriter, an Associate in Risk Management, an Associate in Reinsurance and a Registered Professional Adjuster. He has experience as an underwriter, an agent, a broker, a surety bond producer, a reinsurer, a managing general agent, a third-party administrator, a captive manager, a self- insured fund executive, a risk management consultant, an expert witness and has been retained as an arbitrator. He was President of the Society of Risk Management Consultants in 2017 and continues to serve on the Board of Directors. Mr. Stegall is also a member of the Board of Directors of the Alabama Captive Association, a member of the Society of Chartered Property & Casualty Underwriters, the American Association of Insurance Management Consultants, the Society of Registered Professional Adjusters, ARIAS-US, Defense Research Institute, and an Associate M...

Michael F Arrigo No World Borders

Illinois
HIPAA, Medical Billing - Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid,insurance, CRPS, EMTALA
Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Healt...

Amina Ghalyoun, PharmD, BCACP Aletheia Consulting Services

Illinois
Pharmacist, Pharmacology- Clinical - forensic pharmacist, pharmacy fraud, medical use necessity, formulary, overdose, dispensing error, drug litigation, medical malpractice, wrongful death, controlled substance, internal medicine, cardiology, endocrinology, women's health, geriatrics, diabetes, insurance
Broadly experienced, board certified clinical pharmacist. Extensive experience treating patients under scope and collaborative of practice agreements as a mid-level provider for the VA, academic, and urban community institutions. 4 years of high-volume retail experience. Licensed to practice in Illinois and Florida. Vast experience in medical necessity and quality. Substantial formulary review experience. Treating experience includes inpatient, outpatient, and telehealth. Peer Reviewer: The Annals of Pharmacotherapy. Extensive public speaking experience.

David L. Stegall, CPCU, ARM, ARe, RPA Risk Consulting & Expert Services

Illinois
Insurance, Risk Management - Bad Faith, Usual & Customary Practices, Standard of Care, Fair Claim Practices, Alternative Risk, Self-Insurance, Reinsurance, Bonds, Property & Casualty Insurance, Errors & Omissions, Professional Liability for Agents, Brokers, Underwriters, Managing General Agents & Underwriting, Hurricane & Flood
David Stegall has over 43 years of insurance, reinsurance, bond and risk management industry experience. He is a Chartered Property & Casualty Underwriter, an Associate in Risk Management, an Associate in Reinsurance and a Registered Professional Adjuster. He has experience as an underwriter, an agent, a broker, a surety bond producer, a reinsurer, a managing general agent, a third-party administrator, a captive manager, a self- insured fund executive, a risk management consultant, an expert witness and has been retained as an arbitrator. He was President of the Society of Risk Management Consultants in 2017 and continues to serve on the Board of Directors. Mr. Stegall is also a member of the Board of Directors of the Alabama Captive Association, a member of the Society of Chartered Property & Casualty Underwriters, the American Association of Insurance Management Consultants, the Society of Registered Professional Adjusters, ARIAS-US, Defense Research Institute, and an Associate M...

William J. Warfel, PhD, CPCU, CLU Indiana State University

Terre Haute, Indiana
Insurance, Risk Management - Claims Handling, Insurance Agent/Broker Liability, Insurance Bad Faith, Insurance Contracts, Insurance Practices & Standards, Insurance-Bad Faith, Property & Casualty Insurance
Specialize in breach of contract, bad faith, and agent/broker liability issues. Have been retained in about 79 cases by attorneys who represent policyholders, insurance agents, insurers, and third parties. Experience includes actual courtroom testimony, as well as deposition testimony in numerous cases. Have been retained in cases involving commercial general liability, personal auto, homeowners, commercial auto, commercial property, business income, individual life, medical expense, and disability, professional liability, employee dishonesty, worker compensation, and inland marine insurance policies. Have also been retained in cases involving an indemnification agreement and the additional insured endorsement. Finally, have been retained in cases involving financial institution, public official, and bid guaranty and contract bonds. Widely published in applied, professional journals.

Randy Gray, CHST, CSHM, GSP, OHST, BS, MS Grayhawk Advantage, Inc., dba. Grayhawk Safety & Health Consulting Company

Benton, Kentucky
OSHA, Safety - OSHA, Industrial Accidents, Safety, Industrial Hygiene, Loss Control, Risk Management, Slip Trip & Fall, Construction Accidents, Manufacturing Accidents, Insurance, Investigations
Mr. Gray provides expert witness services in defense and plaintiff litigation matters, safety and health on-site audits, customized OSHA safety and health training, OSHA 10 and 30-hour construction and general industry training, and assistance for employers who have been issued citations that they need assistance with obtaining better citation settlement agreements and working in conjunction with legal counsel with litigation assistance contesting OSHA citations. Highly-experienced OSHA Forensic Expert Witness with 75 separate fatality and more than 150 non-fatal work-related accidents. 25+ years of OSHA compliance with 29 CFR regulations related to construction and general industry. 8 years of private Safety and Health Consulting specializing in Defense and Plaintiff's occupational injuries, conducting safety and health audits, Authorized OSHA Outreach Trainer for construction and general industry, and employer assistance with settlement of OSHA citations, and testifying in O...

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.

Michael F Arrigo No World Borders

Louisiana
HIPAA, Medical Billing - Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid,insurance, CRPS, EMTALA
Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Healt...

Stanley L Lipshultz, JD, CPCU Lipshultz Consulting Group

North Bethesda, Maryland
Insurance - Insurance agents and brokers standard of care, insurance agent/broker errors and omissions, insurance industry customs and practices, claims handling practices and procedures, insurance company bad faith, primary and excess insurance company disputes, insurance carrier duties, Special Relationship.
Mr. Lipshultz maintains his own consulting practice providing litigation support and consulting services. He has served as an expert witness in disputes involving insurance agents and brokers errors and omissions, insurance agent standard of care, claims handling, bad faith, coverage issues and related customs and practices in the insurance industry. Mr. Lipshultz has been an insurance instructor for the CPCU Society, including the District of Columbia Chapter, focusing on the Legal courses beginning in 1992 through 2005. He has been an instructor for the Independent Agents [Big I] of Maryland and the District of Columbia since 1993, teaching courses focusing on Errors and Omissions, and Ethics which continues today. Before retiring from the active practice of law in 1999, Mr. Lipshultz successfully defended hundreds of insurance agents, brokers and agencies in E&O claims. Mr. Lipshultz has authored a number of insurance related articles, including "Perspectives on the Special...

K. David Meit, CPM®, ARM®, GRI® Oculus Realty, LLC

Gaithersburg, Maryland
Real Estate, Premises Liability - property management, real estate management, subrogation, risk management, maintenance, property operations, facilities, premises liability, insurance, apartments, multifamily, slip, fall, property damage, building management, risk management, property loss, lead paint, mold, carbon monoxide, CO
An accomplished and qualified expert witness. Provides unbiased assessments and expert testimony for both Plaintiff and Defense in property management standard of care, premises liability, real estate partnerships and related legal disputes. Expert opinions are based on professional experience, academic training, research and the facts of each case. An award winning real estate executive with over thirty years experience managing portfolios of conventional and rent regulated multifamily, mixed-use and retail properties in both suburban and urban markets. Experienced manager of all class of property from tax credit to ultra luxury. Skilled at developing best-in-class residential property management operating teams and preserving and enhancing value through operations. Institute of Real Estate Management accredited Certified Property Manager®, Accredited Residential Manager®, and Graduate, Real Estate Institute through National Association of Realtors®. Founder and Principal of Ocu...

Paul F Amoruso, CPCU

Mattapoisett, Massachusetts
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
Mr. 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.

Frederic B. Jennings Jr., Ph.D EconoLogistics

Ipswich, Massachusetts
Economics, Business Damages - Accounting, Environmental, Management, Automotive, Fraud, Statistics, Behavioral and Social Sciences, Insurance, Transportation, Appraisal and Valuation, Legal

Stephen Miller, CPCU, AIC Miller Claims & Risk Associates, LLC

Northbridge, Massachusetts
Insurance, Risk Management - Property and Casualty, Claim Handling, Bad Faith, Liability, Claim Investigations, TPA, Insurance Coverage, Auto Insurance, Home Insurance, Claims Management, Claim Advocacy, Audits, Nuclear Verdicts, Failure to Defend, Personal Injury, Primary vs Excess, Commercial Liability,
Insurance carrier experience for over thirty years in all levels of claim handling, examining, management and litigation. Handled, managed or mediated cases in 40+ states and District of Columbia. Experience with direct file handling and delegated authorities (i.e., Third-Party Administrators). Have worked with Fortune 500 clients with large self-insured retentions as well as guaranteed cost clients. Experience with both personal and commercial lines and in the following lines of business: auto, premises, property damage, EPLI, dram shop, catastrophic, declaratory judgments, mass tort. Types of businesses have included transportation, big box retailers, hospitality, luxury resorts/hotels, automotive, golf courses, nursing homes, habitational, food delivery, grocery.

Donald D. Stafford, MBA Stafford Claims Consulting, LLC

Boston, Massachusetts
Insurance, Appraisal & Valuation - Appraiser Personal Property, Personal Property Appraisal, Personal Property Depreciation, Contents Best Practices, Insurance Appraisal, Contents Claims Practice, Contents Depreciation Practices, Contents Estimating, Coverage C Consulting, Contents Subrogation Disputes, Contents Damage Claims
My work with insurance property claims related matters for over 30 years has positioned me to speak in an expert capacity regarding the valuation of personal property and commercial contents as related to insurance claims settlement and in other matters requiring valuation expertise. During my career, I have had the opportunity to assist insurance adjusters in the preparation and resolution of well over 1 million contents claims. My education and unique level of experience, accumulated over a career spanning 37 years, has allowed me to develop specialized technical knowledge and skill in contents valuation and insurance claims practice. This enables me to render expert findings, fair and impartial opinions, using research and valuation methods generally accepted in this field of endeavor. Whether in Deposition, Testimony at Trial, or in Written Report for the consideration of the court, I deliver an objective analysis and evaluation of the evidence presented in any particular cas...

David L. Stegall, CPCU, ARM, ARe, RPA Risk Consulting & Expert Services

Massachusetts
Insurance, Risk Management - Bad Faith, Usual & Customary Practices, Standard of Care, Fair Claim Practices, Alternative Risk, Self-Insurance, Reinsurance, Bonds, Property & Casualty Insurance, Errors & Omissions, Professional Liability for Agents, Brokers, Underwriters, Managing General Agents & Underwriting, Hurricane & Flood
David Stegall has over 43 years of insurance, reinsurance, bond and risk management industry experience. He is a Chartered Property & Casualty Underwriter, an Associate in Risk Management, an Associate in Reinsurance and a Registered Professional Adjuster. He has experience as an underwriter, an agent, a broker, a surety bond producer, a reinsurer, a managing general agent, a third-party administrator, a captive manager, a self- insured fund executive, a risk management consultant, an expert witness and has been retained as an arbitrator. He was President of the Society of Risk Management Consultants in 2017 and continues to serve on the Board of Directors. Mr. Stegall is also a member of the Board of Directors of the Alabama Captive Association, a member of the Society of Chartered Property & Casualty Underwriters, the American Association of Insurance Management Consultants, the Society of Registered Professional Adjusters, ARIAS-US, Defense Research Institute, and an Associate M...

Patrick D Charais Synergetic Solutions, Inc.

St. Paul, Minnesota
Insurance - Workers' Compensation Insurance, Work Comp Premiums, Excess Premiums, overcharge, compliance auditing, experience modification factor, Schedule Adjustment, Schedule Rating, Retrospective, Deductible, Guaranteed Cost, overcharge
I am a co-founder of Synergetic Solutions, Inc., an auditing firm specializing in the rules that govern the development of workers’ compensation insurance premiums, experience modification factors, and other factors that are used to develop premium. Synergetic Solutions contracts with companies that purchase workers’ compensation insurance. We audit the contracts/policies between the insurance provider and the company who purchased workers insurance. The purpose of our audit is to determine if the company who purchased the workers’ compensation insurance was overcharged. When overcharges are identified, Synergetic Solutions helps recover the overcharges. Synergetic Solutions was founded in 1996 and has contracted with more than 2,500 companies throughout the United States. Synergetic Solutions’ peak employment level was about forty. I estimate Synergetic Solutions performed more than 15,000 workers’ compensation insurance policy, and experience modification factor audits...

Michael F Arrigo No World Borders

Nevada
HIPAA, Medical Billing - Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid,insurance, CRPS, EMTALA
Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Healt...

Ramzi Asfour, MD Praxis Infectious Diseases

Henderson, Nevada
Infectious Diseases, Internal Medicine - COVID-19, nursing homes, long term care, sepsis, necrotizing fasciitis, infections, surgical site infections, infection control, antimicrobial stewardship, consulting, insurance, case review, medical malpractice, standards of care, sepsis, bacterial or viral infections, outbreak management
Ramzi Asfour, MD, is board certified in Infectious Diseases and Internal Medicine, and Assistant Clinical Professor of Medicine at the University of California San Francisco (UCSF). In addition to his 20+ years of extensive private practice, Dr Asfour has privileges at five California hospitals (Alameda County Medical Center, Alameda Hospital, Sutter Lakeside Hospital, Sutter Eden Medical Center, and Mammoth Hospital). Dr. Asfour has worked for the World Health Organization in Geneva in the HIV / AIDS department, developing training programs for doctors in HIV. In addition to his clinical practice, Dr Asfour also advises hospitals, skilled nursing facilities, schools and businesses on infection control, including outbreak control and COVID-19, and antimicrobial stewardship. Dr Asfour has experience working with both plaintiff and defense attorneys to provide clear, independent opinions on matters involving: Medical malpractice, standards of care, sepsis, necrotizing fasciiti...

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

Nevada
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.

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

Nevada
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
50+ 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...

Alan J Besnoff, CFP, ChFC, CLU Securities Expert Witness & Litigation Support, LLC

Fremont, New Hampshire
Securities & Investments, Insurance - Mutual Funds, Annuities, Financial Planning, Life Insurance, Long Term Care Insurance, FINRA, Misrepresentation, Asset Allocation, Retirement Plans, Unauthorized Trading, Suitability, churning, Supervision, Employment, U-5, Variable Annuities, Alternative Investments, CFP, Fiduciary Duty, IRAs
Alan J. Besnoff, CFP, ChFC, CLU is the founder of Securities Expert Witness & Litigation Support, LLC, and provides litigation consulting services and expert testimony for matters involving customer disputes and employment issues within the financial services industry. Mr. Besnoff’s expert engagements typically involve sales practices and violations of rules and industry standards in the areas of securities, life insurance and annuities, supervisory, and U-5/employment matters. Mr. Besnoff has been engaged as an expert in more than 100 cases and has testified approximately 25 times. Alan Besnoff has 30+ years of experience within the industry, primarily in supervisory and leadership positions. Mr. Besnoff has passed FINRA registration examinations for Series 6, 63, 65, 7, 26, and 24, as well as state licensing examinations for Life Insurance & Annuities, Disability Insurance, Long Term Care Insurance, Variable Life Insurance and Variable Annuities. Professional designations...

Craig R. Brown

Merrimack, New Hampshire
Insurance, Environmental - Bad Faith, Liability Insurance, Reinsurance, D&O, Claims Made and Occurrence Policies, Runoff, Insurance Fraud, Workers Compensation, Risk Management, Claims Adjusting, Opioids, Construction Defect, Asbestos, Talc, Glyphosate, Sports Injury, Sexual Abuse, Lead Paint, Mold, MTBE, Implants, Silica.
As in-house counsel at a third-party administrator testified numerous times as a fact witness and designated PMK regarding insurance and reinsurance issues. In 2021, testified as expert in successful multi-million dollar D&O arbitration and worked as independent consultant to runoff investors. Formerly Vice President of seven insurance companies. Over the past 36 years, litigated or arbitrated insurance, reinsurance and/or bad faith in over 30 states and four countries. Partner in two prominent national law firms representing various insurers and reinsurers as national counsel. Presented at numerous seminars in US and UK put on by DRI, Perrin, PLRB/LIRB. AIRROC, American Conference Institute, International Association of Defense Counsel, Practicing Law Institute, Mealey's, CPCU Society, and home builders' associations regarding insurance, reinsurance, torts and related issues.

Michael F Arrigo No World Borders

New Jersey
HIPAA, Medical Billing - Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid,insurance, CRPS, EMTALA
Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Healt...

Charles W. Bowden, CLU, ChFC FSP

Smithville, New Jersey
Insurance, Financial - Life Insurance, Health Insurance, Disability Insurance, Financial Planning, Life Insurance Funding, Policy Valuation
Following graduation from Lehigh University, Charlie entered the insurance industry as an Employee Benefit Specialist. In addition to his thirty plus years of experience, he has achieved both industry recognized designations of Chartered Life Underwriter (CLU) and Chartered Financial Consultant (ChFC). As a Qualified Continuing Education Instructor, he teaches other licensed insurance professionals about the changing structure of the income and estate tax code, and planning strategies. Additionally, Charlie uses his experience to provide expert testimony in State and Federal Court. Charlie is a member of the Society for Financial Service Professionals, as well as a past member of their Board Authority of Directors. He maintains registration with the Financial Industry Regulatory Authority (FINRA). He is an investment Advisor Representative (IAR). Securities Offered Through TFS Securities, Inc. Member of FINRA/SIPC, A Full Service Broker-Dealer Located at 437 Newman Springs Road, L...

Kym Martell, CRM, CIC, AAI, CRIS, MLIS KM Associates

Allenhurst, New Jersey
Insurance, Risk Management - Agent/Broker Duties & Responsibilities, Insurance Errors & Omissions, E&O, Standards of Care, Insurance, Personal Lines, Commercial Lines, Property & Casualty, Property/Liability, Insurance Coverage Disputes
38 years’ experience as an insurance & risk management professional with a diverse background in both agency and company operations. In 1995, I began my own training and consulting firm specializing in training for property & casualty professionals. Practice includes continuing education training, specialized training programs, E&O loss control audits, E&O loss control training, Performance Coaching, and Expert witness & litigation support services. Speaker and presenter for various professional and private organizations on property and casualty insurance, errors & omissions, national certification programs, Accredited Customer Service Representative (ACSR), Construction Risk Specialist (CRIS), Accredited Advisor of Insurance (AAI), including Big I NJ, and IIABA, as an approved instructor to facilitate E&O Risk Management Program.

Frank Seigel, CPCU Ringwood Consulting Group, Inc.

Allamuchy, New Jersey
Insurance, Financial - Agent/Broker, Broker Duties, Agent/Broker Duties & Responsibilities, Agent/Company Relations, Bad Faith, Errors & Omissions, E&O, Coverage Disputes, Excess/surplus, Surplus Lines, Casualty, Property, Life, Health, Disability, Coverage, Contractual Disputes, Arbitration, Mediation, Standards of Care
PROFESSIONAL ACTIVITIES • Past President, New Jersey Chapter Society of CPCU • Current and Past President, Independent Insurance Agents of Essex County, Inc. • Past President, Surplus Lines Association of New Jersey, Inc. (NJSLA) • Former Member, New Jersey Department of Insurance Committee Education • Former Member, Grading Panel for the Insurance Institute of America • Former Arbitrator for the American Arbitration Association. • Panelist, ABA Conference on Banking and Insurance • Attendee, New Jersey Conference on ECRA • Guest Speaker and Presenter for various professional, academic, and civic groups including New Jersey Chapter CPCU, Independent Insurance Agents, Seton Hall University Continuing Education Department, National Association of Insurance Women (NAIW), Local Rotaries, and Insurance Service Office (ISO) • NJ State Approved Volunteer Mediator for Municipal Court Matters • Member, Professional Liability Underwriting Society (PLUS) • Member, National Association of Prof...

Michael F Arrigo No World Borders

New York
HIPAA, Medical Billing - Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid,insurance, CRPS, EMTALA
Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Healt...

Mark Eksuzian, AIA, NCARB Mark Dean Associates, Inc.

New York, New York
Construction, Architecture - Defects, site safety, contracts, observations, labor, administration, schedules, modifications, pre-construction, conditions, compliance, permits, exposure, insurance
AIA, NCARB Studies in Lean Construction, Construction Cost Engineering Project scheduling Insurance coordination and review Payment Requisition development and review Value engineering Code review and evaluation Zoning review and evaluation

Frederick J Fisher, J.D., CCP Fisher Consulting Group, Inc.

New York
Insurance, Business Operations - Professional Liability, Standard of Care, Insurance Bad Faith, Insurance Brokers, Real Estate Brokers, Escrow Procedures, Mortgage Brokers, Claims Procedures, Claims Made Insurance,
Frederick J. Fisher, J.D. is the President of Fisher Consulting Group, Inc., and was the Founder of E.L.M. Insurance Brokers, a Wholesale & MGA facility specializing in Professional Liability and Specialty Line risks. He is a Member of the Editorial Board for Agents of America; a Faculty Member of the Claims College, and Member of the Executive Council, School of Professional Lines as sponsored by the Claims & Litigation Management Alliance. He is a course designer and webinar Instructor for the Academy of Insurance (sponsored by the Insurance Journal). Since his career began, Mr. Fisher focused on one vision: providing financial security to the client. The result was a successful 41 year career in Specialty Lines Insurance. In 1975, Mr. Fisher began his career on the service side, as an Independent E&O claims adjuster. In 1982, he bought the Company, continued with claims, while expanding the firm’s services to include qualitative claim auditing, risk management & loss contro...

Sandra L Kobel, CFP®, CLU®, ChFC® Kobel Financial Planning

Rochester, New York
Financial - CFP, CLU, ChFC, Financial Planning, Retirement, Registered Investment Advisor, Investments, Insurance, Financial Products, Securities, Retirement Planning, Income Planning, Asset Allocation, Long-Term Care
Sandra L. Kobel is an independent Certified Financial Planner®, Chartered Life Underwriter® and Chartered Financial Consultant® specializing in retirement planning. Her experience in a variety of capacities leads to a diverse and comprehensive knowledge base in the financial services industry and personal planning. Her boutique firm, Kobel Financial Planning, advises clients on retirement decisions - how to structure a successful, secure retirement through investments, asset allocation, income planning, long-term care, life insurance and estate planning. Ms. Kobel began her career at State Mutual of America, marketing a variety of financial products. This experience led to a robust, diverse, and comprehensive understanding of the inner workings of multiple financial products and their applications. At Capital Analyst Planning Group, she worked as an independent contractor, providing comprehensive financial planning to executives and businesses owners. At a 70-person regional CPA fi...

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 2022, he has been retained over 118 times (across over 50 different firms) , testified over 45 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...

Jeremy Starr, FSA. MAAA Jeremy Starr Consulting LLC

New York, New York
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 44 years of experience in life (re)insurance practice. Created and ran reinsurance acquisition division for Fortune 300 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 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”. Experience includes over a dozen cases in...

David L. Stegall, CPCU, ARM, ARe, RPA Risk Consulting & Expert Services

New York
Insurance, Risk Management - Bad Faith, Usual & Customary Practices, Standard of Care, Fair Claim Practices, Alternative Risk, Self-Insurance, Reinsurance, Bonds, Property & Casualty Insurance, Errors & Omissions, Professional Liability for Agents, Brokers, Underwriters, Managing General Agents & Underwriting, Hurricane & Flood
David Stegall has over 43 years of insurance, reinsurance, bond and risk management industry experience. He is a Chartered Property & Casualty Underwriter, an Associate in Risk Management, an Associate in Reinsurance and a Registered Professional Adjuster. He has experience as an underwriter, an agent, a broker, a surety bond producer, a reinsurer, a managing general agent, a third-party administrator, a captive manager, a self- insured fund executive, a risk management consultant, an expert witness and has been retained as an arbitrator. He was President of the Society of Risk Management Consultants in 2017 and continues to serve on the Board of Directors. Mr. Stegall is also a member of the Board of Directors of the Alabama Captive Association, a member of the Society of Chartered Property & Casualty Underwriters, the American Association of Insurance Management Consultants, the Society of Registered Professional Adjusters, ARIAS-US, Defense Research Institute, and an Associate M...

John O Winter, DDS High Volume Dental Consulting, Inc.

New York
Dentist, Insurance - FL, NY & Nationwide,Insurance defense,Dental Malpractice injury expert,Crown/Caps/Bridge,Nerve Numbness,Root Canals/Endodontics,Oral Surgery/Extractions, Periodontics/Gum,Broken Instrument/Foreign Body,Failure Diagnose,Infection, Board Claims,Consent, Restaurant trip fall auto hotel defense claims
Dr. John O. Winter, DDS Dental Malpractice Expert Witness, Injury and Claims Consultant represents defense attorneys and insurance companies on a broad range of dental injury and dental malpractice claims. Dental injury defense representation is provided for the automobile, restaurant, hotel, hospitality and construction industry. Dr. Winter employs skillful and aggressive methods to defend against dental negligence allegations and claims. His clients can look to this professional in order to minimize insurance payouts for allegations of dental injuries due to dental malpractice, trip, slip and fall, auto accidents, restaurant customers and construction claims. Having extensive experience with over 400 completed assignments involving $10 million dollars in claims Dr. Winter has a reputation for efficient and reliable communication with his nationwide clients. Prompt and courteous service is provided to both new and existing clients. Litigation Support - Dr. Winter provides...

Gary R. Garcia

Charlotte, North Carolina
Insurance, Risk Management - Property & Casualty Insurance, Business Insurance, Underwriting, Insurance Coverage, Alternative Risk, Loss Sensitive Rating Programs, Self-Insurance, Umbrella Insurance, Excess Insurance, Reinsurance, Managing General Agents
Gary spent his entire career with insurance carriers, and after retirement has been active as a consultant. All job roles included underwriting as part of or total responsibility. He began his career as an umbrella underwriting trainee and completed a formal underwriting training program as well as additional course work at The College of insurance. After joining Royal Insurance, he served in Home Office Commercial Liability staff roles and held various management positions of increasing responsibility ranging from Branch Commercial Lines Underwriting Manager to Executive Vice President of a newly formed Property/Casualty Risk Management Division, responsible for large regional and national domestic U.S. and multinational clients. Following his 32 year career at Royal, Gary became the President and Chief Operating Officer of the U.S. operation of Mitsui Sumitomo Insurance Group. His broad range of expertise was gained through continuous involvement over the course of his career in ...

Daryll W. Martin, JD, MBA Percipient Resources, Inc.

Pittsboro, North Carolina
Insurance - Life & Health Insurance, Property Insurance, Directors & Officers, Insurance, Insurance Agent/Broker Liability, Insurance Bad Faith, Insurance Coverage, Insurance Wholesale Broker/MGA Liability, Insurance Claim Disputes, Insurance Coverage Disputes, Insurance Agent/Broker Duties
Unique Professional Experience as Lawyer, and as an Insurance Broker and Insurance Brokerage Executive: * Over 30 years of combined insurance brokerage executive and senior corporate counsel experience; * Over 20 years of executive management experience with international, large regional, and financial institution owned insurance brokerages; and, * 11 years of senior in-house litigation case management experience handling multiple billions of dollars in case exposures in nearly every state and throughout the world, for two of the largest international insurance brokers, in addition to handling regulatory compliance, contract negotiations, and employment matters Broad Coverage Experience: Property & Casualty; Employee Benefits/Life & Health (qualified and non-qualified); D&O/Employment Practices Liability/Fiduciary; Property/Business Interruption/Boiler & Machinery/Inland & Ocean Marine; and, Casualty: General Liability/Professional Liability/Workers Compensation/Umbrella/Excess. B...

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.

Michael F Arrigo No World Borders

Oregon
HIPAA, Medical Billing - Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid,insurance, CRPS, EMTALA
Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Healt...

Neal Bordenave, JD, CPCU, RPLU, ARM, AIC RiskPro Insurance Services, Inc.

Oregon
Insurance - Broker/Agent Standard of Care, Bad Faith, Insurance Industry Customs and Practices, Property & Casualty, Life, Annuities, Excess & Surplus, Managing General Agent, Health, Surety, Professional Liability, Underwriting, Claims Practices,
More than 30 years experience in the insurance industry. President/CEO of RiskPro Insurance Services, Inc., Professor of Risk Management and Insurance at California State University Chico. Established Expert Witness Practice in 2009. As of January 2022, more than 300 retentions and testifying in Deposition, Trial and Arbitration almost 100 times. Education includes Juris Doctor (JD), BS Business Administration/Finance. Chartered Property Casualty Underwriter (CPCU) Registered Professional Liability Underwriter (RPLU) Associate in Risk Management (ARM) Associate in Claims (ARM) Primary States for expert work include, California, Arizona, Nevada, Oregon, Washington, Utah, Colorado and Texas

Robert W. Adams, ALHC, CFS Independent Insurance/Benefits Expert

Philadelphia, Pennsylvania
Insurance, Expert Witness Referral - Life Insurance Claim Handling, Life Insurance Policy Administration,Life Insurance Claim Denials, Standard of Care, Bad Faith, Life Insurance Policy Disputes, Life Insurance Policy Cancellations, Life Policy Lapses, Life Policy Termination & Reinstatement, Life Policy Rescission Expert, Negligence.
I am an Expert in Proper and Improper Life Insurance claim handling and Life Insurance claim examination, investigation, administration and adjudication procedures and what the proper standard of care is for when an insurance company receives A NOTIFICATION OF DEATH OF AN INSURED, NOTICE OF CLAIM, & PROOF OF LOSS onto what specifically and exactly the insurance companies responsibilities are and what Industry Standard and Regulatory actions they must take and must not take throughout their entire handling of the claim for life insurance benefits. * I have actually handled and processed thousands of claims for life insurance and accidental death benefits as an actual former Corporate and Claim department insider who worked as a LIFE EXAMINER, whose job was to adjudicate, investigate and process claims for life insurance benefits. I know exactly how the claim department and legal department operates in administering and adjudicating claims for life insurance and accidental death bene...

Kelly K Campbell, RN BSN CP CLNC CLCP CARDINAL LIFECARE CONSULTING

Gibsonia, Pennsylvania
Life Care Planning, Legal Nurse Consulting - Plaintiff, Defense, Insurance, Medical Bill Review, Medical Cost Projections, Medical Case Consultation, Case Management, Pittsburgh based with NATIONWIDE experience and service.
Kelly K Campbell is a licensed Registered Nurse certified in Life Care Planning. She has 25 plus years experience with serious and catastrophic illness and injury. Her repeat client list includes: Plaintiff, Defense, Insurance and Workmen Comp Firms. Kelly has successfully prepared Life Care Plans - Mini/Preliminary Life Care Plans - Life Care Plan Rebuttals - Medical Bill Reviews. She has provided Expert Testimony and IME reports. Kelly's experience includes: Amputation, Birth Injuries, Burn, Cerebral Palsy, Chronic Pain, CRPS, Electrocution, Orthopedic Injuries- Poly Trauma, Spinal Cord Injury, Transplant, and Traumatic Brain Injury (mild and severe). Case Management service is also provided by CARDINAL LIFECARE CONSULTING.

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

Greater Philadelphia, Pennsylvania
Insurance, Business Damages - Economic Damages, General Business Damages, Accounting, Agent/Broker, Employment, Insurance Damages Expert, 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...

Frank Seigel, CPCU Ringwood Consulting Group, Inc.

Pennsylvania
Insurance, Financial - Agent/Broker, Broker Duties, Agent/Broker Duties & Responsibilities, Agent/Company Relations, Bad Faith, Errors & Omissions, E&O, Coverage Disputes, Excess/surplus, Surplus Lines, Casualty, Property, Life, Health, Disability, Coverage, Contractual Disputes, Arbitration, Mediation, Standards of Care
PROFESSIONAL ACTIVITIES • Past President, New Jersey Chapter Society of CPCU • Current and Past President, Independent Insurance Agents of Essex County, Inc. • Past President, Surplus Lines Association of New Jersey, Inc. (NJSLA) • Former Member, New Jersey Department of Insurance Committee Education • Former Member, Grading Panel for the Insurance Institute of America • Former Arbitrator for the American Arbitration Association. • Panelist, ABA Conference on Banking and Insurance • Attendee, New Jersey Conference on ECRA • Guest Speaker and Presenter for various professional, academic, and civic groups including New Jersey Chapter CPCU, Independent Insurance Agents, Seton Hall University Continuing Education Department, National Association of Insurance Women (NAIW), Local Rotaries, and Insurance Service Office (ISO) • NJ State Approved Volunteer Mediator for Municipal Court Matters • Member, Professional Liability Underwriting Society (PLUS) • Member, National Association of Prof...

Richard A Shema, CCM WeatherGuy.com, LLP

Lakeville, Pennsylvania
Meteorology, Maritime - Weather reconstruction, forensic meteorology, weather, marine meteorology, maritime, admirality law, weather routing, ship accidents, boating accidents, consulting meteorologists, tropical cyclones, hurricanes, tropical meteorology, extreme waves, oceanography, waves, marine insurance, insurance.
• Certified Consulting Meteorologist (CCM) by the American Meteorological Society • Over 30 years experience in meteorology and physical oceanography • I am a U.S. Navy veteran with sea duty and therefore have firsthand experience in the effects of weather on operations • Past AMS board member that certifies CCM’s for technical knowledge, communication skills, and ethics • I provide quality testimony using the scientific method • My testimony is clear, concise, and technically complicated subjects are plainly described • Sound communication skills describing complex atmospheric processes are put into easily understandable words and presentations • My written testimony is quality controlled and peer reviewed to produce an error free report that stands up to scrutiny of cross examination • I keep abreast of the latest scientific developments in meteorology and physical oceanography by attending conferences, re...

David L. Stegall, CPCU, ARM, ARe, RPA Risk Consulting & Expert Services

Pennsylvania
Insurance, Risk Management - Bad Faith, Usual & Customary Practices, Standard of Care, Fair Claim Practices, Alternative Risk, Self-Insurance, Reinsurance, Bonds, Property & Casualty Insurance, Errors & Omissions, Professional Liability for Agents, Brokers, Underwriters, Managing General Agents & Underwriting, Hurricane & Flood
David Stegall has over 43 years of insurance, reinsurance, bond and risk management industry experience. He is a Chartered Property & Casualty Underwriter, an Associate in Risk Management, an Associate in Reinsurance and a Registered Professional Adjuster. He has experience as an underwriter, an agent, a broker, a surety bond producer, a reinsurer, a managing general agent, a third-party administrator, a captive manager, a self- insured fund executive, a risk management consultant, an expert witness and has been retained as an arbitrator. He was President of the Society of Risk Management Consultants in 2017 and continues to serve on the Board of Directors. Mr. Stegall is also a member of the Board of Directors of the Alabama Captive Association, a member of the Society of Chartered Property & Casualty Underwriters, the American Association of Insurance Management Consultants, the Society of Registered Professional Adjusters, ARIAS-US, Defense Research Institute, and an Associate M...

Frank L Brown, Jr, MD, FACP, FACEP, FRSM, FCP(E)

Bluffton, South Carolina
Medical Management, Insurance - Accountable Care Organizations (ACO), Health Insurance, Grievances, Pharmacology, Provider Credentialing, Medical Management, Medical Necessity, Medicare, Medicaid, Healthcare Fraud & Abuse, Medical Billing & Coding, Medical Utilization, Utilization Review, Qui Tam
Senior physician executive in the health insurance industry, with licensure in Kentucky, North Carolina, Pennsylvania, and Virginia. Certified as Health Insurance Executive. National insurance companies worked for include Oxford Healthplans, Blue Cross & Blue Shield, Wellpoint, Anthem, and Cigna. Responsibilities have included case management, fraud and abuse, physician credentialing, peer review, physician grievances & appeals, patient grievance & appeals, and patient safety. Board-certified in both internal medicine, and emergency medicine. Holder of multiple patents. Experienced public speaker. Chief Medical Correspondent WVGB-FM in Beaufort, South Carolina. Yale-educated, NIH trained. Conducted over 5,000 physician credentialing reviews; over 5,000 medical necessity/utilization management reviews; patient & physician appeals, & hearings; and over 2,000 committee and in-person patient grievance & appeal reviews. Served as an Examiner for the Malcolm Baldrige National Quality...

Robert Hughes Associates, Inc.

Richardson, Texas
Insurance, Actuarial - P&C, L&H, reinsurance, insurance agency standards, insurance underwriting, insurance archaeology, bad faith, actuarial, property & casualty insurance, life & health insurance, risk management, insurance broker standards
Robert Hughes Associates, established 1979, is a group of insurance experts with a wide range of experience and backgrounds -- former insurance company executives, agents, brokers, underwriters, Workers Compensation specialists, D&O and E&O expertise, risk managers, claims managers, adjusters, actuaries and captive management specialists. Degrees include Masters and PhDs. Certifications include CPCU, RPLU, RF, ACE, ACAS, MAAA, CLU, CEBS, FCAS, SCLA, ChFC, RHU, LLIF, CRPS, FLMI, and CSSC. Robert Hughes Associates is an internationally recognized insurance, risk management and actuarial consulting company, with membership in the Academy of Experts (London), Fellow of the Institute of Directors (London), and Tribunalized at Lloyd’s of London.

Michael F Arrigo No World Borders

Texas
HIPAA, Medical Billing - Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid,insurance, CRPS, EMTALA
Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Healt...

Allen W Griffin, GMB, CGR, CAPS, CGP Construction Claims Experts

Houston, Texas
Construction, Construction Defects - Real-world Hands-on Construction Experience, Building inspections, Construction, Construction Defects, Construction engineering, Construction accidents, Demolition, Disaster Recovery, Dispute Resolution, Construction document examination, Indoor air quality, Insurance, Construction investigations
Allen is a trusted resource for your, Insurance Claims - Construction Defects - Construction Contracts and Project claims. A Construction Expert Witness with Real-world Hands-on construction experience and 30 years of Construction Business Operations. Allen's business operations include: Gryphon Builders is a twenty-year-old company servicing the custom home building and high-end remodeling market in affluent areas of Houston. Gryphon Property Services was formed to facilitate the immediate upkeep, as well as anticipate and execute the long-term planning of maintenance needs of large townhome communities and apartment complexes. Viewpoint Designs is the internal company that services the Design/Build segment of Gryphon Builders. In 2016 we started servicing builders and remodelers in and around the Houston market. Areas of specialty knowledge; Home Building, Home Remodeling, Design/Build, Multi-family Buildings & Architectural Design services. Allen is easily understandable, yet hi...

David L. Stegall, CPCU, ARM, ARe, RPA Risk Consulting & Expert Services

Texas
Insurance, Risk Management - Bad Faith, Usual & Customary Practices, Standard of Care, Fair Claim Practices, Alternative Risk, Self-Insurance, Reinsurance, Bonds, Property & Casualty Insurance, Errors & Omissions, Professional Liability for Agents, Brokers, Underwriters, Managing General Agents & Underwriting, Hurricane & Flood
David Stegall has over 43 years of insurance, reinsurance, bond and risk management industry experience. He is a Chartered Property & Casualty Underwriter, an Associate in Risk Management, an Associate in Reinsurance and a Registered Professional Adjuster. He has experience as an underwriter, an agent, a broker, a surety bond producer, a reinsurer, a managing general agent, a third-party administrator, a captive manager, a self- insured fund executive, a risk management consultant, an expert witness and has been retained as an arbitrator. He was President of the Society of Risk Management Consultants in 2017 and continues to serve on the Board of Directors. Mr. Stegall is also a member of the Board of Directors of the Alabama Captive Association, a member of the Society of Chartered Property & Casualty Underwriters, the American Association of Insurance Management Consultants, the Society of Registered Professional Adjusters, ARIAS-US, Defense Research Institute, and an Associate M...

Michael F Arrigo No World Borders

Washington
HIPAA, Medical Billing - Medical billing, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act fraud Usual Customary Reasonable (UCR), Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid,insurance, CRPS, EMTALA
Writer, speaker, published peer-reviewed works as an expert in the field recent Federal court rulings as a qualified expert published in Westlaw • US COURT OF APPEALS considered expert opinions, VACATED AND REMANDED • Two DOJ retentions, $155 million settlement • Healthcare IT patents intellectual property Technical Expert, Medicare Damages Expert • Medical coding medical billing, claims, usual customary and reasonable charges in personal injury and medical malpractice cases, Lifecare plan rebuttal under ACA on the future cost of care, trauma • Electronic medical record forensics / electronic health record forensics, E.H.R, practice management IT, medical, prescription charges, workman's compensation, insurance fraud • genetic testing, novel genetic sequencing, esoteric testing, laboratory testing • HIPAA Privacy, Security, Blockchain special studies MIT • Affordable Care Act, HITECH Act, electronic medical records, meaningful use, patents, and intellectual property in heal Healt...

Daniel R Robles, PE, MBA Community Engineering Services, PLLC

EDMONDS, Washington
Mechanical Engineering, Real Estate - plumbing, pipe, re-pipe, leaks, failures, Inspection, construction, water damage, feasibility, epoxy liner, CPVC, Aquatherm, PEX, Galvanized, copper, risk assessment, machinery, insurance, defect, standard of care, Blockchain, smart contract adjudication.
Thirty-five years of practical engineering experience across the aerospace, building construction, and technology industries. Bachelors of Science in Mechanical Engineering and Masters degree in International Business Administration. Expert Witness at the intersection of mechanical engineering, business practices, and standard of care.  Technical specialties include plumbing systems (failures, leaks, defects and corrosion), building envelope failures resulting in mold or water damage, Real Estate transactions, mechanical failures due to improper maintenance or operation, Investigation, testing, and report writing. Excellent public speaking skills with the ability to explain complex matters in simple and accessible terms. Knowledgable in recent technologies such as blockchain, digital twin, and digital twin applications for the engineering professions. Experienced in cross border and international engineering practices. Registered professional engineer in California and Washingt...
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