Claims Expert Witnesses

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Claims Expert Witness - Representative Bios

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The below expert witness bios represent a small fraction of those Claims experts known by Cahn Litigation Services. These bios are provided to give lawyers a sense of the Claims landscape.

• Expert Witness #239641

  This expert is an internationally recognized expert on insurance, insurance claims handling, insurance coverage, insurance fraud, and insurance bad faith. With many years of practical insurance claims experience, this expert assists clients in resolving insurance problems faced by lawyers representing insurers, lawyers representing policyholders, insurance claims management, insurance claims personnel, and those they seek to serve. The experience and skill of this expert as a consultant and expert witness can make the difference before a jury, other trier of fact, or mediator. With comprehensive knowledge of insurance and insurance claims handling, this expert understands and can explain how insurance claims should be resolved. This expert the recipient of an award for significant contributions to the claims sector of the insurance industry through education, professional development and perseverance.

  
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• Expert Witness #259451

  This expert has many years of experience in the construction industry with a primary emphasis in project management, construction management, CPM scheduling, construction claims analysis and dispute resolution. This expert’s experience includes all types of projects including heavy and highway construction; industrial, government, military, and institutional facilities; wastewater/water treatment plants; retail, theme park, hotel, and casino/resort; and residential. This expert has also conducted continuing education seminars for contractors, architects, and engineers on claims, CPM scheduling, project management, and business management. This expert has testified as an expert on project delays, schedule analyses, extra work claims, breach of contract, and construction defect claims.

  Selected Project Experience

  Provided expert witness services on an insurance claim related to a carpet manufacturing plant that was destroyed by fire.

  Evaluated a claim from a subcontractor for delay, disruption, extra work, and inefficiency related to a street light upgrade project.

  Provided construction claims preparation and analysis services for numerous high-rise condominium projects.

  Performed numerous claims analysis assignments for many state Department of Transportation agencies.

  Provided expert witness services on a dispute related to delays and termination for default during the construction of a resort and spa.

  Evaluated a claim from the designer for delay and extra work on a public transportation project.

  Investigated the cause of cost overruns during the conversion of a drilling platform and supertanker into oil processing platforms.

  Performed scheduling and schedule advisory services for a psychiatric hospital.

  Provided expert testimony on delay and damages at the Armed Services Board of Contract Appeals on a wrongful termination appeal.

  Provided expert testimony on delay on the construction of a bleach manufacturing facility.

  
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• Expert Witness #249243

  This expert is the Managing Director of a major Forensic Services practice, specializing in claims consulting for corporate clients. Specializing in bringing clarity, certainty and rapid closure to complex problems on behalf of clients, this expert works with claims teams, insurance brokers and counsel to advise on high level claim strategy, develop approaches to communications with insurers, claimants and other major stakeholders, and help determine the most efficient and effective path to resolution of disputes and settlement of insurance claims. This expert spent time working as a loss adjuster in and has worked in the US as a broker and consultant, helping large corporate clients with claims resolution and disaster response.

  
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• Expert Witness #259442

  This expert has prepared and presented claims on behalf of general contractors and specialty contractors, and evaluated and refuted claims on behalf of owners, engineers and contractors.

  This expert has had in-depth involvement in efficiently researching and analyzing facts relating to disputes and presenting them in a clear and concise manner. This expert's areas of expertise include critical path schedule analysis, time extension requests, labor productivity analysis, damages calculations and preparation of comprehensive reports. This expert has experience in mediation, arbitration and has provided various litigation support services. This expert has also provided formal presentations for Mediation Settlement Conferences in addition to expert testimony for deposition and trial. This expert's assignments have included projects associated with power generation, penal institutions, commercial facilities and transit systems.

  This expert was a Project Architect for a architectural firm that specialized in the construction of public facilities. This expert was a Senior Associate for a construction claims consulting firm. This expert's experience there was the preparation and defense of construction claims related to commercial, industrial and public work projects. This expert also worked as a Project Architect for an architectural firm specializing in the design of commercial interiors and public facilities.

  This expert received a B.S. in architectural technology, and a M.S. in civil engineering. This expert also received a J.D.

  This expert has qualified as an expert and has provided lectures on the topic of construction claims.

  
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• Expert Witness #253873

  This expert is a founding member of an independent business advisory and transaction services consultancy. This expert brings to the table many years of valuation, financial analysis and litigation support experience, specializing as a consultant and expert in the fields of forensic accounting, economic damages analysis in commercial disputes, business valuation and automotive industry issues. This expert also has served as financial advisor to bank groups and creditor committees in connection with financial restructuring. Prior to founding the firm, this expert was the partner in charge of the Financial & Economic Consulting practices of a large accounting firm. This expert also served as an associate, manager and partner in the firm's assurance and corporate finance practices. This expert has served as a financial expert in well over two hundred engagements involving testimony in deposition, trial and alternative dispute resolution settings as an expert in auditing and accounting, commercial economics, financial and operational analysis, fraud investigation, determination of economic damages and business valuation. This expert has also participated in hundreds of additional commercial dispute engagements in a consulting role, a mediation role or where resolution of the matter was achieved without expert testimony. Matters addressed in these engagements include:

  -  Contract and business tort claims for lost profits and other damages

  -  Stockholder disputes and post-acquisition disputes

  -  Financial reporting fraud and asset misappropriation

  -  Securities law enforcement actions

  -  Construction and government contracting claims

  -  Intellectual property disputes

  -  Class action damage claims

  -  Professional malpractice claims

  -  Business interruption claims

  This expert has served as a sole arbitrator, court-appointed expert and arbitration panelist in matters involving commercial disputes, post-acquisition disputes and stockholder valuation disputes. This expert has been a course instructor, seminar leader and speaker at numerous professional conferences and continuing education programs on topics including auditing and accounting, litigation consulting, accounting theory and practice and forensic accounting and has been involved in the MICPA Litigation Consulting and Business Valuation Committee and the MICPA Fraud Issues Task Force.

  
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• Expert Witness #253889

  This expert is a founding member of an independent business advisory and transaction services consultancy. This expert specializes in serving as a consultant or expert in the fields of forensic accounting, economic damages analysis in commercial disputes, business valuation and fraud investigation and detection. This expert also serves as a financial advisor to debtors, bank groups and creditor committees in corporate bankruptcy and restructuring matters. This expert has provided litigation consulting services in hundreds of large and complex commercial disputes and corporate reorganization matters. This expert regularly performs fact finding and discovery assistance, lost profit calculations, business valuations, lost earnings and wages computations, market studies, and other financial analyses. This expert has served as an expert and consultant in the quantification of economic damages in matters ranging from contract claims to business interruption claims, construction and government contracting claims, intellectual property matters, accounting malpractice, stockholder and post-acquisition disputes, antitrust matters, and personal injury claims. As a Certified Fraud Examiner, this expert leads engagements in the investigation, detection and quantification of financial reporting fraud and asset misappropriations. This expert is the co-developer and author of a case study on fraudulent financial reporting published by the American Institute of Certified Public Accountants for distribution to academic institutions. This expert also has expertise in complex data analysis and financial modeling.

  
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• Expert Witness #262604

  This expert runs a legal investigations firm. Past assignments include contract work, where this expert performed medical fraud, waste and abuse detection across all claim types for Medicare and Medicaid claims processed. This work included utilizing data analysis techniques to detect aberrancies in Medicare claims data; and reviewing information in standard claims processing system files to determine provider billing patterns and detect fraudulent or abusive billing practices or vulnerabilities in Medicare policies. This expert ultimately developed potential Fraud Alerts and Program Vulnerabilities, and shared information on the investigations with other Medicare contractors, law enforcement, and other applicable stakeholders.

  This expert has testimony experience.

  
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• Expert Witness #249317

  This expert specializes in Title IX campus investigations, expert witness work, workplace coaching for employees and supervisors and conflict resolution training. This expert is a Title IX hearing officer and trained mediator through a prestigious university, a certified Senior Professional in Human Resources, and a certified EEOC investigator. This expert is an experienced investigator in Title IX assault claims, and a founding member of a training firm for Title IX investigations. This expert is experienced in testifying regarding completed investigations. This expert also provides hearing officer and mediation services, as well as advice and counseling regarding employment matters. This expert provides consulting regarding optimal management practices, including one-on-one executive coaching.

  In addition, this expert conducts workplace investigations into claims of misconduct, harassment, discrimination, retaliation and claims of improper activities. This expert is experienced in conducting Internal Affairs investigations, and those involving the Public Safety Officers Procedural Bill of Rights Act and the Firefighters Procedural Bill of Rights. This expert is also an experienced and effective trainer, and provides training to all levels of management on a variety of legal issues, including sexual harassment and discrimination prevention. This expert has provided in-house training to staff investigators regarding how to conduct effective investigations that focus on ensuring that internal reviews are fair and thorough, as required by law. This expert's training is consistently rated excellent and focuses on best practices and practical approaches and solutions. This expert has written online training courses in the areas of sexual harassment prevention and best employment practices.

  This expert has served as Counsel to a major university where this expert served as an active member and collaborated on a variety of campus team projects and standing committees, including the Ethics Advisory Committee, the Sexual Harassment and Discrimination Case Management Team, and the Student Crisis Response Team. This expert provided direction regarding the proper administration of personnel actions, corrective action and progressive discipline, up to and including dismissals. This expert has served as counsel to the statewide ethics watchdog, a state Fair Political Practices Commission, where this expert provided continuing legal education training for attorneys statewide, and ethics training to state employees as mandated by state law. This expert wrote formal advice letters, drafted regulations and advised the Commission on a variety of legal matters. In addition, this expert litigated in state and federal courts.

  
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• Expert Witness #251543

  This expert is internationally recognized in utility system operations, reliability improvement, system planning, smart grid, risk assessment, and economic analysis. Specializing in infrastructure asset management, power delivery system planning, smart grid, system automation, distributed energy resources, risk assessment, and economic analysis, this expert has held executive positions at major players in the industry. As part of this expert's responsibilities this expert has developed power system computer applications, transmission projects, and is well versed in economic dispatch, unit commitment, and optimal power flow. This expert has also developed a commercial production simulation software package. This expert has published more than 90 technical papers, and is author of books on electric power distribution and utility engineers. Additionally, this expert has developed several generations of distribution system reliability assessment software tools, and has helped a large number of utilities to develop cost-justified reliability improvement plans. This expert is a Fellow of the IEEE and a registered professional engineer. This expert has extensive expert witness support on the regulatory side including pre-filed testimony and commission hearings in 7 states. This expert has also served as an expert witness in about a dozen civil cases. In terms of patent matters, this expert was the expert for a plaintiff with two patents related to real-time power system software that included analysis and network control functions. For this matter this expert produced three expert reports, did a code review of the infringing software, and testified at trial. This expert also testified at a subsequent injunction hearing. This expert is supporting a client defending an infringement claim related to power system control devices with local intelligence, filing a report arguing for invalidity in an IPR with the Patent Office, and supporting them in the early stages of civil litigation.  

  
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• Expert Witness #271586

  This damages expert holds CFA and CFE credentials and has over 30 years of forensic accounting experience at a top global accounting and consulting firm. This expert has led several lost-profits claims in the manufacturing industry and several builder's risk and construction-delay claims involving the quantification of lost profits and incremental costs.

  This expert has authored over 20 publications on forensic topics, including chapters in a well-regarded litigation services handbook addressing damages theory, business valuation, and the cost of capital.

  
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• Expert Witness #274868

  This defamation damages expert has over 50 years of experience in investigative accounting, valuation, and litigation support. This expert has testified numerous times in both state and federal courts in proceedings involving insurance claims, intellectual property claims, product liability, and third-party lawsuits.

  This expert has quantified defamation damages, calculated damages in media-related matters, and testified in a libel and slander trial. This expert is an experienced expert witness and litigation consultant.

  
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• Expert Witness #275170

  This healthcare auditing and forensics expert founded a firm providing healthcare consulting, auditing, and forensic services, with work including reviews of coding practices, policies and procedures, medical record documentation, and general administrative procedures.

  This expert began a career as an intensive care nurse and transitioned into auditing for risk and compliance. Work has included sampling reimbursement claims for providers, payers, and benefit plan sponsors, requiring knowledge of procedure and diagnosis codes across many varieties of claims, supported by CPC (Certified Professional Coder) and CICA (Certified Inpatient Coding Auditor) credentials.

  This expert is an experienced expert witness and litigation consultant.

  
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• Expert Witness #277701

  This human resources expert has owned a human resources consulting firm for over 30 years, assisting with employee relations, recruitment, performance management, human resources audits and investigations, compensation, benefits, training, and safety-related work.

  This expert has served in over 400 employment-related lawsuits, testifying in both federal and state courts. On numerous occasions, this expert has satisfied Daubert challenges in federal court.

  As a licensed private investigator, this expert is routinely contacted by corporations and law firms to conduct investigations involving Title VII discrimination claims regarding race, sex, color, religion, and national origin, as well as claims involving age and disability.

  
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• Expert Witness #286147

  This diamond and gemstone expert has served as an expert witness in over 5 cases involving gemstone-certification issues in United States federal court in Texas. Work in those matters included producing expert witness reports, giving depositions, and providing guidance to litigation teams.

  This expert has led a successful gemstone claims, investigation, and appraisal consultancy, as well as a gemology training institution with students and graduates in over 80 countries. This expert is a licensed Property and Casualty Insurance Adjuster in Texas and has served as a Forensic Gemologist for an insurance organization handling investigations into fraud claims, stolen jewelry, and related member claims.

  This expert is a graduate of a well-regarded gemological institution and holds certifications from prominent gemological and industry accreditation institutions.

  
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• Expert Witness #288838

  This psychological injury expert is a licensed Clinical Psychologist with over 30 years' experience as a practicing psychologist and evaluator for civil and criminal cases, and previously served as an adjunct professor of Psychology and Psychiatry at a medical university.

  This expert has lectured extensively on psychological injury claims, including those arising in employment litigation, and has authored multiple chapters in two editions of a book on mental and emotional injury claims in employment litigation.

  This expert is an experienced expert witness and litigation consultant.

  
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• Expert Witness #289132

  This code review expert has extensive experience conducting detailed and technically rigorous code reviews in the context of intellectual property litigation, product liability cases, and forensic investigations. The work has involved both source code and firmware analysis across a wide range of languages and platforms, including C/C++, Verilog, VHDL, Python, assembly, and embedded systems.

  This expert has served as an expert witness in cases involving patent infringement and invalidity, performing source code comparisons to claimed limitations, including mapping and charting code to patent claim elements.

  This expert has also addressed reverse engineering of hardware and firmware, software extraction, and review to uncover hidden functionalities, confirm the presence or absence of features, and validate trade secret misappropriation claims.

  This expert often works with codebases comprising hundreds of thousands to millions of lines of code and delivers concise expert reports backed by clear and annotated code exhibits.

  This expert has also analyzed proprietary RTL code in FPGA and ASIC designs to validate hardware-software interaction claims and confirm implementation of architectural claims in silicon. In multiple cases, the findings were key to claim charts and ultimate resolution through settlement or trial.

  
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• Expert Witness #292882

  This medical claims submission expert holds FLMI, FLHC, and ACS credentials and has a long work history in claims litigation and support. In prior claims management and claims consulting roles involving health claims, this expert built a strong track record of claims review, management, and innovation, with skill in Long Term Care Insurance, Disability Income Insurance, Medicare Supplement Insurance, and Life Insurance.

  This expert works with a small consulting group with deep experience in medical, Medicare supplement, disability, long-term care, and life insurance claims. The group has over 50 years of combined industry experience and can review claim and litigation documents efficiently.

  This expert is an experienced expert witness and litigation consultant.

  
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• Expert Witness #294450

  This damages expert has provided business and financial advice to attorneys and clients in all phases of the litigation process for over 25 years.

  This expert's experience includes disputes involving complex financial transactions, intellectual property, lost profits, lost business value, breach of contract, breach of fiduciary duty, warranty claims, franchise and distribution disputes, automobile dealer disputes, insurance claims, employment disputes, and intellectual property infringement issues.

  This expert has experience with ecommerce damages, including damages involving tortious interference with prospective and existing contractual and business relationships, lost profits from product sales through online retail channels, and evaluation of opinions associated with patent infringement claims.

  
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• Expert Witness #296645

  This statistical sampling expert holds a B.Sc. in Economics and an M.A. and Ph.D. in Statistics from a prestigious business school at a well-regarded university. This expert founded and leads a statistical consultancy that serves government and corporate clients.

  This expert has more than two decades of experience in statistical consulting and has been named as a statistical expert numerous times. This expert has particular experience in statistical sampling of healthcare claims and has served as an expert in several healthcare claims matters. This expert has testified in court regarding sampling healthcare claims and has been accepted as a statistical expert in such matters.

  This expert is an experienced expert witness and litigation consultant. This expert has appeared in over 20 trials, hearings, and depositions over the last 20 years.

  
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• Expert Witness #296793

  This health claims sampling expert holds a B.Sc. in Accounting, is a Certified Public Accountant (CPA), holds the FAAMA credential, and serves in senior executive and principal healthcare consulting roles specializing in healthcare finance, Medicare, regulatory compliance, pricing, and managed care and insurance payment and contracting.

  This expert has provided expert witness testimony in court and administrative proceedings and has presented testimony to state healthcare rate-setting authorities, federal oversight bodies, and federal healthcare agencies on issues including healthcare facility rate setting, Tri-Care funding and reimbursement, air ambulance prospective fee schedules, and physician fee schedules for MOHS dermatology surgeons. This expert also served for over 10 years as a national regulatory practice leader at a major professional services firm recognized for healthcare professional services.

  This expert has evaluated claims handling and payment procedures in a prompt-pay dispute involving member hospitals, identifying process improvements intended to expedite processing and reduce denials. In another healthcare compensation dispute involving primary care physician partners and allegations of upcoding, this expert evaluated a statistical sample of claims, identified sampling flaws and coding bias, and provided deposition testimony on those issues.

  This expert has managed installation and maintenance projects for a decision-support claims management system designed to track expected payment of patient claims based on contract terms with payors across dozens of hospitals.

  This expert has analyzed statistical sampling issues in healthcare post-payment audits, including audits using samples over multiyear periods to disallow claims and seek multimillion-dollar recoupments. In one matter, this expert's rebuttal of the statistical sampling methodology supported placing recoupment on hold while the merits of alleged errors were resolved, and the redetermination appeal was successful.

  This expert has also analyzed Medicare time-record audits involving clinical and non-clinical staff records maintained in short time increments. The analysis showed that auditors had effectively examined each time increment within sampled time records, substantially increasing the effective sample size and reducing the calculated error rate to below 1 percent. Based on that analysis, no audit adjustment was appropriate.

  This expert has conducted primary research and survey work in healthcare reimbursement disputes, including surveys of thousands of skilled nursing facilities addressing cost-reporting and reclassification issues. The survey evidence was used in an administrative appeal to address a federal healthcare agency's position on reporting practices.

  This expert is an experienced expert witness and litigation consultant whose experience includes thousands of PRRB appeals, including hearings, mediations, telephonic hearings, and on-the-record hearings; hundreds of Administrative Law Judge hearings for workers' compensation appeals; U.S. District Court and appellate court hearings involving civil litigation and government investigations; and criminal investigations involving expert witness testimony and interviews with oversight investigators and U.S. Attorneys.

  
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• Expert Witness #305458

  This construction and claims expert holds a PhD, PE, and FASCE and has over 45 years of experience in the building and construction industry. This expert is a Life Member of a prominent civil engineering association and has held leadership roles on construction claims avoidance and resolution committees. This expert has frequently lectured on construction management, claims, and claim avoidance to regional and national construction trade associations.

  This expert has experience with lien requirements and payment claims in the construction industry, including matters involving lien deadlines, lien foreclosure issues, subcontractor payment disputes, mediation, depositions, general contractors, architects, and project owners.

  This expert is an experienced expert witness and litigation consultant.

  
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• Expert Witness #305723

  This construction law expert is an attorney who has practiced construction law for over 30 years, with a focus on mechanics' and materialmen's liens, payment claims, and construction litigation.

  This expert has substantial experience with liens in Georgia, including filing lien claims, developing Notice to Owner/Contractor documentation, contributing to lien law updates, and advising on lien issues for major construction projects. This expert has also worked as a consultant in several matters involving liens and statutory notices in Georgia.

  
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• Expert Witness #306052

  This claims and damages expert is a licensed California attorney and licensed California Public Insurance Adjuster with multi-billion-dollar claim experience. This expert is qualified to opine on scope and cost of repairs, appraisal standards, and general claim handling.

  This expert has experience reviewing restoration and repair-related work products, observing work, evaluating bills, and addressing claims, disputed services, and litigation involving the value of such services.

  This expert is an experienced expert witness and litigation consultant, having served as an expert witness in many matters over more than 30 years.

  
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• Expert Witness #2871868

  This lost profits damages expert holds an MBA and CFE credential and has calculated lost profits damages in hundreds of cases across a variety of claims, including breach of contract and business interruption claims, and across industries including maritime activities. This expert has given deposition testimony over 165 times and has testified at trial or arbitration over 30 times.

  
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