Insurance Fraud Expert Witnesses
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What is an insurance fraud expert witness?
Insurance fraud expert witness candidates typically have expertise in forensic accounting (or CPA), economic damages, and/or are certified fraud examiners (CFE). Health insurance fraud expert witnesses are specialists in medical coding, HIPAA, and electronic health records. In a high-profile case, or litigation involving a significant financial stake, legal counsel may request an insurance fraud professional with prior expert witness testimony experience. It is essential that an insurance fraud expert witness possess the ability to provide testimony in such a manner that a jury can understand the evidence.
What types of cases require an insurance fraud expert witness?
Whether the case involves life insurance, health insurance, automobile insurance, homeowners or property insurance, the firm has an earned reputation of providing insurance fraud expert candidates with the right balance of expertise and testimony to support each unique project and its nuances.
Insurance fraud expert witness case examples
As examples, Cahn Litigation Services has placed experts in support of insurance fraud matters involving:
- New York-based entity insurance claims handling,
- bad faith,
- casualty insurance,
- personal property insurance,
- Florida insurance agent malpractice,
- reinsurance,
- workers compensation claim in Texas,
- liability insurance policies,
- disability insurance reimbursement,
- Medicaid/Medicare false claims,
- California insurance adjuster real estate dispute, and
- and personal injury cases.
What litigation support work might an insurance fraud expert witness be expected to perform?
Litigation support services by an insurance fraud expert witness could include document examinations, depositions, research and authoring expert reports, and testimony at deposition and at trial. In addition, clients may seek an insurance industry expert for pre-litigation work. Cahn Litigation Services has completed numerous searches for expert witnesses with specialized knowledge in insurance fraud issues, providing candidates for each case to the specifications provided by the attorney in charge.
Cahn Litigation Services has the experience required to turn a search for an insurance fraud expert witness around quickly, providing the right balance of expertise and testimony experience.
Related Disciplines
Insurance Fraud Expert Witness - Representative Bios
Please Note: All Cahn Litigation expert witness searches are customized to attorneys' precise specifications and preferences. Attorneys are encouraged to discuss search parameters with a Cahn search specialist.
The below expert witness bios represent a small fraction of those Insurance Fraud experts known by Cahn Litigation Services. These bios are provided to give lawyers a sense of the Insurance Fraud landscape.
Expert Witness #209996
This expert has many years of experience in the consumer credit industry. This expert is quite familiar with credit reporting standards. While with credit reporting agency, this expert served as a Quality Assurance Specialist, a Team manager responsible for reviewing, modifying or correcting well over 100,000 consumer credit reports. This expert also managed the Fraud Investigation Team functions, including the dispute reinvestigation process and adherence to productivity and quality expectations. This expert has worked as a Finance and Insurance Manager responsible for working directly with lenders to secure financing. This expert's duties included pulling and analyzing credit reports and FICO scores and matching applicant credit risk with the most appropriate loan product, given the consumer's credit history and score. As the founder of a credit consultancy, this expert has been retained over 60 times and has testified against the CRA's in depositions multiple times.
Start Insurance Fraud Expert SearchExpert Witness #253230
Director of a nationally recognized consultancy specializing in Business Consulting and Accounting, this expert brings to the table many years of experience in forensic accounting/investigation, economic damages, insurance and litigation support services, as well as business valuations. This expert also has a long history of consulting on insurance damage claims including limited partnerships, intellectual property, trademark valuation, and shareholder and partner disputes. This expert's practice spans various service segments in regions throughout the United States. This expert has consulted on thousands of economic damages, construction delay, lost income, bodily injury, wrongful death, employee dishonesty, construction, and other insurance claims exceeding hundreds of millions of dollars in the United States and abroad. This expert also has prepared numerous business valuations of privately held companies as a whole and as partial interests. This expert's expertise also includes forensic accounting, fraud investigation, and litigation support services including assistance in case analysis, preparation for trial, and expert witness testimony.
Start Insurance Fraud Expert SearchExpert Witness #262141
This expert concentrates practice in the areas of corporate litigation and appeals and has represented major corporations, municipalities, unions, small businesses, non-profit organizations and individuals in complex commercial and corporate litigation, construction litigation involving mechanic's lien foreclosures, insurance fraud actions, first-party property litigation, negligence, complex mass toxic tort litigation in both domestic and foreign forums, employment and labor matters involving claims of discrimination, FLSA claims, wage and hour violations and partnership, entertainment law, Article 78 litigation, and real estate disputes.
This expert was previously associated with a prominent national firm.
This expert is admitted to practice law in multiple states and is admitted to practice before United States District Courts and the United States Supreme Court. This expert is a member of State and County Bar Associations.
This expert received a Bachelor of Arts degree and a Juris Doctor degree.
Start Insurance Fraud Expert SearchExpert Witness #262519
This expert is the President & CEO of a firm providing detailed medical coding and billing compliance reviews/audits, operational assessments, investigations, and forensic analyses. This expert also provides litigation support in a consulting and expert capacity. Case work frequently pertains to allegations of improper and/or fraudulent medical coding and/or billing. This expert has provided services to firms specializing in Qui Tam matters. Clients have included government agencies, some of the largest insurance carriers in the United States, and nationally-recognized law firms. This expert's coding and medical records career spans many years, including work at medical centers, an insurance company, and a consultancy.
Urology is an area this expert is well-acquainted with, both from the standpoint of in-office procedures and surgical interventions. This expert's firm conducted a very large external audit for a multi-state provider, and also worked on a matter with the Department of Justice. Both cases included an analysis of studies routinely performed to address urinary retention, incontinence, and other types of studies and procedures. Multiple times this expert has worked in collaboration with a well-regarded urologist. This expert holds a BS in Health Information Management, is a Registered Health Information Administrator, a Certified Fraud Examiner, and an Accredited Healthcare Fraud Investigator.
Start Insurance Fraud Expert SearchExpert Witness #239642
This expert is the founder and chief executive of an independent consulting and litigation support firm focusing exclusively on insurance matters. This expert has been deeply involved in insurance, insurance coverage, insurance claims handling as an adjuster, insurance coverage as a lawyer and consultant, author of insurance books and training materials, insurance claims handling consultant, insurance fraud consultant and expert witness. This expert is an internationally recognized expert on insurance bad faith, carrier responsibility, insurance coverage, insurance claims handling, and other related topics. This expert is familiar with excess carrier responsibility and D&O policies. This expert's career focused primarily on serving insurers as an attorney on bad faith, coverage and fraud matters. This expert has taken hundreds of depositions and examinations under oath and has testified both as a percipient and expert witness more than 100 times. This expert is very well-published and is a frequent presenter an industry conferences.
Start Insurance Fraud Expert SearchExpert Witness #250311
This health systems expert has experience as an expert witness in health-related cases involving Medicare fraud, medical billing and coding, the Affordable Care Act, and disability issues under the ACA.
This expert has provided opinions regarding ACA insurance eligibility for metal plans and Medicaid expansion, including the Federal Poverty Level threshold for Medicaid eligibility in expansion states. These opinions have addressed household income, household members, out-of-pocket maximum coverage, and coverage issues in injury-related litigation.
This expert also advises health insurance exchanges and reviews Medicaid third-party liability across the United States for a government health program contractor. This work includes issues involving verification of household income for enrollment submissions.
Start Insurance Fraud Expert SearchExpert Witness #271581
This forensic business valuation expert holds an MBA in finance and is a Chartered Financial Analyst (CFA) charter-holder and Certified Fraud Examiner (CFE), with over 35 years of experience in forensic advisory work and senior roles at major accounting and advisory firms.
This expert's CFA credential is particularly applicable to expert witness work involving financial analysis, projection development, and damages calculations. This expert has testified over 20 times, including trial testimony.
This expert has performed damages analysis in connection with litigation involving a major beer producer and a former distributor, and has performed hundreds of financial analyses of businesses in the context of damages claims, business interruption insurance claims, fraudulent transfers, valuation disputes, and other matters.
This expert works with supervised staff who assist with substantial analytical work, and can also draw on CPAs as needed.
Start Insurance Fraud Expert SearchExpert Witness #284808
This medical billing and coding expert has over two decades of medical billing expertise across multiple care settings, with experience analyzing contract rates compared to actual billed charges, electronic medical records (EMR), Medicare fraud, medical billing fraud, qui tam False Claims Act fraud, and Usual Customary Reasonable (UCR) charges for care.
This expert is highly familiar with American Medical Association CPT Guidelines, Medicare and Medicaid guidelines, and insurance guidelines, including commercial insurance, Medicare/Medicaid HMO plans, and Affordable Care Act insurance. This expert has served as an expert witness and litigation consultant and has provided expert billing opinions in over 100 cases, all of which resolved before deposition or trial.
Start Insurance Fraud Expert SearchExpert 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.
Start Insurance Fraud Expert SearchExpert Witness #287087
This damages expert holds a BA (with Honors) in accounting from a university in London, England, and is a licensed certified public accountant in Pennsylvania, a chartered accountant (UK), a certified fraud examiner, and certified in financial forensics. This expert also attends courses offered by professional accounting, legal, fraud examination, and other professional organizations. This expert has presented various programs to the legal, accounting, and insurance industries on the calculation of damages in financial disputes and corporate fraud.
Start Insurance Fraud Expert SearchExpert Witness #289159
This plastic surgery and breast reduction expert is certified by a national plastic surgery board and has over 35 years of experience practicing plastic surgery in New York and New Jersey. This expert has served on the faculty of well-regarded universities, operated at university hospitals, and trained at prestigious medical institutions, including in plastic surgery. This expert has published over 20 scientific papers, including work on breast surgery, and served for over 10 years on a state board of medical examiners, evaluating surgical complaints, including insurance fraud matters, while holding committee leadership roles related to preliminary evaluation and advertising.
This expert is considered highly knowledgeable in plastic surgery and has written an award-winning book about cosmetic surgery. As an active plastic surgeon, this expert has performed many hundreds of breast reduction procedures using a wide range of techniques. This expert is an experienced expert witness and litigation consultant and has participated in many hundreds of hearings, examining and cross-examining physicians on behalf of a state medical authority.
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