Health Insurance Expert Witnesses

We’ll help you retain an industry-leading Health Insurance expert

Health insurance expert witnesses practice in a variety of fields, including healthcare administration, medical billing, health policy, insurance fraud investigation, and risk management. Some of the most common specialties among health insurance expert witnesses also include managed care, health economics, health informatics, insurance underwriting, and claims handling. They can opine on the effects of policy coverage disputes, fraudulent claims, improper denial of coverage, standard of care in healthcare delivery, and the impact of healthcare legislation.

Find an expert witness near you

Select your state

What party are you representing?

Average Health Insurance Expert Witnesses Court Fees

Review Fee

Deposition Fee

Court Fee

Health Insurance Experts

View our Expert Witness Directory
Review Fee $550/hr
Deposition Fee $550/hr
Court Fee $550/hr

This expert has over 30 years of experiences with securities, investments, and insurance at the financial advisor, supervisory, and managing principal level. He has his producer's license in life, accident, and health insurance, is a certified financial planner, a chartered financial consultant, and a chartered life underwriter. He is also a member of numerous prestigious organizations in the insurance and financial services fields. This expert is is a former agency manager at John Hancock Financial Services, former managing principal at Waddell and Reed and a former Adjunct Professor in the department of finance at the University of Connecticut. He is currently an adjunct professor in financial management at a top university and the founder/consultant at a securities, insurance, and financial services expert witness and litigation consulting firm.

Read more

President, An association for securities experts

Bachelor of Science (BS), Southern Connecticut State University

Bedford |

New Hampshire

View profile
Review Fee $250/hr
Deposition Fee $300/hr
Court Fee $300/hr

This expert is a well experienced health insurance expert, as she has been involved in multiple company's Revenue Cycle Management programs for the past 15 years. She has been involved with negotiations with pharmacies and physicians, and has in depth knowledge of how to work with the Pharmacy Benefit Managers group to effect drug pricing.

Read more

Consultant, Private consulting group

Bachelor of Science (BS), Auburn University

Montgomery |

Alabama

View profile
Review Fee $650/hr
Deposition Fee $750/hr
Court Fee $750/hr

This highly qualified expert has provided valuation and corporate finance consulting services since 1987. He is a Chartered Financial Analyst (CFA) and he is a member of several prestigious associations including the Healthcare Financial Management Association and the American Society of Appraisers. He previously worked as the Senior Managing Director of American Appraisal Associates Inc where he was the Chair of Healthcare Industry Practice. Currently, this expert works as Managing Director in a global consulting firm in Illinois. He specializes in the valuation of a wide variety of businesses and business interests, fairness and solvency opinions, consulting with corporations with respect to corporate finance issues, and estimating economic damages. He has provided opinions of value, fairness, and solvency for many purposes such as acquisitions, divestitures, business and strategic plan reviews, business unit performance measurement, SEC filings, US GAAP and other financial reporting requirements, US federal, state, and non-US tax reporting requirements, regulatory compliance, various dispute resolution and litigation procedures and general advisory purposes. This expert has worked with clients across a wide variety of industries such as business and consumer services, construction, engineering and real estate development, construction materials, banking, financial institutions and insurance, healthcare services and managed care.

Read more

Managing Director, A Valuation Services Firm

Master of Business Administration (MBA), DePaul University

Chicago |

Illinois

View profile
Review Fee $500/hr
Deposition Fee $500/hr
Court Fee $500/hr

This expert has over 30 years of experience with healthcare and health insurance. She gained her PhD in sociology and health policy at the University of California, Santa Cruz and directed research at the Institute of Health and Aging at UC San Francisco before leading the White House's Health Care Reform Task Force. Since, she has continued to contribute to the private and public sectors, working as a principal at William M. Mercer, Inc, the vice president of the Lewin Group, an associate professor of research at UC Santa Cruz, and the consumer representative to the Medicare Coverage Advisory Committee. Her most recent roles include consulting for Watson Wyatt Worldwide, the Center for Medical Technology Policy, and Bain & Company. Currently she is an independent health care consultant.

Read more

Consultant, A healthcare consultancy in California

Doctor of Philosophy (PhD), UC Santa Cruz

Westlake Village |

California

View profile
Review Fee $350/hr
Deposition Fee $350/hr
Court Fee $350/hr

This expert began his career in underwriting in the 1960's, managing a regional general agency with broad underwriting authority specializing in property real and personal coverage, running the gamut from simple auto and homeowners’ policies to complex property, inland marine, manufacturer’s output and ocean marine policies. When he sold his agency in 1988, he had 60 employees and annual revenues in excess of $10,000,000. His career also includes a wealth of claims experience, personally having draft issuing authority to settle claims for a number of different insurance carriers. He currently manages a consultancy dedicated to standard of care issues special realationships underwriting and claims handling issues.

Read more

Principal, An underwriting and claims consultancy in CO

Bachelor of Arts (BA), State University of New York at Farmingdale

Boulder |

Colorado

View profile
Review Fee $450/hr
Deposition Fee $500/hr
Court Fee $550/hr

This highly qualified expert has nearly 40 years of experience in insurance. He earned his BBA in accounting from Hofstra University before beginning his career in insurance with the New York State Insurance Department and the New York State Department of Financial Services. During his 35 years working for the New York State Insurance Department, he held several prominent positions, including director of policy initiatives and assistant chief examiner of the property bureau. He has years of demonstrated experience dealing with health, life, and property insurance regulations. Currently, this expert serves as the principal for an insurance and regulatory consulting firm in New York.

Read more

Principal, An insurance and regulatory consulting firm in NY

Bachelor of Business Administration (BBA), Hofstra University

Bayside |

New York

View profile
Review Fee $270/hr
Deposition Fee $350/hr

This highly-qualified expert has over 30 years of experience in healthcare management. He earned his BA in political science from the American University and completed graduate coursework in health care public policy at the University of Chicago. Throughout his career, he has been highly involved in health care forums, having a hand in healthcare changes such as successfully lobbying Congress to include kidney transplantation in HR 1 in the 1970s. He has formerly served as the program director for the American Kidney Fund and the director of development for the National Kidney Foundation. He also served as the evaluation director of the Mayor's Office Model Cities Anti-Poverty Programs during the Daley administration in the city of Chicago. Currently, this expert serves as the CEO of two healthcare consulting firms and the president of a healthcare staffing organization.

Read more

President, A healthcare staffing organization

Bachelor of Arts (BA), The American University

Evanston |

Illinois

View profile

FAQs for Health Insurance Expert Witnesses

What is the role of a health insurance expert witness in legal proceedings?

A health insurance expert witness provides specialized knowledge on health insurance policies, claims, and regulations. They can clarify complex issues, provide informed opinions, and testify in court.

What types of cases might require a health insurance expert witness?

Cases involving denied claims, policy disputes, bad faith claims, underwriting practices, or regulatory compliance often require the expertise of a health insurance expert witness.

How can a health insurance expert witness help in a medical malpractice case?

In medical malpractice cases, a health insurance expert can analyze coverage issues, determine if proper procedures were followed, and assess the reasonableness of medical costs.

Are there subspecialties within the field of health insurance that an expert witness may focus on?

Yes, some experts specialize in areas like Medicare/Medicaid, private insurance policies, managed care systems, or healthcare finance and economics.

Why is it important to hire a health insurance expert witness with experience in claim denials?

An expert with experience in claim denials can provide insight into whether the denial was justified based on policy terms and industry standards. This can be crucial evidence in such cases.

How does Expert Institute select its Health Insurance expert witnesses?

Expert Institute offers a personalized approach to help you find the highest quality experts. We source actively-practicing professionals who match all your requirements for specialty areas, work experience, litigation history, fee range, certifications, location, and more.

Connect with the Health Insurance expert witness you need to win your case

Close Icon

Your information will not be shared. View our privacy policy.

Excellent
1,370 reviews on