Denials Expert Witnesses

Sarasota, Florida

Insurance, Legal - Customs Standards Practices, breach, coverage, exclusions, bad faith, extracontractual, automotive, E & O, UI & UIM, class actions, homeowner, wildfire, commercial, catastrophe, excess surplus, Claims Sales Underwriting Agency, SIU, arson, flood, disaster

I began my insurance career as an adjuster-trainee and over 35 years, worked through many assignments to ultimately become Nationwide's first Chief Claims Officer. I was also cross trained in General P/C Management and assigned to large business territories as both a Regional Manager and a State Officer, with full P/L responsibility for Sales/Agents, Underwriting and Claims. Initially, I led the Philadelphia market area and was subsequently promoted to manage the State of Michigan. As a hands-on leader with strong experience in both P/C general management and all aspects of Claims, I offer expertise across the entire Property & Casualty spectrum. Retiring from my role as Chief Claims Officer in 2019, I was responsible for all claims operations countrywide, across all lines of coverage and every business unit. I partnered very closely with General Counsel teams and held decision-making authority over all claims-related litigation, including extracontractual and bad faith situations...

Sarasota, Florida

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

Seasoned, results-oriented, and versatile clinician and former insurance executive; offering extensive experience in Life Care Planning, Expert Testimony, leadership and all facets of complex medical claims integrating technology, evidenced-based clinical and technical processes, quality assurance, and case management, Possesses articulate communication skills, both verbal and written. Entrepreneur/ Innovator at the Intersection of Healthcare, Insurance and Technology, InsurTech/ HealthTech REGISTERED NURSE (RN) – STATE OF FLORIDA CERTIFIED REHABILITATION REGISTERED NURSE (CRRN) CERTIFIED CASE MANAGER (CCM) CERTIFIED LIFE CARE PLANNER (CLCP) MEDICARE SET ASIDE CONSULTANT CERTIFIED (MSCC) Sigma Theta Tau International Nurses Honor Society (STTI) International Association of Rehabilitation Professionals (IARP) Case Management Society of America (CMSA) Association of Rehabilitation Nurses (ARN), Health Policy Committee Member National Association of Professional Women—2013 Profess...

Ninety Six, South Carolina

Insurance - Bad Faith, Coverage, P&C Claims, Commercial Property Claims, Personal Property Claims, Best Practices, Exclusions, Denials, E&O Claims, Class Action, Extracontractual, Catastrophes, Hurricanes, Fraud, SIU, Subrogation, Commercial Auto Claims, P&C Operations

I began my career as an adjuster trainee and worked through every operating level within Claims. As VP of Property, Auto and Liability claims at Liberty Mutual for 36 years and AVP of Commercial Property, Auto and Agribusiness claims with Nationwide for 8 years, I was responsible for Claims operations nationwide. I partnered with defense, coverage and bad faith counsel in the review and oversight of coverage disputes and bad faith litigation. Throughout my career, I have been responsible for the handling, management and leadership of PL and CL Property and Auto claims, field operations along with technical oversight, including the development and implementation of Claim Handling Guidelines "Best Practices". I am extremely familiar with coverage interpretation, best claim practices, bad faith situations, limits, exclusions, claim procedures and building construction issues. As a P&C Insurance claim consultant, I work for both plaintiffs and defendants. I am currently available as...