Insurance Expert Witnesses in California
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, Life Insurance, Annuities, Bad Faith, Standard Of Care, Annuity, Damages, Insurance Coverage, Misrepresentation, Disability Insurance, Erisa, Health Insurance, Long Term Care, Medicaid, and Sepsis.
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Britta M Moss, CPCU, SCLA, AIC-M
P&C Claim Handling Standards-Bad Faith Litigation
Office of Britta M. Moss, LLC
Insurance, Legal
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Property & Casualty Claims, Casualty Insurance, P&C Claims, Insurance Claims, Insurance Bad Faith, First, Third, Industry Standards, Common Practices, Insurance Coverage, Investigation, Insurer Defense, Personal Injury, commercial, personal, auto, homeowner, bodily injury, property damage, uninsured
Independent professional providing consulting services to law firms representing plaintiffs and insurer defendants involved in disputes or litigation related to property and casualty insurance claims.
Over thirty (30) years of experience as a property and casualty insurance claim professional. Experience as Claim Representative, Litigation Examiner, Supervisor, Trainer, Manager, and Consultant.
Expertise include coverage analysis, investigation, liability determination, damage evaluation, negotiation, and settlement of personal and commercial lines claims.
Experienced in claims involving bodily injuries, property damages, and related damages under personal and commercial auto policies, homeowner/condominium/rental policies, commercial property damage policies, commercial general liability policies, and businessowner policies. Claim types include auto accident, premises liability, auto damage, personal & commercial property damage, bodily injury, personal injury, property da...
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Robert M Anderson, CPCU
The Anderson Edge
Insurance, Risk Management
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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
Trusted by 32 of the Top 100 Insurance Law Firms
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 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) Cove...
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John R Ballinger, III
Complex Insurance, Civil, Claims, Policy Form
Ballinger and Associates Risk Management Firm
Insurance, Transportation
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Insurance Claims Mgmnt, Insurance Bad Faith, Aviation, Insurance Automotive, Insurance Policy Form, Compliance, Accident Investigation, Trial Strategy, Insurance Claims Handlling, Regulatory, Errors and Ommissions, Jury Selection Strategy, Insurance Contracts, Trucking, Risk Management, Voir Dire
John Ballinger brings a unique perspective as an expert-witness. He is one of the few in the insurance industry who is a licensed insurance agent, broker, surplus lines broker, public adjuster, and Supreme Court Rule 31 mediator. As an insurance insider and risk mitigation expert, he sees alignment between insurance policies (contracts), operational policies and procedures, and agreements with clients and vendors as one of the most overlooked areas of liability risk, creating large gaps in consistency and implementation. This understanding of insurance and risk has allowed Mr. Ballinger to help organizations save over $100 million in potential loss through risk analysis and mitigation.
For over 20 years, Mr. Ballinger has worked with clients in a variety of industries navigating the complicated matrix of ACA, EPA, DOL, IRS, OSHA, and DOT regulations. This deep understanding of federal regulations and his efforts to obtain multiple licenses and certifications gives him the ability t...
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Steven E. Roth
Life and Disability Insurance Analyst
Agoura Hills, California
Insurance
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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
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...
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Amy M. Zheng, MD, M.Phil., CHSE
Doctor- PA/NP Supervision-Insurance Claims
Amy Zheng Consulting
San Diego, California
Emergency Medicine, Urgent Care Medicine
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claims, Nurse Practitioner, CPR, Heart Attack, Pulmonary Embolism, Head Injury, Stroke, Aneurysm, Appendicitis, abdominal pain, Trauma, aortic dissection, Covid, Cauda Equina, epidural abscess, supervision, pneumonia, sepsis, insurance, Physician Assistant
Since 2003, Dr. Zheng has practiced across a broad range of clinical environments, including academic medical centers, the Veterans Health Administration, community hospitals, and rural critical access hospitals. She is a board-certified emergency and urgent care physician who remains clinically active. Dr. Zheng has served as an expert witness in matters involving medical malpractice, health insurance reimbursement, and physician assistant and nurse practitioner supervision, and has provided deposition and trial testimony.
Dr. Zheng is professor at three universities, including Medical Director of the Point Loma Nazarene University Physician Assistant Program. Since 2013, she has directed one of the largest teamwork exercises in the country, involving more than 350 students and faculty annually across three health professional schools. Her work has been recognized by the San Diego Union-Tribune and the Agency for Healthcare Research and Quality. She has presented nationally on ...
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Michael F Arrigo
Medical billing, fraud, HIPAA privacy, damages
No World Borders
Newport Beach, California
Medical Billing, HIPAA
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Medical billing expert, Patents trade secrets, electronic medical records, Medicare fraud, medical billing fraud, qui tam false claims act, Meaningful Use Electronic Health Records, HITECH Act, Affordable Care Act, Medicare Advantage, Medicaid, insurance, EMTALA, HIPAA, rebut life care, Usual Customary Reasonable (UCR), damages
Summary of Qualifications
National healthcare expert witness with extensive federal and state court experience. Published author, speaker, and peer-reviewed authority featured in Westlaw federal court rulings.
Federal Precedent: Expert opinions considered by the U.S. Court of Appeals, resulting in a Vacated and Remanded ruling.
DOJ Retentions: Retained twice by the Department of Justice, contributing to a $155 million settlement.
Advanced Credentials: Specialized studies in HIPAA Privacy, Security, and Blockchain at MIT.
Areas of Expertise
Medical Billing, Coding & Reimbursement: Usual, Customary, and Reasonable (UCR) charges in personal injury and medical malpractice; Affordable Care Act (ACA) Life Care Plan rebuttals (future cost of care); trauma, workers' compensation, liens, balance billing, subrogation, and uninsured patient discounts (including California law/Knox-Keene Act).
Healthcare IT & Forensics: Technical Expert in healthcare IT patents and intellectual property; Elec...
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Daniel R Robles, PE, MBA
Mechanical Engineer: business, construction, aero
Coengineers, PLLC
California
Mechanical Engineering, Investigation
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Plumbing, Test Engineering, Product Liability, Failure Analysis, Forensic Engineering, Artificial Intelligence, Accident Reconstruction, Water Damage, Feasibility Study, Corrosion, Construction, Airport, Aviation, Standard of Care, Litigation Support, Risk Assessment, Machinery, Insurance, Document Analysis, Design Engineering
Daniel Robles, PE, MBA is the founder of CoEngineers, PLLC, where he leverages extensive aerospace and construction industry experience to provide expert witness services for the legal, insurance, real estate, government, and financial industries.
Recent cases involved contractor error, material failures, chemical incompatibility, building envelope failures, water intrusion, personal injury, product failures, plumbing system failures, industrial machinery failures, corrosion, freeze, fire, forensics, standard of care, feasibility studies, facility condition assessments.
EDUCATION
• Masters in International Business (MBA); Seattle University. Seattle WA, 2002.
• Bachelor of Science Mechanical Engineering, (BSME); University of New Haven,
Certifications:
• Licensed Professional Engineer; California #30667, Washington #44394
• MIT Professional Education; AI and Machine Learning, 2024
Construction: CoEngineers, PLLC – Principal
• Resolution of unique building problems includin...
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David S. Easton, JD, CPCU
Easton Insurance Consulting
San Diego, California
Insurance
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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.
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Steve C. Burgess
Proven Life Insurance Claim Expert
The Center for Life Insurance Disputes
Folsom, California
Insurance
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life insurance claims, life insurance bad faith, accidental death claim authority, accidental death claims, life insurance, critical illness insurance, critical illness insurance claims, underwriting, material misrepresentations, life insurance claim authority, life insurance investigation, death claims
Steve C. Burgess: I am uniquely qualified to opine on standards and practices within the life insurance industry especially as it applies to the approval and denial of claims, the process of investigation of claims and the standard practices of life insurance companies as they apply to death claims handling. Since 2006, as the president of The Center for Life Insurance Disputes, I've independently represented claimants in the recovery of numerous death claims. This work includes obtaining records from medical institutions, police reports, death certificates, medical examiners, trust documents, financial records, phone transcriptions and other relevant documents. I work with insurance company’s internal and external investigators, legal advisors and claims underwriters to resolve these matters. This work, in addition to acting as an expert witness in several death claim lawsuits, has given me access to multiple insurers claims manuals, claims processes and procedures.
I have person...
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Tyla DiMaria, RN, MSN, CCM, CNLCP
Nurse Life Care Planner
Best Life Care Solutions
Carlsbad, California
Life Care Planning, Nurse
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Home Care Agency Owner/Expert, Nursing Administration, Long Term Care, Standard of Care Expert, Medical Surgical, Trauma, Brain Injury, Spinal Cord Injury, Pain Management, Burn Injury, Catastrophic Injury, Amputation Injury, Case Management, Plaintiff, Defense, Insurance, Medical Bill Review
Registered Nurse with over 26 years of experience. Home Care Agency Owner since 2008. Broad range of nursing experience including medical surgical, trauma/ICU, telemetry, orthopedics, rehab, workers comp, mother/baby, and more. Serving both plaintiffs and defense with life care planning services, life care plan rebuttals, medical record review, standard of care reports, medical bill review, and more. Looking forward to working with you!
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Sean Dilweg
A former Insurance Commissioner & Executive
Dilweg Consulting
The Sea Ranch, California
Insurance, Financial
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Bad faith claims, State Regulation, Receivership, Health, Med-Malpractice Insurance, claims practices, Annuity, Life, Consumer Complaints, Property Casualty, Commercial Lines, Personal Lines, Cannabis Regulation, Credit Rating methodologies
Expert Witness Profile – Insurance Regulation, Claims Practices, Financial Analysis, and Structured Finance
Former Wisconsin Insurance Commissioner and senior insurance executive with 20+ years of experience across insurance regulation, insurer operations, financial analysis, and corporate governance. Recognized expert in insurance industry standards, claims handling practices, bad faith, regulatory compliance, and insurer financial condition. Provides expert witness services in state and federal courts, including depositions, jury trials, and litigation support.
Areas of Expertise
• Insurance Expert Witness
• Insurance Bad Faith & Claims Handling
• Insurance Regulatory Compliance (State & Federal)
• Insurance Company Financial Analysis & Solvency
• Property & Casualty Insurance Practices
• Life Insurance & Annuities
• Health Insurance & Managed Care
• Mortgage Insurance & Financial Guaranty Insurance
• Insurance Receivership & Run-Off
• Reinsurance & Risk Transfer
• St...
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Ramzi Asfour, MD
Board-Certified Top Infectious Disease Specialist
Praxis Infectious Diseases
California
Infectious Diseases, Internal Medicine
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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, bacterial or viral infections, outbreak management, MoCA
Ramzi Asfour, MD, is board-certified in Infectious Diseases and Internal Medicine and is an Assistant Clinical Professor of Medicine (Volunteer) 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,...
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Mitchell L. Lathrop, JD, FCIArb, CArb, NADN
Insurance Coverage & Bad Faith Expert Witness
Law Office of Mitchell L. Lathrop
San Diego, California
Insurance, Legal
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Bad faith, insurance coverage, legal malpractice, reinsurance, legal ethics
Mitchell L. Lathrop is a lawyer licensed in California, New York and the District of Columbia. After over 40 years in trial courts throughout the United States, he today restricts his practice to arbitration and expert consulting and testimony in matters involving insurance, reinsurance, and lawyers’ professional responsibility, i.e., legal malpractice, and ethics. He is a former Presiding Referee of the California State Bar Court, with over 20 years' experience in lawyer disciplinary matters. He has served in over 100 cases as an expert in insurance, reinsurance. and legal malpractice matters.
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Frederick J Fisher, J.D., CCP
Fisher Consulting Group, Inc.
El Segundo, California
Insurance, Business Operations
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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...
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Arthur B Kagan, FSA, EA
A | K Actuarial & Pension Services
Woodland Hills, California
Actuarial, Statistics
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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
In the past 4 years I have completed about 50 expert witness cases, including personal injury, medical malpractice, wrongful death, economic damages, family law, life estates, ERISA. public pension plan participant values, insurance, annuities, disability, deferred compensation plans, and general litigation. My experience is that by providing attorneys with an expert witness report by a certified actuary, they can win larger claims for their client. I am listed on many of the expert witness directories, as well as on Google. My CV is attached.
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 N...
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Mason A Dinehart III, RFC
FEND - Financial Education Network Development
San Ramon, California
Securities & Investments, Insurance
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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...
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Colleen M Tangorra, CLU, ChFC
Colleen Tangorra
El Cajon, California
Insurance, Financial
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Life Insurance, Compliance, Annuities, Variable contracts, Mutual Funds, FINRA supervision
Over 42 years' experience in the Life Insurance and Financial Services industry. Expertise in traditional and variable life insurance and annuity contracts as well as mutual fund sales practices, compliance and operations. Experienced initially as an insurance and securities licensed professional working directly with clients, later developing skills and knowledge in sales management, training and compliance supervision of over 300 industry sales professionals. Skilled platform speaker to 300 + audiences. As a Registered Principal with the Financial and Regulatory Authority (FINRA), along with my many years of involvement in product development, internal operations of large insurance/financial services companies and compliance regulation has led me to now pursue opportunities as an expert witness. Education includes Bachelor of Science degree from State University of New York, Cum Laude; designations Chartered Life Underwriter and Chartered Financial Consultant from The American Co...
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Frank M Campbell, CLU, ChFC
Life Insurance, Annuities, Disability and LTC
Stratus Financial Partners
Riverside, California
Insurance, Financial
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Life Insurance, Annuity, Annuities, Suitability, Lapse, Life Settlement, agent, Conversion, Estate Planning, Disability Insurance, Long Term Care Insurance, Bad Faith, Beneficiary, trusts, STOLI, TOLI, Standard of Care, Expiration, Misrepresentation, Life/Disability Analyst
Expert in Permanent and Term Life Insurance, Disability, Long-Term Care Insurance as well as variable and fixed annuities. 40+ years’ experience as a high-producing agent with a Fortune 500 insurer. Past Life & Qualifying Member of Million Dollar Round Table – a trade group of top insurance producers. Chartered Life Underwriter. Chartered Financial Consultant. Licensed Life and Disability Analyst. Has reviewed and analyzed hundreds of insurance policies for issues such as suitability, expiration, beneficiaries, conversion, termination, reinstatement, value, and health of the insurer.
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Guy O Kornblum
Experienced insurance claims and legal malpratice
Guy O. Kornblum, A Civil Litigation Law Firm
Alamo, California
Insurance, Legal
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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 maintains his law office in the San Francisco Bay Area in Alamo, 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 45 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 Charter Fellow, American College o...
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Neal Bordenave, JD, CPCU, RPLU, ARM, AIC
Broker/Agent Standard of Care + Claims Practices
RiskPro Insurance Services, Inc.
California
Insurance, Insurance
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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 35 years experience in the insurance industry. President/CEO of RiskPro Insurance Services, Inc.,
Professor of Risk Management and Insurance at California State University Chico (Retired 2022)
Established Expert Witness Practice in 2009. As of January 2025, more than 500 retentions and testifying in Deposition, Trial and Arbitration more than 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)
Licensed Insurance Broker/Agent since 1988
Licensed Oregon Claims Adjuster
Primary States for expert work include, California, Arizona, Nevada, Oregon, Washington, Utah, Colorado and Texas
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Thomas M. Neches, CPA, ABV, CVA, CFE, CFF
Thomas Neches & Co., LLP
Los Angeles, California
Business Damages, Accounting
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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...
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Robert M Anderson, CPCU
The Anderson Edge
Newport Beach, California
Insurance, Risk Management
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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
Trusted by 32 of the Top 100 Insurance Law Firms
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 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) Cove...
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David Martinez, CPC, CMRS, CCA, CCS, CCE, CHP, CCO
Medical Billing & UCR Reimbursement Expert Witness
Accurate Billing Investigators, Inc.
California
Medical Billing, Insurance
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Managed Care, HMO, PPO, Medicare, Medicaid, Reasonable Value, Audit, Hospital, ERISA, Usual and Customary, Reimbursement Disputes, Claims Denials, Athena Billing, Out-of-Network, Balance Billing, Fee Schedule Analysis, Expert Testimony, Medical Necessity, Multi-State, Healthcare Reimbursement
I have over 35 years of experience in medical billing, reimbursement, and managed care systems, with expertise spanning provider operations, payer methodologies, and claims adjudication practices. My work focuses on evaluating medical billing accuracy, reimbursement methodologies, usual and customary charges, and payer denial practices.
Practice includes multi-state reimbursement analysis, with extensive experience in California managed care systems, including HMO, IPA, and risk-based reimbursement structures, as well as Medicare Advantage and national payer methodologies. I have served in multiple roles, including claims examiner, billing manager, revenue cycle executive, and founder of a national medical billing and audit firm. This multidisciplinary experience allows me to analyze disputes from both the provider and payer perspectives. Experience includes analyzing billing system workflows and claims processing issues across platforms such as Athenahealth.
My expert work includ...
You can also find Insurance Expert Witnesses in:
Alabama, Arizona, Arkansas, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Kansas, Kentucky, Louisiana, Maryland, Massachusetts, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New York, North Carolina, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia, and Washington