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Consideration Specialist, Expert Witness and Forensic Consultant.

We consult and write HMO reinsurance, employer stop loss, provider excess loss reinsurance, Broker or agent fiduciary, and audit reinsurance claims. Automatic Facultative, and Quota Share reinsurance policies & treaties.

EXPERT ID: 1914

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Location:  US

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ADDITIONAL INFORMATION

 

Short Biography:


He is recognized nationally as one of the top professionals in the technical areas of reinsurance and stop loss contracting.


EW#1914 is a federally qualified expert witness.

Partial Client List Past and Present:


He is recognized nationally as one of the top professionals in the technical areas of reinsurance and stop loss contracting.

Cornell & Associates, PA. Weston, Florida

Global v. SRI (active
Shughart Thomson & Kilroy Kansas City , M
CST v. Embry (active)
Kutak Rock, LLP Kansas City, MO
Midwest Ortho Surgery v. First Choice (active)
Tucker, Heifetz & Saltzman, LLP
Boston, Ma
Lifespan/Physicians Professional Services Organiz. Vs. Combined Ins. Co./ Aon . (settled)
Wagstaff and Cartmell, LLP Kansas City , MO
Dairy farmers Vs Ace Reinsurance (active)
Taggart, Morton, Ogden, Staub New Orleans , LA
St. Eliz Hospital Vs Oschner Health Plan
L aw Office of Lee Harwell, Jr. Torrance , CA (Prevailed)
Temple Comm Hosp Vs. Superior, ANT
Dickstein, Shapiro, Morin and Oshinsky Washington, DC.
CNA Vs. Gen Re (settled
Latham and Watkins Costa Mesa, CA
Integris Vs US Benefits (settled)
Shughart Thomson & Kilroy Kansas City, MO
Combined Ins. Co./ AON
Wagstaff and Cartmell, LLP Kansas City, MO
Dairy farmers Vs Ace Reinsurance (active)
Dickstein, Shapiro, Morin and Oshinsky Washington, DC.
Lee Harwell,Esq.
Lathem and Watkins
Dickstein, Shapiro, Morin and, Oshinsky
American College of Health Care Executives
Columbia / HCA
Beth Israel Health System
Montefiore
Global Business Resources
International Business Communications
Institute of International Research
John Alden Life Insurance Company
Health Care Assembly
Pyramid Health
ProHealth HMO
University of Miami
Montefiore
National League of Postmasters



Expertise:

Medical Stop Loss and Reinsurance
Provider Stop Loss / Provider Excess Loss Brokering Standards and Claims Auditing.
Employer Stop Loss Brokering Standards and Claims Auditing.
Group Benefits Plan Placement and Standards of Care
Stop Loss and Reinsurance Arbitration and Dispute Resolution
Self Funded Stop Loss Brokering, Coverage Binding and Claims Administration
HMO Reinsurance Brokering and Claims Auditing
Aggregate Reinsurance Placement and Consulting
Self Funded Plan Underwriting and Consulting
Medicare and Medicaid Risk Contracting, Reinsurance and Management
Managing General Underwriter (MGU) Standards and Practices
TPA Claims Standards
UCR and Claims Schedule Standards
Stop Loss and Reinsurance Contracting Terms and Standards
Third Party Administration Practice and Standards
Group Medical Benefits Standards and Practice
IPA Administration Standards and Practice
Surety Bonds Placement
Pharmacy Benefit Management
Community Health Plan Development
National PPO Contracting
Disease Specific Contracting and Management and Utilization Review Programs
Self Insured
Stop Loss Insurance
Self Funded Company
Self Insured Companies
Medical Reinsurance
Medical Stop Loss
Surety Bond
Fidelity Bond
Insurance Surety Bond
Reinsurance Health
Life Insurance Reinsurance
Reinsurance Company
Self Funded Insurance
Self Funded Employers

Awards / Honors:

Recognition of Service Award - McGregor Smith Scout Reservation 7/99
Registers Who's Who in America 2003-2004
Scout Leaders Merit Award 7/99, 7/00
Strathmore Who's Who - 1998-1999 edition
Who's Who in the South and Southwest - Marquis Who's Who in America -24th edition 1996
Marquis Who's Who in America - 1997-2004
Who's Who in the South and Southwest - Marquis Who's Who in America -25th edition 1997
Who's Who in American Education - 6th edition, 2003
International Biographical Center - Directory International Biography 26th Edition 1997
International Directory of Distinguished Leadership - Tenth & Eleventh Edition 2001-2002
American Biographical Institute, Inc. Tenth Edition
A.A. Green Scholarship




 

Blinded CV

Category Directories:

 

Category Searches:


 
Reinsurance Expert Witnesses Directory   Reinsurance Experts Witnesses ;
Health / Safety Expert Witnesses Directory   Health / Safety Experts Witnesses ;
Health Administration Expert Witnesses Directory   Health Administration Experts Witnesses ;
Health Care Management Expert Witnesses Directory   Health Care Management Experts Witnesses ;
Hospital Administration Expert Witnesses Directory   Hospital Administration Experts Witnesses ;
Insurance - General Expert Witnesses Directory   Insurance - General Experts Witnesses ;
Health Expert Witnesses Directory   Health Experts Witnesses ;
Medicare Expert Witnesses Directory   Medicare Experts Witnesses ;
Public Health Expert Witnesses Directory   Public Health Experts Witnesses ;
Assault Expert Witnesses Directory   Assault Experts Witnesses ;
Medical / Hmo Reinsurance Expert Witnesses Directory   Medical / Hmo Reinsurance Experts Witnesses ;

Some of the Keywords entered by this Expert:

Association Trust Plans Health Reinsurance Self Insured Health Plans Broker Fiduciary Cr And Claims Schedule Standards
Breach Of Duty National Ppo Contracting Aggregate Pharmacy Reinsurance Surplus Relief Insurance Agent Fiduciary
Medicaid Hospital Overpayment Association Trust Plans Group Benefit Plan Placement Medicaid Hmo Association Self Funded
Medical Claims Processing Standards Agent Fiduciary Group Benefit Plan Placement Provider Sponsored Health Plan Association Trust Plans
Retroactive Laser Community First Health Plan Pharmacy Auditing Stop Loss And Reinsurance Arbitration And Dispute Resolution Third Party Administration Practice And Standards
Reinsurance Medical Breach Of Fiduciary Disease Specific Contracting Provider Excess Loss Pharmacy Aggregate Reinsurance
Pharmacy Aggregate Reinsurance Self Funded Health Insurance Self Insureds Healthy Community Stop Loss And Reinsurance Arbitration And Dispute Resolution
Aggregate Pharmacy Insurance Healthy Communities Life Insurance Reinsurance Association Medical Reinsurance Due Diligence
Medicaid Hmo Medicare Hospital Overpayment Hmo Reinsurance Self Funded Stop Loss Offers And Acceptance
Medicaid Underwriting Guidelines Binding Stop Loss Insurance Standards Of Care Self Funded Employers Self Funded Insurance


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