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| IME - INDEPENDENT MEDICAL EXAMINER SPECIALISTS, EXPERTS WITNESSES & FORENSIC CONSULTANTS.
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| Over 20 years experience in/with Internet, Computers, Programming, Data Processing, Dating and Social Networking, Community Portals, Engineering, Business Development, Expert Witness, and Litigation Support....
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| Board certified in forensic pathology, consults in medical malpractice, Private Autopsy, Second Autopsy, Independent Autopsy, Wrongful Death, Criminal Defense.
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| Over 40 years in health care plans and related. Founder and former CEO of a major TPA. Author of many texts. Author of "Self-Funding of Health Care Benefits."
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| 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....
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| EW #10854 is an expert in IP litigation representing clients in telecommunications, insurance, and healthcare in the areas of intellectual property, service level agreements and systems integration.
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| Looking For An Insurance Expert Witness
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| over 20 years experience in Medical Claims processing, all the Blues, Tpas and re-insurance carriers. fully insured and self funded
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| Disability insurance industry veteran with home office experience in product development, underwriting, policyowner service, claims review, litigation support.
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| Litigation and appraisal experience nationally and internationally since 1974
in the areas of real estate, business and machinery & equipment.
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| 25 years experience in root cause analysis. Expert in design and development process uncovering "defects of design," "defects of manufacture" as well as "defects of maintenance."
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| Experts in construction, accidents, dispute resolution, claims, scheduling, delays, defects, standards of care, estimating, OSHA investigations, and litigation support.
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| EW #3415 provides detailed analysis of project delays with or without CPM schedules and/or productivity issues producing concise exhibits and expert testimony.
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| EW #13454 is a pharmacist and patent Attorney
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| CPA with over 35 years experience with litigation support matters
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| AMmd provides attorneys, insurers, and institutions with prompt, cost-effective case review.
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| Over 20 years experience in/with Internet, Computers, Programming, Data Processing, Dating and Social Networking, Community Portals, Engineering, Business Development.
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| Expertise in many project types including but are not limited to retail, office, light industrial, restaurants, medical/dental, educational, recreational, civic and residential projects.
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| Maritime surveyor & consultant since 1982 working for: shipping, petroleum, chemical, commodity-trading & insurance interests. Assists admiralty & commercial law firms on a regular basis.
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| EW #588 is a charter member of the Dispute Review Board Foundation, an international organization that provides guidance, training and education related to the use of Dispute Review Boards (DRBs).
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| 29 years of experience investigating and reconstructing highway vehicle collisions, and has been directly involved in over 4000 collision investigations, collision analysis and collision reconstructions....
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| Dr. Pitman is Professor of Psychiatry at Harvard Medical School and an internationally recognized researcher, teacher, and clinician focusing on post-traumatic stress disorder (PTSD). He is board-certified in psychiatry and forensic psychiatry. He has 124 publications in the medical literature on PTSD, including 8 on its forensic aspects. He served on the committee that wrote the current diagnostic criteria for PTSD. Although Dr. Pitman works full-time as an academic psychiatrist, he has a small...
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| Specializing in the review of product liability claims, identification, analysis and catagorizing hazards, misuses,misapplications of the product, the manufacturing process or the material involved.
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| A team of experts (not a referral svc)doctors, administrators, reimb specialists, health org / health ins expertsmedical & admin malpractice, physician practice, hosp mgmt, Medicare, managed care
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| A CPCU with 40 years of experience.
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| 25 years of patient care and forensic consultation as senior clinical faculty at Harvard Medical School. Nationally qualified expert and advisor to judiciary on expert standards.
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| Looking For A Life Insurance Agent or Quote?
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| Over 20 years experience in/with Internet, Computers, Programming, Data Processing, Dating and
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| Board Certified in Forensic Pathology, consults in Medical Malpractice, Second Autopsy, Wrongful Death, Criminal Defense.
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| Board Certified in Forensic Pathology, consults in Medical Malpractice, Private Autopsy, Wrongful Death, Criminal Defense.
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| Looking for a medical claim processing expert?
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Find Medical Claim Processing experts and consultants for Medical Claim Processing litigation support at www.expertwitness.com. Available to be Medical Claim Processing expert witnesses and provide Medical Claim Processing forensic consulting in Medical Claim Processing litigation, in addition prepare Medical Claim Processing expert witness reports for use in deposition and/or in-court trial testimony.
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Categories To Find "Medical Claim Processing" Experts:
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ACCIDENT INVESTIGATION |
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Accidents occur when hazards escape detection during preventive measures, such as a job or process safety analysis, when hazards are not obvious, or as the result of combinations of circumstances that were difficult to foresee. A thorough accident investigation may identify previously overlooked physical, environmental, or process hazards, the need for new or more extensive safety training, or unsafe work practices. The primary focus of any accident investigation should be the determination of the facts surrounding the incident and the lessons that can be learned to prevent future similar occurrences.
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AFFIRMATIVE ACTION |
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Affirmative action (U.S. English), or positive discrimination (British English), is a policy or a program aimed at increasing the representation of members of groups that have traditionally been discriminated against. This typically focuses on education, employment, government contracting, health care, or social welfare.
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ALCOHOL ABUSE |
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Alcoholism is the compulsive consumption of alcohol. Some believe it to be a biological disease. The etiology and nature of alcoholism are both currently being debated within the medical and scientific communities and the very definition of alcoholism is a part of that debate. Alcoholism is often a controversial subject and the disease hypothesis represents a focus of the debate.
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ARBITRATION / MEDIATION |
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Arbitration is a form of mediation or conciliation, where the mediating party is given power by the disputant parties to settle the dispute by making a finding. In practice arbitration is generally used as a substitute for judicial systems, particularly when the judicial processes are viewed as too slow, expensive or biased. Arbitration is also used by communities which lack formal law, as a substitute for formal law.
Mediation consists of a process of alternative dispute resolution in which a (generally) neutral third party, the mediator, using appropriate techniques, assists two or more parties to help them negotiate an agreement, with concrete effects, on a matter of common interest. More generally speaking, the term "mediation" covers any activity in which an impartial third party (often a professional) facilitates an agreement on any matter in the common interest of the parties involved.
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ASBESTOS |
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Asbestos (a misapplication of Latin: asbestos "quicklime" from Greek ἄσβεστος: a-, "not"; sbestos, "extinguishable") describes any of a group of fibrous metamorphic minerals of the hydrous magnesium silicate variety. The name is derived for its historical use in lamp wicks; the resistance of asbestos to fire has long been exploited for a variety of purposes. It was used in fabrics such as Egyptian burial cloths and Charlemagne's tablecloth, which, according to legend, he threw in a fire to clean. Asbestos occurs naturally in many forms (see below); it is mined from metamorphic deposits.
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AUTOPSIES |
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An autopsy, also known as a post-mortem examination or an obduction, is a medical procedure that consists of a thorough examination of a corpse to determine the cause and manner of a persons death and to evaluate any disease or injury that may be present. It is usually performed by a specialized medical doctor called a pathologist.
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BICYCLE HELMETS |
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A bicycle helmet is designed to provide head protection for cyclists. Helmets are most suitable for preventing injury in straight falls, and for reducing friction related damage to the head. Modern bicycle helmets were first developed in the 1970s.
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CANCER - COLON |
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Cancer that begins in the colon is called colon cancer, and cancer that begins in the rectum is called rectal cancer. Cancers affecting either of these organs may also be called colorectal cancer.
When colorectal cancer spreads outside the colon or rectum, cancer cells are often found in nearby lymph nodes. If cancer cells have reached these nodes, they may also have spread to other lymph nodes, the liver, or other organs.
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CEREBRAL PALSY |
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Cerebral palsy
is a term used to describe a group of chronic conditions affecting body movements and muscle coordination. It is caused by damage to one or more specific areas of the brain, usually occurring during fetal development, or during infancy. It can also occur before, during or shortly following birth. "Cerebral" refers to the brain and "Palsy" to a disorder of movement or posture.
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CIVIL RIGHTS - EQUAL RIGHTS |
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Civil rights are the protections and privileges of personal liberty given to all citizens by law. Civil rights are distinguished from "human rights" or "natural rights"; civil rights are rights that are bestowed by nations on those within their territorial boundaries, while natural or human rights are rights that many scholars claim ought to belong to all people. For example, the philosopher John Locke (1632-1704) argued that the natural rights of life, liberty, and property should be converted into civil rights and protected by the sovereign state as an aspect of the social contract. Others have argued that people acquire rights as an inalienable gift from a god or at a time of nature before governments were formed.
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CLAIMS |
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A claim is a legal action to obtain money, property or the enforcement of a right protected by law against another party.
Individuals and businesses purchase insurance policies to protect against monetary losses. In the event of a loss, policyholders submit claims, or requests for payment, seeking compensation for their loss. Adjusters, appraisers, examiners, and investigators work primarily for property and casualty insurance companies, for whom they handle a wide variety of claims alleging property damage, liability, or bodily injury. Their main role is to investigate the claims, negotiate settlements, and authorize payments to claimants, all the while mindful not to violate the claimants rights under Federal and State privacy laws. They must determine whether the customers insurance policy covers the loss and how much of the loss should be paid to the claimant. Although many adjusters, appraisers, examiners, and investigators have overlapping functions and may even perform the same job, the insurance industry generally assigns specific roles to each of these claims workers.
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DAMAGES |
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In law, damages refers either to the harm suffered by a claimant in a civil action, or to the money paid or awarded to the plaintiff in compensation for such harm.
Generally, there are three kinds of damages: special damages, general damages, and punitive damages. Special damages are the enumerable or quantifiable monetary costs or losses suffered by the plaintiff, or the compensation therefore. For example, medical costs, repair or replacement of damaged property, lost wages, lost earning potential, loss of business, loss of irreplaceable items, loss of support, etc. General damages are items of harm or loss suffered, for which only a subjective value may be attached. Examples of this include personal injury, physical or emotional pain and suffering, loss of companionship, loss of consortium, disfigurement, loss of reputation, loss or impairment of mental or physical capacity, loss of enjoyment of life, etc.
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DRUG ENFORCEMENT |
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The Drug Enforcement Administration (DEA) is a United States Department of Justice law enforcement agency tasked with enforcing the Controlled Substances Act of 1970. Not only is the DEA the lead agency for domestic enforcement of Federal drug laws (sharing concurrent jurisdiction with the Federal Bureau of Investigation), it also has sole responsibility for coordinating and pursuing U.S. drug investigations abroad.
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ELECTRONIC DATA RECOVERY |
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Electronic Data recovery is the process of recovering data from primary storage media when it cannot be accessed normally. This can be due to physical damage to the storage device or logical damage to the file system that prevents it from being mounted by the host operating system.
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ENGINEERING - ELECTRICAL |
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Electrical engineering (sometimes referred to as electrical and electronics engineering) is a professional engineering discipline that deals with the study and application of electricity, electronics and electromagnetism. The field first became an identifiable occupation in the late nineteenth century with the commercialization of the electric telegraph and electrical power supply. The field now covers a range of sub-disciplines including those that deal with power, control systems, electronics and telecommunications.
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INFORMATION SYSTEMS |
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As an area of study it is commonly referred to as information technology management. The study of information systems is usually a commerce and business administration discipline, and frequently involves software engineering, but also distinguishes itself by concentrating on the integration of computer systems with the aims of the organization. The area of study should not be confused with computer science which is more theoretical in nature and deals mainly with software creation, or computer engineering, which focuses more on the design of computer hardware.
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INSURANCE - LIFE |
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Life insurance (Life Assurance in British English) is a type of insurance. As in all insurance, the insured transfers a risk to the insurer, receiving a policy and paying a premium in exchange. The risk assumed by the insurer is the risk of death of the insured.
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LASIK |
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LASIK, an acronym for Laser-assisted In Situ Keratomileusis, is a form of refractive laser eye surgery procedure performed by ophthalmologists intended for correcting vision. The procedure is usually a preferred alternative to photorefractive keratectomy, PRK, as it requires less time for full recovery, and the patient experiences less pain overall.
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MALPRACTICE, MEDICAL |
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The basic definition of medical malpractice is an act or omission by a health care provider which deviates from accepted standards of practice in the medical community and causes injury to the patient. The word malpractice has a connotation of greater culpability than negligence. In the United States and other countries, a specific medical malpractice law has developed. In English law, the issue of liability is a subset of professional negligence where, under the Bolam Test, a doctor will be liable unless shown to have acted in accordance with a reasonable body of medical opinion.
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MARITAL DISSOLUTION - DIVORCE |
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Divorce or dissolution of marriage is the ending of a marriage before the death of either spouse, which can be contrasted with an annulment, which is a declaration that a marriage is void, though the effects of marriage may be recognized in such unions, such as spousal support, child custody and distribution of property.
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MEDICARE |
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Medicare is a health insurance program administered by the United States government, covering people who are either age 65 and over, or who meet other special criteria. It was first passed on July 30, 1965 by President Lyndon B. Johnson as amendments to Social Security legislation.
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OPHTHALMOLOGY |
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Ophthalmology is the branch of medicine which deals with the diseases of the eye and their treatment. The word ophthalmology comes from the Greek roots ophthalmos meaning eye and logos meaning word; ophthalmology literally means "the science of eyes." As a discipline it applies to animal eyes also, since the differences from human practice are surprisingly minor and are related mainly to differences in anatomy or prevalence, not differences in disease processes. By convention the term ophthalmologist is more restricted and implies a medically trained specialist. Since ophthalmologists perform operations on eyes, they are generally categorized as surgeons.
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PARALEGAL |
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A legal assistant or paralegal is a person, qualified by education, training or work experience who is employed or retained by a lawyer, law office, corporation, governmental agency or other entity and who performs specifically delegated substantive legal work for which a lawyer is responsible (ABA House of Delegates,1997).
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POLLUTION |
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Pollution is the release of environmental contaminants. Carbon monoxide, sulfur dioxide, chlorofluorocarbons (CFCs), and nitrogen oxides produced by industry and motor vehicles are common | | |