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Practice 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:

Binding Reinsurance Insurance Managed Medicaid Stop Loss Insurance Hmo Reinsurance Brokering And Claims Auditing Ipa Administration Standards And Practice
Underwriting Guidelines Underwriting Guidelines Treaty Reinsurance Due Diligence Association Trust Plans
Medical Plan Document Contract Provisions Self Insured Health Plan Senior Settlement Reinsurance Pro Rata Reinsurance Insurance Surety Bond
Pharmacy Aggregate Reinsurance Self Funded Medical Insurance Broker Fiduciary Association Self Insured Association Health Plan
Reinsurance Medical Broker Fiduciary Self Funded Benefits Senior Settlement Reinsurance Medicaid Hospital Overpayment
Forensic Claims Review Employer Stop Loss Brokering Disease Specific Contracting Community Health Plans Managed Medicare
Group Medical Benefits Standards And Practice Healthy Communities Self Funded Stop Loss Brokering And Claims Auditing Community First Health Plan Reinsurance Employer
Binding Stop Loss Insurance Association Trust Plans Private Label Programs Aggregate Reinsurance Placement And Consulting Hmo Reinsurance Brokering And Claims Auditing
Self Funded Company Medicare Underwriting Guidelines Broker Fiduciary Pharmacy Plan Association Self Funding
Multiple Occurrence Stop Loss Aggregate Pharmacy Reinsurance Self Insureds Reinsurance Company Broker Fiduciary


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