Health Insurance Expert Witnesses in New York

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Health insurance expert witnesses practice in a variety of fields, including healthcare administration, medical billing, health policy, insurance fraud investigation, and risk management. Some of the most common specialties among health insurance expert witnesses also include managed care, health economics, health informatics, insurance underwriting, and claims handling. They can opine on the effects of policy coverage disputes, fraudulent claims, improper denial of coverage, standard of care in healthcare delivery, and the impact of healthcare legislation.

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Ms. Susan Leigh Combs, PPACAView profile

ID: 6255075

Ms. Susan Combs, PPACA

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New York

Ms. Susan L. Combs has over 20 years of experience in Insurance and Claims. She earned her BS in Hotel and Restaurant Management from the University of Missouri Columbia. Today, this expert is a Certified Patient Protection and Affordable Care Act Professional, Chartered Health Consultant by the National Association of Health Underwriters, and is licensed as an Insurance Producer in over 25...

Health, Life, & Property Insurance Regulation Expert WitnessView profile

E-502236

Health, Life, & Property Insurance Regulation Expert Witness

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New York

This highly qualified expert has nearly 40 years of experience in insurance. He earned his BBA in accounting from Hofstra University before beginning his career in insurance with the New York State Insurance Department and the New York State Department of Financial Services. During his 35 years working for the New York State Insurance Department, he held several prominent positions, including...

Health Insurance Expert Witness FAQs

A health insurance expert witness provides specialized knowledge on health insurance policies, claims, and regulations. They can clarify complex issues, provide informed opinions, and testify in court.

Cases involving denied claims, policy disputes, bad faith claims, underwriting practices, or regulatory compliance often require the expertise of a health insurance expert witness.

In medical malpractice cases, a health insurance expert can analyze coverage issues, determine if proper procedures were followed, and assess the reasonableness of medical costs.

Yes, some experts specialize in areas like Medicare/Medicaid, private insurance policies, managed care systems, or healthcare finance and economics.

An expert with experience in claim denials can provide insight into whether the denial was justified based on policy terms and industry standards. This can be crucial evidence in such cases.

Expert Institute offers a personalized approach to help you find the highest quality experts. We source actively-practicing professionals who match all your requirements for specialty areas, work experience, litigation history, fee range, certifications, location, and more.

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