Insurance Claims Expert in Group Master Policies

Case Description:

An insurance claims expert with group master policy experience was needed for a bad faith and breach of contract action. The plaintiff was an independent contractor working with a city newspaper. Rather than offer workman's compensation insurance, the employer provided accident insurance in the form of a group master accidental medical insurance policy. Plaintiff was injured picking up newspapers for delivery but denied excess medical expense reimbursement.

IMS ExpertServices was asked to locate an insurance claims expert with significant insurance industry experience in group master policies, claims handling, and knowledge of how policy information should be distributed to policy holders. Familiarity with California insurance regulations was also required.

Experts Presented:

  • Employee Benefits Expert

    This insurance claims expert has more than 35 years of experience in employee benefits, with over 20 years working as an insurance consultant assisting clients with group master policies. Prior to that, he managed a group claim office for Lincoln National Life and worked as an underwriter for Prudential. He has substantial experience in claims handling in California. This expert has authored numerous publications on insurance and has consulted on employer based group policies. He has been deposed and offered trial testimony as an expert on insurance matters involving coverage disputes.IMS Reference #4972459

  • Insurance Expert

    With over 40 years of experience in the California insurance industry, this group insurance expert has substantial experience with group master policies and workman’s compensation. He is well versed in the standards of distributing policy information to policy holders. This expert presides over an insurance consultancy that offers reinsurance consulting, and monitors group insurance programs for clients. Previously he owned a full service brokerage that offered commercial, personal, and specialty lines of insurance. He is an experienced underwriter with expert witness experience.IMS Reference #1216864

  • Insurance Claims Expert

    This expert is a nationally recognized insurance consultant whose particular areas of expertise include bad faith allegations, coverage disputes, coverage interpretation, insurance industry standards and practices, and underwriting. An expert in insurance claims handling and California insurance law, he has more than 40 years of experience in the insurance industry. He has adjusted approximately 34,000 claims for over 150 insurance companies, trained adjusters, and written claims manuals. This expert has extensive expert witness experience including depositions and trial testimony.IMS Reference #1993796

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