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| Description of Service(s): | |||||||||||||||||
| What Sets Us Apart
40 years of experience, ten years on various insurance/benefits litigation matters including U.S. General Accounting Office litigation. We are focused on personalized service at reasonable hourly rates with no minimums and no retainers. We also provide a low fixed-fee cost for an initial review that includes both an examination of the documents and an overall assessment of the legal matter. Our strengths are experience, integrity, accuracy and timeliness. Contingent fee basis accepted for non-profit clients. Description of Services We work on legal matters concerning insurance companies, managed healthcare organizations, unions, employer-employee benefits, federal and state governments. We provide typical actuarial and underwriting litigation services, i.e., statistical evaluation of data, insurance premium calculations, economic analysis, insurance sales and administration and peer review of other underwriters/actuaries work. See specific categories below. Degrees/Licenses Bachelor of Science in Economics, Wharton School, University of Pennsylvania, 1969 Member, American Academy of Actuaries Member, Society of Actuaries Licensed Insurance Agent Experience Vice President of Actuarial, Underwriting and Care Econometrics, Fortune 100 firm. Vice President of Actuarial and Underwriting, national insurance company. Director Southeast Actuarial Services, big-six accounting firm. Manager of Major Group Underwriting and Actuarial, major health insurance company. Co-authored a managed healthcare text. Designed several computer systems including rating, reserving, underwriting, policy illustration and healthcare claim systems. Served as expert witness in front of the General Accounting Office and for several other industry cases. Service Categories Actuarial Opinions, Valuations and Studies Association Health Plans Capitation Centers for Medicare and Medicaid Services (formerly HCFA) Company and Block of Business Appraisals Claim Adjudication and Consulting COBRA Premiums Competitive Analysis Dental Insurance Disability Determination Dividends and Experience Rating Refunds Economic Loss Development Employee Benefits Expectation of Life Financial Projections Financial Reporting Funding Levels Governmental Benefit Plans Insurance Commissions Insurance Company Mergers, Acquisitions, Divestitures and Liquidation Insurance Policy Analysis Insurance Regulation International Insurance Life Income Calculations Life, Health, Property and Casualty Insurance Long Term Disability Costing Long Term Care Insurance Managed Care/HMO/PPO Market Conduct Examinations Marketing Strategies ad Policy Illustrations Medical Savings Accounts Mental Health Benefit Provisions Monte-Carlo Simulations Multiple Employer Welfare Arrangements Post-Retirement Medical Care and Termination Benefits Premium Calculations Premium/Benefit Negotiations Present Value Calculations Product Design Product Performance Reinsurance Reserve Analysis RFP Protests Risk Classification Risk Analysis and Management Self-funded Insurance Plans Structured Settlements Taft-Hartley Health and Welfare Trusts Third-Party Administration Trends and Trending Underwriting Rules and Regulations Unfair Trade Practices/Bad Faith Workers Compensation Conducted national seminars for: Society of Actuaries American Institute of Certified Public Accountants Healthcare Financial Management Association (HFMA) Teaching experience: 7th grade mathematics in 1971 Former member of HFMA teaching staff Geographical Areas Served Nationwide and Bermuda References Available upon request | |||||||||||||||||
| Area(s) of Practice: | |||||||||||||||||
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Actuary/Actuarial Health Insurance | |||||||||||||||||
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Nationwide | |||||||||||||||||