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Expert in Actuarial Science, Health Insurance, Managed Care, Agency Carrier Disputes
Available for your Consulting and Expert Witness Needs
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| Summary of Expertise: |
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Primary Expertise Areas:
(links show more experts in each area)
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Expertise Description: |
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cost estimation expert
econometric model expert
forward pricing expert
health care system expert
insurance expert
medical informatics expert
self-insurance plan expert
health insurance expert
actuarial science expert
actuarial health care expert |
32 Years experience as a health actuary, serving technical and leadership roles within the corporate and consulting environments. Expertise: Health insurance, disability income and long term care;
Plan design, pricing and underwriting;
GAAP and Statutory reserves, financial reporting and reinsurance;
Mergers & acquisitions, for-profit conversions;
Association group, Individual, and government agency consulting;
Expert testimony. |
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managed care expert
long term care expert
medicaid abuse expert
health care plan expert
casualty underwriting expert
facultative reinsurance expert
finite reinsurance expert
generally accepted accounting principles expert
health care dispute expert |
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| Show Secondary and Basic Areas of Expertise |
Localities:
Expert may consult nationally and internationally, and is also local to the following cities: New York, New York; Yonkers, New York; Newark, New Jersey; Jersey City, New Jersey; Paterson, New Jersey; Elizabeth, New Jersey; Trenton, New Jersey; Philadelphia, Pennsylvania; Allentown, Pennsylvania; and Stamford, Connecticut.
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| Year |
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Degree |
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Subject |
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Institution |
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1976
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FSA (fellow of the society of actuaries)
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Actuarial Science
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Society of Actuaries
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1972
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MA
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Mathematics
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The Pennsylvania State University
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1971
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BA
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Mathematics
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Elizabethtown College
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| Years |
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Employer |
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Department |
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Title |
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Responsibilities |
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2005 to 2005
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Self
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Independent Consulting Actuary
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He is responsible for assisting health insurers, managed care entities, agencies, and others in pricing, reserving, evaluating benefits and agency compensation.
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2003 to 2005
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KPMG LLP
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Health Actuarial
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Director
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He is responsible for assisting health insurers, managed care entities, agencies, and others in auditing, pricing, reserving, evaluating benefits and agency compensation.
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1996 to 2003
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Self
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Independent Consulting Actuary
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He is responsible for assisting health insurers, managed care entities, agencies, and others in pricing, reserving, evaluating benefits and agency compensation.
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1993 to 1996
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KPMG LLP
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Health Actuarial
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Partner, and National Director
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He is responsible for assisting health insurers, managed care entities, agencies, and others in auditing, pricing, reserving, evaluating benefits and agency compensation.
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Associations/Societies
Former national Chairman of the Society of Actuaries Health Care Section. Former chairman of NAIC Medicare Supplement Advisory Group.
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Licenses/Certifications
MAAA (Member, American Academy of Actuaries)
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Professional Appointments
Former Board Member for Union Fidelity Life Insurance Company, and Penn Treaty Life Insurance Company.
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Publications and Patents
Frequent speaker at insurance conferences
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| Government Experience: |
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| Years |
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Agency |
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Role |
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Description |
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1995 to 1995
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PA Dept of Medical Assistance
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Consulting Actuary
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Review and testify as to the financial soundness and appropriateness of the states managed Medicaid program
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2004 to 2004
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Gov't of Cayman Islands
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Consulting Actuary
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Assist Dept of Health in structuring and implementing a national health care system.
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1988 to 1992
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NAIC
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Consulting Actuary
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Chaired and served as member of several insurance industry advisory groups on health insurance pricing and medicare
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2004: Comprehensive review of pricing and reserving processes for Wellpoint, Inc., one of the world's largest managed care organizations.
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2004: Audit review and signoff on over $1Billion of health insurance reserves for Kaiser Health Plans.
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2003, 2004 Audit review and signoff on over $1 Billion of health insurance reserves for Aetna Health plans.
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2002-3: Served as temporary Chief Actuary and head of Underwriting Division for Capital Blue Cross.
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2004: Supported Cayman Islands Health Minister in development of a comprehensive national health insurance program.
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As a member of the Intota consultant network,
Expert is a specialist who provides technical consulting to corporate, legal and government clients. Expert provides professional consulting as an Actuarial Science Consultant, Health Insurance Consultant, Managed Care Consultant, Agency Carrier Disputes Consultant. Expert may consult as an independent consultant or as a member of a consultancy, consulting company,
or consulting firm. Consultants service will be covered by a consulting contract.
Ask an expert initial screening questions and ask the experts services particulars, by simply submitting
an expert request.
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He provided support to attorneys on a class action disability income lawsuit brought in California. He provided testimony in an arbitration between a health insurance agency and their carrier.
Intota experts can serve as expert witnesses or litigation consultants offering expert testimony, expert advice, litigation support,
forensic services, and related expert witness services. Expert can serve as an expert witness or litigation consultant in intellectual property (patent, trademark, trade secret, copyright),
product liability, and insurance matters. Expert may provide forensic expert witness testimony, litigation consulting services, forensic investigation,
and forensic testing if appropriate in litigation areas as an Actuarial Science Expert Witness, Health Insurance Expert Witness, Managed Care Expert Witness, Agency Carrier Disputes Expert Witness.
Intota provides attorneys and legal professionals the opportunity to ask an expert initial screening questions and
ask the experts services particulars by submitting an expert request.
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Expert serves as a resource to
Intota Market Research Services
for customized marketing research in industries or areas related to
Actuarial Science, Health Insurance, Managed Care, Agency Carrier Disputes.
Experts are an invaluable source of overall industry insight as well as insight into specific companies and firms for
custom business to business (b2b) and industrial market research. Intota uses analyst and
consultant resources from Guideline whose Research Directors manage the research and analysis of the qualitative
and quantitative data as well as report writing for the custom studies. The methods and tools
used by Intota market research combine the insights of technical experts and industry insiders with secondary
research to provide the custom b2b and industrial market research you need.
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Expertise
