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Claims Expert Witnesses

Claims disputes in commercial insurance litigation typically arise when a policyholder, insurer, or reinsurer disagrees about how a claim was handled, valued, or paid under a commercial property, casualty, or reinsurance policy. These disputes surface in bad faith litigation alleging that an insurer failed to investigate or pay a covered claim properly, in coverage disputes over the interpretation of policy terms and conditions, and in reinsurance disputes over how a ceding company allocated or presented claims to its reinsurers. Because claims handling involves professional judgment calls about investigation adequacy, valuation methodology, and policy interpretation, reasonable claims professionals can disagree about whether a specific claim was handled consistent with industry standards and the terms of the policy. The central issue is typically whether the claims handling, investigation, or valuation process met the standards the insurance industry and the specific policy require.

A claims expert helps attorneys evaluate that question by reviewing claims files, investigation records, and valuation methodology against accepted claims handling standards and the specific policy language at issue. That might mean assessing whether an insurer's investigation and denial decision followed reasonable claims handling practices in a bad faith case, evaluating how property or casualty claims should be valued and adjusted under the policy's terms, or analyzing whether a ceding company's claims presentation to reinsurers complied with the reinsurance agreement. These findings support positions on bad faith, coverage, and damages, giving attorneys an industry-grounded basis for litigation strategy.

Claims cases benefit from experts whose specific background, whether property and casualty adjusting, reinsurance claims, or claims handling compliance, matches the precise line of insurance and claim type at issue rather than claims handling in general terms. Round Table Group's claims network includes underwriters, adjusters, and claims examiners with experience across commercial property, casualty, and reinsurance agreements, several of whom have published on claims handling, bad faith, and alternative dispute resolution. With more than 75,000 expert searches completed for litigators, we help attorneys match a case's specific claims issue to an expert whose credentials will withstand scrutiny. Let us help you find the right claims expert for your case by calling us at (202) 908-4500.

Kinds of Cases We Work On

Round Table Group helps our clients find a wide variety of Claims expert witnesses for cases like:

01

TPA Claims Mishandling Across a Liability Portfolio.

A self-insured retail chain sued its third-party claims administrator, alleging systemic mishandling of general liability claims led to avoidable excess exposure across a large portfolio of incidents. We identified experts with experience in claims administration and TPA operations, claims handling standard of care, and general liability claims adjusting. The expert's file audit found the TPA missed key reporting deadlines on a significant share of claims, anchoring liability for a substantial settlement.
02

Bad Faith Claims Denial on a Fire Loss.

A commercial property owner sued its insurer for bad faith after the insurer denied a large fire loss claim based on a coverage interpretation the policyholder alleged was contrary to industry claims-handling practice. We identified experts with experience in property claims handling, insurance claims practices standards, and bad faith claims investigation. The expert's review of the claims file found the insurer disregarded its own adjuster's damage assessment, supporting a substantial settlement.
03

Reinsurance Recoverable Dispute Over a Catastrophe Claim.

A primary insurer sued its reinsurer after the reinsurer refused to pay a large recoverable on a catastrophe claim, disputing whether the underlying claims handling followed the terms of the reinsurance treaty. We identified experts with experience in reinsurance claims handling, treaty interpretation, and follow-the-fortunes claims practices. The expert's review of the cedent's claims files confirmed the handling complied with the treaty, supporting a favorable arbitration award.
04

Loss Reserve Adequacy Dispute in a Runoff Sale.

The buyer of a runoff insurance book sued the seller, alleging the loss reserves transferred with the portfolio were materially understated relative to the actual claims exposure. We identified experts with experience in actuarial reserve analysis, claims reserving practices, and loss portfolio transfer due diligence. The expert's independent reserve study confirmed the shortfall, anchoring a settlement of over $30 million.
05

Subrogation Recovery Dispute Over a Warehouse Fire

An insurer sued another carrier to recover subrogation payments after a warehouse fire it attributed to a contractor insured by the second carrier, with the parties disputing the adequacy of the original claims investigation supporting causation. We identified experts with experience in fire origin and cause investigation, subrogation claims practices, and property claims adjusting. The expert's re-investigation of the fire scene evidence confirmed the original causation finding, supporting a favorable settlement.
06

Ransomware Claims Delay During an Incident Investigation.

A mid-market manufacturer sued its cyber insurer for the losses that accumulated during a prolonged claims investigation into a ransomware incident, alleging the insurer's claims handling unreasonably delayed the response and recovery process. We identified experts with experience in cyber insurance claims handling, incident response coordination, and business interruption claims practices. The expert's timeline analysis found the insurer's approval delays extended the outage well beyond industry norms, driving a substantial settlement.
07

D&O Claims Handling Fight Over Defense Costs

A public company sued its D&O insurer for improperly handling defense cost reimbursement claims during an underlying securities suit, alleging unreasonable delays and improper cost allocation among covered and uncovered claims. We identified experts with experience in D&O claims handling, defense cost allocation practices, and management liability insurance claims administration. The expert's allocation review found the insurer's methodology departed from industry claims practices, anchoring damages for a substantial recovery.
08

Excess Layer Claims Trigger From Primary Mishandling.

An excess insurer sued a primary insurer, alleging the primary carrier's mishandling of an underlying product liability claim caused an excess verdict that triggered the excess layer unnecessarily. We identified experts with experience in excess and umbrella claims handling, product liability claims adjusting, and bad faith failure-to-settle analysis. The expert's file review found the primary carrier rejected a within-limits settlement demand without adequate justification, shifting liability toward the primary insurer.
09

Environmental Claims Allocation Across Decades of Coverage.

Two insurers disputed the allocation of long-tail environmental remediation claims across decades of overlapping coverage, with each carrier's claims files reflecting different positions on trigger and allocation methodology. We identified experts with experience in environmental claims handling, long-tail liability claims allocation, and historical insurance claims practices. The expert's review of the claims history reconciled the allocation methodology, resolving the dispute in arbitration.
10

Marine Cargo Claims Dispute Over Water Damage.

A cargo owner sued its marine insurer after a claim for water-damaged goods was significantly reduced during adjustment, alleging the insurer's surveyor understated the extent of the loss. We identified experts with experience in marine cargo claims adjusting, cargo damage survey methodology, and marine insurance claims practices. The expert's re-inspection of the damaged goods found the original survey understated the loss, supporting a substantial recovery.

Here are a few of our favorite Claims Expert Witnesses:

Marine, Transportation, Claims Expert #999

I have 30 years of experience in most areas of the insurance field, with specific knowledge of property and casualty, marine and transportation insurance, and insurance bad faith. I have published on such topics as insurance and mediation. I have testified on marine and transportation insurance, bad faith, and fire insurance.

 

Freight Shipping, Claims Expert #6766

I have 30 years of experience in the field of freight transportation, with specific knowledge in the areas of load securement, damage prevention, and vehicle dynamics. I have published on such topics as cargo securement enforcement, transportation ride quality, vehicle simulation and testing.

 

Pennsylvania Claims, Property, Fraud, Damages Expert #11106

I have 43 years of experience, and specialize in the field of property and casualty insurance with specific knowledge in the areas of adjusting, company operations and contract administration and interpretation. I have published on such topics as the enviroment of insurance and property adjusting.

 

Pennsylvania Coverage, Claims, Best Practices Expert #14299

I have 40 years of experience, and specialize in the field of insurance claims and coverage with specific knowledge in the areas of property and casualty insuance, insurance claims and insurance coverage. I have published on such topics as selection of an expert witness, bad faith and insurance coverage. I have testified on claims handling standards, bad faith and insurance coverage. I have been both a partner with a big four firm and a senior vice president with an insurance services firm, so have the credentials to support my opinions in court. This can be said of very few consultants.

 

Florida Claims, Cost, Estimate Expert #21992

I have 27 years of experience and specialize in the field of construction, with specific knowledge of cost, estimating and change orders. I have testified on construction cost and construction sequencing.

 

Your Case Deserves The Best Claims Expert Witnesses

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The right expert witnesses and consulting experts can make your case. That’s why we have spent so many hours over the past quarter century making sure our clients have just the right expert team — whether one expert or many, early-stage advice or expert reports and testimony. Across over 50,000 expert search assignments, we have honed a unique, customized approach to identifying, analyzing and connecting with expert talent so you can focus on winning your case.

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Maine Insurance, Management, Claims Expert #23323

I have 40 years of experience, and specialize in the field of insurance with specific knowledge in the area of workers compensation.

 

Arbitration, Claims Expert #24549

I have 34 years of experience, and specialize in the field of construction with specific knowledge in the areas of project management, surveying and appraisal. I have published on such topics as alternative dispute resolution, building and project management. I have testified 6 times on topics such as valuation, defective work and work practices.

 

Kansas Claims, Underwriting Expert #28161

I have 39 years of experience, and specialize in the field of insurance with specific knowledge in the areas of underwriting, claims and replacement regulation. I have published on such topics as underwriting the suicidal risk. I have testified on misrepresentations, conditional receipts and accidental death.

 

Connecticut Disability, Claims, Reinsurance Expert #28890

I have 19 years of experience, and specialize in the field of Insurance with specific knowledge in the areas of individual disability claims, group disability claims and reinsurance agreements. I have published on such topics as settlements, claimant interview techniques and claim examiner training. I have testified 20 times on topics such as good faith claim handling, proper claim file documentation and contract interpretation.

 

Texas Bad Faith, Claims Expert #32737

I have 23 years of experience in the field of insurance, with specific knowledge of bad faith, claims handling and insurance coverage. I have published on such topics as enviromental insurance and ERISA. I have testified on bad faith, insurance and claims handling.

 

Florida Risk Management, Claims Expert #32952

I have 45 years of experience, and specialize in the field of commercial property and casualty insurance with specific knowledge in the areas of underwriting, claims and risk management. I am a former president of an insurance industry educational organization.

 

Georgia Claims, Subcontracts Expert #33968

I have 35 years of experience in the field of construction, with specific knowledge of buildings and vertical type construction work, heavy civil work and water, and wastewater construction work. I have testified on subcontrator claims.

 

Nevada Construction Management, Claims Expert #37202

I have 35 years of experience, and specialize in the field of construction with specific knowledge in the areas of estimating, project management and scheduling. I have published on such topics as estimating. I have testified on delays, scope of work changes and project costs.

 

New York Claims, Bad Faith Expert #39416

I have 35 years of experience, and specialize in the field of property and casualty (P&C) insurance with specific knowledge in the areas of claims handling, bad faith and insurance fraud. I have testified on bad faith, failure to settle and P&C claims handling.

 

Kentucky Reliability, Claims Expert #41773

I have 32 years of experience, and specialize in the field of mechanical engineering with specific knowledge in the areas of product development, product testing and product reliability.

 

Alabama Litigation, Claims, Scheduling Expert #41956

I have 40 years of experience, and specialize in the field of construction with specific knowledge in the areas of pre-construction, construction management and claims.

 

New York Insurance, Claims, Risk Control Expert #42229

I have 7 years of experience, and specialize in the field of risk managment with specific knowledge in the areas of education, healthcare and insurance.

 

California Reinsurance, Claims, Auditor Expert #44181

I have 40 years of experience, and specialize in the field of reinsurance claims with specific knowledge in the areas of property and casualty, liability and workers compensation. I have testified on workers compensation, large property claims handling and professional liability claims handling. Determined how California workers compensation insurers should allocate cumulative injury claims between policy years and reinsurance treaty.

 

Alaska Construction Contracts, Claims Expert #44820

I have 35 years of experience, and specialize in the field of construction management with specific knowledge in the areas of contract administration, claims and project scheduling. I have published on such topics as conflict management and ADR, construction sector assistance in developing countries and building materials manufacturing sector development. I have spent the last year advising local participants in a USAID project in Kosovo to help the construction sector economy. During this time, I developed plans to help building materials manufacturers and participated as a member of a team who wrote a consultant’s draft of a new construction law…

 

Illinois Underwriting, Claims Expert #45099

I have 30 years of experience, and specialize in the field of disability, life, medical & long term care insurance with specific knowledge in the areas of claims, bad faith issues and industry standards. I have testified 40 times on topics such as life, medical, disability, long term care insurance. Have both Home office and Field experience. I am a licensed agent Also a certified arbitrator for FINRA

 

Texas Claims, Damages, Appriaser Expert #50824

I have 20 years of experience, and specialize in the field of claim adjusting with specific knowledge in the areas of estimating, construction and contracting. I have published on such topics as claim settlements and estimating. I have built and estimated or assisted the project manager or engineer on the construction of subdivisions, homes, churches, paper mills, chemical plants, shopping centers, and remodels.

 

Massachusetts Claims, Asbestos, Fraud Expert #52932

I have 40 years of experience, and specialize in the field of insurance and reinsurance with specific knowledge in the areas of property claims, reinsurance disputes and run-off. I have testified 8 times on topics such as ceding reinsurance, asbestos claims and disputed reinsurance recoveries.

 

Put Our Claims Expert Network to Work for You

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Our huge network of experts – eminent university professors and practitioners who have achieved renown as thought leaders in their fields – combined with unparalleled research capabilities puts the experts you need at your disposal when and where you need them.

If you’re a litigator or general counsel, we want to put this network to work for you and your clients. Let us know how we can help by calling us at (202) 908-4500 or filling out the form on this page. We’re so confident you’ll love what we do that unless you retain an expert we present there’s no charge!

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Questions Attorneys Ask About Claims Expert Witnesses:

A claims expert typically becomes necessary in bad faith litigation over how an insurer investigated and paid a claim, coverage disputes over the interpretation of policy terms, and reinsurance disputes over how claims were presented or allocated between a ceding company and its reinsurers.
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