Services
Clinical Expertise for Every Stage of LTC Insurance Litigation
From initial record review through trial, I provide the clinical insight attorneys need to evaluate, challenge, and litigate long-term care insurance claims.
How I Help Attorneys Win LTC Insurance Cases
Long-term care insurance litigation turns on clinical details — benefit eligibility, level-of-care determinations, and what the records actually say. My background working inside LTC insurance carriers means I understand how these claims are evaluated from both sides. I translate that complexity into clear, actionable insight for your case.
Medical Record Review
Detailed review of medical records, care plans, physician notes, and clinical documentation to identify what supports — or undermines — a long-term care insurance claim. I flag documentation gaps, inconsistencies, and key clinical findings that matter to your case.
- Review of medical records, care plans, and physician notes
- Identification of documentation gaps and inconsistencies
- Clear written summary of clinical findings
- Timeline of care and condition progression
Benefit Eligibility Analysis
Clinical assessment of whether a claimant meets the policy's benefit triggers, including ADL deficits and cognitive impairment criteria. I evaluate the medical evidence against the policy language to support or contest a denial — with the perspective of someone who has reviewed these claims from the carrier side.
- ADL deficit assessment against policy benefit triggers
- Cognitive impairment criteria review
- Level-of-care determination analysis
- Carrier-side perspective on eligibility decisions
Claim Denial Review
Focused review of denied long-term care insurance claims to identify the clinical basis for the denial and whether it holds up against the medical evidence. I help attorneys understand what the carrier relied on and where the denial may be vulnerable.
- Analysis of the clinical rationale behind the denial
- Comparison of denial basis against medical record evidence
- Identification of grounds to challenge the denial
- Written summary suitable for demand letters or pleadings
Litigation Support
Ongoing clinical consultation from discovery through trial. I help attorneys understand the medical evidence, prepare deposition questions for treating providers and expert witnesses, and present complex care issues clearly to a judge or jury.
- Deposition preparation and question development
- Expert witness evaluation and consultation
- Trial preparation and demonstrative support
- Ongoing clinical consultation throughout the case
Provider Dispute Support
Clinical review of disputes involving long-term care providers — including billing disputes, level-of-care disagreements, and documentation challenges. I help attorneys understand the clinical context behind provider decisions and records.
- Review of provider billing and documentation
- Level-of-care and care setting analysis
- Clinical context for provider decision-making
- Written findings for use in dispute resolution or litigation
How We Work Together
Initial Inquiry
Reach out by phone or through the contact form. I'll respond within 1 business day to discuss your case and determine how I can help.
Record Review
You provide the relevant medical records and case materials. I conduct a thorough clinical review and identify the key issues.
Written Report
I deliver a clear, organized written report summarizing my clinical findings, with the detail your case requires.
Ongoing Support
I remain available for follow-up questions, deposition preparation, and continued consultation as your case develops.
Ready to Discuss Your Case?
I work with attorneys nationwide on long-term care insurance claim litigation. Reach out and I'll respond within 1 business day.