Forensic, General & Medical
Expert Witnesses

The Dark Side - An Ethical Dilemma


     By T. R. Michaels Claim Consulting, LLC Insurance Claim Handling Expert Witness & Litigation Support

PhoneCall Tommy R. Michaels, CPCU, AIC, ARM, ARe, SCLA at (860) 656-6430


Expert Witness: T. R. Michaels Claim Consulting, LLC
Should an expert testify for the Dark Side? Is there a dark side? Should an expert be a zealous advocate for his client? What guidance, if any should a client give to an expert in forming an expert opinion? This article will help you understand the role of an expert and why the Chartered Property Casualty Underwriter (CPCU) designation is important in picking an expert.
I worked at The Hartford Insurance Group for 36 years, with the last 15 very much involved in coverage litigation. When my co-workers heard I was retiring to become an expert witness, they cautioned me not go to the ‘dark side’. As opposing attorneys learned of my pending retirement and future work, they asked if I would be coming over from the ‘dark side’. Nobody defines the dark side, but an image of Darth Vader quickly comes to mind. For those that are familiar with insurance coverage litigation there is a dark side. The forces of evil fill the dark side. The dark side is anyone that is not on your side. If you are a policyholder or policyholder counsel, then the dark side is the insurance company. Conversely, the dark side for the insurance company is the attorney on the other side of the litigation along with his/her client. Following the CPCU Society Code of Ethics and the Code of Professional Ethics of the American Institute of CPCU will keep you from the dark side.

Role of Expert Witness on the Dark Side

The dark side really exists in the minds of all those who are advocates, and have a stake in the outcome of the litigation. An attorney recently asked if I felt I could be a zealous advocate. This was even before he told me any facts of the case. I replied that his role is that of zealous advocate and the role of the expert witness is to give insight and help others understand matters that are not common knowledge. I also explained that prior to reducing any opinion to written form; I would talk with the attorney. In this way, the attorney knows about the weaknesses of the case and has the opportunity to end the engagement. This happened when I received a call from a person, representing a tenant, who was seeking an expert that could refute the property owner’s claim that the day care run by his tenant increased his liability. It was necessary for me to tell him that from the description he provided; it did seem that the property owner would have increased liability exposure.

Be True To Yourself

Athletes often speak of staying within themselves as a reason for their success. The expert must also stay within his/her area of expertise and possibly recommend a more appropriate expert for the attorney if necessary. An attorney called and wanted to use me because of my prior employment with Hartford. As we discussed the case, it became clear that he needed an experienced underwriter, and not my claims experience. I have given him names of two other persons that may help him. A similar situation occurred with an attorney preparing for a class action regarding Homeowner’s policies. Holding yourself out as an expert in an unfamiliar area cannot only damage your credibility in that specific case, but in future cases as well. Rule R6.3 of the Code of Ethics of the American Institute requires “In rendering or proposing to render professional services for others, a CPCU shall not knowingly misrepresent or conceal any limitations on the CPCU’s ability to provide the quantity or quality of professional services required by the circumstances”.

Expert Witness Must Remain Objective

If the expert does accept an engagement, it is paramount that the expert be objective in the analysis and formulation of a professional opinion. The expert should review all necessary documents, including deposition transcripts and not just deposition summaries. It is necessary to communicate with the attorney as the review progresses, request other documents if needed, and clarify any facts that may bear on the opinion and remain unclear. As the expert begins to form an opinion or several opinions based on expert knowledge and document review, consult with the attorney, especially if the opinion is not helpful to the attorney. The expert must resist any temptation or request by the attorney to modify or change an opinion to make it more favorable. Slanting an opinion transforms the expert from Luke Skywalker to Darth Vader. The attorney has the option to let the expert continue or stop work rather than have the expert distort an opinion. A report does not have to be prepared unless requested. Additionally, the attorney becomes more aware of potential weaknesses and can become more prepared. One of the unspecified unethical practices in the Code of Ethics of the CPCU Society states: “A member shall not engage in practices which tend to discredit the Society or the business of insurance and risk management.”

Payment Not Dependent on Outcome

The role of the expert is not to advocate, but to use expertise to enlighten the judge and jury in understanding matters that are not otherwise common knowledge. The expert’s compensation should never be contingent on the outcome of the case, but should always be on an hourly basis, flat fee or similar method not outcome based. The payment to the expert is for the time and experience, rather than for a certain outcome. The amount and method of compensation is not a secret, and is part of the expert’s report if the litigation is in federal court and some state courts. Even if the Rules of Evidence do not require disclosure in a report of the amount and method of compensation and any payment already received, it is often a topic in a deposition. Canon 1 of the Code of Ethics of the American Institute admonishes that CPCUs should endeavor at all times to place the public interest above their own. When the expert witness provides insight with testimony, and does not advocate a specific position, the expert has placed the public interest above his or her own.

Confidential Information and Conflicts

The documents the expert reviews and information the expert receives are often of a confidential nature. Many cases may have a protective order in place that affects all documents, even those otherwise considered not confidential. If the expert is unsure about the confidential nature of documents, the expert should consider the information confidential until it can be determined. The main concern is release of documents outside the case or dissemination to third parties not connected to the case. An expert needs to have an agreement with the attorney at the beginning of the assignment regarding custody of documents during the engagement and the disposition of documents once the engagement has ended. This may include shredding the documents or returning them to the attorney.

Future assignments are another concern arising from documents and information the expert receives. Prior to accepting an assignment the expert must determine if accepting the assignment would be a conflict of interest because of current relationships and assignments or past relationships and assignments. Another of the unspecified unethical practices in the Code of Ethics of the CPCU Society: “A member shall not fail to use his or her full knowledge and ability to perform his or her duties to his or her client or principal.” If another interest or obligation makes it difficult for the expert to fulfill his duties fairly, there is a breach of ethics.

Ethics Strengthen the Expert
Ethics do not interfere with the work of an expert or hinder the expert, but strengthen the expert. A better opinion will result from an expert that honestly and fairly evaluates all of the facts without trying to slant an opinion. The expert can more strongly defend the opinion and withstand cross-examination. The credibility and future work of the expert increases when the expert adheres to ethical practices. Finally, ethical behavior not only reflects favorably on the expert, but on the CPCU designation and the industry.

ABOUT THE AUTHOR: Tommy R. Michaels, CPCU, AIC, ARM, ARe, SCLA
Tommy Michaels is the principal of T. R. Michaels Claim Consulting, LLC and has been involved in property-casualty claims for more than 39 years. Tommy Michaels attained the CPCU designation in 1976 and has been active in the Society for many years having served in various capacities. Tommy Michaels serves as an expert witness on claims handling issues, coverage interpretation, policy reconstruction, and is an instructor of insurance.

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While every effort has been made to ensure the accuracy of this publication, it is not intended to provide legal advice as individual situations will differ and should be discussed with an expert and/or lawyer.
For specific technical or legal advice on the information provided and related topics, please contact the author.

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