Jacob A Papay Jr

Mr. Papay is involved in areas of construction defect claims, first-party insurer claims, insurance coverage disputes, subrogation, provider health care law, commercial law, defense of professional negligence, public entity general liability, and roller rink litigation. He represents numerous insurers, Third Party Administrators, medical groups, and businesses, and he has successfully defended public entity officials and employers in wrongful death, Law Against Discrimination, Excessive Force and other Civil Rights claims.  In addition, Mr. Papay represents small businesses in mergers, acquisitions, trade secrets, employment and unfair trade practice claims.  He is also Special Counsel for a local roller rink.  

Mr. Papay is specially assigned defense counsel to several insurance carriers for complex litigation matters such as condominium construction defects, catastrophic personal injury claims, products liability claims and contractual third-party claims for defense, indemnification, and procurement of insurance coverage.  

Mr. Papay has also been specially assigned counsel to prosecute first-party insurance fraud actions, and has successfully prosecuted claims involving some of the largest abuses in the health care field.  This includes litigation wherein two chiropractors sought in excess of $40,000,000 dollars for chiropractic and diagnostic testing services.  By working in conjunction with the Office of the Insurance Fraud Prosecutor and the Board of Chiropractic Examiners, Mr. Papay effectively prosecuted the claim, resulting in the providers forfeiting their claims and licenses, and paying $750,000 in damages under the Insurance Fraud Prevention Act, N.J. S.A. 17:33A-1, et seq. 

Mr. Papay has also handled successful insurance fraud prosecutions against other health care providers, including various neurologists, pain management physicians, and providers of electro-diagnostic testing, diagnostic testing, and radiographic imaging.  In addition, Mr. Papay has successfully litigated challenges to the reimbursements sought by a large physical therapy practice, and, through several reported decisions, has helped shape law in this area more favorably for carriers. See Cobo v. MTF, 293 N.J. Super. 374 () and Prudential v. Midlantic Motion X-ray, 325 N.J.Super. 54. (Law Div. 1999).   Further, he has successfully prosecuted collection matters on behalf of health care providers against HMO's and other private health care payers, in addition to commercial collection matters. 

Mr. Papay has rendered numerous opinions on coverage matters and claim evaluations, and regularly provides advisory opinions to providers and insurance carriers in the areas of State and Federal health care regulations.