Insurance Representative

MARK A. BARBERO

Mark A. Barbero has been in the field of Workers' Compensation for over 20

years. He began working for the Special Funds Conservation Committee in New

York City as a Hearing Representative. Here he was introduced to the

intricacies of Sec. 15-8 claims.

He went onto work for Chubb Insurance (New York City) as a Hearing

Representative and Claims Examiner. After Chubb Insurance, he worked for

Keevily, Spero & Whitelaw as the Director of Claims. It was here that he

was exposed to experience rating modification formulas.

In 1995, Mark A. Barbero started his own Consulting firm. Primarily, he

reviews Employer's experience rating modification factors from a claims

perspective. If he obtains a Refund and/or a Credit for the Employer, he

charges a 30% contingent fee.

REASONS FOR A REVIEW

Based on my experience, insurance companies do not provide this service.

There is no incentive for an insurance company to return premiums to their

policyholders.

TYPES OF ERRORS DETECTED

1. Clerical errors: A Claims Examiner sets up an inflated reserve on a

claim and you as an Employer get over-charged.

2. Second Injury Claims: These involve large claims where the Employee

had a pre-existing condition. Rating Boards generally allow the

current and 6 prior experience modifications to be revised for these

types of claims.

3. Subrogated Claims: These claims occur when someone else was at fault

or partially at fault. The insurance companies recoup monies from a

third party but rarely apply that credit to your account.

4. Fraud Claims: In NY, The Rating Board allows you to revise the current

experience modification factor and 6 prior ones.

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