Melvin Jones
Saint John,IN
Summary
Dynamic premium audit professional with extensive experience at QBE Insurance Group, skilled in optimizing audit processes and enhancing profitability. Proficient in Nexus Audit Software, Visual Audit Software and Microsoft Excel, with strong analytical abilities and a proven track record in vendor management and compliance. Committed to delivering exceptional results in the Premium Audit Department.
Overview
11
11
years of professional experience
1
1
Certificate
Work History
AVP, Premium Auditor
QBE Insurance Group
04.2022 - Current
- Perform large-scale premium audits on accounts across the midwestern and southeast region.
- Offer time effective solutions to vendors on excessive time charges.
- Evaluate premium audits from vendors to identify skill gaps and provide coaching.
- Analyze loss run reports, payroll data, and business operations to evaluate the validity of claims.
- Work with underwriters to determine workers compensation and general liability premium basis.
- Settle premium audit disputes for vendors with a broad understanding of industry concepts.
- Analyze audit findings and resolve discrepancies with insureds, agents, and underwriters.
- Communicate with policyholders, agents, and policyholders to help vendors reach premium audit deadlines.
Premium Audit Consultant
Independent Contractor
02.2021 - 04.2022
- Perform quality premium audits reviews on multi-state workers' compensation and general liability accounts.
- Assist owners and CFOs uncover inflated premiums from misclassified workers compensation audits.
- Collaborate with cross-functional teams to ensure accurate financial reporting and compliance with regulations.
- Apply manual premium audit rules to solve complex audit disputes involving general liability sales audits.
- Attend premium audit webinars and conferences.
- Utilize Reference Connect, PAAS, ISO, WCIRB and Pennsylvania Compensation Rating Bureau.
- Provide coaching and mentoring to premium auditors.
- Prepared working papers, reports and supporting documentation for audit findings.
Master Premium Auditor
Overland Solutions/EXL
04.2015 - 02.2021
- Perform general liability, inland marine, commercial auto, garage, and workers compensation physical premium audits medium to large scale statewide.
- Examine financial statements, general ledgers, sales journals, quarterly reports, and payroll summaries to establish actual exposure.
- Apply the payroll/sales ratio to detect non-employee exposure.
- Provide coaching and mentoring to new premium auditors.
- Educate policyholders on gross payroll deductions according to state premium audit rules and policy endorsements.
- Perform CCIP & OCIP CA audits on medium to large-scale construction accounts.
- Identify coverage gaps in policies, procedures and systems through in-depth research and assessment and suggested methods for improvement.
Premium Auditor
NEIS, Inc.
05.2014 - 04.2015
- Perform virtual and physical premium audits on multi-state workers' compensation and general liability accounts.
- Followed established auditing processes to meet internal and regulatory requirements.
Education
Associate of Science - Insurance And Risk Management
Franklin University
Online12-2027
Skills
- Accounting/Bookkeeping
- Customer Service
- Excel
- Pivot Tables
- Microsoft Office
- Data Analytics
- Problem Solving
Accomplishments
Over the last 5 years, I have functioned as an outside vendor for various insurance agencies.
- Review general liability sales audits for Excess & Surplus carriers. My goal was to include and exclude sales figures as warranted using premium audit rules. Increased premium by 30% on retail, wholesale, restaurant, manufacturing, and hotel account.
- Recovered between $20,000 and $300,000 in inflated workers compensation premium for policyholders with high Experience Modification (Ex) rates. Identified class code errors thorough interviews and detailed inspections with policyholders.
Certification
- WCIRB CompEssentials Training Program (Workers Compensation Insurance Rating Bureau of California Certification)
- Verisk Insurance Solutions, Inc. Premium Audit Advisory Service Technical Achievement Program (PAAS TAP Certificate)
- International Risk Management Institute Construction Risk and Insurance Specialist (CRIS) Designation
Timeline
AVP, Premium Auditor
QBE Insurance Group
04.2022 - Current
Premium Audit Consultant
Independent Contractor
02.2021 - 04.2022
Master Premium Auditor
Overland Solutions/EXL
04.2015 - 02.2021
Premium Auditor
NEIS, Inc.
05.2014 - 04.2015
Associate of Science - Insurance And Risk Management
Franklin University
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