Melvin Jones
Saint John,IN
Summary
Dynamic premium audit professional with extensive experience in the construction, restaurant, hotel, staffing agency, wholesale/retail, property management, and manufacturing industries. Skilled in optimizing audit processes and enhancing profitability, with a proven track record in vendor management and compliance. Committed to delivering exceptional results in the Premium Audit Department.
Overview
12
12
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 audit vendors.
- 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
Here are some of my professional highlights:
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 accounts. Recover between $20,000 and $300,000 in inflated workers' compensation premiums for policyholders with high Experience Modification (Ex) rates. Identified class code errors through interviews and detailed inspections with policyholders to recover up to $250,000 in hidden premiums.
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