Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Timeline
Generic

Melvin Jones

Premium Auditor Consultant
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 and Microsoft Excel, with strong analytical abilities and a proven track record in vendor management and compliance. Committed to delivering exceptional results in complex audit environments.

Overview

11
11
years of professional experience
3
3
Certification

Work History

AVP, Premium Auditor

Qbe Insurance Group
04.2022 - Current

• Perform comprehensive premium audits on large, multiple-state and/or multiple-location accounts in the midwestern and southeast region of the US.

• Perform comprehensive premium audit reviews and time charges for vendors.

• Serve as a premium audit expert, governing 17 states in the US.

• Effectively manage premium audit resources to utmost efficiency to improve business lines profitability, monitor progress, and report regularly.

• Assist underwriters with class code classification on new accounts.

• Settle premium audit disputes for vendors and answer complex premium audit questions.

• Contribute to the development of the overall business strategy for premium audit department for assigned region/territory.

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.

• Collaborated 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.

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.

• Train and mentor 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.

Premium Auditor

NEIS, Inc.
05.2014 - 04.2015

Perform virtual and physical premium audits on multi-state workers' compensation and general liability accounts.

Education

Associate of Science - Insurance And Risk Management

Franklin University
Online
12-2027

Skills

  • Accounting/Bookkeeping
  • Nexus Audit Software
  • Excel Formulas
  • Pivot Tables
  • Microsoft Office
  • Visual Audit Software
  • Analysis skills

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
Melvin JonesPremium Auditor Consultant
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