Mohamed I Mohamed
Valley Stream,NY
Summary
Dedicated Premium Audit leader with 14 years of progressive experience, including 7 in supervisory and regional management roles. I have a proven talent for enhancing auditing accuracy, mitigating fraud, and ensuring regulatory compliance, while fostering a collaborative environment. My expertise lies in translating complex challenges, such as clarifying the audit process and resolving policyholder concerns, into actionable solutions. I maintain an active California CPA license (non-public practice) to stay current on industry regulations and best practices, which further strengthens my commitment to fostering strong policyholder relationships and improving their experience with the department. I excel at leveraging data to drive operational efficiency and continuous improvement through cross-functional collaboration and strategic planning.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Premium Audit Regional Manager
New York State Insurance Fund
08.2022 - Current
- Directed all activities for a regional Premium Audit team, leading and mentoring a department responsible for substantial audit volume and premium adjustments.
- Formulated and implemented regional policies, procedures, and guidelines for premium audit activities, ensuring alignment with state regulations, rating organization rules (NYCIRB), and internal standards.
- Developed and executed quality control and assurance reviews to preempt inaccurate audits, identify potential fraud, prevent premium leakage, and resolve policyholder complaints effectively.
- Oversaw the recruitment, onboarding, and continuous training for accounting and auditing staff, ensuring compliance with generally accepted principles of accounting and auditing, and state and federal regulations.
- Managed audit workload distribution for optimal efficiency and strict adherence to deadlines, conducting performance reviews, and providing constructive feedback.
- Coordinated audit activities and strategic initiatives with other department heads (Underwriting, Claims, Finance) to ensure consistent operations and accurate premium collection across agency-wide functions.
- Analyzed audit performance data and trends to inform business decisions, enhance risk management, and drive process improvements.
- Championed policyholder relations by proactively engaging with clients to clarify the audit process, address concerns, and ensure a positive and educational experience with the department, fostering a collaborative relationship with key stakeholders.
Premium Audit Supervisor
New York State Insurance Fund
Melville, NY
09.2017 - 08.2022
- Managed a unit of premium auditors, overseeing inventory management, and monitoring high-premium and complex group audits.
- Reviewed and approved audits for quality, exposure, and compliance, providing detailed feedback and guidance to auditors.
- Assisted auditors with intricate and large-scale audits, serving as a subject matter expert, and problem solver.
- Utilized data analytics tools (e.g., Spotfire) to develop programs that streamlined inventory monitoring and enhanced auditor efficiency.
- Coordinated with other Directors and departments to review and implement new policies and procedures for audit operations and policyholder inquiries.
- Strategically allocate audit inventory to maximize efficiency and achieve departmental production goals.
Senior Auditor
New York State Insurance Fund
New York, NY
05.2008 - 09.2017
- Conducted comprehensive audits of policyholder books and records, planning audit activities, gathering evidentiary documents, and performing various tests.
- Reviewed, reconciled, and evaluated accounts, claims, income sources, and procedures to ensure proper transaction processing and accounting.
- Liaised with organizational representatives to explain audit goals, methodology, and facilitate access to necessary records.
- Accomplishments: Consistently exceeded production goals, ranking among the top performers in productivity within the group and the unit.
- Received a Certificate of Recognition from the Chairman and Executive Director of the New York State Insurance Fund for outstanding contributions.
- Participated in statewide premium audit department developmental and research programs, including the Kaizen Program for scheduling improvements.
Accounting Staff
Hamilton Accounting Associate
Brooklyn, NY
12.2007 - 05.2008
- Prepared and processed payroll, federal and state payroll tax returns, and sales tax returns for a diverse clientele.
- Prepared financial statements.
Full Charge Bookkeeper
Independent Gemological Laboratories LLC
New York, NY
03.2007 - 12.2007
- Managed accounts payables, cash receipts, general ledger, payroll, and union reports.
- Compiled financial reports, handled accounts payable and receivable, and processed payroll and human resources.
Accounting Staff
Sphinx Management LLC
Brooklyn, NY
01.2002 - 03.2007
- Prepared individual and consolidated reports for 18 business branches, managing all accounts receivables and payables.
- Handled accounting needs for sales, expenses, payroll, loan payments, and bank reconciliations.
- Created weekly analysis reports to assess branch performance and highlight variations from targeted goals.
Education
Master of Business Administration - MBA
West Texas A&M University
Canyon, TX05.2020
Bachelors of Commerce - Accounting
Alexandria University
Alexandria, Egypt01.2000
Skills
- Policy formulation and implementation
- Quality assurance
- Fraud detection
- Compliance auditing
- Team leadership and mentoring
- Strategic planning
- Cross-functional collaboration
- Financial analysis
- Risk management
- Process improvement
- Training and development
- Project management
- Change management
- Microsoft Office Suite
- Spotfire analytics
- SAP FI/CO software
- Accounting and tax software proficiency
- Written and verbal communication skills
- Negotiation techniques
- Conflict resolution strategies
- Stakeholder management
Websites
Certification
Certified Public Accountant (CPA) – California Licensed
Personal Information
Title: MBA, CPA (ca)
Timeline
Premium Audit Regional Manager
New York State Insurance Fund
08.2022 - Current
Premium Audit Supervisor
New York State Insurance Fund
09.2017 - 08.2022
Senior Auditor
New York State Insurance Fund
05.2008 - 09.2017
Accounting Staff
Hamilton Accounting Associate
12.2007 - 05.2008
Full Charge Bookkeeper
Independent Gemological Laboratories LLC
03.2007 - 12.2007
Accounting Staff
Sphinx Management LLC
01.2002 - 03.2007
Master of Business Administration - MBA
West Texas A&M University
Bachelors of Commerce - Accounting
Alexandria University
Similar Profiles
Claire LynchClaire Lynch
Medical Care Representative at New York State Insurance FundMedical Care Representative at New York State Insurance Fund
JOSEFINA LopezJOSEFINA Lopez
Technology Specialist 2 at New York State Insurance FundTechnology Specialist 2 at New York State Insurance Fund
Minerva RiveraMinerva Rivera
Claims Representative at New York State Insurance FundClaims Representative at New York State Insurance Fund
Gurbir SinghGurbir Singh
Sr Business Analyst /Scrum Master at Bank of AmericaSr Business Analyst /Scrum Master at Bank of America
Joash Saint JeanJoash Saint Jean
Licensed Practical Nurse at Grandell Rehabilitation And Nursing CenterLicensed Practical Nurse at Grandell Rehabilitation And Nursing Center