Jill Molitor Email & Phone Number

United States

Within both the workers' compensation and personal injury protection / auto insurance markets:- Track, analyze, and document state legislation / regulations- Create and maintain jurisdictional compliance library for organization- Complete, update, and distribute regulatory topic snapshots for internal / external clients - Serve as primary regulatory compliance resource and liaison for clients and state agencies- Produce and distribute weekly regulatory / legislation activity for clients- Collaborate in business decision and compliance implementation meetings

California, United States

Within both the workers' compensation and personal injury protection / auto insurance markets:- Track, analyze, and document state legislation / regulations- Create and maintain jurisdictional compliance library for organization- Complete, update, and distribute regulatory topic snapshots for internal / external clients - Serve as primary regulatory compliance resource and liaison for clients and state agencies- Produce and distribute weekly regulatory / legislation activity for clients- Collaborate in business decision and compliance implementation meetings

Orange, California

- Respond to compliance/regulation inquiries. This involves effectively communicating with internal and external client base to collect the necessary information, analyzing the information thoroughly, researching relevant work comp bill review and utilization review rules and regulations, and preparing the written response. - Serve as liaison with state work comp and insurance agencies. - Manage jurisdictional bill review and UR Plan filings and licensing with state work comp/insurance agencies.- Create shared library of all pertinent work comp bill review and UR schedules, rules, licensing, reporting, etc.- Collect, analyze, and advise organization of work comp regulatory changes, including legislation research and monitoring, through a monthly regulatory newsletter for internal and external client base.- Compliance specialties include electronic data interchange (e-billing and state reporting processing/guidelines), EORs, timeliness of processing, penalties/assessments, industry standard forms and coding, dispute management, fee schedule regulations, and utilization review regulations for workers' compensation industry.- Assist with regulatory reporting (5010/837 and the like) to ensure TPPs are created/current and required data elements are provided, corrected, and documented.- Vendor and subsidiary compliance reporting for parent company.

- Respond to compliance/regulation inquiries. This involves effectively communicating with internal and external client base to collect the necessary information, analyzing the information thoroughly, researching relevant rules and regulations, and preparing the written response. - Serve as liaison with state agencies. - Maintain company compliance for work comp medical bill review certification. - Create application user guides, application change notifications, and monthly regulatory newsletters for internal and external client base. - Collect, analyze, and advise organization of regulatory changes that must be developed within the application. This may involve specifications and QA of development efforts.- Compliance specialties include electronic data interchange (e-billing and state reporting), EORs, timeliness of processing, penalties/assessments, industry standard forms and coding, dispute management, and fee schedule regulations for workers' compensation industry.- Assist with regulatory reporting (5010/837 and the like) to ensure required data elements are provided and documented via application user guides.

Same job duties as Compliance Specialist for Xerox but less EDI involvement and greater emphasis on fee schedule analysis, programming specifications, data load processes, and software QA. Role also involved direct coordination of client communications.

Greater San Diego Area