Vice President and General Manager
As the Vice President and General Manager, Jeff is responsible for all aspects of the PMSI Settlement Solutions business including product development, account management, and driving operational efficiencies to ensure compliance and achieve optimal client satisfaction. Jeff has a thorough background in workers’ compensation, liability, and multi line claims operations for third party administrators and insurers. Prior to joining PMSI, Jeff served as Regional Vice President of Auto Claims at The Hartford as well as Director of Workers Compensation Claim Practices where he was responsible for the development of a proprietary internal Mandatory Insurer Reporting (MIRMandatory Insurer Reporting) tool, claim standards and procedures associated with Medicare Set-Asides, and Structured Benefit Services operations. Earlier in his career, Jeff served as Vice President and Division Manager with Cunningham Lindsey, Director of Operations with IRG, and was an adjuster, supervisor, and claim manager with Crawford & Company. Jeff has an undergraduate degree in Finance from the University of Iowa.
Vice President, Client Services
James Molloy is the leader of Corporate Sales, Account Management and Field Client Services staff that supports clients locally in their claims offices. Jim has been with PMSI since November 2008. Prior to joining PMSI, Jim was Vice President of Corporate Sales for Medicare-Set-Aside services and VP of Field Sales for IMEIndependent Medical Examiner, Field and Telephonic case management and DME for Coventry Workers’ Comp Services. Jim has been directly involved in the MSAMedicare Set-Aside business for eight years and has 13 years’ experience in the workers’ compensation industry. Jim has an undergraduate degree in Physical Education from Queens University Belfast Northern Ireland.
Executive Director, Operations
Ashley serves as the Executive Director of Operations for PMSI’s Settlement Solutions division. She has over 10 years of experience in all aspects of Medicare Set-Asides and Medicare Secondary Payer Compliance. Ashley’s focus is to automate processes and policies related to research, management of goals, cost controls, and profit attainment for PMSI Settlement Solutions in addition to overseeing the operational managers to ensure quality control. Ashley’s experience includes serving as the Operational Director through a substantial growth period at Health Advocates, Inc. which was later acquired by PMSI. Ashley holds a Bachelor of Science degree in Business Administration from the University of Florida.
Heather Schwartz, Esq., MSCC, CHPE, CLMP, CMSP
Corporate Counsel, Settlement Solutions
As Corporate Counsel for PMSI, Heather is responsible for partnering and collaborating with PMSI Settlement Solutions clients, operations and sales to facilitate MSPMedicare Secondary Payer Act Compliance. Heather has specific experience with Conditional Payment Negotiations, Sales Contracts, Mandatory Insurer Reporting (MIRMandatory Insurer Reporting), Medicare Set-Aside (MSAMedicare Set-Aside) allocations, and all other areas within MSPMedicare Secondary Payer Act Compliance. Prior to joining PMSI, Heather was Staff Counsel for two years at Gould & Lamb. Heather has a Juris Doctorate degree from St. Thomas University School of Law and also an undergraduate degree in Political Science from The University of Central Florida. She is a member of The Florida Bar and holds the following certifications: Medicare Set-Aside Consultant Certified (MSCC), Certified HIPAAHealth Insurance Portability and Accountability Act of 1996 Privacy Expert (CHPE), Certified Litigation Management Professional (CLMP), and Certified Medicare Secondary Payer Professional (CMSP).
Brenda Smith, MSCC, CMSP
Regulatory Compliance Supervisor
Brenda serves as Regulatory Compliance Supervisor with responsibility for the oversight of regulatory compliance issues and changes from the Centers for Medicare & Medicaid Services (CMSCenters for Medicare and Medicaid Services). Brenda has been involved with the Medicare, Medicaid and SCHIP Reporting Requirements since the law was passed in December 2007 and is a subject matter expert in this area. Brenda has over 12 years of experience in the workers’ compensation industry and has focused on the Medicare Set-Aside business for the last five years. Prior to joining PMSI, Brenda was a workers’ compensation claims supervisor with responsibility for a team of both technical and support staff. Brenda holds a Bachelors degree in Psychology and holds the following certifications: Medicare Set-Aside Consultant Certified (MSCC) and Certified Medicare Secondary Payer Professional (CMSP).
MedicareConnect Program Manager
As MedicareConnectSM Program Manager, Frank provides oversight of daily operations along with guidance to new development requirements for PMSI’s MIRMandatory Insurer Reporting reporting platform. Frank manages the dedicated MedicareConnect client support team that is responsible for ensuring adherence to the CMSCenters for Medicare and Medicaid Services reporting schedule and working with clients to guarantee the highest compliance for reporting claims. Frank joined PMSI in the development stage of MedicareConnect and was responsible for helping electronic and hybrid clients with implementation of their interface to MedicareConnect. Frank has over 20 years of IT and data management experience, and prior to joining PMSI worked in the data communication field where he helped to design and implement a web-based portal for complex quote and sales transactions. Frank holds a Bachelor of Applied Science degree from the Technology Management Program at St. Petersburg College.
Martha (Kay) Whittemore, RPh
Kay is a registered pharmacist dedicated to PMSI Settlement Solutions and is a member of PMSI’s extensive clinical team. She has been a practicing pharmacist for 36 years and, in her current role, is responsible for applying her clinical expertise to review prescription allocations for identification of the off-label use of medications. Kay is responsible for monitoring and helping communicate to clients any pharmacy related changes and updates including FDAU.S. Food and Drug Administration approved usage, the introduction of new medications to the market, availability of generic equivalents and removal of medications from the market. Kay served as a pharmacist for PMSI’s mail order pharmacy for 11 years before joining the PMSI Settlement Solutions team. Prior to PMSI, Kay worked for Walgreens for seven years as a staff pharmacist and Cigna Healthcare of Florida for 18 years as supervisor and manager of a clinic pharmacy before eventually managing their state mail order pharmacy.