Title: Claims Analyst Location: Huntington Beach United States Salary Range $88,000.00 - $100,000.00 Salary Position Type Full Time Job Description: Remote in LA/OC area Are you ready to make a lasting impact and transform the healthcare space? We are one of Southern California’s fastest-growing Medicare Advantage plans with an incredible 112% year-over-year membership growth. Who Are We? Clever Care was created to meet the unique needs of the diverse communities we serve. Our innovative benefit plans combine Western medicine with holistic Eastern practices, offering benefits that align with our members’ culture and values. Why Join Us? We’re on a mission! Our rapid growth reflects our commitment to making healthcare accessible for underserved communities. At Clever Care, you’ll have the opportunity to make a real difference, shape the future of healthcare, and be part of a fast-moving, game-changing organization that celebrates diversity and innovation. Job Summary The Claims Analyst will work with the Senior Director of Medicare Operations in identifying potential areas for process improvement initiatives to support development of automation, payment accuracy, audit activities, business rules and P&Ps. Claim analyst is responsible for the end to end process for any configuration and automation projects Functions & Job Responsibilities · Includes claims systems utilization, capacity analyses/planning and reporting including claims-related business and systems analysis · Excellent analytical, problem solving and troubleshooting activities. · Must be able to analyze requirements for any Claim related projects · Provide configuration support based on business needs including but not limited to DOFR, Benefits, and MOOP. · Evaluate and Analyze any business needs including but not limited to DOFR, Benefits, and MOOP related to Claims Department. · Review and recommend improvement to current configuration · Document and Report to Senior Claims analyst and Director of Medicare Operations · Perform Test Cases · Run Test, study and analyze result, and troubleshoot if necessary · Ability to pull and analyze reports necessary to support claim department needs · Validating accuracy of reports produced and submitted by the Claims Department. · Assists in preparing and reviewing cases for regulatory and other health plan reports and requirements. · Ensure adherence to state and federal compliance policies, reimbursement policies, and contract compliance · Assists in validating claim compliance reports · Create Business Requirement Document as needed · Create CMS Reports as needed by Director of Operations · Manage and support new projects and regulatory updates in accordance with CMS Qualifications Qualifications Education/Experience: · High School diploma or equivalent required. Associate degree or an equivalent combination of education and claims processing experience preferred. Bachelor’s degree in related field (preferred). · 2 to 5 years of experience in a managed care claims processing environment required · Demonstrate knowledge of applicable claims processes (e.g., end-to-end claims cycle, auto-adjudication, manual work processes, payment methodologies, rework/adjustment processes) · Terminology, CPT, revenue codes, ICD10, HCPCS codes as it relates to claims processing adjudication. Core claims processing systems and healthcare authorization systems. Skills: · Perform in a fast-paced environment and work under pressure. · Communicate clearly and concisely, both verbally and in writing to individuals of diverse backgrounds. · Organize, plan and prioritize work activities, possess analytical and problem-solving skills. · Troubleshoot claims adjudication problem areas. · Encourage and utilize suggestions and new ideas. · Comprehend and interpret provider contracts and Divisional Financial of Responsibility (DOFR). · Utilize and access computer and appropriate software (e.g., Microsoft: Word, Excel, PowerPoint) and job-specific applications/systems (e.g., EZCAP Claims Processing System and Authorization system) to produce correspondence, charts, spreadsheets, and/or other information applicable to the position. Wage Range: $88,000.00 to $100,000.00 per year Physical & Working Environment. Physical requirements needed to perform the essential functions of the job, with or without reasonable accommodation: • Must be able to travel when needed or required • Ability to operate a keyboard, mouse, phone and perform repetitive motion (keyboard); writing (note-taking) • Ability to sit for long periods; stand, sit, reach, bend, lift up to fifteen (15) lbs. Ability to express or exchange ideas to impart information to the public and to convey detailed instructions to staff accurately and quickly. Work is performed in an office environment and/or remotely. The job involves frequent contact with staff and public. May occasionally be required to work irregular hours based on the needs of the business. Clever Care Health Plan is proud to be an Equal Employment Opportunity and Affirmative Action workplace. Individuals seeking employment will receive consideration for employment without regard to race, color, national origin, religion, age, sex (including pregnancy, childbirth or related medical conditions), sexual orientation, gender perception or identity, age, marital status, disability, protected veteran status or any other status protected by law. A background check is required. Salary ranges posted on the job posting are based on California wages. Salary may be higher or lower depending on the candidate’s state residency. #LI-Hybrid

• Provide customer support via chat, answering questions and resolving issues related to the products offered by the Company • Deliver the highest level of customer support, aiming to provide extraordinary service • Ensure achievement of success KPIs related to the support strategy and promote actions to meet individual performance indicators • Be proactive in customer relationships, anticipating potential pain points and minimizing customer impact during crises, exceeding expectations and ensuring reliability • Record all customer interactions in the support system, maintaining accurate and detailed records • Participate in training and updates on the Company’s products and services • Work closely with other members of the support team and internal departments to ensure quick and effective resolution of customer issues • Share knowledge and best practices with the team to improve service • Maintain a basic knowledge of the Company’s products and services.

• Provide customer support via chat, answering questions and resolving issues related to the Company’s products • Deliver the highest level of support to customers, with a commitment to extraordinary service • Ensure achievement of support-related success KPIs aligned with the support strategy and take actions to meet individual performance indicators • Be proactive in customer relationships, anticipating potential pain points and ensuring minimal impact in crisis situations, exceeding expectations and maintaining trust • Record all customer interactions in the support system, keeping accurate and detailed records • Participate in training and updates on the Company’s products and services • Work closely with other members of the support team and internal departments to ensure fast and effective resolution of customer issues • Share knowledge and best practices with the team to improve service • Maintain basic knowledge of the products and services offered by the Company

Title: Associate Analyst - Legal Service Provider Location: Lewisville United States Job Description: General information Career area: Legal Ref #: 21914 Working time: Full time Ally Financial only succeeds when its people do - and that's more than some cliché people put on job postings. We live this stuff! We see our people as, well, people - with interests, families, friends, dreams, and causes that are all important to them. Our focus is on the health and safety of our teammates as well as work-life balance and diversity and inclusion. From generous benefits to a variety of employee resource groups, we strive to build paths that encourage employees to stretch themselves professionally. We want to help you grow, develop, and learn new things. You're constantly evolving, so shouldn't your opportunities be, too? Work Schedule: Ally designates roles as (1) fully on-site, (2) hybrid, or (3) fully remote. Hybrid roles are generally expected to be in the office a certain number of days per week as indicated by your manager. Your hiring manager will discuss this role's specific work requirements with you during the hiring process. All work requirements are subject to change at any time based on leader discretion and/or business need. The Opportunity In this role, you will oversee Legal Service Providers (LSPs) and fourth-party attorney firms supporting Deficiency Recovery, driving vendor performance through onboarding, training, and coaching on quality, compliance, and complaint management to ensure alignment with Ally standards and regulatory expectations. You will lead a centralized integration function to streamline communication across vendors and internal stakeholders, manage supplier performance for Specialty Recovery activities, and own issues through remediation. You'll also support process improvement initiatives by evaluating results and risk/benefit of changes, and you will own the full Business Continuity Program-from creation and testing through ongoing execution-while delivering monthly performance reporting and presentations to promote transparency and continuous improvement. Ally Work Location for this role is: Lewisville, TX - Required #hybrid with three (3) days in office, two (2) days at home The Work Itself - Serve as the primary relationship owner and "face of Ally" to Legal Service Provider vendors/suppliers, engaging internal and external senior leaders (including C-suite) as needed. - Coordinate with in-house counsel, Legal Service Providers, and clients to facilitate efficient legal work; monitor legal action progress to ensure timely resolution. - Partner cross-functionally to ensure legal, regulatory, and procedural compliance across recovery operations. - Ensure timely and accurate legal filings; review legal documents for accuracy, completeness, and correct terminology; take corrective action when needed. - Lead annual reviews and ongoing strategic updates of the NAO Business Continuity Program (BCP) to reflect changes in operations, structure, risk profile, personnel, and geographic footprint. - Act as the primary point of contact for supplier monitoring activities, including audits/reviews (BCP, compliance, risk profile, onsite audits) and ongoing operational/strategic process and procedure updates. - Lead supplier performance management, including developing/refining performance metrics (supplier and department), addressing compliance and cost issues, and driving continuous improvement. - Review and validate supplier invoicing, services provided, SLAs, and statements of work. - Lead supplier due diligence, market share shifts, and termination decisions; play a key role in supplier onboarding/offboarding. - Review and manage customer complaints and escalations (e.g., ECR, CFPB, consumer attorneys), perform root-cause analysis, and drive solutions for identified process gaps. - Maintain a standard cadence of onsite supplier visits (as needed/requested) to represent Ally, confirm compliance, and lead performance trend/review discussions. The Skills You Bring Minimum Qualifications - 0+ years of experience - High school Diploma or GED equivalent Preferred Qualifications - 1+ years' experience in the legal industry i.e.: attorney office, paralegal experience - 1+ years' experience in Supplier Management experience or financial services industry - Demonstrates strong analytical, negotiation, problem solving, and organizational skills - Demonstrates a high degree of personal accountability, passion, and execution - Ability to identify process improvement, effectiveness and efficiency and execute on change management, influence and collaboration in a matrixed environment - Ability to maintain strict confidentiality - PowerPoint Presentation skills; ability to translate complex data into simple audience- friendly visuals - Proficiency in importing/exporting data from Excel to PowerPoint seamlessly - Proficiency in Microsoft Excel; formulas, functions, report building - Executive level verbal and written communication - Takes pride in work quality and performance - Self-Aware - Seeks and implements feedback Education/Certification - Bachelor's degree in related field or applicable years of business experience - Process optimization certification strongly desired (Certified Process Professional, Lean Six Sigma, etc.) - Project / Process Management framework knowledge and application How We'll Have Your Back Ally's compensation program offers market-competitive base pay and pay-for-performance incentives (bonuses) based on achieving personal and company goals. Our Total Rewards program includes industry-leading compensation and benefits plus additional incentives that are designed to meet your needs and those of your family so you can get the most out of your career and your life, including: - Time Away: Program starts at 20 paid time off days in addition to 11 paid holidays and 8 hours of volunteer time off yearly (time off days are prorated based on start date and program varies based on full or part-time status and management level). - Planning for the Future: plan for the near and long term with an industry-leading 401K retirement savings plan with matching and company contributions, student loan pay downs and 529 educational save up assistance programs, tuition reimbursement, employee stock purchase plan, and financial learning center and financial coach access. - Supporting your Health & Well-being: flexible health and insurance options including medical, dental and vision, employee, spouse and child life insurance, short- and long-term disability, pre-tax Health Savings Account with employer contributions, Healthcare FSA, critical illness, accident & hospital indemnity insurance, and a total well-being program that helps you and your family stay on track physically, socially, emotionally, and financially. - Building a Family: adoption, surrogacy and fertility assistance as well as paid parental and caregiver leave, Dependent Day Care FSA back-up child and adult/elder care days and childcare discounts. - Work-Life Integration: other benefits including Mentally Fit Employee Assistance Program, subsidized and discounted Weight Watchers program and other employee discount programs. - Other compensations: depending on the role for which you are considered, you may be eligible for travel allowances, relocation assistance, a signing bonus and/or equity. Who We Are: Ally Financial is a customer-centric, leading digital financial services company with passionate customer service and innovative financial solutions. We are relentlessly focused on "Doing it Right" and being a trusted financial-services provider to our consumer, commercial, and corporate customers. Ally is an equal opportunity employer committed to diversity and inclusion in the workplace. All qualified applicants will receive consideration for employment without regard to age, race, color, sex, religion, national origin, disability, sexual orientation, gender identity or expression, pregnancy status, marital status, military or veteran status, genetic disposition or any other reason protected by law. Base Pay Range: $47840 - $75000 USD An individual's position in the range is determined by the specific role, the scope and responsibilities of the role, work experience, education, certification(s), training, and additional qualifications. We review internal pay, the competitive market, and business environment prior to extending an offer. Incentive Compensation: This position is eligible to participate in our annual incentive plan.