Role Description The Claims team at Coalition stands apart for our outstanding level of client service and intelligent handling of claims for our insured customers. As a team, Claims is about finding ways to help our clients solve cyber risk. As we continue to expand, we are seeking an experienced cyber claims adjuster to join our cyber claims team and to lend a hand in handling complex primary Cyber, Tech, and Media policies. You will also provide support to the underwriting team and manage/collaborate with a variety of vendors namely - breach coaches, defense counsel, and coverage counsel for Coalition and its partner carriers. Responsibilities - Handle the intake of cyber events, including the coordination with breach counsel, forensic investigators, and other vendors. - Participate in after-hours claim intake and incident response coordination as needed. - Evaluate full pending of claims in connection with the posting and recommending accurate reserves. - Maintain accurate file documentation/information in our claims system. - Analyze liability and damage data in connection with complex claims, maintain appropriate documentation. - Analyze insurance coverage issues. - Draft coverage letters. - Intelligently manage and track third-party vendors and service providers work and spend. - Maintain and develop relationships with brokers, various positions within an insured’s business including: risk managers, general counsels, and a variety of vendors. - Identify settlement opportunities to maximize impact. - Collaborate in the defense and resolution of claims. - Provide data and analytic based-informational support to underwriters. - Provide support to business development with regard to marketing. - Liaise with partner carriers on a daily basis. Qualifications - 5+ years of experience adjusting cyber claims. - Juris Doctor or Bachelor's Degree is preferred. - Must be a licensed claims adjuster in your state of residence and able to obtain licensing for California and New York. - Demonstrated ability to work as part of a team, interact with others, meet deadlines, and successfully perform in a fast-paced, changing work environment. - Excellent communication and interpersonal skills. - Team-oriented with ability to excel in a collegial environment but work independently. Compensation Our compensation reflects the cost of labor across several US geographic markets. The US base salary for this position ranges from $110,000/year in our lowest geographic market up to $150,000/year in our highest geographic market. Consistent with applicable laws, an employee's pay within this range is based on a number of factors, which include but are not limited to relevant education, skills, job-related knowledge, qualifications, work experience, credentials, and/or geographic location. Your recruiter can share more on target salary for your location during the interview process. Coalition, Inc. reserves the right to modify this range as needed. Benefits - 100% medical, dental and vision coverage. - Flexible PTO policy. - Annual home office stipend and WeWork access. - Mental & physical health wellness programs (One Medical, Headspace, Wellhub, and more)! - Competitive compensation and opportunity for advancement.

Role Description The Claims Examiner is responsible for liability claims and property damage claims to their conclusion in the most cost-effective way possible for the client. In addition, the Claims Examiner will be responsible for recognizing claims involving coverage issues and present them to the Claims and Coverage Committees for referral to counsel. - Review assigned claims within the PLCA guidelines. - Prepare appropriate response letter to Government Claims within the required timelines. - Assignment of Investigations. - Review investigative reports, evaluate damages and make recommendations to clients regarding assigned files. - Direct attorneys on litigated files and control defense costs. - Prepare timely Reports to Reinsurers. - Prepare appropriate write ups for JPA’s/ Superpools on a quarterly basis. - Monitor/adjust reserves when developments occur. - Review files for Subrogation potential and actively pursue subrogation. - Manage and respond to client inquiries. - Maintain accurate statistical data in computer. - Assist in client file reviews. - Attend Court ordered Mediations/MSC’s or any meeting required to facilitate settlement. - Bill at minimum 80% of the work day. - Other duties as assigned. Qualifications - Required: High school diploma and 5 years related claims experience required. - Appropriately licensed and/or certified in all states in which claims are being handled or able to obtain the licenses/certification per local requirements. - Extensive knowledge of accepted industry standards and practices. - Computer experience with related claims and business software. - Preferred: Bachelor's degree preferred. Requirements - Ability to think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges. - Analytical skill necessary to make decisions and resolve complex issues inherent in handling losses. - Ability to successfully negotiate the settlement and disposition of serious claims including the ability to interpret related documentation. Benefits - Medical/dental/vision plans, which start from day one! - Life and accident insurance. - 401(K) and Roth options. - Tax-advantaged accounts (HSA, FSA). - Educational expense reimbursement. - Paid parental leave. - Digital mental health services (Talkspace). - Flexible work hours (availability varies by office and job function). - Training programs. - Gallagher Thrive program – elevating your health through challenges, workshops and digital fitness programs for your overall wellbeing. - Charitable matching gift program. - And more...

Role Description MedPOINT Management in Sherman Oaks, CA is looking for a detail-oriented Hospital Claims Adjuster to join our dynamic healthcare team. In this role, you'll play a critical part in reviewing and processing hospital claims with accuracy and efficiency. If you're passionate about healthcare operations and thrive in a fast-paced environment, we want to hear from you! Responsibilities: - Review, analyze, and adjudicate inpatient and outpatient hospital claims in accordance with plan guidelines - Verify patient eligibility, benefits, and coverage prior to claims processing - Identify and resolve claim discrepancies, denials, and underpayments - Apply ICD-10, CPT, and DRG coding knowledge to ensure accurate claim adjudication - Coordinate with providers, hospitals, and internal departments to resolve claim issues - Ensure compliance with state and federal healthcare regulations, including HIPAA - Maintain accurate documentation and meet productivity and quality benchmarks Qualifications - 2+ years of experience in hospital or medical claims adjudication - Proficiency in ICD-10, CPT, HCPCS, and DRG coding - Familiarity with managed care, HMO, PPO, and IPA claims processing - Strong knowledge of EOB preparation and explanation of benefits - Experience with claims management software and healthcare information systems - Excellent analytical, problem-solving, and organizational skills - Strong attention to detail with the ability to meet deadlines in a high-volume environment Requirements - 2+ years of experience in hospital or medical claims adjudication - Proficiency in ICD-10, CPT, HCPCS, and DRG coding - Familiarity with managed care, HMO, PPO, and IPA claims processing - Strong knowledge of EOB preparation and explanation of benefits - Experience with claims management software and healthcare information systems - Excellent analytical, problem-solving, and organizational skills - Strong attention to detail with the ability to meet deadlines in a high-volume environment Benefits - 401(k) - 401(k) matching - Bonus based on performance - Dental insurance - Employee discounts - Free food & snacks - Health insurance - Opportunity for advancement - Paid time off - Parental leave - Savings bank - Training & development - Vision insurance - Wellness resources

• Point of contact for technical warranty cases – handling customer contact by phone and in writing • Evaluate the plausibility of damage reports • Processing and monitoring of automated data imports • Managing external partners • Ensuring transparent cost control • Communication and information exchange with all stakeholders