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27 Elite System Analyst Jobs Hiring Near You

Elite

Sr. Workers' Compensation Claims Adjuster

Long Beach, CA · On-site +1

$69K - $89K/yr

Maintains diary system for case review and documents file to reflect the status and work being ... Analytical skills. * Excellent written and verbal communication skills, including ability to convey ...

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Infographic showing various System Analyst job openings at Elite in the United States as of August 2026, with employment types broken down into 98% Full Time, and 2% Nights. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution.

Sr. Workers' Compensation Claims Adjuster

Elite

Long Beach, CA • On-site, Remote

$69K - $89K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 13 days ago

Job description

This position will be a remote position.
Must have a California SIP (Workers Compensation - Sr. Work Comp Claims Adjuster)
Must be Bilingual (English/Spanish)
POSITION SUMMARY: Under minimal supervision manages all aspects of indemnity claims handling from inception to conclusion within established authority and guidelines.
DUTIES AND RESPONSIBILITIES:
  • Effectively manages a caseload of 130 to 140 workers' compensation files, including very complex claims.
  • Initiates and conducts investigation in a timely manner.
  • Determines compensability of claims and administer benefits, based upon state law and in accordance with established Company guidelines.
  • Manages medical treatment and medical billing, authorizing as appropriate.
  • Refers cases to outside defense counsel. Directs and manages as appropriate.
  • Communicates with claimants, providers and vendors regarding claims issues.
  • Computes and set reserves within Company guidelines. Limits are larger than those allowed for Claims Examiner I and Claims Examiner II.
  • Settles and/or finalize all claims and obtains authority as designated.
  • Maintains diary system for case review and documents file to reflect the status and work being performed on the file.
  • Communicates appropriate information promptly to the client to resolve claims efficiently, including any injury trends or other safety related concerns.
  • Adheres to all Company policies and procedures.
  • Conducts file reviews independently.
  • Other duties as assigned.

* Essential job function.
EQUIPMENT OPERATED/USED: Computer, fax machine, copier, printer, and other office equipment.
QUALIFICATIONS REQUIRED:
Education/Experience: Bachelor's degree in related field (preferred); five (5) or more years related experience; or equivalent combination of education and experience.
Knowledge, Skills and Abilities:
  • Technical knowledge of statutory regulations and medical terminology.
  • Analytical skills.
  • Excellent written and verbal communication skills, including ability to convey technical details to claimants, clients and staff.
  • Ability to interact with persons at all levels in the business environment.
  • Ability to independently and effectively manage very complex claims.
  • Proficient in Word and Excel (preferred).

Other Qualifications:
  • Certifications and/or licenses as required by State regulation.

Here are some of the benefits you can enjoy in this role:
  • Medical, Dental, Vision, Disability & Life Insurance
  • 401(k) plan
  • Paid time off
  • Paid holidays

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