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Claims Examiner - Claims
Company : Prime Healthcare Services
Location : Victorville, CA, 92395
Job Type : Full Time
Date Posted : 4 January 2026
Overview
Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Desert Valley Medical Group is affiliated with Desert Valley Hospital, one of the nation’s “100 Top Hospitals” and “A” rated for patient safety. We offer incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.
Desert Valley Hospital, along with Desert Valley Medical Group, offers key services to the community including heart care, emergency services, labor and delivery, surgical services and more. For more information visit www.DesertValleyHospital.com.
Desert Valley Medical Group offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs.
Our Total Rewards package includes, but is not limited to:
- Paid Time Off
- 401K retirement plan
- Outstanding Medical
- Dental
- Vision Coverage
- Tuition Reimbursement
- Many more Voluntary Benefit Options!
Responsibilities
Claims Examiner processes routine and non-routine claims using established claim standards, and departmental policies and procedures. To accurately evaluate and adjudicate claims in a timely manner and according to set standards. �
Qualifications
Education and Work Experience
Pay Transparency
Desert Valley Medical Group offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $21.00 to $27.52. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.
Employment Status
Full TimeShift
DaysEqual Employment Opportunity
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf
Privacy Notice
Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf
San Diego, CA
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Frequently asked questions
Victorville’s Claims Examiners often handle a diverse mix of property and medical claims due to the area's healthcare facilities and insurance providers. The workflow emphasizes accuracy and compliance with California’s specific insurance regulations, making local knowledge valuable for efficient claims processing.
In California, certifications like the Certified Claims Professional (CCP) or CPCU (Chartered Property Casualty Underwriter) can enhance credibility. Familiarity with state-specific healthcare claims regulations and medical terminology is also highly regarded, especially in medical claims examiner positions.
Mastering medical terminology, insurance policy nuances, and claims adjudication procedures is essential. Strong computer literacy and analytical skills enable Claims Examiners to accurately process complex claims and identify discrepancies, ensuring timely and fair settlements.
With 2-3 years in healthcare claims, professionals can progress into senior examiner roles or claims analyst positions. Gaining proficiency in diverse claim types and deepening knowledge of insurance policies can open pathways to leadership or specialized consulting roles.
Claims Examiners focus heavily on evaluating and adjudicating claims based on policy standards, whereas Claims Specialists may manage client interactions and support claims processing logistics. The examiner’s role demands meticulous assessment to ensure claims meet strict regulatory criteria.
Prime Healthcare Services offers tuition reimbursement and a comprehensive benefits package, fostering continuous learning. Their commitment to quality and community creates an environment where Claims Examiners can grow skills and contribute meaningfully within a top-rated hospital network.
Beyond competitive pay, Prime Healthcare emphasizes core values like compassion and quality, integrating Claims Examiners into a supportive, award-winning healthcare team. This culture fosters not just task completion but meaningful impact on patient safety and community health.
Compensation typically ranges from $21.00 to $27.52 hourly, reflecting skills, experience, and credentials. Prime Healthcare combines this with robust benefits such as 401k, medical coverage, and tuition assistance, providing a total rewards package tailored to employee needs.
Most Claims Examiner roles in Victorville, especially at healthcare providers like Prime Healthcare, require onsite presence to collaborate closely with medical and administrative teams. While remote claims processing is growing, local demand favors in-person expertise for comprehensive claim evaluations.
New hires might encounter a steep learning curve mastering medical claims intricacies and navigating state insurance regulations. However, Prime Healthcare’s structured training and supportive environment help ease this transition, enabling quick adaptation to claim adjudication standards.