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Claims Processing Jobs in Ontario (NOW HIRING)

MutualOne

Property Claims Representative

Seaforth, ON · Hybrid

About the Role We are looking for an experienced Property Claims Representativewho will be responsible for navigating the claims process through investigation and evaluation of the loss to final ...

MutualOne

Property Claims Representative

Ilderton, ON · Hybrid

About the Role We are looking for an experienced Property Claims Representativewho will be responsible for navigating the claims process through investigation and evaluation of the loss to final ...

MutualONE

Property Claims Representative

Ilderton, ON · On-site

About the Role We are looking for an experienced Property Claims Representative who will be responsible for navigating the claims process through investigation and evaluation of the loss to final ...

HUB

Senior Claims Specialist

Toronto, ON · On-site

CA$78K - CA$97K/yr

Providing guidance to internal teams on the claims process and building knowledge and capability through reporting for large clients, generating loss run reports and advising on general claims ...

MutualONE

Property Claims Representative

Seaforth, ON · On-site

About the Role We are looking for an experienced Property Claims Representative who will be responsible for navigating the claims process through investigation and evaluation of the loss to final ...

REVAU

Claims Adjuster (RPMXpert)

Toronto, ON · On-site

Serve as the main point of contact for brokers, partners, and insureds throughout the claims process * Collaborate regularly with colleagues to deepen expertise in both underwriting and claims ...

Zurich Insurance Group

Claims Data Analyst

Toronto, ON · On-site

CA$65K - CA$85K/yr

Understanding of claims processes, claim systems, policy information, and fraud investigation workflows. * Experience building dashboards, recurring reports, data quality checks, or analytical ...

Believeco Partners Ltd

Ensure Class Members understand the Claims Process and milestones of the settlement.   * Participate in multiple training sessions, including e-courses, de-briefings, and self- directed learning ...

ClaimsPro LP

Your contributions will significantly shape client relationships and outcomes in the claims process. Key Responsibilities: • Initiate prompt contact with policyholders and claimants • Investigate ...

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Claims Processing information

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How much do claims processing jobs pay per hour?

As of Aug 27, 2026, the average hourly pay for claims processing in Ontario is $14.05, according to ZipRecruiter salary data. Most workers in this role earn between $12.26 and $15.87 per hour, depending on experience, location, and employer.

What is claims processing?

Claims processing is the procedure by which insurance companies or organizations review and manage claims submitted by policyholders or clients. This involves verifying the details of the claim, ensuring all necessary documentation is provided, assessing the validity of the claim, and determining the appropriate payout or resolution. Claims processors play a crucial role in ensuring claims are handled efficiently, accurately, and in compliance with company policies and regulations.

What are the key skills and qualifications needed to thrive as a claims processor?

To thrive as a Claims Processor, you need a solid understanding of insurance policies and claims procedures, typically supported by a high school diploma or equivalent and relevant on-the-job training. Familiarity with claims management software, data entry systems, and basic office applications is essential. Strong attention to detail, analytical thinking, and effective communication skills help you resolve claims accurately and efficiently. These skills ensure the timely and proper handling of claims, enhancing customer satisfaction and minimizing errors or fraudulent activity.

What are some common challenges faced by professionals in claims processing, and how can they be managed effectively?

Professionals in claims processing often deal with high volumes of work, tight deadlines, and complex cases that require attention to detail. Managing these challenges involves staying organized, utilizing claims management software efficiently, and continuously updating knowledge of insurance policies and regulations. Effective communication with team members and other departments is also crucial to resolve discrepancies quickly and ensure accurate claim adjudication. Many organizations offer ongoing training and mentorship to help staff adapt to changes and improve efficiency.

What is the difference between Claims Processing vs Claims Adjuster?

AspectClaims ProcessingClaims Adjuster
CredentialsHigh school diploma or equivalent; certifications varyHigh school diploma; often state licensing or certifications
Work EnvironmentOffice-based, administrative settingFieldwork and office-based, investigative environment
Industry UsageInsurance companies, healthcare providersInsurance companies, claims departments
Job FocusReviewing and processing claims for paymentInvestigating claims, determining liability and settlement

Claims Processing involves reviewing and managing insurance claims to ensure proper payment, focusing on administrative tasks. Claims Adjusters investigate claims, assess damages, and determine liability. While both roles work within the insurance industry, Claims Processing is more administrative, whereas Claims Adjusters are investigative and evaluative.

How to get a job as a claims processing?

To get a job as a claims processor, candidates typically need a high school diploma or equivalent, strong attention to detail, and good organizational skills. Relevant experience in insurance, customer service, or data entry can be beneficial, and familiarity with claims processing software is often preferred. Certifications such as the Certified Claims Professional (CCP) can improve job prospects.

Is claims processing a stressful job?

Claims processing can be a stressful job due to tight deadlines, high volume of claims, and the need for accuracy. It often requires attention to detail, communication skills, and the ability to handle complex or difficult cases, which can contribute to job stress.

What do claims processing specialists do?

Claims processing specialists review and evaluate insurance claims to determine coverage and payment amounts. They verify information, ensure accuracy, and process claims efficiently using claims management software, often adhering to company policies and industry regulations.

What are the most commonly searched types of Claims Processing jobs in Ontario?

The most popular types of Claims Processing jobs in Ontario are:

Claims Processing jobs near you
Infographic showing various Claims Processing job openings in Ontario as of August 2026, with employment types broken down into 67% Full Time, and 33% Part Time. Highlights an 67% In-person, and 33% Remote job distribution, with an average salary of $29,232 per year, or $14.1 per hour.

Claims Processing Specialist ( Fixed Term)

WCG International Consultants Ltd.

Toronto, ON • Remote

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Company Description

We believe in the power of work. Since 1994, we’ve been partnering with governments and local agencies across Canada to create sustainable employment opportunities for people, businesses and communities. We understand that work gives hope, strengthens relationships and drives economic growth.

Job Description

About the role

Location: Remote - Canadian Home Office 

Status: Fixed Term until December 31st, 2026

As a Claims Processing Specialist, you’ll be responsible processing performance-based funding alongside employment- related financial supports for clients and employer expenditures. You will work closely with the Claims Manager and Financial Quality and Support Specialist to ensure accuracy, compliance and continuous quality improvement while maintaining high level of confidentiality pertaining to client records and financial information. 

What you'll do

  • Process client and employer financial support claims and ensuring contractual and legislative requirements are met
  • Ensure quality assurance for claims/invoices processed by Service Provider staff
  • Answer inquiries from staff regarding claims and other administrative questions
  • Communicate any issues regarding ineligible claims in line with processes
  • Provide support and guidance to staff regarding claims processing in line with contractual and guideline requirements
  • Keep abreast of emerging trends for claims assessment and flag these to the Claims Manager.
  • Demonstrate flexibility to be able to change activities based on changing requirements and business needs '
  • Ensure discrepancies are handled appropriately and escalating issues when necessary; refer staff to appropriate team members or internal partners as appropriate
  • Protect the interests of the organization – identify and manage risks, and escalate non-standard, high-risk transactions / activities as necessary
  • Develop a strong understanding of WCG’s contract, guidelines, policies, and process
  • Undertake standard and ad hoc data entry tasks
  • Effective use of WCG’s Case Management System and other systems and databases
Qualifications

What you bring

  • Strong auditing background and data entry experience
  • Minimum 2-3 years’ experience in a similar role working in a service-oriented organization
  • Proficient in MS Office especially Excel and Word
  • Detail oriented with a high level of accuracy
  • Ability to adapt to change
  • Understanding of the needs of a highly confidential environment
  • Able to maintain composure during difficult and high-pressure situations
  • Results driven with creative approach to idea generation and problem solving
  • Excellent organizational and time management skills
  • Ability to working in fast paced environment with changing workload

Preferred Criteria:

  • Bilingual (English and French)
  • Knowledge of the Employment Services industry

For complete job requirements, see the full Job Description here.


Additional Information

What we offer

  • Competitive salary of $53,040 per year
  • Ongoing learning and development opportunities
  • Generous time off policy to encourage work/life balance
  • A diverse and inclusive workplace with a track record of high employee engagement and teamwork

Diversity, Equity, Inclusion and Belonging Matter

WCG is strengthened by diversity. We are committed to achieving a workplace that is equitable and representative of Canada’s diverse population. We actively work to attract, develop, and retain employees from diverse and equity-deserving backgrounds who have exceptional ability and the desire to make a difference. We continuously strive to support individual needs and differences in a work environment that is built on inclusivity and respect for everyone.

WCG is committed to providing an accessible, barrier free recruitment and selection process. If contacted for an employment opportunity, please advise us if you require accommodation in advance of any part of the recruitment and selection process.

Passion and Lived Experience Matter!

If you don’t quite have the above credentials but feel passionate about this role and your ability to do it successfully, please APPLY ANYWAY! Tell us in your application why you believe you would be a great fit. We believe in developing talent and have a wide range of opportunities to support passionate team members as they grow towards their employment goals.