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Claims Processing Jobs in Ontario (NOW HIRING)

Ryan Specialty

Claims and Ops Coordinator

Toronto, ON · On-site

The Claims Analyst is responsible for reviewing, analyzing, and processing insurance claims submitted by policyholders. The role assesses claim validity, investigates the circumstances surrounding ...

Posted today

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

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 · On-site

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

Seaforth, ON · On-site

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 ...

Believeco Partners Ltd

Claims Helper (Multiple Positions Available) Reports to: Claims Helper Manager  Type: Full ... If you require accommodation during the recruitment process, please inform us -- we will work with ...

CFC

A strong understanding of claims processes, reserving, coverage analysis and litigation management. * Experience working with brokers, policyholders and external vendors, with a clear focus on ...

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Claims Processing information

See Ontario salary details

$11

$14

$16

How much do claims processing jobs pay per hour?

As of Jul 17, 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 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.

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 are the key skills and qualifications needed to thrive as a Claims Processor, and why are they important?

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 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 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 July 2026, with employment types broken down into 89% Full Time, 8% Part Time, and 3% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $29,232 per year, or $14.1 per hour.
Claims and Ops Coordinator

Claims and Ops Coordinator

Ryan Specialty

Toronto, ON • On-site

Full-time

Posted 14 hours ago

Posted today

Job description

Position Summary:

The Claims Analyst is responsible for reviewing, analyzing, and processing insurance claims submitted by policyholders. The role assesses claim validity, investigates the circumstances surrounding each claim, verifies policy coverage, and determines the extent of financial liability. They collaborate with various stakeholders such as policyholders, insurance agents, and healthcare providers to gather necessary information and ensure accurate claim adjudication.

Location:

Toronto - Ontario

What will your job entail?

Job Responsibilities:
Analyzes insurance claims to determine coverage, authenticity, and accuracy by assessing claim forms, supporting documents, and policy details.
Conducts investigations into the circumstances surrounding a claim to verify its validity, gathers additional information from claimants, witnesses, or other relevant parties.
Ensures that claims are processed in accordance with the terms and conditions outlined in insurance policies.
Utilizes data analysis techniques to identify trends in claims, such as frequent types of claims, common causes of losses, and potential areas for risk mitigation.
Communicates with claimants, insurance agents, and other stakeholders to gather information, provide updates on claim status, and address any questions or concerns.
Maintains accurate system data and documentation by collecting, recording, analyzing, and summarizing information.
Maintains detailed records of claims processing activities, including correspondence, investigation findings, and payment authorizations.
Identifies potential instances of fraud or misrepresentation in insurance claims and escalates suspicions to the appropriate department for further investigation.
Provides support and assistance to claimants throughout the claims process, including explaining coverage, answering inquiries, and facilitating the resolution of issues.
Ensures compliance with insurance regulations, industry standards, and company policies in all aspects of claims processing.
Participates in process improvement initiatives aimed at enhancing efficiency, accuracy, and customer satisfaction in claims handling.
Work Experience and Education:
Bachelor's degree in Legal, Finance, Business Administration, or a related field with 6 months to a year of related experience. Any other related discipline or commensurate work experience considered.
Licenses & Certifications:
Prescribed: Minimum requirements for state specific Adjusting/Appraising/Examining/ Investigating Licenses
Preferred: Associate in Claims (AIC), Certified Insurance Service Representative (CISR), Certified Insurance Claims Manager (CICM)

Disclaimer

Ryan Specialty is an Equal Opportunity Employer. We are committed to building and sustaining a diverse workforce throughout the organization.Our vision is an inclusive and equitable workplace where all employees are valued for and evaluated on their performance and contributions. Differences in race, creed, color, religious beliefs, physical or mental capabilities, gender identity or expression,sexual orientation, and many other characteristics bring together varied perspectives and add value to the service we provide our clients, trading partners,and communities.This policy extends to all aspects of our employment practices, including but not limited to, recruiting, hiring, discipline, firing, promoting, transferring, compensation, benefits, training, leaves of absence, and other terms, conditions, and benefits of employment.

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