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Claims Processing Jobs in Ontario (NOW HIRING)

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Claims Processing information

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How much do claims processing jobs pay per hour?

As of Aug 6, 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.

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. However, workload and stress levels vary depending on the employer and work environment.

What do claims processing specialists do?

Claims processing specialists review and evaluate insurance claims to determine coverage and payment amounts. They verify information, process claims using specialized software, and ensure compliance with policies and regulations. Strong attention to detail and knowledge of insurance procedures are essential for this role.

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.

How to get a job as a claims processing?

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

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 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 August 2026, with employment types broken down into 80% Full Time, and 20% Part Time. Highlights an 93% In-person, and 7% Remote job distribution, with an average salary of $29,232 per year, or $14.1 per hour.

Claims Adjuster - Inside Large Loss Level 3

Wawanesa Insurance

Ottawa, ON • Hybrid

CA$70K - CA$85K/yr

Other

Retirement, PTO

Posted 28 days ago

Job description

Job ID: 10087 


Employment Type: Existing Role
Working Business Language: English
 

Salary: At Wawanesa, salary is only one component of a holistic, comprehensive and competitive offering that we provide to our employees. In addition to salary, full-time and part-time permanent employees are eligible for an annual bonus plan, leave of absence top-up programs and provided with generous vacation time, personal days, premium free benefits and pension plan. 
 

The salary offered for this role is determined with consideration to various factors, including but not limited to: your work location, local labour market conditions, external market salary data, internal pay equity and the knowledge, skills, experience and anticipated proficiency in the role. The salary offered is estimated to be within the following range: $70,000 - $85,000. Candidates with salary expectations outside of the range are still encouraged to apply. 

About Us
At Wawanesa, we offer a hybrid work environment that offers flexibility to our employees in balancing in-office (2 days per week OR 15 hours per week in a Wawanesa office) and remote work. You may work from any of the following locations: Winnipeg, MB; Wawanesa, MB; Vancouver, BC; Calgary, AB; Edmonton, AB; Lethbridge, AB; Toronto (North York), ON; Kitchener, ON; Ottawa, ON; Moncton, NB; Dartmouth; NS. 
 

The Wawanesa Mutual Insurance Company ("Wawanesa Mutual"), founded in 1896, is one of Canada's largest mutual insurers, with over $3.5 billion in annual revenue and assets of $10 billion (CAD). Wawanesa Mutual, with its National Headquarters in Winnipeg, is the parent company of Wawanesa Life, which provides life insurance products and services throughout Canada, and Western Financial Group, which distributes personal and business insurance across Canada. Wawanesa proudly serves more than 1.7 million members in Canada, and we are home to more than 3,300 employees distributed across the Canadian regions and communities where we operate. We give back to organizations that strengthen communities, donating more than $3.5 million annually to charitable organizations, including over $2 million annually in support of people on the front lines of climate change. We are also proud to be recognized as one of Manitoba's Top Employers. To learn more visit wawanesa.com. 


We are currently looking for dedicated, driven, and enthusiastic individuals who thrive in an environment that welcomes change and are looking for an opportunity for diverse experience and advancement on a growing team.
 

Job Overview

The Inside Large Loss Claims Adjuster plays a key role in delivering exceptional and consistent claims experience through the fair and equitable handling of complex, large-loss property claims. This position is responsible for interpreting and explaining policy coverage, maintaining accurate claim documentation, and managing claims efficiently from initial report through to resolution. The role also ensures timely service and clear communication throughout the claims process.

Job Responsibilities

  • Provide direction and support to our members, throughout the claims process, by providing exceptional service delivered with empathy.
  • Ensure timely and proactive communication, through voice to voice, digital and written correspondence, ensuring that all inquiries are effectively dealt with in a timely and professional manner.   
  • Adjustment of complex and large loss property claims.
  • Review and interpret policy wordings, determine policy coverage, and communicate coverage decisions to members.
  • Establish timely and accurate loss and expense reserves through the life of the claim through evaluation and reconciliation of relevant information from sources such as appraisers, independent adjusters, and contractors.  
  • Ensure a comprehensive investigation is conducted on all files to determine coverages and liability, while adhering to Wawanesa's adjusting guidelines, and recognizing when to engage appropriate internal and external resources. Collect evidence to support recovery efforts.
  • Coordinate and manage services with vendors and service providers such as appraisers, independent adjusters, and contractors.
  • Negotiating and conveying claim settlements within authority limits. Communicating claim decisions promptly and effectively, while still delivering exceptional member experience.
  • Maintain an effective and current diary system and document claim file activities in accordance with established procedures.
  • Demonstrating and maintaining excellent knowledge and understanding of policy coverages, while complying with regional regulatory and licensing requirements (as applicable). Remaining current with legislative changes and trends in the insurance industry.
  • Demonstrating highly proficient skills to review repair estimates, create narrative scopes and generate advanced level estimates using an estimating software system.
  • Provide ongoing technical advice, guidance, peer coaching and mentoring to claims staff.
  • Support CAT plan as necessary, including potentially assisting on claims outside of your service area.
  • Perform other duties as assigned.
Qualifications
  • 3+ years' experience in residential insurance. Commercial and farm insurance experience is a strong asset.
  • Experience with databases and insurance technology, including AI.
  • Experience interpreting and quantifying property damage estimates.
  • Chartered Insurance Professional (CIP), or working towards designation, with appropriate designations where required an asset.
  • Exceptional customer service skills which demonstrate empathy and concern for member satisfaction.
  • 2 years insurance adjusting or equivalent experience.
  • Post-secondary degree is preferred.
  • Chartered Insurance Professional (CIP), or working towards designation and where required, dedicated to reach the proper licensing requirements.
  • Excellent communication skills, including tailoring messaging to different audiences.
  • Excellent time management and organizational skills with the ability to prioritize in a fast paced, changing environment.
  • Demonstrated investigative, analytical, and problem-solving skills.
  • Detail oriented with a high degree of accuracy regarding data entry.
  • Excellent time management and organizational skills with the ability to prioritize in a fast paced, changing environment.
  • Excellent negotiation, decision making and critical thinking skills.
  • Strong teamwork skills with the ability to collaborate with others.
  • Demonstrated exceptional customer service skills with empathy and concern for member satisfaction.


Diversity Equity, Inclusion& Belonging
At Wawanesa, we are committed to Diversity, Equity, Inclusion and Belonging (DEIB) and believe that our strength lies in the diversity of our people - this is supported by having a representative workforce.

We welcome applications from all qualified candidates, including racialized persons, women, Indigenous Peoples, persons with disabilities, members of the 2SLGBTQIA+ community, gender-diverse and neurodiverse individuals, and anyone who can contribute to the further diversification of thought and ideas. 
 

We aim to ensure our recruitment process is accessible to all candidates. If you require accommodations during any stage of the recruitment process, please reach out in confidence to jobs@wawanesa.com.
 

All Wawanesa job applicants are subject to Wawanesa's Privacy Policy.

Please note that the recruitment process for this position may involve the use of AI tools to screen, assess, or select applicants. All final decisions are taken or reviewed by human recruiters and human hiring leaders in compliance with all applicable legislation.  
 

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