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Insurance Claims Processing Jobs in Ontario (NOW HIRING)

Crawford and Company

Claims Adjuster

Waterloo, ON · Hybrid

CA$45K - CA$55K/yr

Basic knowledge of insurance claims handling principles and investigation processes. * Strong organizational and time-management skills with the ability to manage a high-volume workload. * Excellent ...

Wawanesa Insurance

Claims Technical Specialist

Toronto, ON · Hybrid

CA$90K - CA$110K/yr

About The Wawanesa Mutual Insurance Company Founded in 1896, The Wawanesa Mutual Insurance Company ... Contribute to national claims initiatives, process improvements, new workflows, technologies, and ...

Wawanesa Insurance

Claims Technical Specialist

Kitchener, ON · Hybrid

CA$90K - CA$110K/yr

About The Wawanesa Mutual Insurance Company Founded in 1896, The Wawanesa Mutual Insurance Company ... Contribute to national claims initiatives, process improvements, new workflows, technologies, and ...

MHMI

Senior Dental Administrator

Toronto, ON · On-site

CA$24 - CA$35/hr

Strong understanding of dental billing, insurance claims processing, and collections * Proven ability to train, support, and guide administrative team members * Positive, dependable, and able to ...

MHMI

Senior Dental Administrator

Toronto, ON · On-site

$24 - $35/hr

Strong understanding of dental billing, insurance claims processing, and collections * Proven ability to train, support, and guide administrative team members * Positive, dependable, and able to ...

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Insurance Claims Processing information

What is insurance claims processing?

Insurance claims processing is the procedure by which insurance companies review, investigate, and settle claims made by policyholders. This process involves verifying the details of a claim, ensuring it meets the terms of the policy, and determining the appropriate payout or action. Claims processors handle documentation, communicate with claimants, and may work with other parties like adjusters or healthcare providers. The goal is to ensure claims are resolved efficiently, accurately, and fairly according to policy guidelines.

What are the key skills and qualifications needed to thrive in insurance claims processing?

To excel in Insurance Claims Processing, you need strong attention to detail, analytical abilities, and a foundational understanding of insurance policies or claims procedures, often supported by a high school diploma or associate degree. Familiarity with claims management software, databases, and sometimes industry certifications like AIC (Associate in Claims) is common. Effective communication, problem-solving skills, and the ability to manage stressful situations make someone stand out in this role. These competencies are critical for ensuring claims are processed accurately, efficiently, and in compliance with regulatory standards.

What are some common challenges faced in insurance claims processing, and how can new team members effectively manage them?

In insurance claims processing, new team members often encounter challenges such as handling high volumes of claims, interpreting complex policy language, and communicating effectively with policyholders and other stakeholders. To manage these challenges, it's important to develop strong organizational skills, stay detail-oriented, and proactively seek clarification when unsure about policy terms or procedures. Collaborating with experienced colleagues and taking advantage of ongoing training opportunities can also help new processors build confidence and efficiency in their daily tasks.

What is the difference between Insurance Claims Processing vs Insurance Adjuster?

AspectInsurance Claims ProcessingInsurance Adjuster
CredentialsTypically requires a high school diploma or equivalent; certifications like CPCU or AIC are commonRequires a high school diploma; certifications like AIC or state licensing often needed
Work EnvironmentOffice-based, processing claims via computer systemsField and office work, inspecting damages and interviewing claimants
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Primary FocusReviewing and processing insurance claims efficientlyAssessing damages and determining claim validity and payout

While both roles are essential in the insurance industry, Insurance Claims Processing focuses on handling and managing claims paperwork, whereas Insurance Adjusters evaluate damages and determine claim settlements. Understanding these differences helps job seekers identify the right career path within the insurance sector.

How to get a job as an insurance claims processor?

To become an insurance claims processor, candidates typically need a high school diploma or equivalent, with some roles preferring postsecondary training or certifications in insurance or claims processing. Relevant skills include attention to detail, communication, and familiarity with claims management software. Gaining experience through internships or entry-level positions can improve job prospects, and some employers may require background checks or specific licensing depending on the state or company policies.

Is insurance claims processing a stressful job?

Insurance claims processing can be a stressful job due to tight deadlines, high workload, and the need for accuracy in evaluating claims. It often requires strong attention to detail, communication skills, and the ability to handle difficult customer interactions, which can contribute to job-related stress.

What does an insurance claims processing do?

An insurance claims processor reviews and evaluates insurance claims to determine coverage and payout amounts. They verify policy details, gather necessary documentation, and ensure claims are processed accurately and efficiently, often using claims management software. Attention to detail and knowledge of insurance policies are essential for this role.

What are popular job titles related to Insurance Claims Processing jobs in Ontario?

For Insurance Claims Processing jobs in Ontario, the most frequently searched job titles are:

What job categories do people searching Insurance Claims Processing jobs in Ontario look for?

The top searched job categories for Insurance Claims Processing jobs in Ontario are:

Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing job openings in Ontario as of August 2026, with employment types broken down into 83% Full Time, and 17% Part Time. Highlights an 88% In-person, 6% Hybrid, and 6% Remote job distribution.

Claims Assistant - Accident Benefits

Toronto, ON • Hybrid

Wawanesa Insurance
Insurance Services • 1 - 5K employees
Learn more about Wawanesa Insuranceexternal

CA$47K - CA$52K/yr

Full-time, Part-time

Retirement, PTO

Posted 7 days ago

Job description

Job ID: 10303 


Employment Type: Existing Role

Work Environment: 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; Calgary, AB; Edmonton, AB; Toronto (North York), ON;  Kitchener, ON; Moncton, NB; Dartmouth; NS. 

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: $47,000 - $52,000. Candidates with salary expectations outside of the range are still encouraged to apply. 

About The Wawanesa Mutual Insurance Company
Founded in 1896, The Wawanesa Mutual Insurance Company is one of Canada's largest mutual insurers, 100% owned by its members, with more than $4.1 billion in annual revenue and $12.5 billion in assets. Headquartered in Winnipeg, Wawanesa is the parent company of Wawanesa Life, which provides life insurance solutions throughout Canada, and Western Financial Group, a leading national distributor of personal and business insurance. In March of 2026, Wawanesa entered into an agreement to acquire Everest Insurance Company of Canada to strengthen its commercial insurance capabilities and advance its long-term growth strategy.


Wawanesa proudly serves more than 1.8 million members and we are home to more than 3,000 employees across Canada. The company actively gives back to organizations that strengthen communities, donating more than $4 million annually to charitable organizations, including more than $2 million each year in support of people on the front lines of climate change. Learn more at 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 Claims Assistant - Accident Benefits  provides administrative and operational support to the National Accident Benefits Claims team by ensuring the timely and accurate processing of claim-related activities. This role is responsible for managing claims documentation, processing payments, monitoring work queues, and supporting claims workflows in accordance with regulatory requirements and company processes and procedures.

Job Responsibilities

  • Review, organize, and process claims documentation in accordance with regulatory requirements, company policies, and established procedures. 
  • Process Health Claims for Auto Insurance (HCAI) invoices, ensuring accurate tagging, matching, and payment within company protocols. 
  • Monitor and action assigned work queues, including HCAI matching, litigation mailbox, mediation mailbox, and vendor referral mailbox, within established turnaround times. 
  • Assist in maintaining complete and accurate claim files by updating claim systems with new information and supporting documentation. 
  • Complete claim downloading, assignment, and workflow routing activities with accuracy
  • Prepare and distribute accurate correspondence while ensuring quality and attention to detail.  
  • Maintain productivity, quality, and service standards while managing multiple priorities in a fast-paced environment. 
  • Collaborate with Recovery Care Specialists to support efficient claims operations and deliver exceptional service to members.
  • Perform clerical and administrative duties, including e-faxing, emailing, and preparing electronic file copies (e.g., CD/USB) to support claims processing and document requests.
  • Perform other duties and special projects as assigned.
Qualifications
  • High school diploma required; post-secondary education in Business Administration, Office Administration, Insurance, or a related field is considered an asset. 
  • Working towards, or willingness to obtain, Charted Insurance Professional (CIP) designation is an asset 
  • Strong working knowledge of Microsoft Office Suite (Outlook, Word, Excel, Teams) and the ability to quickly learn and adapt to new systems and technology.
  • Excellent verbal and written communication skills with a customer-focused approach. 
  • Experience working in a fast-paced, deadline-driven environment with multiple priorities. 
  • Strong organizational and time management skills with the ability to prioritize completing tasks. 
  • Excellent attention to detail and commitment to accuracy when processing documents, payments, and claim information. 


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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