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Insurance Claims Processing Jobs in Ontario (NOW HIRING)

Emterra Group

WSIB/WCB Claims Specialist

Oakville, ON

$70K - $75K/yr

Provides information to all stakeholders on the return-to-work practices and processes as well as ... Liaise with LTD Insurer to determine status of claims, action plans and next steps. * Develop ...

Drilling Services

EHS&T Claims Specialist

Haileybury, ON · On-site +1

CA$75K - CA$90K/yr

... insurers, and healthcare providers to facilitate claim processing, recovery, and return-to-work ... Proficiency in Microsoft Office and claims management systems. * Ability to handle sensitive ...

Cna

Claims Specialist

Toronto, ON · On-site

CA$110K - CA$135K/yr

... processes, and resolution approaches. Analyzes claims activity; prepares and presents complex ... Strong knowledge of insurance and claims principles, practices, and procedures, applied in complex ...

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All JobsInsurance Claims Processing JobsInsurance Claims Processing Jobs in Ontario

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 jobs pay $2000 a day?

In insurance claims processing, high-paying roles such as senior claims managers or specialized adjusters can earn around $2,000 per day, especially with extensive experience, certifications, and in high-value claim environments. These roles often require advanced knowledge of insurance policies, strong analytical skills, and sometimes leadership responsibilities.

How do I become a claims processor?

To become a claims processor, typically a high school diploma or equivalent is required, and some employers prefer candidates with experience in customer service or insurance. Relevant skills include attention to detail, communication, and familiarity with claims processing software; obtaining industry certifications such as the Certified Claims Professional (CCP) can also enhance job prospects.

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.

Is a claims processor job in demand?

Claims processing is a stable occupation within the insurance industry, with consistent demand due to the ongoing need for claims management in health, auto, and property insurance sectors. Employment opportunities often require attention to detail and familiarity with claims software, and the job outlook is expected to grow alongside the insurance industry overall.

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.

What are the key skills and qualifications needed to thrive in Insurance Claims Processing, and why are they important?

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 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 June 2026, with employment types broken down into 100% Full Time. Highlights an 82% In-person, 6% Hybrid, and 12% Remote job distribution.

Field Claims Advisor Property

Gore Mutual Insurance

Toronto, ON • Remote

CA$56K - CA$103K/yr

Other

Medical, Dental, Retirement, PTO

Posted 27 days ago

Job description

As a Field Claims Advisor, Property, you will provide exceptional customer service and effective cost control while managing property claims within your assigned territory. Based from your home, you'll investigate, negotiate, and resolve losses on site, complete detailed damage scopes and valuations, interpret policy coverage, and support fair claim outcomes. You'll also act as a trusted service ambassador for Gore Mutual, partnering with customers, brokers, and internal teams, while representing the organization during catastrophe response initiatives and other formal claim proceedings as required. 

What will you do? 

  • Manage assigned claims within the designated territory, setting clear expectations with customers, coordinating vendor involvement, and ensuring timely, high-quality claim attendance and service delivery.  
  • Investigate and document losses thoroughly, including site inspections, photo capture, recorded statements, damage summaries, sketches, and collection of all required documentation (contracts, leases, financials, reports, etc.).  
  • Assess coverage and exposure, identifying limitations, subrogation and fraud opportunities, completing loss reserving, issuing payments as required, and sending underwriting risk alerts.  
  • Administer claim requirements and controls, providing required forms and communications, maintaining accurate file notes and tracking, and escalating issues as needed.  
  • Perform additional duties as required in support of effective and compliant claims handling. 
  • Conduct rotational field attendance as required within assigned territory to manage claims efficiently.  
  • Manage assigned claims end-to-end, setting clear expectations with customers throughout the claim lifecycle.  
  • Gather, review, and provide all required claim documentation and information (e.g., policies, forms, inventories, leases, contracts, financials).  
  • Assess losses through site inspections, photo capture, damage summaries, and recorded statements as needed.  
  • Identify and address coverage issues, exclusions, fraud concerns, subrogation opportunities, and underwriting risk alerts.  
  • Coordinate vendors, outlining scope, deliverables, and expectations, and track expenses, reserves, and manual payments.  
  • Maintain accurate file documentation, loss reserving, and time management to ensure quality, timeliness, and service standards.  
  • Perform additional related duties as assigned. 

What will you need to succeed? 

  • Minimum 5 years'  property adjusting experience. 
  • Minimum 3 years' experience as a Field Adjuster  
  • In depth understanding of building damage scoping practices 
  • Detailed knowledge of 1st Party Property Coverages 
  • Strong communication skills and de-escalation methodologies 
  • Excellent customer service skills with the ability to manage multiple stakeholders 
  • Business acumen with effective time and desk management 
  • Experience interpreting & applying contract law 
  • Financial analysis, multitasking, and confident communication 

Work Arrangement:This role is a remote field position assigned to a territory in the North GTA and surrounding area with ongoing access to a company vehicle. You will be required to attend our Cambridge office once or twice per month. 

The expected base salary range for this position is$56,000 - $103,500. Depending on your relevant experience, skills, qualifications, market conditions and business needs, base compensation may vary. You have the potential to earn more through Gore Mutual's discretionary bonus program which gives you an opportunity to increase your total compensation, provided the business meets its performance targets and you meet your individual goals. 

Please note: This rangereflects the expected base salary for this role but may not represent the full compensation range for all experience and skill levels. During the recruitment process, we will discuss and consider how your unique qualifications align with the broader range for this position. 

Gore Mutual is proud to offer a comprehensive total rewards package which includes extended health and dental benefits, disability insurance, retirement plan matching, paid time off, recognition and perk programs. 

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