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Insurance Claims Processing Jobs in Ontario (NOW HIRING)

CFC

A strong understanding of claims processes, reserving, coverage analysis and litigation management ... Insurance is a serious business, but we don't take ourselves too seriously. We make it fun to work ...

CFC

A strong understanding of claims processes, reserving, coverage analysis and litigation management ... Insurance is a serious business, but we don't take ourselves too seriously. We make it fun to work ...

Td

Bodily Injury-CLAIMS SPECIALIST

Burlington, ON · On-site

CA$79K - CA$111K/yr

TD Insurance Pay Details: $79,100 - $111,700 CAD TD is committed to providing fair and equitable ... Resolve complex claims adhering to established claims settlement policies and processes * Handles ...

Td

Bodily Injury-CLAIMS SPECIALIST

Markham, ON · On-site

CA$79K - CA$111K/yr

TD Insurance Pay Details: $79,100 - $111,700 CAD TD is committed to providing fair and equitable ... Resolve complex claims adhering to established claims settlement policies and processes * Handles ...

Gallagher

Claims Supervisor

Toronto, ON · On-site

We manage insurance claims on behalf of insurers, brokers, government bodies and self-insured ... legal processes. Drive adjuster hiring and development which results in a culture of high ...

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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 Specialist, P&C

CFC
See more jobs at CFCexternal

Full-time

Re-posted 12 days ago

Job description

We're looking for an experienced claims professional to help launch and shape CFC's Canadian Admitted Claims offering. This is an exciting opportunity to play a key role in strengthening our global claims capability while ensuring policyholders and brokers continue to receive the high-quality, responsive service CFC is known for.
You will focus on handling a range of property and casualty claims. You'll also collaborate with specialist vendors, including forensic, legal and PR partners, to deliver cost-effective, high-quality support to insureds when they need it most.
This role will also involve partnering with Underwriting, Finance, IT and Product teams, while operating in line with all relevant legal, state and statutory requirements. If you do not already hold all necessary licences, CFC will support you with the preparation and cost of completing any required licensing exams.
  • Manage a varied caseload of claims from first notification of loss through to resolution, including property and casualty and speciality claims
  • Build strong relationships with policyholders, brokers and internal stakeholders, delivering a consistently high standard of customer service.
  • Work closely with response vendors during claims incidents, ensuring insureds receive timely, effective and value-for-money support.
  • Ensure claims are reserved promptly and accurately, identifying recovery opportunities and taking steps to reduce claims leakage.
  •  Prioritise effectively and manage key deadlines, including those arising from lawsuits, demand letters and claims queries.
  • Partner with service providers to ensure high-quality support is delivered within agreed timeframes.
  • Maintain accurate electronic claims files, support payment requests and contribute to the production of management information.
  • Share claims insight and trends with underwriters and Product teams to support ongoing product development and wording improvements.
  • Identify and escalate claims-related issues to your line manager where appropriate.

What we are looking for:
  • Proven experience handling complex claims, ideally in Property & Casualty 
  • 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 delivering excellent customer service.
  • The confidence to manage competing priorities, deadlines and stakeholder expectations in a fast-paced environment.
  • A proactive, detail-oriented and commercially minded approach, with sound judgement and strong communication skills.
  • Relevant claims licensing for Canada, or a willingness to complete any required licensing exams with CFC's support.

Love what you do:
We show up each day ready to take on the world. Our passion and intensity set us apart and makes the difference to our colleagues, customers, brokers and carriers.
Challenge everything:
We're never afraid to question the way that things are done and we constantly challenge ourselves and others to makes things better.
Have fun, be good:
Insurance is a serious business, but we don't take ourselves too seriously. We make it fun to work at CFC, we welcome all viewpoints, and we treat everyone how we would expect to be treated.

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