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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 ...

Gore Mutual Insurance

Claims Concierge

Cambridge, ON · On-site

CA$48K - CA$73K/yr

Gore Mutual has an exciting opportunity to begin a rewarding and fulfilling career in the insurance ... claims process * Taking first notice of loss information on new claims and assigning services ...

FCT

Law Clerk/ Claims Handler

Oakville, ON · On-site

FCT provides industry-leading title insurance, default solutions and other real estate related ... Follow standard internal guidelines and processes with respect to file management * Maintain a ...

MutualOne

Property Claims Representative

Ilderton, ON · Hybrid

Property Claims Representative MutualONE Insurance Company Where a shared culture fuels our passion ... Providing exceptional customer service and support to our members throughout the claims process

MutualOne

Property Claims Representative

Seaforth, ON · Hybrid

Property Claims Representative MutualONE Insurance Company Where a shared culture fuels our passion ... Providing exceptional customer service and support to our members throughout the claims process

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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 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 does an insurance claims processing do?

An insurance claims processor reviews and evaluates insurance claims to determine coverage eligibility and the amount payable. They verify information, process documentation, and communicate decisions to policyholders, often using claims management software. Attention to detail and knowledge of insurance policies are essential for this role.

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 in insurance or related fields. Relevant skills include attention to detail, communication, and familiarity with claims processing software. Gaining experience through internships or entry-level positions can improve job prospects, and some employers may require certification such as the Certified Claims Professional (CCP).

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 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?

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 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.

Intermediate/Senior Casualty Specialist - Bodily Injury Claims

Hibernian General Insurance

Oakville, ON • Hybrid

CA$65K - CA$95K/yr

Full-time

Medical, Retirement

Posted 14 days ago

Job description

Experience Aviva

Individually we are people, but together we are Aviva. Individually these are just words, but together they are our Values - Care, Commitment, Community, and Confidence.


At Aviva Canada, we put people first, our employees, our customers, and our communities. We're proud of a culture built on care, inclusion, and collaboration, where your voice matters and your growth is supported. We're not just about insurance; we're about making a real difference by protecting what matters most.


The opportunity
We are looking for a Casualty Specialist to handle Bodily Injury (BI) claims in our Protect Claims department, some of which are in litigation, and provide outstanding service to our customers.

The successful candidate will have a multifaceted personality and thrive within an inspiring culture. They will seek out challenges in order to continually improve their knowledge and skills, while providing the best in class service to the end customer.

The primary role in Protect Claims is to investigate, evaluate, negotiate, and settle BI claims in accordance with Aviva's procedures and philosophy.

Aviva recognizes the importance of being flexible and the benefits of being together, this role will be hybrid - the best of both worlds.

What you'll do

  • Interpret and confirm insurance coverage using background knowledge of relevant case law combined with a thorough understanding of policy wordings

  • Investigate, evaluate and settle a diverse claims pending of litigated and non-litigated files

  • Develop appropriate strategy to direct handle files to conclusion and/or teach Independent Adjuster's as needed

  • Ensure file reserves are set on a timely and accurate basis, in line with company protocols

  • Maintain control over expenses through pro-active handling techniques

  • On litigated files, work in partnership with defence counsel to develop and implement strategies for bringing files to a timely and cost effective resolution

  • Provide excellent customer and partner communication on claim matters

  • Clearly document and summarize file activity

  • Understand and adhere to Aviva's claim procedures and guidelines

  • Provide superior customer service to our clients and partners

What you'll bring

  • 2 -10 years' experience handling bodily injury claims, including both general liability/premises operations claims and auto tort liability

  • Ability to work independently and effectively in a fast-paced environment

  • Strong working knowledge of third party liability claims (Bodily Injury, Property, and Auto Physical Damage litigation)

  • Mediation, Pre-Trial and Trial experience

  • Excellent interpersonal, written and oral communication skills

  • Superior organizational skills

  • Strong analytical, problem-solving and negotiation skills

  • Adaptability, flexibility, willingness to learn and integrity

  • Committed team player with a positive outlook

  • Post-Secondary education in a related field

  • CIP designation would be an asset

What you'll get

  • The salary band for this position ranges from $65,000 to $95,000. Please note that individual salary is determined by factors such as job-related knowledge, skills and experience, as well as internal equity.

  • Compelling rewards package including base compensation, eligibility for annual bonus, retirement savings, share plan, health benefits, personal wellness, and volunteer opportunities.

  • Hybrid flexible work model.

  • Outstanding career development opportunities.

  • We'll support your professional development education.

  • Competitive vacation package with the option to purchase 5 extra days off per year.

  • Employee-driven programs focused on gender, LGBTQ+, origins, diversity, and inclusion.

  • Corporate wellness programs to support our employees' physical and mental health.

This job advertisement is for an existing vacancy which has been posted both internally & externally.

Aviva Canada may use AI (Artificial Intelligence) tools to assist us throughout the recruitment process to screen, assess or select applicants for a position.

Aviva Canada welcomes applications from all qualified individuals and has a process in place to provide accommodations for persons with disabilities at all stages of the hiring process and during employment. If you require accommodation during the interview or hiring process, please contact your Aviva Talent Acquisition Partner so that an appropriate accommodation can be arranged.

#LI-MP1 #LI-Hybrid

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