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Insurance Claims Processing Jobs in Ontario (NOW HIRING)

REVAU

Claims Adjuster (RPMXpert)

Toronto, ON · On-site

We believe there is a more efficient way to access business insurance by eliminating inefficiencies ... process * Collaborate regularly with colleagues to deepen expertise in both underwriting and claims ...

Td

Bilingual Claims Advisor I

Markham, ON · On-site

CA$52K - CA$74K/yr

TD Insurance Pay Details: 52,700 $/$52,700 - 74,400 $/$74,400 CAD TD is committed to providing fair ... Support the timely and accurate completion of business processes and procedures * Ensure ...

IKO Industries, Inc

Insurance Analyst

Toronto, ON · On-site

Process and manage claims including submitting data, managing claims through to settlement and analyzing insurers coverage position * Prepare monthly claim reports for discussion with the insurance ...

Td

Bilingual Claims Advisor I

Ottawa, ON · On-site

CA$52K - CA$74K/yr

TD Insurance Pay Details: 52,700 $/$52,700 - 74,400 $/$74,400 CAD TD is committed to providing fair ... Support the timely and accurate completion of business processes and procedures * Ensure ...

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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.

Senior National Property Claims Adjuster

Oakville, ON • Hybrid

Hibernian General Insurance
See more jobs at Hibernian General Insuranceexternal

CA$70K - CA$80K/yr

Full-time

Medical, Retirement

Posted 15 days ago

Key responsibilities

  • Manage the claim settlement process for complex personal lines property claims via telephone, ensuring quality and customer service.

  • Work with property vendors to quantify claims and apply cost-saving guidelines without compromising service quality.

  • Support during high volume catastrophes as needed, including working evenings and weekends.

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 currently have some exciting roles forComplex Property Claims Adjustersfor our Customer Response - Property team.

Aviva recognizes the importance of being flexible and the benefits of beingtogether,this role will behybrid- the best of both worlds.

Must be able to work rotating shifts during the hours of 8:00 AM to 8:00 PM Monday to Friday, and have flexibility to work some Saturdays only if needed.

You willbe responsible forclaimsettlement ofpredominatelycomplex personallinesclaims via telephone with a key focus on quality and customer service. The successful candidate will work with premiere property vendors to quantify the claim and apply cost saving guidelines in the quantification of loss and expense without compromising the delivery of superior customer service.

What you'll bring:

  • 2+ Years of property insurance claims experience, handling large losses and/or field tasks

  • CIP designation completed or currently in progress; must have successfully completed at least one CIP course

  • Atlantic Licenses Obtained

  • Handling first-party property insurance claimsare considered an asset,including but limited to building owner/tenant, businessincome ,stock, cargo, builder's risk,crimeand equipment claims for a wide variety of industries

  • Ability to work in a fast-paced environment to support customer demand

  • High levelof comfort dealing directly with key property insurance clients and brokers on all claim related issues and otherassistanceasrequired

  • Computer proficiency; Excel, Word, PowerPoint, Outlook, Guidewire

  • High level of prioritization and organization skills

  • Think critically and coordinate with all stakeholders to ensure you receive the best outcomes.

  • You are hardworking and a self-motivated problem-solver

  • Excellent oral and written communication skills.

  • Licenses for claims adjusting in any provinces (not a requirement but a big asset)

  • Assist and support during high volume catastrophes as needed (Evenings and Weekends)

What you'll get:

  • The salary band for this position ranges from $70,000 - $80,000. 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

  • Employee discount on home and auto insurance (where applicable)

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 an accommodation during the interview or hiring process, please contact your Aviva Talent Acquisition Partner so that an appropriate accommodation can be arranged.

This posting is intended to build a pipeline of qualified candidates for future opportunities. While we welcome your interest and application, please note that this role may not be actively hiring at the moment. As such, you may not receive an immediate response, and not all applicants will be contacted. We appreciate your patience and interest in joining our team.


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