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Insurance Claims Processing Jobs in Ontario (NOW HIRING)

MutualONE

Property Claims Representative

Ilderton, ON · On-site

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 · On-site

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

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 ...

New

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 ...

General Motors

WSIB Claims Specialist

Oshawa, ON · On-site

CA$97K - CA$146K/yr

As part of the application process, Artificial Intelligence will be used in the hiring process for ... Life insurance plans to cover you and your family. * Company and matching contributions to a ...

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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.

Property Claims Representative

MutualONE

Ilderton, ON • On-site

Full-time

Re-posted 8 days ago

Job description

Property Claims Representative


MutualONE Insurance Company
Where a shared culture fuels our passion and a deep commitment to our members drives everything we do.
Where innovation, exceptional service, and trusted protection come together to create powerful insurance solutions.
Where every team member plays a part in building something extraordinary.


Together, we are ONE — stronger, bolder, and ready for the future!


About the Role

We are looking for an experienced Property Claims Representative who will be responsible for navigating the claims process through investigation and evaluation of the loss to final settlement of claim.

 
This is a full-time hybrid role based out of Ilderton Ontario, reporting to the Manager of Claims Services.


The successful candidate will be a self starter, detail-oriented problem solver with strong communication skills and a member-first mindset. 


Key Responsibilities

  • Evaluating claims by conducting thorough investigations; determining coverage and validity of claims, interviewing, and communicating with members, scene investigations
  • Attend loss locations to investigate claim, including taking statements, photographs, and identifying scope of loss
  • Providing exceptional customer service and support to our members throughout the claims process
  • Evaluate liability, salvage and subrogation exposure and potential
  • Coordinate with contractors, appraisers, and other experts as required
  • Act as claims examiner on claims assigned to independent adjusters
  • Maintain adequate reserves and accurate records based on company standards and procedures
  • Negotiate settlement and issue payments for claim
  • General support of claims area and special projects as required


Desired Competencies

  • To join our team, you will ideally:
    • Proactive and positive approach to customer service
    • Excellent conflict resolution and negotiation skills
    • Sense of urgency and responsiveness
    • Sound decision making and problem-solving skills
    • Superior verbal and written communication skills
    • The ability to travel on short notice within our primary territory
    • Successful candidates must be able to pass a comprehensive background check
    • This role will require travel.  A vehicle, valid Driver’s License and insurance are required.


Qualifications

  • Minimum 2 to 5 years in property claims handling experience
  • University Degree or post-secondary education related to insurance
  • Completion of Chartered Insurance Professional (CIP) designation or enrollment in the program
  • Experience in construction or trades, farming (agribusiness or equipment), or other relevant transferable knowledge is an asset
  • Equivalency in combination of education and experience will be considered
  • Ongoing commitment to education and learning
  • Highly capable with computer systems/software including Microsoft Word, Excel, Outlook, etc.


What we offer

We are an equal opportunity employer offering:

  • A flexible hybrid work environment
  • A rewarding career and comprehensive compensation & benefits package
  • Training, education, and career advancement opportunities
  • A work environment that is fun and friendly and supports a healthy work-life balance


At MutualONE, your efforts will always make a difference!


Interested? We want to hear from you!


We thank all applicants for their interest, however, only those considered for an interview will be contacted.


No phone calls or agencies please.


ACCESSIBILITY STATEMENT (AODA IN ONTARIO)

MutualONE is committed to providing a barrier-free work environment in concert with the provincial guidelines for accessibility (Accessibility for Ontarians with Disabilities Act and the Ontario Human Rights Code, Ontario Only).

As such, MutualONE will make accommodations available to applicants with disabilities upon request during the recruitment process.


HUMAN RIGHTS STATEMENT

MutualONE strives to ensure that its employment practices are free from direct and indirect discrimination and is committed to upholding the human rights of those participating in the hiring process. In pursuit of this commitment, MutualONE will not condone or tolerate any acts of discrimination or harassment under any of the grounds protected under human rights legislation. This commitment extends to the hiring process and throughout the course of employment.