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Insurance Claims Processing Jobs in Calgary, AB (NOW HIRING)

Wawanesa Insurance

Lead Executive Claims Analyst

Calgary, AB · Hybrid

CA$90K - CA$115K/yr

About The Wawanesa Mutual Insurance Company Founded in 1896, The Wawanesa Mutual Insurance Company ... Analyze business processes for opportunity for improvement by eliminating waste and implementing ...

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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 job categories do people searching Insurance Claims Processing jobs in Calgary, AB look for?

The top searched job categories for Insurance Claims Processing jobs in Calgary, AB are:

Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing job openings in Calgary, AB as of September 2026, with employment types broken down into 100% Full Time. Highlights an 33% In-person, 34% Hybrid, and 33% Remote job distribution.

Registered Pharmacy Technician

Calgary, AB • On-site

Costco Wholesale
Retail • 10K+ employees
Learn more about Costco Wholesaleexternal

Full-time

Re-posted 8 days ago

Costco rating

8.1

Company rating: 8.1 out of 10

Based on 1,935 frontline employees who took The Breakroom Quiz

Job description

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Job Description 

Description of position:
Assists Pharmacist to fill and dispense prescriptions for patients. Assists patients at counter, retrieves prescriptions, processes register transactions. Orders and stocks drugs, supplies, and over-the-counter merchandise. Updates patient records and inventory, processes invoices, and makes accounting entries using computerized system. Dispenses prescription medications utilizing pharmacy standards.
Daily tasks and responsibilities:

  • Assists patients at counter, receives written prescriptions for Pharmacist, and retrieves filled prescriptions. Processes register transactions. Receives payment, makes change, processes checks, credit and debit charges. Provides prompt and courteous patient services. Answers phones, directs members to product location.
  • Obtains patient medical history and maintains confidential computer record, and assists pharmacist in updating patient profile and entering prescription information into the pharmacy computer to extent permitted by provincial regulations. Preserves patient confidentiality.
  • Fills prescriptions by bringing stock bottles, counting medication into appropriate container, labeling, and pricing prescriptions under Pharmacist's supervision to the extent permitted by provincial regulations.
  • Completes packaging verification for prescriptions previously checked for therapeutic appropriateness by the pharmacist to the extent permitted by provincial regulations. Follows safety and security procedures.
  • Counts, labels (including appropriate auxiliary labels), and packages prescriptions, through workflow and bin management.
  • Alerts pharmacist to drug interactions in prescription and over the counter medications.
  • Verifies prescriptions and refills with physicians by phone as needed and takes verbal prescriptions to the extent permitted by provincial regulations. Selects generic substitutions when necessary.
  • Prepares third-party insurance claims, processes invoices, and makes accounting entries using computerized system.
  • Orders, receives, tags, and stocks prescription drugs, supplies and over-the counter products. Follows product storage procedures, standards and merchandising plan. Performs department 93 stocking duties as well as OTC roaming. Creates product signs. Ensures department is clean at all times.  


Non-Essential Functions and Tasks:

  • Assists in other areas of the warehouse as necessary.


Qualifications (Costco-specific or industry-specific skills that candidates must possess):

  • Education/Training: Completed provincial Pharmacy Technician certification or Completed a Pharmacy Technician course at a Community College and the Pharmacy Examination Board of Canada Qualifying exam
  • Licenses/Certifications: Licensed as a Pharmacy Technician in good standing in province of work.
  • Experience:  Candidates with current Costco Pharmacy experience will be given preference over other candidates.
  • Knowledge/Skills: Computer, math, and member service skills preferred.
  • Other:         


Knowledge and talents recommended for job success:
NOTE:
 

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About Costco

Sourced by ZipRecruiter

Costco is a membership warehouse club, dedicated to bringing our members the best possible prices on quality brand-name merchandise. With more than 800 locations worldwide, Costco provides a wide selection of merchandise, plus the convenience of specialty departments and exclusive member services, all designed to make your shopping experience a pleasurable one. Today, as the company evolves, it stays true to the qualities that helped attract and retain millions of loyal members around the globe: Commitment to quality. Costco warehouses carry about 4,000 SKUs (stock keeping units) compared to the 30,000 found at most supermarkets. By carefully choosing products based on quality, price, brand, and features, the company can offer the best value to members.

Industry

Retail

Company size

10,000+ Employees

Headquarters location

Issaquah, WA, US

Year founded

1983

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