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Insurance Claims Processing Jobs in Edmonton, AB

Costco Wholesale

Pharmacy Clerk Certified

Nisku, AB · On-site

Prepares third-party insurance claims, processes invoices and makes accounting entries using computerized system. * Orders, receives, tags and stocks prescription drugs and supplies. Follows product ...

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Insurance Claims Processing information

Is claims processing a stressful job?

Insurance claims processing can be stressful due to tight deadlines, high workload, and the need for accuracy in evaluating claims. The role often requires strong attention to detail, communication skills, and the ability to handle difficult or emotional situations with claimants. However, workload and stress levels can vary depending on the employer and specific job environment.

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.

How to get a job as a claims adjuster with no experience?

To become a claims adjuster with no experience, focus on obtaining relevant certifications such as the Property and Casualty (P&C) license, which is often required. Gaining entry-level positions or internships in insurance companies can also help build industry knowledge and skills like communication and attention to detail, increasing your chances of starting a claims adjusting career.

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, and why are they important?

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 does an insurance claims processor 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 specialized software. Strong attention to detail and knowledge of insurance policies are essential for this role.
Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing job openings in Edmonton, AB as of July 2026, with employment types broken down into 96% Full Time, and 4% Contract. Highlights an 66% In-person, 19% Hybrid, and 15% Remote job distribution.

Bilingual Claims Quality Assurance Analyst

Wawanesa Insurance

Edmonton, AB • Hybrid

CA$77K - CA$92K/yr

Other

Retirement, PTO

Posted 14 days ago

Job description

Job ID: 10204 


Employment Type: Existing Role

Work Environment: We offer a hybrid work environment that offers flexibility to our employees in balancing in-office (2 days per week OR 15 hours per week in a Wawanesa office) and remote work. You may work from any of the following locations: Winnipeg, MB; Wawanesa, MB; Vancouver, BC; Calgary, AB; Edmonton, AB; Lethbridge, AB; Toronto (North York), ON; Kitchener, ON; Ottawa, ON; Montreal, QC; Moncton, NB; Dartmouth; NS. 

Working Business Language: Bilingual in French and English. This role requires regular interaction with customers across Canada where the business languages utilized are both English and French.As such, the successful candidate must be fully proficient in English and French.   
 

Salary: At Wawanesa, salary is only one component of a holistic, comprehensive and competitive offering that we provide to our employees. In addition to salary, full-time and part-time permanent employees are eligible for an annual bonus plan, leave of absence top-up programs and provided with generous vacation time, personal days, premium free benefits and pension plan. 
 

The salary offered for this role is determined with consideration to various factors, including but not limited to: your work location, local labour market conditions, external market salary data, internal pay equity and the knowledge, skills, experience and anticipated proficiency in the role. The salary offered is estimated to be within the following range: $77,500 - $92,500. Candidates with salary expectations outside of the range are still encouraged to apply.

About The Wawanesa Mutual Insurance Company
Founded in 1896, The Wawanesa Mutual Insurance Company is one of Canada's largest mutual insurers, 100% owned by its members, with more than $4.1 billion in annual revenue and $12.5 billion in assets. Headquartered in Winnipeg, Wawanesa is the parent company of Wawanesa Life, which provides life insurance solutions throughout Canada, and Western Financial Group, a leading national distributor of personal and business insurance. In March of 2026, Wawanesa entered into an agreement to acquire Everest Insurance Company of Canada to strengthen its commercial insurance capabilities and advance its long-term growth strategy.


Wawanesa proudly serves more than 1.8 million members and we are home to more than 3,000 employees across Canada. The company actively gives back to organizations that strengthen communities, donating more than $4 million annually to charitable organizations, including more than $2 million each year in support of people on the front lines of climate change. Learn more at wawanesa.com.

We are currently looking for dedicated, driven, and enthusiastic individuals who thrive in an environment that welcomes change and are looking for an opportunity for diverse experience and advancement on a growing team.

Job Overview

As a Claims Quality Assurance Analyst, you'll play an important role in supporting Claims Operations by helping strengthen best-in-class practices, enhance file handling consistency, and contribute to a high-performance culture. In this role, you'll take part in file reviews, calibration sessions, and trend analysis to identify meaningful improvement opportunities across the claims experience.

Job Responsibilities

  • Champions change and continuous improvement within the Claims Division.
  • Reviews files, exposures and customer interaction to support the calibration of Adjusters and Claims Leaders to our claims processes.
  • Conducts calibration sessions with front line and regional claims managers.
  • Makes observations about opportunities to enhance calibration.
  • Identifies trends where practices are providing obstacles for claims teams and participates in continuous improvement exercises of those policies.
  • Participates in identifying and planning claims training.
  • Participates in formal QA only calibration sessions.
  • Maintains awareness of industry trends and changes to ensure Wawanesa is prepared to respond in a manner consistent with our vision and values.
  • Collaborates with members of the claims team to understand file opportunities, and leverage Wawanesa resources to build exceptional file handling practices.
  • Reviews and analyze performance reports.
  • Assists Sr. Analyst(s) in conducting regional level calibration sessions with operations as needed.
  • Performs other duties as assigned.
Qualifications
  • 3 to 5 years of experience adjusting or examining claims within the property and casualty insurance industry.
  • Demonstrated experience with Quebec auto and property claims.
  • Fluency in both French and English is required for this role.
  • Strong analytical and problem-solving skills, with the ability to identify trends, relationships, issues, and opportunities for improvement.
  • Excellent organizational skills, including the ability to manage priorities and adjust effectively as business needs evolve.
  • Ability to work effectively both independently and as part of a collaborative team.
  • Self-directed and accountable, with a strong commitment to team goals and shared success.
  • Completion of the CIP or FCIP designation would be considered an asset.


Diversity Equity, Inclusion& Belonging
At Wawanesa, we are committed to Diversity, Equity, Inclusion and Belonging (DEIB) and believe that our strength lies in the diversity of our people - this is supported by having a representative workforce.

We welcome applications from all qualified candidates, including racialized persons, women, Indigenous Peoples, persons with disabilities, members of the 2SLGBTQIA+ community, gender-diverse and neurodiverse individuals, and anyone who can contribute to the further diversification of thought and ideas. 
 

We aim to ensure our recruitment process is accessible to all candidates. If you require accommodations during any stage of the recruitment process, please reach out in confidence to jobs@wawanesa.com.
 

All Wawanesa job applicants are subject to Wawanesa's Privacy Policy.

Please note that the recruitment process for this position may involve the use of AI tools to screen, assess, or select applicants. All final decisions are taken or reviewed by human recruiters and human hiring leaders in compliance with all applicable legislation.  
 

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