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Insurance Claims Processing Jobs in Toronto, ON (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 ...

IKO Industries, Inc

Insurance Analyst

Toronto, ON

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 Toronto, ON

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 Toronto, ON?

For Insurance Claims Processing jobs in Toronto, ON, the most frequently searched job titles are:

What job categories do people searching Insurance Claims Processing jobs in Toronto, ON look for?

The top searched job categories for Insurance Claims Processing jobs in Toronto, ON are:

What cities near Toronto, ON are hiring for Insurance Claims Processing jobs?

Cities near Toronto, ON with the most Insurance Claims Processing job openings:

Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing job openings in Toronto, ON as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 21% Part Time, and 5% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

Bilingual Claims Assistant - Medical (Contract)

Royal Bank of Canada

Mississauga, ON

CA$46K - CA$70K/yr

Full-time

Posted 12 days ago

Job description

Job Description

What is the opportunity?

Join the Medical Request Team (MRT) for a one-year contract role in a fast-paced, high-volume claims environment. The MRT is responsible for requesting and following up on medical documentation on behalf of the Claims Specialists, playing a key role in the claims process by allowing specialists to focus on adjudication. You'll also manage invoice payments related to medical documentation. This role requires strong organizational skills, attention to details, and the ability to consistently meet tight turnaround times while managing high task volumes.

What will you do?

  • Send medical requests and follow-up on medical requests within the given service level agreement on behalf of the Claims Specialists

  • Effectively balance both new requests and follow-ups to ensure the team's task queue is manageable and work is distributed fairly across all team members

  • Manage the Medical Intake mailbox and prioritize incoming requests efficiently

  • Process invoice payments accurately and in a timely manner

  • Update claims systems with accurate and applicable information, maintaining error-free records

  • Implement and effectively manage change initiatives within the team

  • Participate in projects and initiatives within Life & Health Claims

What will you need to succeed?

Must have:

  • Bilingualism (English and French) required, as you will regularly serve our clients and do business with RBC partners and/or employees across Canada with English and French speaking needs.

  • Fluency in English and French, oral and written

  • Proficiency in claims systems for lines of businesses being supported

  • Proven problem-solving skills, including the ability to identify additional sources to uncover vital information not otherwise available

  • Proficient in MS Office - Word, Excel, PowerPoint

  • Ability to multi-task and balance goals and priorities

  • Strong organizational and communication skills with demonstrated ability to work collaboratively in a team environment

Nice to Have:

  • 1-2 years of experience in claims, insurance or healthcare administration

  • High school diploma or Business Administration credential

  • Insurance designation or relevant certifications

  • Experience with high-volume processing environment

Special Conditions

Please note this is a one year contract position expiring September 30, 2027.

What's in it for you?

  • Competitive pay and high-earning potential

  • All the tools, training, and team support you need to grow your career

  • Flexible work/life balance options

  • RBCI software tools to boost your productivity

Why join our team?

RBC is an organization that succeeds by bringing out the best in its people. You'll be part of a supportive, inclusive team that shares common values - including a fundamental respect for each other. At the heart of this is a commitment to diversity. RBC respects and responds to the many competing and evolving priorities in our lives - so you can focus on what you can do best - putting clients first.

Job Skills

Communication, Coverage Analysis, Critical Thinking, Customer Service, Decision Making, Insurance Claims Investigations, Knowledge of Claims, Long Term Planning, Settlement Negotiations

Additional Job Details

Address:

MEADOWVALE BUSINESS PARK, 6880 FINANCIAL DR:MISSISSAUGA

City:

Mississauga

Country:

Canada

Work hours/week:

37.5

Employment Type:

Full time

Platform:

INSURANCE

Job Type:

Contract (Fixed Term)

Pay Type:

Salaried

Posted Date:

2026-08-07

Application Deadline:

2026-08-31

Note: Applications will be accepted until 11:59 PM on the day prior to the application deadline date above

Compensation for this position (including salary and discretionary/variable payments) will be determined by factors, including but not limited to candidate's experience, skills, registration status, performance, individual goals, market conditions, and business needs.

Pay Range

The expected pay range for this position is:

$46,000.00 - $70,000.00

The pay range provided is for the primary work location referenced in the Additional Job Details section of this job posting. Pay ranges may differ based on location. If the posting lists multiple job locations, a recruiter can confirm availability of the role and the relevant pay rage for the additional locations listed. RBC supports pay transparency and we strive to ensure all pay ranges are competitive, fair, and equitable.

You have the potential to earn RBC's discretionary variable compensation program which gives you an opportunity to increase your total compensation, provided that business meets its performance targets and you meet your individual goals.

Our Employment Opportunities

At RBC, we are guided by living shared values of Client First, Integrity, Collaboration, Respect and Excellence and winning together as One RBC. We believe an inclusive workplace that has diverse perspectives is core to our continued growth as one of the largest and most successful banks in the world. Maintaining a workplace where our employees feel supported to perform at their best, effectively collaborate, drive innovation, and grow professionally helps to bring our Purpose to life and create value for our clients and communities. RBC strives to deliver this through policies and programs intended to foster a workplace based on respect, belonging and opportunity for all.

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Expand your limits and create a new future together at RBC. Find out how we use our passion and drive to enhance the well-being of our clients and communities at jobs.rbc.com.

RBC is presently inviting candidates to apply for this existing vacancy. Applying to this posting allows you to express your interest in this current career opportunity at RBC. Qualified applicants may be contacted to review their resume in more detail.

Employment Type: FULL_TIME

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