ZipRecruiter

Log In

2

Remote Claims Processor Jobs in Toronto, ON (NOW HIRING)

Davies

Account Manager -Remote

Markham, ON · Remote

CA$80K - CA$111K/yr

ClaimsPro LP Account Manager -Remote Compensation range: $80,300.00 - $111,500.00 annually We have ... Create and Maintain Service Level Agreements and Claims Handling Process/Guideline documents as per ...

next page

Showing results 1-20

All JobsClaims Processor JobsRemote Claims Processor JobsRemote Claims Processor Jobs in Toronto, ON

Remote Claims Processor information

See Toronto, ON salary details

$11

$16

$19

How much do remote claims processor jobs pay per hour?

As of Aug 27, 2026, the average hourly pay for remote claims processor in Toronto, ON is $16.11, according to ZipRecruiter salary data. Most workers in this role earn between $15.14 and $17.21 per hour, depending on experience, location, and employer.

What does a remote claims processor do?

The job duties of a remote claims processor revolve around working to process insurance claims. You typically work from home or another remote location. Your responsibilities start with assessing the claimant's insurance policy and coverage. You review documents and records related to the claim and decide on approval or denial of the claim. A processor also prepares the paperwork necessary for the insurer to process the case for the client. You also have customer service duties, such as answering patient questions and telling them about the claim status. Processors can work with medical insurance, property insurance, or casualty insurance.

What does a remote claims processor do?

A Remote Claims Processor reviews, evaluates, and processes insurance claims from a remote location, typically working from home. They verify information, assess documentation, and determine the validity of claims for insurance companies or healthcare providers. This role requires attention to detail, knowledge of insurance policies, and the ability to communicate with clients or providers to resolve discrepancies. Remote Claims Processors use specialized software to manage claims efficiently and ensure compliance with industry regulations.

What are the key skills and qualifications needed to thrive as a remote claims processor, and why are they important?

To thrive as a Remote Claims Processor, you need strong attention to detail, analytical skills, and a solid understanding of insurance policies, often supported by a high school diploma or relevant experience. Familiarity with claims management software, Microsoft Office Suite, and sometimes industry certifications like AIC (Associate in Claims) are typically required. Excellent written communication, time management, and problem-solving abilities help you stand out in this role. These skills ensure accurate and efficient claims handling, customer satisfaction, and compliance with regulatory standards in a remote work environment.

What are some common challenges faced by remote claims processors, and how can they be addressed?

Remote Claims Processors often encounter challenges such as managing high volumes of claims, maintaining accuracy without in-person supervision, and communicating effectively with team members across different locations. To address these, it's essential to develop strong organizational skills, utilize digital tools for tracking and documentation, and participate actively in virtual team meetings. Proactively seeking feedback and staying updated on policy changes can also enhance efficiency and reduce errors in a remote setting.

What is the difference between Remote Claims Processor vs Remote Claims Examiner?

AspectRemote Claims ProcessorRemote Claims Examiner
Required CredentialsHigh school diploma or equivalent; some roles may require insurance or claims processing certificationsHigh school diploma or equivalent; often requires licensing or certification in insurance claims examination
Work EnvironmentHome-based or remote office; primarily computer and phone workHome-based or remote; involves reviewing and analyzing insurance claims
Industry UsageInsurance, healthcare, government agenciesInsurance companies, healthcare providers, government agencies
Common Search/ComparisonYesYes

Remote Claims Processors and Remote Claims Examiners both work in the insurance industry, often remotely, handling claims. While both roles require similar credentials and work environments, Claims Examiners typically perform more detailed analysis and may require specific licensing. Understanding these differences helps job seekers identify the right position based on their skills and certifications.

More about Remote Claims Processor jobs

What are popular job titles related to Remote Claims Processor jobs in Toronto, ON?

For Remote Claims Processor jobs in Toronto, ON, the most frequently searched job titles are:

What job categories do people searching Remote Claims Processor jobs in Toronto, ON look for?

The top searched job categories for Remote Claims Processor jobs in Toronto, ON are:

Remote Claims Processor jobs near you
Infographic showing various Remote Claims Processor job openings in Toronto, ON as of August 2026, with employment types broken down into 1% Internship, 86% Full Time, 10% Part Time, and 3% Contract. Highlights an 82% Physical, 5% Hybrid, and 13% Remote job distribution, with an average salary of $33,503 per year, or $16.1 per hour.

Claims Processing Specialist ( Fixed Term)

WCG International Consultants Ltd.

Toronto, ON • Remote

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Company Description

We believe in the power of work. Since 1994, we’ve been partnering with governments and local agencies across Canada to create sustainable employment opportunities for people, businesses and communities. We understand that work gives hope, strengthens relationships and drives economic growth.

Job Description

About the role

Location: Remote - Canadian Home Office 

Status: Fixed Term until December 31st, 2026

As a Claims Processing Specialist, you’ll be responsible processing performance-based funding alongside employment- related financial supports for clients and employer expenditures. You will work closely with the Claims Manager and Financial Quality and Support Specialist to ensure accuracy, compliance and continuous quality improvement while maintaining high level of confidentiality pertaining to client records and financial information. 

What you'll do

  • Process client and employer financial support claims and ensuring contractual and legislative requirements are met
  • Ensure quality assurance for claims/invoices processed by Service Provider staff
  • Answer inquiries from staff regarding claims and other administrative questions
  • Communicate any issues regarding ineligible claims in line with processes
  • Provide support and guidance to staff regarding claims processing in line with contractual and guideline requirements
  • Keep abreast of emerging trends for claims assessment and flag these to the Claims Manager.
  • Demonstrate flexibility to be able to change activities based on changing requirements and business needs '
  • Ensure discrepancies are handled appropriately and escalating issues when necessary; refer staff to appropriate team members or internal partners as appropriate
  • Protect the interests of the organization – identify and manage risks, and escalate non-standard, high-risk transactions / activities as necessary
  • Develop a strong understanding of WCG’s contract, guidelines, policies, and process
  • Undertake standard and ad hoc data entry tasks
  • Effective use of WCG’s Case Management System and other systems and databases
Qualifications

What you bring

  • Strong auditing background and data entry experience
  • Minimum 2-3 years’ experience in a similar role working in a service-oriented organization
  • Proficient in MS Office especially Excel and Word
  • Detail oriented with a high level of accuracy
  • Ability to adapt to change
  • Understanding of the needs of a highly confidential environment
  • Able to maintain composure during difficult and high-pressure situations
  • Results driven with creative approach to idea generation and problem solving
  • Excellent organizational and time management skills
  • Ability to working in fast paced environment with changing workload

Preferred Criteria:

  • Bilingual (English and French)
  • Knowledge of the Employment Services industry

For complete job requirements, see the full Job Description here.


Additional Information

What we offer

  • Competitive salary of $53,040 per year
  • Ongoing learning and development opportunities
  • Generous time off policy to encourage work/life balance
  • A diverse and inclusive workplace with a track record of high employee engagement and teamwork

Diversity, Equity, Inclusion and Belonging Matter

WCG is strengthened by diversity. We are committed to achieving a workplace that is equitable and representative of Canada’s diverse population. We actively work to attract, develop, and retain employees from diverse and equity-deserving backgrounds who have exceptional ability and the desire to make a difference. We continuously strive to support individual needs and differences in a work environment that is built on inclusivity and respect for everyone.

WCG is committed to providing an accessible, barrier free recruitment and selection process. If contacted for an employment opportunity, please advise us if you require accommodation in advance of any part of the recruitment and selection process.

Passion and Lived Experience Matter!

If you don’t quite have the above credentials but feel passionate about this role and your ability to do it successfully, please APPLY ANYWAY! Tell us in your application why you believe you would be a great fit. We believe in developing talent and have a wide range of opportunities to support passionate team members as they grow towards their employment goals.