ontario claims examiner insurance Jobs – 17 Openings This Week

Desktop Claims Investigator and Examiner
County of Simcoe —Midhurst, ON
- $77,914–$94,786 a year
- Full-time
- Microsoft Excel
- Travel
- Computer skills
15h
Bilingual Claims Counsel / Examiner, Specialty Insurance
Trisura —Toronto, ON
- $135,000–$175,000 a year
- Hybrid work
- Bilingual
- English
- Bachelor's
13h
Bilingual Claims Counsel / Examiner, Specialty Insurance
Trisura Guarantee Insurance Company —Toronto, ON
- $135,000–$175,000 a year
- Full-time
- Hybrid work
- Bilingual
- English
- Bachelor's
Quick apply
17h
Contract Claims Examiner
Temple Insurance —Toronto, ON
- $85,425–$110,550 a year
- Temporary
- Hybrid work
- Microsoft Powerpoint
- Microsoft Word
- Microsoft Excel
- Tuition reimbursement
6d
Claims Examiner
ARAG Legal Solutions Inc —Toronto, ON
- $55,000–$65,000 a year
- Analysis skills
- Communication skills
Quick apply
1d
Senior Claims Examiner
Temple Insurance —Toronto, ON
- $108,360–$140,000 a year
- Full-time
- Hybrid work
- Customer service
- Finance
- Analysis skills
- Tuition reimbursement
Senior Liability Examiner
Westland Insurance Ltd. —Ontario
- $90,400–$113,000 a year
- Full-time
- Remote
- Analysis skills
- Organizational skills
- Dental care
Quick apply
Senior Claims Examiner – Professional Lines
DWF —Toronto, ON
- $110,000–$130,000 a year
- Full-time
- Remote
- Bilingual
- English
- Bachelor's
Claims Examiner
DWF —Toronto, ON
- $80,000–$90,000 a year
- Finance
- Bachelor's
- In-person
Curo - Accident Benefits Claims Examiner
OTIP Group of Companies (OTIP, Orbit, Curo) —Waterloo, ON
- Overtime
- Microsoft Office
- Organizational skills
- Medical terminology
Quick apply
6d
Claims Adjuster SIU
CAA Insurance Company —Thornhill, ON
- $49,500–$78,200 a year
- Microsoft Office
- Analysis skills
- Communication skills
- Wellness program
- Tuition reimbursement
Quick apply
6d
Large Loss Commercial Property Claims Examiner
Aviva —Markham, ON
- $100,700–$150,700 a year
- Hybrid work
- Writing skills
- Accounting
- Construction
Intermediate Account Administrator - Centralized Payment Unit (6 Months Contract)
Aviva —Markham, ON
- $50,000–$60,000 a year
- Contract
- Hybrid work
- Microsoft Excel
- Microsoft Access
- Databases
12d
Bilingual Analyst - Special Investigations Unit (ON)
Echelon Insurance —Mississauga, ON
- $58,000–$89,200 a year
- Bilingual
- English
- Research
- Wellness program
- Tuition reimbursement
Quick apply

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Claims Adjuster SIU
CAA Insurance Company —Thornhill, ON
Completion of or willingness to obtain the following license/certification/courses: Private Investigator License, Certified Fraud Examiner (CFE) certification,…
$49,500–$78,200 a year
Quick apply
6d
Intermediate Account Administrator - Centralized Payment Unit (6 Months Contract)
Aviva —Markham, ON
The successful candidate will maintain a portfolio of Premiere vendors, provide feedback to both internal/external customers, process a high volume of payments…
$50,000–$60,000 a year
12d

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claims examiner insurance jobs near ontario

Desktop Claims Investigator and Examiner

County of Simcoe -
Midhurst, ON

Apply Now

Job details

Full-time
$77,914–$94,786 a year
15 hours ago

Qualifications

Microsoft Excel
Computer skills
College diploma
Medical terminology
Class G Licence

Full job description

Requisition Title

Desktop Claims Investigator and Examiner

Close Date

18 June 2026

Contract Type

Permanent - Full Time

Location

Midhurst, ON L9X 1N6 CA (Primary)

Job Description

PART 1 – DESCRIPTION OF POSITION

WHO WE ARE

The SCMIP became operational on June 1, 2025. The Pool was established to provide a sustainable, municipally governed insurance pool model designed to reduce long-term premium costs, increase claims handling consistency, improve risk management practices, strengthen intermunicipal collaboration, and take greater control of the claims and insurance programs. The Pool consists of 18 members including the County of Simcoe, and 17 area municipalities. The SCMIP purchases insurance on a group basis for these municipalities and manages all their claims and offers risk management services to all members.

POSITION SUMMARY

Under the direction of the SCMIP Supervisor, Risk and Claims, this role involves examining, investigating, negotiating, mitigating, and settling claims for SCMIP Members. Responsibilities include examining claims where Third Party Adjusters (TPAs) perform full adjusting functions, developing procedures for efficient claim handling and gathering data for record-keeping and loss forecasting, estimating the financial value of claims and maintaining accurate records, tracking documentation and payments in a centralized claims handling software (ClearRisk), and adjusting insurance claim files from start to finish, including site inspections, information collection, and recommending payment or denial based on legislation. The role places a strong emphasis on managing physical damage auto claims, and prior experience in this area would be considered a valuable asset.

DUTIES AND RESPONSIBILITIES (not listed in order of priority)

1. Examine, validate information and provide direction on claims adjusted by TPA’s and when required, attend loss locations, meetings or collect required information to adjudicate such claims.

2. Investigate, negotiate, resolve or deny claims made against the SCMIP members for bodily injury, property losses, general liability, vehicle and transit losses within authorized limits as delegated by the Risk Manager.

3. Assign field investigation to Third Party Adjusters (TPA’s) to attend accidents or loss scenes, photograph, and take statements from claimants and witnesses as required.

4. Review TPA task assigned statements from claimants and witnesses to assist in determining liability and negotiating the compensation or resolve of losses.

5. Retain the services of outside experts such as appraisers, engineers, medical specialists and rehabilitation firms. Review their reports and take action as necessary.

6. Prepare reports, system reports and records as directed and update claims management data within ClearRisk. Comply with the established procedures for documenting the claim file and financial systems.

7. Provide informational updates and receive direction on significant claims and risk management issues from the Risk Manager and insurer.

8. Provide a review of loss data and risk management services recommendations to the Risk Manager. Work with the Supervisor of Risk and Claims to facilitate required training for frequently occurring claims received by the SCMIP members to establish risk mitigation for future claims.

9. Complete all required forms in accordance with Legislated Regulations, internal policies and procedures, as well as Standard Operating Procedures.

10. Maintain a good working knowledge of case law including statutes such as The Insurance Act of Ontario, The Highway Traffic Act, The Occupier’s Liability Act, The Negligence Act, The Municipal Act, Minimum Maintenance Standards for Municipal Highways, and any other statutes relevant to the types of claims handled.

11. Participate in professional associations to maintain and exchange beneficial information.

12. Conduct investigations or assignments outside of regular work hours as required.

13. Perform all computer and system related activities consistent with the functional requirements of the job.

14. Other duties as assigned, including deployment in emergency situations.

15. Comply with provincial and County occupational health and safety legislation, regulations, policies and procedures.

16. Maintain confidentiality in accordance with the Municipal Freedom of Information and Protection of Privacy Act.

CORPORATE COMPETENCIES

Has knowledge of and demonstrated ability in our corporate competencies:

Acts with the Customer in Mind

Ensures Accountability

Continuously Seeks to Improve Work Processes

Collaborates

Communicates with Impact

Is Resilient

EDUCATION, TECHNICAL SKILLS AND CERTIFICATION

Minimum of a two (2) year college diploma in Business Administration. This job may be considered for education equivalency in accordance County Policy.

Certified Insurance Professional Designation (CIP) with the Insurance Institute of Canada.

Certified Risk Manager Designation – CRM (will be an asset).

Computer skills in Excel, Word, or equivalent.

Asset to know and understand claims handling software ClearRisk.

Ability to communicate well, both written and orally.

Must be able to maintain a high level of confidentiality.

Must be able to handle a busy workload.

Willing and able to provide a Police clearance check.

Criminal records check that is less than 6 months old at time of hire.

Valid G class drivers license and access to reliable vehicle.

EXPERIENCE

At least 5 (five) years’ experience in the insurance industry involving the adjusting and processing of claims; significant exposure related to physical damage auto claims, property damage claims and bodily injury claims; the understanding of medical terminology and the interpretation of medical reports; the exposure to setting of reserves; exposure to underwriting and loss analysis.

EFFORT

Mental and visual effort required when performing analysis and reporting.

WORKING CONDITIONS

Regular office environment.

Some travel within Simcoe County required.

Ability to work remotely if required.

#COSIND

Salary Grade

$77,914.00 - $94,786.00

Union

Non Union

The County of Simcoe thanks all applicants for their interest in this opportunity, but please note that only those candidates selected for an interview will be contacted.

Personal information provided is collected under the authority of the Municipal Act (2001) and will be used to determine eligibility for employment.

Apply Now

Refine Your Search

claims examiner insurance jobs in ontario

Desktop Claims Investigator and Examiner

Bilingual Claims Counsel / Examiner, Specialty Insurance

Bilingual Claims Counsel / Examiner, Specialty Insurance

Contract Claims Examiner

Claims Examiner

Senior Claims Examiner

Senior Liability Examiner

Senior Claims Examiner – Professional Lines

Claims Examiner

Curo - Accident Benefits Claims Examiner

Claims Adjuster SIU

Large Loss Commercial Property Claims Examiner

Intermediate Account Administrator - Centralized Payment Unit (6 Months Contract)

Bilingual Analyst - Special Investigations Unit (ON)

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I want to receive the latest job alerts for claims examiner insurance in ontario

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PART 1 – DESCRIPTION OF POSITION

WHO WE ARE

POSITION SUMMARY

DUTIES AND RESPONSIBILITIES (not listed in order of priority)

CORPORATE COMPETENCIES

EDUCATION, TECHNICAL SKILLS AND CERTIFICATION

EXPERIENCE

EFFORT

WORKING CONDITIONS

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