Claims Adjudicator

Agricorp Ltd.; Guelph; Hybrid; CAD 62,000 - 74,000; Full time

Job summary

An established industry player is seeking a Claims Adjudicator to join their team in Ontario. In this pivotal role, you will conduct financial reviews and analyses to determine the eligibility of claims, ensuring a seamless claims process for clients. Your expertise will guide clients through complex claims, while collaborating with senior advisors on high-stakes cases. This position offers a blend of in-office and hybrid work arrangements, fostering a collaborative environment where your contributions directly impact the agricultural sector. If you are passionate about delivering excellent service and possess strong analytical skills, this opportunity is perfect for you.

Qualifications

• 3+ years experience in claims or risk adjudication, preferably in financial services.
• Post-secondary education in business or related field is required.

Responsibilities

• Manage client claims and evaluate applications against coverage criteria.
• Provide technical guidance to clients and maintain professional relationships.

Skills

Analytical Skills

Communication Skills

Organizational Skills

Problem Solving

Client Focus

Team Collaboration

Education

Post-secondary degree or diploma in business, economics, or agricultural science

Training in accounting or financial analysis

Job description

Location: 1 Stone PT
1 Stone Road West
PO Box 3660 Stn Central
Guelph, ON N1H8M4, CAN

Job Title: Claims Adjudicator

Claims Adjudicators conduct financial reviews and analyses to determine the eligibility of claims. They also verify customer production information, and process claims and claim payments for programs delivered by Agricorp.

In this role, you will:

• Manage client claims through the claims process, including claims of varying complexity and payment value, to evaluate applications against coverage criteria, verify reported data, liaise with customers to obtain required information, investigate discrepancies, and determine program benefits in accordance with Agricorp’s policies and best practices.
• Participate in claims file discussions and collaborate with senior quality advisors, claims specialists, or team leaders on cases requiring further approvals, legal counsel, or potential appeals.
• Provide technical guidance to clients and producers related to Agricorp's suite of programs.
• Identify and escalate high-risk issues to specialists or team leaders, as required.
• Coach and provide technical guidance to junior members of the team and peers across the organization.
• Maintain professional working relationships with clients and agents.

Job status: Permanent Full-time

Salary: $62,463 - $73,485 a year

Location: The successful candidate must live in Ontario to perform this role.

Work Status: Full time in office or hybrid work arrangements (3 days per week in office) offered.

Qualifications

• Post-secondary degree or diploma in business, economics, agricultural science or related field, or equivalent experience; additional training in accounting, risk analysis/risk management, or financial analysis an asset.
• 3 or more years experience in claims or risk adjudication, preferably in the financial services or agricultural sectors.
• Demonstrated ability to communicate clearly, verbally and in writing, to diverse groups, including clients, brokers, agents, and other professionals.
• Demonstrated analytical and interpretive skills.
• Strong organizational skills.
• Ability to work in a collaborative team environment.
• Agricultural knowledge is an asset.
• Working towards a professional designation in finance, Chartered Insurance Professional (CIP), or Fellow of the Insolvency Institute of Canada (FIIC) an asset.
• Achieving quality results: Focuses efforts on managing one’s self to achieve high-quality results consistent with the organization’s standards and measures, while managing risk.
• Client focus: Provides service excellence to internal and external clients.
• Analytical thinking: Interprets, links, and analyses information and situations by breaking them down into component parts and identifying patterns, connections, and underlying issues.
• Critical judgment, decision making and problem solving: Uses critical judgment to make decisions and solve problems involving varied levels of complexity, ambiguity, and risk.
• Initiative: Identifies and deals with situations and issues proactively and persistently, seizing opportunities that arise.
• Planning and organizing: Develops, implements, evaluates, and adjusts plans to reach goals while ensuring the optimal use of resources.

Background

Agricorp, an agency of the government of Ontario.

Agricorp delivers government programs that help protect the livelihood of over 47,000 Ontario farmers against the many risks farm businesses face every day. Our employees are skilled professionals who respond when industry and government need us, manage public funds with great care and integrity, and deliver a quality customer experience.

Agricorp helps grow Ontario agriculture. We underwrite $7 billion in risk each year. The agency was established in 1997, and in our first 25 years, we made $7.5 billion in payments to farmers when they needed it most.

Apply online

To apply for this position, please go to www.agricorp.com and select Careers. Click on Current Opportunities.

Please submit your application for this position by April 11, 2025.

We thank all applicants for their interest; however, only those selected for an interview will be contacted directly.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.