Claims Adjudicator

Agricorp; Guelph; On-site; CAD 66,000 - 78,000; Full time

Benefits offered by this job

Health benefits

Pension plan

Paid vacation and sick leave

Work-life balance

Learning and development

Job summary

Agricorp, an Ontario government agency, seeks a Claims Adjudicator to support farmers by conducting financial analysis and determining eligibility for program benefits. You will review complex claims, collaborate with specialists, and provide technical guidance across Agricorp's programs.

The role emphasizes accuracy, stakeholder communication, and teamwork within the Claims Services and Program Delivery divisions. Permanent full-time in-office in Guelph.

Qualifications

• Post-secondary degree or College diploma in finance, business, economics, commerce, agricultural science/management or related field, or equivalent experience; additional training in accounting, risk analysis/risk management, or financial analysis an asset
• 3+ years experience in claims or risk adjudication, preferably in 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 and ability to work in a collaborative team environment
• Agricultural knowledge is an asset
• Quality Focus – Attends to the task at hand to minimize errors and provide consistent delivery of work to the highest possible standard
• Client focus – Meets the expectations of internal and external customers through establishing effective relationships, gaining trust and respect
• Analytical thinking – Uses facts and available information to develop logical assumptions
• Critical judgment, decision making and problem solving – Makes the best decision, in a timely manner, based upon a combination of analysis, knowledge, experience and judgement
• Initiative – Identifies and handles issues and situations to take action; seizing opportunities when they arise
• Efficiency – Effectively plan and organize time and resources to prioritize work to effectively meet objectives

Responsibilities

• Review, verify and approve large and/or complex claims applications of varying complexity and payment value in accordance with program guidelines
• 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 agents and producers related to Agricorp's suite of programs
• Identify and elevate 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 producers and agents

Skills

Communication

Analytical thinking

Analytical skills

Initiative

Efficiency

Client focus

Critical judgment

Problem solving

Team collaboration

Time management

Education

Finance/Business/Econ degree

Agricultural knowledge (asset)

Tools

Accounting analysis

Job description

Are you looking for a meaningful career? Are you someone who thrives on solving complex problems, asking the right questions, and thinking a few steps ahead? Let’s put that thinking to work.

Agricorp has an opportunity for a Claims Adjudicator, supporting the farmers of Ontario when they need it most. Claims Adjudicators help deliver financial and risk management government programs for Ontario’s agriculture sector. They’re a vital part of the Claims Services team, working alongside customer-oriented professionals in Agricorp’s Program Delivery division, and are responsible for determining program benefits across a suite of different programs.

We believe our employees are our greatest strength, which is why we offer:

• Comprehensive health and dental benefits to keep you and your family well
• Pension plan to support your long-term financial security
• Paid vacation days and sick leave to support your overall well-being
• Work-life balance with supportive leaders who respect your time outside of work
• Opportunities for learning and growth, including mentoring, coaching, and support for professional development

The Role

Claims Adjudicators conduct production and financial analysis of farming operations to determine the eligibility of claims for programs delivered by Agricorp.

In this role, you will:

• Review, verify and approve large and/or complex claims applications of varying complexity and payment value in accordance with program guidelines
• 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 agents and producers related to Agricorp's suite of programs.
• Identify and elevate 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 producers and agents.

Job status: Permanent Full-time (posting for an existing vacancy)
Salary: $66,339 - $78,045
Work Status: Full-time in office
Location: Guelph, Ontario

What You Bring

• Post-secondary degree or College diploma in finance, business, economics, commerce, agricultural science/management 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 and ability to work in a collaborative team environment
• Agricultural knowledge is an asset
• Quality Focus – Attends to the task at hand to minimize errors and provide consistent delivery of work to the highest possible standard
• Client focus –Meets the expectations of internal and external customers through establishing effective relationships, gaining trust and respect
• Analytical thinking –Uses facts and available information to develop logical assumptions
• Critical judgment, decision making and problem solving – Makes the best decision, in a timely manner, based upon a combination of analysis, knowledge, experience and judgement
• Initiative – Identifies and handles issues and situations to take action; seizing opportunities when they arise
• Efficiency –Effectively plan and organize time and resources to prioritize work to effectively meet objectives

Background

Agricorp, an agency of the government of Ontario.

Agricorp delivers government programs. These programs 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 $6-8 billion in risk each year. The agency was established in 1997, and since then we’ve made over $8 billion in payments to farmers when they needed it most.