Claims Adjudicator
2 days ago
Job Title: Associate Claims Adjudicator
Job Type: Permanent, Full-time
Location: Ontario, Canada
Job DescriptionAgricorp is seeking a highly skilled Associate Claims Adjudicator to join our Claims Services, Customer Commitment team in the Program Delivery division.
As an Associate Claims Adjudicator, you will be responsible for timely and accurate verification and processing of claims. Your key responsibilities will include:
- Adjudicating client files by assessing the claim application against coverage, reviewing data for completeness, researching and investigating discrepancies, and calculating program benefits according to Agricorp's contractual obligations and adjudication best practices.
- Reviewing, verifying, and approving small or routine claims applications within a prescribed monetary limit for all programs delivered by Agricorp.
- Escalating issues that arise to senior team members.
- Contributing to the successful delivery of the team/divisional mandate and business objectives.
- Informing senior team members of discrepancies that may lead to high risk.
- Providing technical advice to those outside of Claims Services, such as producers, clients, and other Agricorp employees.
- Staying current on Agricorp-administered products and services.
- Participating in team goal setting.
Requirements:
- Post-secondary degree or diploma in business, economics, agricultural science, or related field, or equivalent experience.
- Experience in claims or risk adjudication, preferably in the financial services or agricultural sectors.
- Additional training courses in accounting, risk analysis/risk management, or financial analysis an asset.
- Demonstrated ability to communicate clearly to diverse groups, including clients, brokers, agents, and other professionals.
Key Competencies:
- 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.
- Program knowledge – Knows and understands the programs and services provided by Agricorp.
About Agricorp:
Agricorp is an agency of the government of Ontario. We deliver government programs that help protect the livelihood of over 50,000 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.
How to Apply:
To apply for this position, please submit your application through our website.
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