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Claims Adjudicator
2 months ago
Job Summary:
The Associate Claims Adjudicator plays a crucial role in ensuring the accurate verification and processing of claims. This involves financial reviews and analysis of producer applications to determine eligibility for programs delivered by Agricorp.
Key Responsibilities:- Adjudicate 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.
- Evaluate and escalate issues that may lead to high risk to senior team members.
- Contribute to the successful delivery of the team/divisional mandate and business objectives.
- Provide technical advice to producers, clients, and other Agricorp employees.
- Stay current on Agricorp-administered products and services.
- Participate in team goal setting.
- Post-secondary degree or diploma in business, economics, agricultural science, or a 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 are an asset.
- Demonstrated ability to communicate clearly to diverse groups, including clients, brokers, agents, and other professionals.
- Experience preparing claim-related documentation, including the preparation of files for litigation.
- 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) is an asset.
Agricorp is an agency of the government of Ontario, delivering 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.