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Claims Adjudicator

2 months ago

Guelph, Ontario, Canada AgriCorp Full time
Job Title: Associate Claims Adjudicator

Job Summary:

The Associate Claims Adjudicator plays a critical role in ensuring the accurate verification and processing of claims. This position 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.
Requirements:
  • 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.
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 analyzes 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.
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.