Claims Adjudicator

The Role

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

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

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 $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.