- 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
- Escalate issues that arise to senior team members that may lead to high risk
- Contribute to successful delivery of the team/divisional mandate and business objectives
- Provide technical advice to those outside of Claims Services, such as producers, clients, and other Agricorp employees
- Stay current on Agricorp-administered products and services
- Participate in team goal setting
- Review, verify and approve claims applications for large and complex cases for all programs delivered by Agricorp
- Settle claims within a predetermined monetary limit
- Participate in case conferences and confer with the senior quality advisor, claims specialist or team leader on claims requiring additional approvals, legal counsel or on potential appeals
- Coach and mentor claims staff and peers
- 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
- 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) an asset
- 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
Claims Adjudicator - Guelph, Canada - AgriCorp
Description
Job Details
Description
Agricorp is looking for Claims Adjudicator and Associate Claims Adjudicator to join the Claims Services team in the Program Delivery division.
The Role
The Claims Adjudicator and Associate Claims Adjudicator are responsible for accurate verification and processing of claims. This will include financial reviews and analysis of producer applications to determine eligibility for programs delivered by Agricorp.
In these roles, you will:
Claims Adjudicators will also:
Job status: Permanent Full-Time
Salary: Associate Claims Adjudicator - $, - $,
Claims Adjudicator - $, - $,
Location: The successful candidate must live in Ontario to perform this role
Work Status: Full time in office, remote or hybrid work arrangements offered
Qualifications
Claims Adjudicator/Associate Claims Adjudicator jobs will be offered based on appropriate levels of skills and experience.
Key Competencies
Background
Agricorp, an agency of the government of Ontario.
Agricorp delivers government programs. These programs help protect the livelihood of over , 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.
Apply online
To apply for this position, please go to Careers. Click on Current Opportunities .
Please submit your application for this position by April , 4.
We thank all applicants for their interest; however only those selected for an interview will be contacted directly.
Qualifications
Behaviors
:Motivations
:Experience
Licenses & Certifications