Claims Specialist

AgricorpGuelph, ON
CA$73,912 - CA$86,955Onsite

About The Position

Agricorp has an opportunity for a Claims Specialist, supporting the farmers of Ontario when they need it most. Claims Specialist is a senior technical expert with experience in claims adjudication and providing subject matter expertise to the Claims team to deliver financial and risk management government programs for Ontario’s agriculture sector. They’re a vital part of the Claims Services team, working alongside customer-oriented professionals in Agricorp’s Program Delivery division, and are responsible for determining program benefits across a suite of different programs.

Requirements

  • Post-secondary degree or diploma in business, agricultural sciences, a related field or equivalent experience
  • Minimum of 5 years’ related claims adjudication experience, preferably in the financial services or agricultural sectors
  • Proven experience in coaching, mentoring or training others
  • Demonstrated ability to communicate with diverse groups including clients, agencies, producers and other professionals

Nice To Haves

  • Additional training courses in accounting, risk analysis, risk management or financial analysis are an asset
  • Professional designation in finance, CIP or FIIC is an asset

Responsibilities

  • Adjudicate large and complex cases for all Agricorp programs, adhering to standard operating procedures and complying with applicable government legislation
  • Create client files, assess applications for claims against coverage, review data, source incomplete data, research and investigate, make and implement decisions based on Agricorp’s contractual obligations and adjudication principles
  • Create and maintain relationships with clients, agencies and producers to affect their positive customer experience
  • Act as a subject matter expert by providing support and guidance to the Claims team when dealing with complex or escalated client files
  • Make decisions on benefit payments, settlements or claims ineligibility within the dollar limit assigned
  • Provide benefit claims approvals on files as required to a prescribed authority level and seek additional approvals where required
  • Conduct quality reviews as directed by Team Leader and provide feedback to ensure high standards and consistency
  • Ensure proper escalation, stakeholder involvement and communication when issues arise or service standards are not met
  • Act as a technical trainer for the functional development of Claims staff and contribute to training materials
  • Act as a subject matter expert on projects and in meetings
  • Suggest changes to standard operating procedures and performance standards for the Claims unit
  • Coach and mentor staff for their professional development

Benefits

  • Comprehensive health and dental benefits
  • Pension plan
  • Paid vacation days and sick leave
  • Work-life balance with supportive leaders who respect your time outside of work
  • Opportunities for learning and growth, including mentoring, coaching, and support for professional development
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