Claims Adjudicator

Job Description

<p><strong>The Opportunity</strong></p><p>This is a chance to join a team that plays a key role in supporting Ontario's agriculture sector through the delivery of financial and risk management programs. As a Claims Adjudicator, you'll help ensure that program participants receive accurate and timely support by evaluating claims and determining benefit eligibility. This permanent, full-time position offers a hybrid work arrangement (3 days per week in office) and requires residency in Ontario.</p><p><br></p><p><strong>What You’ll Be Doing</strong></p><ul><li>Managing client claims from intake through resolution, including complex and high-value files</li><li>Evaluating applications against program guidelines, verifying reported data, and investigating discrepancies</li><li>Conducting financial reviews and analysis to assess eligibility and determine benefit payments</li><li>Liaising with clients to gather required information and provide technical guidance on available programs</li><li>Participating in team discussions regarding claims that require senior review, legal consultation, or appeal consideration</li><li>Escalating high-risk issues when necessary to team leads or subject matter experts</li><li>Coaching junior staff and offering peer support across departments</li><li>Building and maintaining professional relationships with clients, producers, and agents</li></ul><p><br></p><p><strong>What You’ll Need To Be Successful</strong></p><ul><li>A post-secondary degree or diploma in business, economics, agricultural science, or a related field (or equivalent experience)</li><li>At least 3 years of experience in claims or risk adjudication, ideally within financial services or the agriculture industry</li><li>Strong written and verbal communication skills, with the ability to engage clients and stakeholders professionally</li><li>Demonstrated analytical and problem-solving abilities</li><li>Solid organizational skills and the ability to prioritize in a fast-paced, team-oriented environment</li><li>Familiarity with agriculture is an asset</li><li>Progress toward a professional designation such as CIP (Chartered Insurance Professional) or FIIC (Fellow of the Insolvency Institute of Canada) is considered an advantage</li></ul><p></p>