Claims Adjudicator

Job Description

The Opportunity

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.

What You’ll Be Doing

• Managing client claims from intake through resolution, including complex and high-value files
• Evaluating applications against program guidelines, verifying reported data, and investigating discrepancies
• Conducting financial reviews and analysis to assess eligibility and determine benefit payments
• Liaising with clients to gather required information and provide technical guidance on available programs
• Participating in team discussions regarding claims that require senior review, legal consultation, or appeal consideration
• Escalating high-risk issues when necessary to team leads or subject matter experts
• Coaching junior staff and offering peer support across departments
• Building and maintaining professional relationships with clients, producers, and agents

What You’ll Need To Be Successful

• A post-secondary degree or diploma in business, economics, agricultural science, or a related field (or equivalent experience)
• At least 3 years of experience in claims or risk adjudication, ideally within financial services or the agriculture industry
• Strong written and verbal communication skills, with the ability to engage clients and stakeholders professionally
• Demonstrated analytical and problem-solving abilities
• Solid organizational skills and the ability to prioritize in a fast-paced, team-oriented environment
• Familiarity with agriculture is an asset
• Progress toward a professional designation such as CIP (Chartered Insurance Professional) or FIIC (Fellow of the Insolvency Institute of Canada) is considered an advantage