Agricorp is looking for a Claims Specialist to join the Claims Services, Customer Commitment team in the Program Delivery division. This position is based in Guelph.

The Role

As the Claims Specialist your senior technical expertise in claims adjudication will allow you to evaluate benefit payments and settlements according to contract terms for the most complex, unique, high-value, and large-loss claims. In this role you will provide subject matter expertise to the claims team and Agricorp. This position reports to the Team Leader, Claims Services. In this role you will:

• 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, and 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
• 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 other claims staff and contribute to training materials content
• Act as a subject matter expert at Agricorp meetings, providing customer care expertise and perspectives
• Suggest changes to standard operating procedures and quality and performance standards for the claims unit
• Act as a coach and mentor to other claims staff for their professional development
• Assist in the recruitment of claims staff when required

Job status: Permanent position
Salary range: Open
Location: Guelph

Qualifications

• Post-secondary degree or diploma in a related field (business degree or agricultural sciences) or equivalent experience
• Minimum of 5 years’ related claims adjudication experience, preferably in the financial services sector or in an agricultural environment
• Proven experience in coaching, mentoring or training others
• Demonstrated ability to communicate with diverse groups including clients, agencies, producers and other professionals
• Additional training courses in accounting, risk analysis, risk management and financial analysis an asset
• Professional designations in finance, CIP or FIIC an asset

Key Competencies

• Analytical thinking – Interprets, links and analyses information and situations by breaking them down into component parts, identifying patterns, connections and underlying issues
• 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
• Program knowledge – Knows and understands the programs and services provided by Agricorp
• Client focus – Provides service excellence to internal and external clients
• Critical judgment, decision making and problem solving – Uses critical judgment to make decisions and solve problems involving varied levels of complexity, ambiguity and risk
• Planning and organizing – Develops, implements, evaluates and adjusts plans to reach goals while ensuring the optimal use of resources