Medical Claim Adjudication jobs in Ontario
- AgricorpGuelph, ON
- $66,339–$78,045 a year
- Permanent
- Dental care
- Paid vacation
- 3 or more years experience in claims or risk adjudication, preferably in the financial services or agricultural sectors.
- Work Status: Full-time in office.
- Green ShieldCanada
- $38,774–$53,699 a year
- Identify and resolve billing or adjudication issues by coordinating with payers, prescribers, patient support programs, and internal teams.
- IntactMississauga, ON
- Full-time
- Employee stock purchase plan
- Analyze and document claim files by gathering and reviewing repair reports, statements from third party adjusters, claimants, witnesses, and other pertinent…
View similar jobs with this employerAvivaMarkham, ON L6G 0G1- $65,000–$95,000 a year
- Provide excellent customer and partner communication on claim matters.
- Understand and adhere to Aviva’s claim procedures and guidelines.
View similar jobs with this employerAccident Benefits Adjuster (Contract)
Easily applyCrawford & Company (Canada) Inc.Toronto, ON- $55,000–$75,000 a year
- Knowledge of medical and legal information and terminology.
- This opportunity offers engaging work, professional connections, and the chance to strengthen your…
Bilingual Customer Service Representative
Easily applyFirst Canadian HealthToronto, ON M4N 3N1- From $39,000 a year
- Full-time +1
- Monday to Friday +4
- Paid time off
- Vision care
- Dental care
- Extended health care
- The Provider Call Centre is the main venue for communication between providers, clients and members and First Canadian Health regarding day-to-day claims…
- BMO Financial GroupToronto, ON
- $55,500–$120,000 a year
- Full-time
- Escalates claim issues to Leadership and Claim Committee and prepares Case Summary.
- Apply medical knowledge to adjudicate claims and use appropriate case…
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- HUB InternationalOakville, ON L6H 0G5
- $70,000–$85,000 a year
- Full-time
- Manage leave and disability cases from straightforward to complex, including claim adjudication, workplace accommodations, and gradual return-to-work plans in…
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- AvivaMarkham, ON L6G 0G1
- $80,000–$95,000 a year
- Support ABI Value Proposition every day and with every interaction by providing excellent customer and stakeholder communication on claim matters.
- AvivaOakville, ON
- $83,500–$103,500 a year
- High level of comfort dealing directly with key clients and broker on all claim related issues and other assistance as required.
- AllstateSouth Dundas, ON
- $71,400–$113,925 a year
- Mentor and coach junior claim staff as required.
- Reporting to the Manager Casualty Claims Litigation, in this role, you will be responsible for the full…
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- AllstateOntario
- $70,000–$90,000 a year
- Prior insurance experience and knowledge in injury claims, medical rehabilitation concepts, and medical terminology is preferred.
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- AllstateOntario
- $70,000–$90,000 a year
- Prior insurance experience and knowledge in injury claims, medical rehabilitation concepts, and medical terminology is preferred.
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- Equitable CAWaterloo, ON
- $47,000–$71,000 a year
- Full-time
- Knowledge of Life and Disability claims adjudication processes.
- Clients can include Finance, I/T, other Group Departments, Group Offices, medical offices and…
- Zurich InsuranceToronto, ON
- $85,000–$115,000 a year
- Ability to present information necessary to propose a claim resolution to stakeholders.
- Zurich Canada is currently looking for a Senior Claims Specialist,…
- The Cigna GroupMississauga, ON
- $68–$75 an hour
- Full-time
- Knowledge of pharmacy benefits, group health insurance, healthcare technology or adjudication systems is considered a strong asset.
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Career Resources:
Claims Adjudicator
Job details
Full job description
Why Join Agricorp?
Are you looking for a meaningful career? Are you someone who thrives on solving complex problems, asking the right questions, and thinking a few steps ahead? Let’s put that thinking to work.
Agricorp has an opportunity for a Claims Adjudicator, supporting the farmers of Ontario when they need it most. Claims Adjudicators help 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.
We believe our employees are our greatest strength, which is why we offer:
- Comprehensive health and dental benefits to keep you and your family well
- Pension plan to support your long-term financial security
- Paid vacation days and sick leave to support your overall well-being
- 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
The Role
Claims Adjudicators conduct production and financial analysis of farming operations to determine the eligibility of claims for programs delivered by Agricorp.
In this role, you will:
- Review, verify and approve large and/or complex claims applications of varying complexity and payment value in accordance with program guidelines
- Participate in claims file discussions and collaborate with senior quality advisors, claims specialists, or team leaders on cases requiring further approvals, legal counsel, or potential appeals.
- Provide technical guidance to agents and producers related to Agricorp's suite of programs.
- Identify and escalate high-risk issues to specialists or team leaders, as required.
- Coach and provide technical guidance to junior members of the team and peers across the organization.
- Maintain professional working relationships with producers and agents.
Job status: Permanent Full-time (posting for an existing vacancy)
Salary: $66,339 - $78,045
Work Status: Full-time in office
Location: Guelph, Ontario
What You Bring
- Post-secondary degree or College diploma in finance, business, economics, commerce, agricultural science/management or related field, or equivalent experience; additional training in accounting, risk analysis/risk management, or financial analysis an asset
- 3 or more years experience in claims or risk adjudication, preferably in the financial services or agricultural sectors
- Demonstrated ability to communicate clearly, verbally and in writing, to diverse groups, including clients, brokers, agents, and other professionals
- Demonstrated analytical and interpretive skills
- Strong organizational skills and ability to work in a collaborative team environment
- Agricultural knowledge is an asset
Key Competencies
- Quality Focus – Attends to the task at hand to minimize errors and provide consistent delivery of work to the highest possible standard
- Client focus – Meets the expectations of internal and external customers through establishing effective relationships, gaining trust and respect
- Analytical thinking –Uses facts and available information to develop logical assumptions
- Critical judgment, decision making and problem solving – Makes the best decision, in a timely manner, based upon a combination of analysis, knowledge, experience and judgement
- Initiative – Identifies and handles issues and situations to take action; seizing opportunities when they arise
- Efficiency – Effectively plan and organize time and resources to prioritize work to effectively meet objectives
Background
Agricorp, an agency of the government of Ontario.
Agricorp delivers government programs. These programs help protect the livelihood of over 47,000 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.
Agricorp helps grow Ontario agriculture. We underwrite $6-8 billion in risk each year. The agency was established in 1997, and since then we’ve made over $8 billion in payments to farmers when they needed it most.
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Please advise if you require accommodation during the recruitment process.
Please submit your application for this position by October 23, 2026.
We thank all applicants for their interest; however only those selected for an interview will be contacted directly.