Employer: Affinity Life Limited Our financial claims department is looking for financial claims administrator who will be responsible for payments to service providers and/or members. To keep record of all payments made on claims according to set out procedures. To effectively communicate (verbal and written) on payments of claims. Key Tasks: Payments are made in a timeously manner according to SLA: * Hospital claims paid within 24 hours of assessment. * Funeral claims paid same day as assessment. * Day-to-day claims paid weekly within SLA. * Receipt of payment advice and allocations to correct claim. * Resolution of internal and external queries within SLA. * Service providers / disbursements are paid with SLA. Accurately validating claims as per set out procedures: * Check claims to prevent potentially fraudulent activities. * Ensure claim values are calculated correctly. * Ensure claim limits are calculated correctly. * Perform policy validation. * Distinguish between insurer claims and WCA related claims. Ensure an accurate and up-to-date record is kept of all payments made: * All claims’ registers are updated daily. * Accurate capturing of Service providers / disbursements on the system. * All payments are reconciled daily as per set out procedures. Ensure month-end reporting is completed timeously and according to SLA: * Accurate compilation of Financial Claims month-end reports. * Ensure reports are submitted for review with SLA. * Ensure accurate claims reporting.