Adamjee Insurance Company Jobs March 2026

Adamjee Insurance Company Jobs March 2026:

Organization: Adamjee Insurance Company

• Position: Joint Manager – Underwriting (Health)
• Department: Health
• Location: Lahore

Role Description

We are looking for a Joint Manager – Underwriting who will be responsible for renewal of Health business as per policy terms and conditions.

Responsibilities:

• Conduct risk assessment and technical pricing for group medical policies.
• Analyze claims experience and loss ratios for renewal pricing decisions.
• Supervise preparation of new business quotations and rating sheets within defined timelines.
• Lead renewal underwriting process including experience analysis and renewal terms.
• Prepare monthly, quarterly, and annual portfolio performance reports.
• Coordinate with branches, business development, actuarial, and claims teams.
• Ensure compliance with underwriting guidelines and reinsurance requirements.
• Monitor portfolio profitability and recommend corrective pricing actions.
• Review and approve revised proposals after receiving complete client information.
• Supervise and mentor underwriting team members to enhance performance.

Requirements

Qualification: Minimum Bachelor’s degree (preferably in Insurance, Business, Finance, Statistics, or Actuarial Sciences).

Experience: 5 to 8 years of experience in medical / health underwriting.

Required Skills:

• Health Underwriting
• Portfolio Management
• Risk Assessment
• Loss Ratio Analysis
• Policy Evaluation
• Communication Skills

Application Details

• Last Date to Apply: Mar 24, 2026
• How to Apply: Scan the QR code provided in the image to apply.

Position: Joint Senior Manager – Monitoring Unit

Department: Health

Location: Lahore

Job Description

Responsible for clinical and financial oversight of inpatient cases within the health insurance portfolio. The position maintains a strategic and mutually beneficial relationship between clients, panel hospitals, and the company through strong SLA governance, utilization review, and claims integrity management.

Responsibilities:

• Lead inpatient monitoring and utilization review operations.
• Prevent unnecessary admissions, overutilization, and prolonged hospital stays.
• Conduct reimbursement verification and field validation of claims.
• Detect and prevent fraudulent, fabricated, misrepresented, invalid, non-authentic, or unsupported claims.
• Ensure SLA compliance and provider governance across panel hospitals.
• Support hospital rate reviews and cost-containment initiatives.
• Coordinate with claims, medical approvals, and provider relations teams.
• Strengthen internal controls and process efficiency.
• Supervise monitoring staff and support capability development.
• Ensure compliance with medical ethics, regulatory requirements, and internal governance standards.

Qualification:

• MBBS
• Certificate in health insurance or Master in Public Health/Business Administration (Preferred)

Experience:

• 7 to 10 years in medical insurance operations
• 3 to 4 years in supervisory or managerial roles

Required Skills:

• Case Management
• Fraud Detection
• Governance Compliance
• Internal Control Frameworks
• Relationship Management
• Communication / Analytical Skills

Last Date to Apply: March 24, 2026

Position: Senior Manager – Medical Approval

Department: Health

Location: Lahore

Role Summary: Responsible for leading 24/7 pre-authorization and medical approval operations within the health insurance division. Ensures decisions are clinically appropriate, policy-compliant, and based on medical necessity.

Responsibilities

• Oversee pre-authorization processes and credit letter issuance.
• Validate medical necessity and clinical appropriateness of services.
• Review medical documentation, treatment plans, and clinical reports.
• Ensure Approval Turnaround Time (TAT) compliance.
• Prevent unnecessary admissions and overutilization.
• Maintain audit-ready documentation for all decisions.
• Coordinate with hospitals, case management, and claims teams.
• Manage escalation pathways for complex or high-risk cases.
• Strengthen admission control and internal governance frameworks.
• Monitor operational KPIs and drive process improvements.
• Provide leadership and training to approval center teams.
• Ensure compliance with regulatory and policy standards.

Requirements

Qualification

• MBBS (Required)
• Certificate in health insurance, or Master in Public Health or Business Administration (Preferred)

Experience

• 5 to 8 years in medical insurance or hospital operations.
• 2 to 3 years in supervisory or managerial roles.
• Experience in a 24/7 operational environment.

Required Skills

• Pre-authorization processes
• Risk Assessment / Control
• Governance Compliance
• Portfolio Management
• Panel Hospitalization
• Communication Skills

Application Details

• Last Date to Apply: March 24, 2026
• How to Apply: Scan the QR code provided

Adamjee Insurance Company Jobs March 2026