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:

• Group medical policies are risk assessed and priced.

   

• Check claims and loss ratios and decide renewal pricing.

   

• Ensure new business quotations and rating sheets are submitted on time.

   

• Lead renewal underwriting process and finalize terms.

   

• Monthly and annual performance reports

   

• Coordinate with branches and other teams.

   

• Follow underwriting rules and reinsurance requirements.

   

• Monitor profitability and improve pricing as needed.

   

• Approve proposals after receiving full client information.

   

• Guide and support the underwriting team.

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

Clinical and financial monitoring of patient cases included in the health insurance portfolio. Maintain strong and professional relationships with clients, panel hospitals and company departments. Follow and monitor SLA (Service Level Agreement). Review treatment and hospital utilization. Ensure accuracy and transparency through claim verification.

Responsibilities:

• Leads patient monitoring and utilization review operations.

   

• Controls unnecessary admissions and prolonged hospital stays.

   

• Verify claims payments and conduct field audits.

   

• Identify and prevent fraudulent or erroneous claims.

   

• Adheres to SLAs and provider policies in panel hospitals.

   

• Assists in reviewing hospital rates and controlling costs.

   

• Coordinates claims, medical approvals, or provider relations teams.

   

• Strengthens and enhances internal controls and processes.

   

• Supervises and trains/supports supervisory staff.

   

• Ensures adherence to medical ethics and regulatory principles.

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 process and issuance of letters of credit.

   

• Check medical necessity and appropriateness of treatment.

   

• Review medical documentation, treatment plans and reports.

   

• Ensure approval timelines are being followed.

   

• Control unnecessary admissions and overuse.

   

• Maintain accurate records of each decision (audit ready).

   

• Coordinate hospital, case management and claims teams.

   

• Handle escalation of complex or high-risk cases.
• Strengthen internal controls and internal governance.

   

• Implement KPIs and monitor process improvements.

   

• Provide guidance and training to team.

   

• Ensure compliance with regulatory and company policies.

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