Job Description

#Copied

Hiring: Medical Officer – Health Insurance Department 🏥

Adamjee Insurance Company Ltd. (AIC) is looking for an experienced Medical Officer to join our Health Insurance Department in Dubai, UAE.

This is a great opportunity for a licensed medical professional who wants to bring their clinical expertise into the insurance world — reviewing claims, leading fraud and audit investigations, and shaping medical risk strategy alongside our underwriting team.

What you’ll be doing:
✅ Leading clinical reviews of pre-authorizations and complex claims
✅ Conducting clinical audits and FWA (fraud, waste & abuse) investigations
✅ Ensuring compliance with healthcare regulations and insurance laws
✅ Tracking medical inflation trends and building data-driven reports
✅ Managing relationships with hospitals, clinics, and TPAs
✅ Advising underwriting on medical risk and coverage decisions

What we’re looking for:
🩺 MBBS or equivalent medical degree with a valid license to practice
🩺 Clinical experience combined with health insurance/medical management background
🩺 Senior-level experience in clinical risk, fraud control, or claims functions

If you’re a clinically-minded professional ready to make an impact in health insurance, we’d love to hear from you!