سمير Deshmukh

- Answering inbound calls as well as assisting members who have specific inquiries.

- Queries may range between coverage questions, network location and medical questions.

- Receiving requests from Healthcare providers (Hospitals, Laboratories, pharmacies…) and replying with approval decision (approved or rejected).

- Participating in committees, work groups, and/or process improvement teams that improve patient satisfaction.

- Reviewing all medical approvals.

- Issuance of necessary medicines and medical approvals - surgeries - X-rays - tests that require it.

- Medically solving member problems.

• Oral Prophylaxis
• Complete Dentures
• Fixed partial & Removable partial Dentures
• Amalgam restorations & Composite fillings
• Crown cutting
• Extractions
• Root canal treatment
• Fluoride application
• Paediatric dentistry

• Oral Prophylaxis
• Complete Dentures
• Fixed partial & Removable partial Dentures
• Amalgam restorations & Composite fillings
• Crown cutting
• Extractions
• Root canal treatment
• Fluoride application
• Paediatric dentistry

• Case processing involving data entry, review and assessment of SAE/AE reports including narrative writing tasks.
• Use of global safety database (ARGUS) in accordance with company SOPs and regulatory requirements.
• MedDRA coding.

• Oral Prophylaxis
• Complete Dentures
• Fixed partial & Removable partial Dentures
• Amalgam restorations & Composite fillings
• Crown cutting
• Extractions
• Root canal treatment
• Fluoride application
• Paediatric dentistry