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Samir Deshmukh, Medical Approvals

Samir Deshmukh

Medical Approvals ·Aafiya TPA

United Arab Emirates

Bachelor's degree, Dentistry

Work experience

Total years of experience: 15 years, 1 months

Medical Approvals

February 2020 - Present

Aafiya TPA

Dubai, United Arab Emirates

February 2020 - Present

- 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.

Company industry:
Insurance & TPA
Job role:
Medical, Healthcare, and Nursing

Dentist

November 2017 - August 2019

Khadija Dental Clinic

Navi Mumbai, India

November 2017 - August 2019

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

Company industry:
Medical Clinic
Job role:
Medical, Healthcare, and Nursing

General Dentist

April 2011 - October 2017

Ace Dental Care

Navi Mumbai, India

April 2011 - October 2017

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

Company industry:
Medical Clinic
Job role:
Medical, Healthcare, and Nursing

Product Manager

August 2014 - June 2015

Ergo Healthcare Pvt Ltd

Mumbai, India

August 2014 - June 2015

Company industry:
Other Healthcare Services
Job role:
Medical, Healthcare, and Nursing

Senior Process Associate

March 2013 - August 2014

Tata Consultancy Services

Mumbai, India

March 2013 - August 2014

• 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.

Company industry:
Pharmaceutical Manufacturing
Job role:
Research and Development

Associate Dentist

December 2010 - March 2011

Real Care Dental Clinics Pvt Ltd

Mumbai, India

December 2010 - March 2011

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

Company industry:
Medical Clinic
Job role:
Medical, Healthcare, and Nursing

Education

Rajiv Gandhi University Of Health Sciences

June 2009

June 2009

Bachelor's degree, Dentistry

India

GPA (percentage): 56%

GPA (percentage): 56%

Bachelor of Dental Surgery
View attachment

Skills

Processors
Expert
Processors
Expert
MedDRA
Expert
MedDRA
Expert
Clinical Research
Expert
Clinical Research
Expert
Dentistry
Expert
Dentistry
Expert
Pharmacovigilance
Expert
Pharmacovigilance
Expert
Computer Literate
Expert
Computer Literate
Expert
Teamwork
Expert
Teamwork
Expert
Dental
Expert
Dental
Expert
Communication
Expert
Communication
Expert
Processors
Expert
Processors
Expert
MedDRA
Expert
MedDRA
Expert
Clinical Research
Expert
Clinical Research
Expert
Dentistry
Expert
Dentistry
Expert
Pharmacovigilance
Expert
Pharmacovigilance
Expert

Languages

English

Expert

Hindi

Expert

Urdu

Expert

Memberships

Maharashtra State Dental Council

Dentist

December 2010

Training and Certifications

Certifications
Bachelor of Dental Surgery

Hobbies and interests

Football, Sketching and Music.