Headline

Safety Physician | Global Pharmacovigilance | Medical Review, Causality & SUSAR Assessment | Signal Detection & Risk Assessment | Clinical & Post-Marketing | MD Physician | Health Insurance Specialist | MBA (Healthcare)

About

Safety Physician with experience in global pharmacovigilance across clinical development and post-marketing settings, responsible for medical safety assessment and regulatory-grade decision-making. Perform medical review of individual case safety reports (ICSRs), including complex and serious adverse events, with focus on causality, expectedness and SUSAR determination. Deliver consistent, defensible safety decisions that support aggregate safety review, signal detection and risk assessment. Collaborate with Clinical Safety and Regulatory teams to ensure alignment with evolving product safety profiles, support safety escalation and contribute to inspection readiness and audit activities. Background in medical claims adjudication and clinical audit strengthens clinical risk evaluation and decision-making within regulated environments. Currently pursuing an MBA in Healthcare Management to build capability in safety governance and leadership, with a focus on transitioning into medical safety leadership roles.

Location

Chennai

Work experience

Drug Safety Physician - Medical Reviewer at Tata Consultancy Services, Jun 2025 - Present · 1 yr, Chennai, Tamil Nadu, India, Safety physician responsible for clinical assessment and medical decision-making within global pharmacovigilance operations for clinical and post-marketing products. •Perform in-depth medical review of individual case safety reports, applying clinical judgment to assess event seriousness, expectedness, causality and regulatory impact. •Evaluate and document SUSAR determinations, including medical rationale and escalation in alignment with product safety profiles and global safety governance. •Conduct Analyses of Similar Events to contextualize individual cases and support downstream signal evaluation and aggregate safety activities. •Review and refine safety narratives to ensure clinical coherence, regulatory defensibility and inspection readiness. •Provide medical input on complex safety cases, supporting consistency of clinical interpretation across case processing teams. •Contribute to aggregate safety reviews and regulatory safety documentation, including annual and periodic safety reports. •Represent medical safety perspectives in client and cross-functional discussions, supporting responses to safety queries and audit requests.

Manager - Medical Claims (Cashless & Reimbursement) at Star Health and Allied Insurance Co. Ltd, Jun 2022 - Jun 2025 · 3 yrs 1 mo, Chennai, Tamil Nadu, India, Physician-led role with responsibility for medical decision-making in complex health insurance claims, audits, and risk assessment. •Led medical evaluation of complex and high-value claims, determining clinical appropriateness, policy alignment, and risk exposure. •Performed structured medical audits to identify discrepancies, inappropriate utilization, and compliance gaps. •Provided expert medical input on claim denials, escalations, and dispute resolution. •Collaborated with internal and external stakeholders to resolve medically complex cases and mitigate financial and regulatory risk. •Supported development and refinement of claim review standards and audit frameworks.

Doctor - Intern at St. Philomena's Hospital, Mar 2020 - Mar 2021 · 1 yr 1 mo, Bengaluru, Karnataka, India, Completed a structured clinical internship with rotations across internal medicine, emergency care, and intensive care units. Assisted in patient evaluation, diagnostic workups, and daily clinical rounds under the supervision of senior physicians. Provided basic emergency care and supported frontline teams during the early phase of the COVID-19 pandemic. Participated in rural medical camps focused on community screening and health education. Maintained patient documentation and contributed to ongoing inpatient management across multidisciplinary teams.

Claims Team Lead - Medical Audit at MDIndia Health Insurance TPA Pvt. Ltd., Jun 2019 - Mar 2020 · 10 mos, Chennai, Tamil Nadu, India, Led a team of medical professionals responsible for clinical audit and approval of claims under a large public health insurance scheme. •Oversaw medical review and approval of claims based on clinical appropriateness and policy guidelines. •Led audits of empanelled hospitals, assessing quality, eligibility, and adherence to clinical and administrative standards. •Managed escalated and disputed cases, providing final medical opinions and resolution. •Played a key role in hospital grading and empanelment reviews. •Guided junior medical auditors and ensured documentation quality and audit readiness.

Education

Master of Business Administration - MBA, Hospital and Health Care Facilities Administration/Management, Dr MGR Educational and Research Institute

MD Physician, General Medicine, Yerevan State Medical University named after Mkhitar Heratsi