Arun

• General Physician with 7 years of experience across clinical practice, pharmacovigilance, pharmaceutical marketing/analytics, and insurance domains. • Physician reviewer with expertise in medical necessity review, DRG validation, and utilization management. Currently supporting a U.S.-based insurance client, Humana Inc., by reviewing inpatient/outpatient claims for accuracy and compliance. Proficient in using InterQual®, MCG®, and 3M™ 360 Encompass™ tools. Skilled in ICD-10-CM/PCS coding, CMS guidelines, and healthcare documentation review. Adept at collaborating with coders, auditors, and physicians to ensure quality and regulatory compliance. • Experienced Drug Safety Physician with a solid clinical foundation and expertise in pharmacovigilance across the drug lifecycle. Skilled in case evaluation, signal detection, benefit-risk assessment, and aggregate safety reporting. Well-versed in global regulatory requirements (ICH, GVP) and medical documentation standards. Adept at providing clinical input into RMPs, safety narratives, and product labeling. Strong collaborator in cross-functional PV and regulatory environments. • Had the privilege of working in diverse medical settings, including private practices, emergency units, ICUS, neonatal and geriatric care, and rehabilitation centers. These experiences have given me the opportunity to care for patients with a wide range of conditions, therby enhancing my ability to adapt to different clinical environments and deliver personalized care.