Having won the first leg 3-2 at home, Sampdoria had to hold their nerve at the Lombardian club before Pozzi struck in the 91st minute.
With 10,000 fans watching the game back in Genoa on a big screen in the city's Piazzale Kennedy, Samp won promotion after spending a single season in the second division.
The Blucerchiati join Torino and Pescara as the three promoted teams from Serie B, replacing relegated Lecce, Novara and Cesena.
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