Steven Acevedo Email & Phone Number

Philadelphia, Pennsylvania, Us

• Supervise a team of Claims Examiners as they investigate, evaluate, and determine benefit eligibility of Long Term Disability claims in a timely fashion. • Develop and sustain excellent client relationships.• Ensure compliance with policy, provisions, state and federal regulations.• Ensure that my team exercises expense management through investigation, appropriate follow up, case management, and claim settlements.• Coordinate appropriate assessment and assignment of customer to suitable claims examiner.• Promote effective working relationships among the team, Sales, Underwriting, and Brokers.• Responsible for assisting in implementation of new accounts and ensuring ongoing satisfaction.• Responsible for selection, development, motivation, appraisal, and salary recommendations of direct reports.• Provide effective leadership as well as technical claim and/or product knowledge, achieving results through others.• Interact, negotiate, and respond to both internal customers and clients regarding claim administration, product, or service issues, with positive problem-solving skills.• Prioritize and manage changing workloads, meeting deadlines independently through management of others.

Philadelphia, Pennsylvania, Us

• Assigned a caseload of more complex Long-Term Disability accounts.• Interacted with internal and external customers including employees, employers, physicians and attorneys etc. to gather the information to make the decision on the claim. • Evaluated employee eligibility and analyzed, approved, or denied disability claims. • Provided technical direction to other claims personnel as needed. • Mentored and supervised new hires by reviewing account policies and claim procedures.• Reviewed medical certifications and treatment management supplied by the healthcare provider.• Determined the expected duration associated with the leave based on the information given by the healthcare provider.• Communicated approvals, denials, return to work plans and other important information regarding the claim to the employee and client.• Managed claims that are concurrent with Short Term Disability, State Disability, and Workers' Compensation.• Managed intermittent, continuous, and client specific disability claims.• Processed all claims within the specific timeframes outlined within Matrix Best Practices guidelines.• Validated payment period, follow up and monitored payment accuracy and timeliness.

Philadelphia, Pennsylvania, Us

• Developed and sustain excellent client relationships. • Ensured compliance with policy and provisions, state and federal regulations, and exercised expense management through investigation, appropriate follow up, case management, and claim settlements.• Investigated, evaluated, and determined benefit eligibility of disability claims in a timely fashion.• Acted as liaison between employees, employers, and medical providers.• Managed Long Term Disability claims according to established procedures, plan documents and state and federal guidelines.

Boston, Ma, Us

Negotiated with counsel during the settlement process, as well as providing guidance to counsel when claims went into litigationManaged, investigated and resolved claims assigned and assisted in providing service to policyholders/customers that included national or large business accountsHandled worker's compensation claims in the New York jurisdiction Business Market which included investigating the facts of an injury, determining liability for the injury, and assisting the injured worker in returning to pre-injury state of health at the lowest possible cost Assignments included the investigation of more complex claims, e.g. heart attacks and asbestos

Boston, Ma, Us

Worked with some of Liberty Mutual's largest clients in the voluntary market in Maine Handled Worker's Compensation claims in New Hampshire and Maine jurisdictions in the Business Market Worked with the involuntary market in New Hampshire, which included customers that were at high risk for injury due to the nature of their

Boston, Ma, Us

Investigated less complex claims to assist workers while maintaining lowest cost to Liberty MutualResponsible for determining facts of injury and liability for assigned claimsGained experience and expertise in Worker's Compensation claims in the New York jurisdiction

Fairfield, Ct, Us

Managed office operations of the Family Literacy Project, which included maintaining a database of over 150 parents and childrenResearched child development and tested children's literacy levels Tested children's and teacher's computer capabilities and understanding

B.A, Psychology

Education record