Nancy K. Caron Email & Phone Number

Chicago, Il, Us

Downers Grove, Illinois, United States

I work with the leaders of the Healthcare and Professional Services claims teams to develop and improve strategic processes for our areas of claims. I am a claims technical expert who is responsible for collaborating with our leadership team to drive continuous process improvements which support quality claims handling and excellent customer service. I also work in collaboration with internal business partners on strategic initiatives which positively impact claims and other areas of the business.

Greater Chicago Area

Responsible for working across the Healthcare Claims organization on initiatives which improve the overall quality of claims service and facilitate excellent customer services for insureds.

Chicago, Illinois, United States

Responsible for developing and executing litigation management strategies to improve overall business results for $200M book of Aging Services claims and for fostering and maintaining positive business relationships between the claim department and insureds, brokers, and internal business partners to improve the overall quality of the portfolio.

Greater Chicago Area

Led a team of 50 plus claim professionals managing a book of over 5000 healthcare claims totaling over $500,000,000 in premiums. I set the strategic direction for my team in alignment with overall claim department priorities. I excel at problem resolution and delivering on profitability improvement initiatives. I developed and optimized the talent on my teams. I am a collaborative business partner who proactively works with internal and external business partners to improve results. I also provide strategic direction on high-exposure claims for multiple lines of business and jurisdictions.Some of my accomplishments include:•Driving excellence in claims management best practices, with a focus on timely and thorough coverage evaluation, early exposure analysis, proactive and cost-conscious litigation management, effective execution of resolution strategy, and excellent customer service.•Reducing 2017 legal spend by 9% while maintaining indemnity spend discipline and improving quality of claims handling.•Creating a new claim team which now handles over 60 percent of incoming claims/ incidents including setting up processes and creating a repeatable plan for training and development. This team consistently demonstrates technical excellence, boosts efficiency and increases financial savings while providing excellent customer service.

Greater Chicago Area

Led staff counsel coverage team representing company in coverage litigation and provided advice on key coverage issues on a nationwide basis. Spearheaded overall management/oversight of claims law firm network with annual legal spend of over $200,000,000. Partnered with leaders within claims/underwriting departments in developing and implementing solutions to improve business results.• Generated year-over-year savings of more than $20,000,000 through outside counsel litigation management.• Implemented benchmarks for outside counsel, guiding claims team in achieving indemnity payment results on litigated claims of less than actuarial projections.• Served as leader of legal bill review group, achieving annual savings of over $4,000,000 through direct oversight of outside counsel and legal vendors.• Active member of claims department senior leadership team, actively participating in all key decisions on claims management and future directions.

Led project to establish coverage counsel panel firm network, including managing RFP, negotiating contracts, and developing plans for project execution, resulting in annual savings of $5,000,000. Oversaw extracontractual claims unit and led setting of handling strategy for all corporate extracontractual claims. Created and managed legal vendor network, achieving consistency/reliability and cost savings. Provided leadership and strategic direction for nationwide staff counsel coverage program.• Built knowledge-sharing process, resulting in policy improvements and changes to underwriting and claims practices.• Established and managed legal quality assurance program

Oversaw nationwide staff counsel coverage group representing company in high-value litigation as well as provided advice on coverage issues. Led project to establish protocols for risk assessment of corporate and extracontractual litigation matters to inform board of directors on pending risks. Directed project to establish metrics and guidelines for handling corporate litigation. Completed leadership forum program for high-potential leaders. Executed organizational redesign of nationwide coverage counsel program, flattening operating structure and consolidating backroom functions.

Served as founding managing attorney for in-house insurance coverage law firm. Oversaw team growth in conjunction with business need from ten to 40 attorneys based in six offices throughout country. Created practices/procedures for group, including quality assurance process and coverage opinion database, facilitating efficiencies in handling coverage matters nationwide. Counseled claims department on high-value coverage issues, including strategies for cost-effective resolutions. Advised underwriters on issues of policy language and emerging trends. Designed and delivered nationwide training on emerging coverage issues.

Bsj, Journalism

Jd, Cum Laude