Claim Submission & Automation

Enabling easier claim submissions and collecting information to automatically adjudicate pet insurance claims

Strategy
UX
UI

Timeline

Dec 2023 - Feb 2024

Company

Pumpkin

Platform

Web

00
Context

Our claim form was due for a redesign

The claim form, a crucial touchpoint for customers seeking care for their pets, was originally launched as an MVP with functional yet unrefined UX/UI. As Pumpkin grew, it became clear that the form's design no longer met the evolving needs of our users . Users often struggled with understanding if a visit was related to insurance or preventive care, and faced issues uploading documents correctly, impacting their experience and our operational efficiency.

Another key business reason for re-visiting the claim form at this time was in preparation to automate certain types of claims. We would need to collect additional pieces of information from policyholders to support automation. Improving the UX of the form while adding these additional fields was a core design challenge on this project.

Before our redesign, users encountered several challenges with our current claim form: an unintuitive and outdated UI, lots of text, difficulty distinguishing between types of claims, and more.

01
Discovery

Conducting user research within a tight timeline

User Research

Due to firm deadlines to start automating claims, I had to be smart about the time I allocated to discovery. I leveraged insights from observing user sessions in Full Story and incorporated customer feedback from previous research to rationalize design decisions.

Stakeholder Interviews

I also used my team's shared knowledge, getting feedback from stakeholders on the current claim form.

02
Framing

Defining the problem

How can we simplify our claims experience for customers while ensuring they feel confident in the information they've provided?

Design Goals

Align form with a user’s mental model of claims while fulfilling requirements for automation

Provide education in context, and give personalized next steps, to inspire confidence

Modernize the UI, creating new components to be used across our design system

Fix known issues with our current claim form

03
Design

Layering fidelity to build alignment at every step

By progressively layering fidelity—from maps to wireframes to final UI—I continuously engaged my team and stakeholders. This approach kept us aligned on the design vision while addressing evolving technical requirements for automation.

Mapping

Wireframes

Before beginning high-fidelity designs, I created wireframes with content blocks to align my team & stakeholders behind my vision for the claim form, and ensure my PM and tech lead could provide me with feedback on automation requirements and feasibility. I held a session with my PM to discuss which features were must-have, should-have, and nice-to-have.

Final UI

New Component Specs: Uploader

New Component Specs: Typeahead Search

Some examples of the detailed specs I created for engineers to understand the new components that were added to the design system. New components were built with future use cases in mind.

04
Impact

Automation is here, and claim processing is faster than ever

Customer experience with the claims process has already improved due to increased efficiency enabled by automation. Even with the addition of new fields to the claim form, there was no adverse effect on NPS, indicating the enhancements were well-received.

Revisiting the experience for customers viewing and tracking claims was outside the scope of this project, but is an important consideration that I hope to tackle in the near future.

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