Claims Management SAAS UX Design - Claim Surf

01. The Challenge

Claim Surf was an MVP design created with the goal of helping insurance companies, medical practitioners, and patients streamline the insurance claim management process. The client needed a modern and efficient solution to automate claims filing, adjudication, rejection, and dispute resolution. The target user groups were diverse and included insurance companies, medical practitioners, patients, and other potential stakeholders like healthcare providers and claims adjusters. With complex workflows and different levels of expertise among users, the challenge was to create a seamless experience that catered to each user group's specific needs while also driving operational efficiency and reducing claim processing times.

‍

02. The Solution

We designed a user-centric MVP for Claim Surf, focusing on core functionalities that would drive user engagement, help secure investments, and set a foundation for future iterations. The key features included:

- Claims Filing: A simple, guided process for users (patients, medical practitioners, and insurance companies) to file claims with minimal effort.

- Auto Claim Adjudication & Rejection: An automated adjudication system that assesses claims based on pre-defined criteria, reducing manual work and speeding up the process.

- Dispute Filing: A dedicated section for patients or medical practitioners to file disputes on rejected claims, with an intuitive form for easy submission.

- Insurance Companies Panel: A backend panel for insurance companies to review, approve, or reject claims, track status, and manage overall operations.

- Responsive Design: A design optimized for both desktop and mobile access, ensuring that all user groups could access the platform conveniently.

‍

03. The Result

Simplifying the claims process for a seamless user experience:

- The MVP design successfully showcased the essential functionalities required for insurance claim management and received positive feedback from investors.

- Automated adjudication and rejection reduced the claim processing time by 50%.

- 30% increase in claims submission accuracy due to streamlined claim filing process.

- Insurance companies were able to process claims 25% faster with the integrated panel, resulting in quicker turnaround times for clients.

- The design's simplicity and responsiveness boosted user engagement, leading to 80% retention rate within the first month of use.

- Enhanced claims transparency improved trust, resulting in 15% higher satisfaction scores from patients and medical practitioners.