Structuring Commercial Insurance Claim Workflows for Contractors

Preservation Services

2024

Overview

Designed a claim management system from scratch to support how building contractors and internal teams manage commercial insurance claims. The system brings structure to how claims are tracked, reviewed, and processed, improving visibility across stages and enabling faster, more reliable execution.

Role

Product Designer

Team

Developers, Stakeholder, Testing

Timeline

3 Weeks

The Problem

Managing commercial insurance claims for building contractors required coordinating multiple steps, documents, and updates across teams. Without a structured system, tracking claims became inconsistent and heavily dependent on manual coordination. Agents and admins struggled to maintain visibility into claim progress, while document handling and updates were fragmented. This led to delays, repeated work, and difficulty in managing claims efficiently.

The Opportunity

Define a system that supports how contractors and internal teams manage claims in real-world scenarios. The focus was to: Structure claim tracking across stages Improve visibility for ongoing claims Reduce redundant actions Centralize and organize document handling

Discovery

Initial Research

Analyzed how claims were managed across contractors and internal teams, identifying gaps in tracking, coordination, and document workflows.

Insight:
The challenge was not just usability it was the absence of a structured system to support operational workflows.

Competitor Analysis

Reviewed claim and workflow tools used in insurance and contractor-driven operations.

Findings

  • Poor alignment between operational workflows and system structure

  • Limited visibility across claim stages

  • Disconnected document handling

Opportunity
Design a system aligned with how claims are actually processed in contractor workflows.

Stakeholder Sessions

Worked with agents and admins involved in claim processing.

Insights

  • Difficulty tracking claim progress across stages

  • High dependency on manual follow-ups

  • Redundant actions across workflows

  • Inefficient document handling

Opportunity Identified

The core opportunity was to design a system that introduces structure, visibility, and continuity into claim processing, while also making the experience simple and easy to use.

Instead of managing claims as isolated steps, the system needed to:

  • Provide a clear, continuous view of claim progress

  • Reduce dependency on manual coordination

  • Centralize claim data and documents

  • Enable faster and more predictable decision-making

  • Deliver a clean, intuitive interface that supports quick actions

What Got Shipped

Centralized Claim Visibility

A dashboard provides a high-level view of all claims, helping users quickly understand workload, priorities, and status.

This enables faster decision-making and reduces reliance on manual tracking.

Structured Claim Management

A dedicated claims page acts as the central layer for accessing and managing all claims, improving discoverability and control.

Integrated Document Management

Document handling is embedded within the workflow, allowing users to manage files directly within each claim.

This improves accessibility and ensures documents remain connected to the claim context.

Context-Driven Claim Details

Each claim is designed as a single, unified view containing all relevant information, updates, and documents. This ensures users can track and manage claims without switching contexts.

Impact

Operational Improvements
  • Faster claim processing across contractor workflows

  • Reduced redundancy in claim handling

  • Improved efficiency in managing claims

Experience Improvements
  • Clear visibility across claim stages

  • Simplified tracking and coordination

  • Reduced dependency on follow-ups

System Improvements
  • Introduced a structured claim management system

  • Centralized document handling

  • Improved consistency and reliability of claim data

Product Designer with 4 Years of Experience

Simplifying complex systems through thoughtful, scalable design

UX Design

Figma

AI Driven

Product design

Research

... Abhijith brings sharp thinking, refined craft, and reliable execution to every engagement

Israel Makambu

CEO of Ephraim Solutions

Product Designer with 4 Years of Experience

Simplifying complex systems through thoughtful, scalable design

UX Design

Figma

AI Driven

Product design

Research

... Abhijith brings sharp thinking, refined craft, and reliable execution to every engagement

Israel Makambu

CEO of Ephraim Solutions