Redesigning How Claims Work

An Enterprise Transformation That Stuck

The Situation

After four acquisitions, American Family Insurance was operating five distinct claims processes across multiple technology platforms.

Costs were compounding with every system refresh. Adjusters were juggling five workflows, switching tabs between interfaces at every turn. Innovation was stalling amid confusion about where (and how) to integrate new solutions.

One claims leader came to me and said:

“I need a strategic vision for the future of claims, a plan to present to the board in four months. I’ve heard good things about design. Can you help?”

It was a high-risk, high-impact ask and the targets pulled in different directions: lower loss adjusting expense, raise customer satisfaction, hold or improve claim accuracy, and keep an eye on employee engagement.

Previous efforts had failed by anchoring to existing benchmarks and “best practices” rooted in current-state thinking.

I planned to start somewhere more resilient: with a view of the future of risk and business-to-consumer interaction, a spectrum of possibility designed to inspire solutions built to flex as the world changed.

“Start at design to build insurance innovation rather than just utilizing tech innovation in insurance.”

— Ryann Foelker, Connected Claims USA Conference 2023

The Tension

I had just four months to turn a vague mandate into a clear direction the board could fund.

Skepticism was a given. We were up against a deep-seated culture of stewardship, where protecting traditional business functions counted as a virtue. We had to create a vision so clear, so tangible, that executives across disciplines and lines of business could see it, feel it, and choose to pursue it together.

And I had no authority to make anyone do it. Not one of the 13 leaders on the team reported to me, and neither did the eight executives on the steering committee.

I won the team over by listening: repeating back what each person told me and asking questions until I understood. When you follow an expert’s lead, they’re usually down to follow yours..

I won the executives over by standing in their way. At a three-day working session in the Boston office, still in discovery, one of them kept stepping in to ask where the vision was headed. I told him that if he wanted to meet the board deadline, he needed to leave the team to the work. He stopped checking in. From then on, he spoke to me with new respect and deferred to me on the timeline, which the team stuck to.

“The challenge isn’t just operational, it’s philosophical. We have to move from optimizing what exists to designing for what’s coming.”

— Ryann Foelker, Insurance AI and Innovative Tech Conference 2023

The Work

I built a six-part process and taught it to a cross-functional team of 13 leaders from three operating companies.

Together, we reimagined claims experiences from every angle, designed the infrastructure to support them, and delivered a persuasive, memorable vision that moved the board to act and aligned employees across departments and geographies.

The Results

Millions in annual expense savings

Unifying vendors and platforms cut operational expenses by more than 20%, a durable advantage as others tried to catch up.

The first unified claims platform in the top 20

The vision shaped platform decisions: American Family became the first top-20 U.S. carrier to operate on a single claims platform, and it delivered the platform consolidation and first-stage automation in four years. The illustrated claims engine we named Fabric became the blueprint for the build-out that followed: automation for the routine work, connected to the systems already in place. The vision set Fabric up to deliver one standard workflow across companies, a safer move to the cloud, and no lock-in to a single vendor. Fabric was the case study cited in the Fast Company submission.

A team that carried the vision into the build

After board approval, I sorted about 150 implementation items into a prioritized roadmap for the team that would build it: temporary bridges, steps to the moonshot, things to ponder, and “purgatory” for ideas we didn’t want to use or lose. Six of the 13 people I built the vision with joined that team. One led the implementation, and five more became its product owners and product managers. They knew what went into each part of the transformation because they designed its value with me, so championing it came naturally. Two of them later rejoined me when I built the design and foresight team.

A vision that held under pressure

In 2021, Hurricane Ida put the redesigned operation to the test. It absorbed triple the volume possible before the transformation.

Recognition that named the work

The transformation and design programs I originated earned American Family the No. 71 spot on Fast Company’s 2023 Best Workplaces for Innovators, the only insurer in the top 100. In 2024, RISE Professionals named me its inaugural Innovator of the Year, citing this claims transformation vision as one of three bodies of work.

An innovation pipeline with a scoresheet

The roadmap gave the claims organization something to evaluate vendors against. I built the scoresheet for Demo Days, a vendor evaluation program that aligned claims tech to our roadmap. Fourteen startups went through in the first few months, and testing cycles fell from 12 to 18 months down to six.

The method it produced

This is the project Designed Equilibrium came from: a picture of the future so specific that every leader sees the same one, and a roadmap of decisions reverse-engineered to reach it.

“We didn’t chase recognition, we chased what was possible. This award reminds us that design doesn’t just shape great experiences, it shapes the business decisions behind them.”

— Ryann Foelker, Best Workplaces for Innovators Awards Reception 2023

Why It Worked

We started with a different question. Instead of “How could claims be more efficient?” we asked “What should the future of claims feel like?”

Then we designed everything that future would need: the products and services, the processes and roles, the claims engine, the business case, and the roadmap. The efficiency came anyway: more than 20% lower operating expenses and one claims platform for five operating companies.

This case study reflects work I was proud to contribute to at American Family Insurance. The content shared here is based on initiatives that were made public under executive direction and have been featured in industry presentations and publications since 2021. All views expressed are my own. No confidential or proprietary information is disclosed, only publicly available outcomes, personal insights, and individual learnings.

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