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Coforma
Veterans Services

Improving Veteran Benefits Tools for Accessible, Streamlined Claims Processes

We partnered with the Department of Veterans Affairs to build user-friendly, Veteran-centered tools that simplify their claims and appeals processes.

The Challenge: Modernizing Veteran Benefits Management Tools

Client name:
Department of Veterans Affairs, Veterans Benefits Administration, Board of Veterans’ Appeals, VA Office of the CTO, Digital Experience
Partner:
Ad Hoc
Vehicle:
VA CEDAR - Customer Experience DevOps and Agile Releases
Delivery date:
March 2024

Delays and confusion around accessing disability benefits, checking claims statuses, and navigating the appeals process have been long-standing pain points among Veterans, their families, and caregivers, as well as VA service providers.

Our nation’s Veterans have carried an enormous responsibility for our country and they deserve to be able to easily and efficiently access the benefits they’ve earned. According to the 2021 Executive Order on Transforming Federal Customer Experience and Service Delivery to Rebuild Trust in Government, “When a ... Veteran waits months for the government to process benefits to which they are entitled, that lost time is a significant cost ... [that] operates as a kind of tax—a time tax—and it imposes a serious burden on our people.”

The executive order calls on federal agencies to leverage technology to make government interactions more transparent, digitally accessible, equitable, and efficient for all who use them. It provides policy outlines to help reduce the time tax for people accessing government benefits and services and emphasizes the importance of using human-centered design principles to truly understand and thoughtfully improve people’s experiences.  

VA.gov is a critical information hub that millions of Veterans and their families use to navigate benefits, track their healthcare journeys, file disability claims, and much more. With over 5 million website visitors each week, it’s a vital platform connecting our nation’s Veterans to the benefits and services they’re entitled to.

Department of Veterans Affairs (VA) Office of the Chief Technology Officer (OCTO)-Digital Experience (DE) needed help with the management, improvement, and maintenance of the Benefits Tools Crew portion of the VA.gov product team’s suite of services. 

VA’s goals for the Benefits Tools Crew project were to:  Raise Veteran satisfaction with the disability claims and appeals processes. Reduce the number of Veterans calling the VA contact center about their claim status. Increase the percentage of appeals submitted online by expanding VA’s digital footprint. Enable VA service providers to easily and quickly evaluate claims decision appeals submitted by Veterans.

Over the two-year contract period, Team Coforma provided human-centered research, design, engineering, and product management support to meet these goals, reducing cognitive and time burdens while improving digital experiences for Veterans, caregivers, and their families, as well as VA service providers. 

Veterans now have access to their benefits decisions anytime, anyplace—right at their fingertips. VA disability benefits can also open the door to other federal and state benefits, so quick and easy access to a decision means quicker access to the additional benefits Veterans deserve.
—Denis McDonoughSecretaryDepartment of Veterans Affairs

Our Approach: Prioritizing Collaboration, Accessibility, and Transparency

To address the complex needs of Veterans and their families, Team Coforma adopted a structured, agile approach centered on human-centered design (HCD) principles.

Our Benefits Tools Crew team is divided into two squads: Decision Re3views, which includes Supplemental Claims, Higher-Level Reviews, and Notice of DIsagreement; and Benefits Management Tools, which includes Electronic Download Decision Letters, and Claim Status Tool

Working across two primary workstreams—Decision Reviews and Benefits Management Tools—we collaborated with VA to create intuitive, accessible solutions that help streamline the claims decision and appeal processes for our nation’s Veterans. 

Each workstream served a specific function: the Decision Reviews team focused on developing the Supplemental Claim form, while the Benefits Management Tools team redesigned the claim status tool and developed the electronic download decision letter feature, enabling Veterans to track and manage their claims more effectively. 

Our multidisciplinary teams of researchers, designers, engineers, accessibility specialists, and product managers worked in unison throughout the development process. Following agile methodologies in two-week sprint cycles, each discipline contributed expertise to bring VA’s goals to fruition. Our cross-functional team collaborated closely on usability testing, conducting sessions with Veterans to identify pain points and validate improvements in real time. This research informed design enhancements and helped guide our efforts toward truly impactful improvements for Veterans. 

Across all workstreams, Team Coforma provided continuous accessibility testing on forms, tools, and features on VA.gov sites that needed to be updated to ensure any new issues were detected and fixed. Each round of testing involved in-depth analysis, including desktop and mobile views, screen reader testing, color contrast, and screen magnification. Our product design integrated technical features such as annotations and voice-over text, and emphasized an intuitive user experience for all. 

We also worked to identify and address broader usability issues through extensive usability testing with disabled Veterans. For example, we learned that when a vision-impaired Veteran is filling out an online benefits form, navigating from one page to another often results in the form title being read aloud, which can be disorienting. We then refined our approach to emphasize the specific section title on each page for better orientation.

Participating in VA-led “Collab Cycles” helped facilitate alignment and increase accountability throughout the project. This structured schedule involved frequent checkpoints in which our team presented designs, documentation, accessibility considerations, and ongoing progress for VA review. Feedback from these sessions, which incorporated insights from business and product owners, allowed us to iteratively refine our solutions to meet VA’s goals for this project. 

Prioritizing transparency helped our teams collaborate and communicate effectively. Using tools such as GitHub, we maintained detailed documentation so both VA stakeholders and project team members could easily track progress. This helped VA partners stay informed and engaged with each iteration, enabling us to collectively build reliable, Veteran-centered tools that meet the highest standards of accessibility and usability.

Dark blue banner with screen wireframes

Results: Veterans Can Now Track and Manage Their Benefits More Efficiently

Our collaboration with VA helped reduce the cognitive burden and “time tax” on Veterans and VA service providers by making benefits management tools more accessible, transparent, and efficient. From creating new digital forms to improving claims status tracking to developing and launching electronic download decision letters—the feature most requested by Veterans—our work made a tangible impact in the lives of former service members, their families, and caregivers while increasing trust in VA.

Screen showing the "File a Supplemental Claim" form on VA.gov. Statistics next to the screen read: "12.6k forms and 29.9k evidence uploads, monthly (Aug 2024); 26 min & $15.23 per claim saved cost for VBA & time for VA employees: VA.gov-submitted Supplemental Claims vs Supplemental Claims submitted via other methods (from EOY 2023)"

The digital form enables Veterans, including those eligible for the PACT Act, to file a supplemental claim online.

Supplemental Claim Form

Team Coforma’s Decision Review squad developed and launched the Supplemental Claim form, which enables Veterans to submit additional evidence and information to increase the likelihood of receiving favorable decisions on disability claims. 

Launching the form coincided with the release of the PACT Act, which expanded the eligibility of Veterans filing certain disability claims. Being able to provide additional information and paint the full picture for their claim using these forms makes it easier for Veterans to strengthen their case for receiving benefits to improve their lives.

Animation illustrating the silent failure discovery process, where icons signifying claims fade away, are identified via a circle outline, and are remediated.

VA has started remediating disability claims that silently failed to ensure Veterans get the back pay they deserve. 

Silent Failure Discovery

Coforma’s Decision Review squad also discovered a critical issue with silent failures. Our work revealed that tens of thousands of disability and dependency claims Veterans believed they had submitted through VA.gov had never passed along to the proper downstream systems. Consequently, over 80,000 claims silently failed over the course of a few years. 

As a result of our discovery, we were able to identify Veterans whose claims silently failed. Today, VA is working to remediate those past claims and ensure Veterans receive back pay, helping the agency reestablish trust with those impacted. Team Coforma has since implemented form submission and evidence failure tracking on all our forms. OCTO has also adopted this as an agency-wide priority, with the goal of achieving zero silent failures across all VA teams.

Screen showing "Your VA claim letters" page on VA.gov. Statics on the right read: "11.75M letter downloads from April to 
October 2024; Generated positive feedback from both Veterans and the VA, who put out a press release announcing the feature"

This feature enabled Veterans to download letters related to their claim decision directly from VA.gov for the first time.

Electronic Download Decision Letters

Enabling Veterans to access their disability benefit claim decision letters electronically on VA.gov was a top priority for the Benefits Management Tools team. Veterans previously had to wait for a paper copy of their decision notice to be physically mailed to them. Downloadable decision letters were the most-requested feature among Veterans, who wanted help mitigating the long wait times they experienced when waiting for a decision to reach them by traditional mail.

Today, Veterans can access their decision letters quickly and easily in their electronic claims folders. Veterans downloaded over 11 million decision letters from April to October 2024, and their feedback has been positive. The feature also reduces calls to VA call centers, freeing up service providers to address more pressing questions and requests from Veterans and their families.

Screen showing "Your compensation claim" page on VA.gov. Statistics on the right read: "+35.47% evidence submission conversion rates in first months after launch; +4.7% increase in Customer Satisfaction score in 2023; 60% satisfaction score is our highest of the year; Positive qualitative feedback in our user studies and organic forums (Reddit)

We conducted co-design sessions with Veterans to design a tool that meets their specific needs.

Claim Status Tool

Our Benefits Management Tools team also completely redesigned the online claims status tool, which was antiquated with a number of usability and accessibility issues. Lack of transparency on the form was a consistent piece of feedback users shared during our research, and Veterans told us they were turning to other third-party tools to get the information they needed for the form. 

In response to these findings, Team Coforma added more detailed information on the claim status form and conducted co-design sessions with Veterans to design a tool that defined the actions they needed to take to submit better evidence for their claims and provided clear updates on their claim statuses. Our efforts resulted in a 35% increase in evidence submission conversion rates in the first month after launch and a 4.5% increase in overall customer satisfaction scores for the tool in 2023. Today, Check Your VA Claim, Decision Review, or Appeal Status is one of the most frequently trafficked pages on VA.gov, with an average of 500 visitors every 30 minutes.

Technology

  • GitHub: Code Storage, documentation, pull request, branch management

  • GitHub Projects: Project and issue management, Agile workflows, reporting

  • GitHub Actions: CI/CD, testing, deployment

  • Languages: Ruby, Ruby on Rails, Javascript, React

  • Datadog: Error tracking, metrics

  • Google Analytics: Metrics

  • Mural: Project management, design, research, brainstorming, documentation, and more

  • Figma: Product/UX design, prototyping

  • Adobe Acrobat: PDF testing

  • Microsoft Office: Creating and editing documents, presentations, and spreadsheets

  • Zoom/Teams: Remote meetings

  • Slack: Internal communication

Practices

  • Employed human-centered design (HCD) methodologies and evaluative research techniques

  • Conducted usability testing and co-design sessions with Veterans

  • Integrated accessibility into building the product from the beginning 

  • Developed solutions iteratively with a focus on collaboration, transparency, and adaptability

  • Promoted cross-functional development, teamwork, stakeholder involvement, and trust

  • Used backlog refinements and Sprint Planning to set sprint goals and acceptance criteria

  • Held daily Scrums and demonstrated our work products at Sprint Reviews

  • Held regular retrospectives to improve our processes continuously

  • Maintained quality through defined acceptance criteria, code reviews, and continuous stakeholder feedback

  • Leveraged content design and plain language best practices