Contact Us
Top Insurance Claim Management Software and Systems
  1. Products
  2. Top Insurance Claim Management Software and Systems

Top Insurance Claim Management Software and Systems

April 2024

Insurance claim management software is designed to help insurance companies evaluate and manage insurance claims. It minimizes the risk of fraud while staying true to the principle of payments for those in need. What are the best claim management solutions out there and how can you get inspired for your product?

What exactly is insurance claims management?

The product in question should have a few functionalities that are necessary for insurance companies. Among them are:

  • storing information about claims in the database
  • allow users to submit claims
  • analyze data and historical patterns to highlight potential frauds
  • provide risk assessment functionalities through analysis of claim complexity
  • automate business processes – client onboarding, claims analysis, payments
  • medical evaluation
  • the revision process for annuities
  • appeals and complaints
  • court cases
  • recourses
  • reimbursements
  • integration with an accounting system
  • integration with the home-banking system

Comprehensive insurance claim management software is not an easy thing to develop. In fact, due to compliance and delicate matter, insurance software development is one of the toughest fields out there. That’s why you want to make sure the previously mentioned functionalities are identified and successfully implemented.

Claims management systems for insurance are about people, not data

Consumers use products, but in fact, trust the people behind them. That’s why it’s important to design claim management solutions in a way that enhances customer experience. Make claim uploading process seamless, analysis short, and decision making automated. Not with a human touch, though. It’s hard to automate and generate trust at the same time. That’s why we have made this list of insurance claim management software. Take a look at what’s already there and think about how your claim management solutions, implemented in your application, can help the market. You may also want to check our insurance compliance software list.

101

Claim Technology Platform

10-49 Employees
London, United Kingdom
Est. 2018
Claim Technology has created the first marketplace for pre-built Insurance automations, known as Accelerators. These offer incredible benefit across the whole insurance value chain, enabling any insurtech vendor to launch a new business model on the Claim Technology platform. Legacy technology is holding today’s Insurance companies hostage, and while many companies might have begun the route to digitization, none are truly ‘digital-first.’ Our Accelerators make it easy to start a digital conversation with your customers in a smart and omni-channel way, automating specific tasks as standalone solutions, or creating a digital journey in a low/no-code environment. Accelerators allow vendors to offer quick solutions to their customers, enabled with one click using a low-risk SaaS based model. This not only improves time to value, but also reduces the cost of product development, and helps any insurance vendor to test and validate a new idea, immediately trialing and checking for interest and value without lengthy purchase, implementation and release cycles.
Specialities
  • InsurTech solutions
  • Secure Customer Payments
  • Claims Processes
Visit site
102

Claimlane

10-49 Employees
Copenhagen, Denmark
Est. 2017
Claimlane is the single point of handling returns. Merging thousands of different ways of handling product complaints into one platform.
Specialities
  • Complaints Management Platform
  • Complaints Process
Visit site
103

ClaimPilot

10-49 Employees
College Station, United States
Est. 2000
Web-based claims management system with features such as functional security and reporting.
Specialities
  • Claims Management Software
  • Web-security
Visit site
104

Claims Software

10-49 Employees
Dania Beach, United States
A complete claims management software solution for insurance Claims, Property Claims, and Workers Compensation Claims.
Specialities
  • claims management software
  • insurance Claims
Visit site
105

Claims.io

10-49 Employees
Bassendean, Australia
Est. 2015
Claims.io is a claims management for loss adjusters, claims managers, fleet managers, smash repairers, brokers & insurers.
Specialities
  • Claims Management Software
  • Custom Workflows
  • Automations
Visit site
106

ClaimScape

10-49 Employees
Riverside, United States
Est. 2000
Medical, dental and vision claims, health benefits administration, and claims adjudication software in one solution.
Specialities
  • Claims Processing Software
  • Benefits Software
Visit site
107

ClaimsCRM

10-49 Employees
Skelmersdale, United Kingdom
Est. 2009
Case Management Software with Workflow-Processing for many different Case Types.
Specialities
  • Cloud-based Business
  • CRM Software
  • Consultancy Services
Visit site
108

ClaimSpace

10-49 Employees
Surry Hills, Australia
Est. 2017
ClaimSpace’s web-based, data-driven engagement platform delivers a more efficient, collaborative and digital claims experience for customers, claims staff and stakeholders alike.
Specialities
  • Web-based SaaS Platform
  • Digital Transformation
Visit site
109

ClaimSuite

10-49 Employees
London, United States
Est. 1985
Web-based system for loss adjusters, in-house claims, brokers, captives, and claims management companies.
Specialities
  • Claims Management Systems
  • Digitising Insurance
  • Insurance Placing Platforms
Visit site
110

ClickClaims

10-49 Employees
Harvey, United States
Est. 1999
ClickClaims is a Software as a Service (SaaS) claims management solution for Property and Casualty Insurance Carriers, Independent Claim Adjusters, Third Party Administrators, and Specialty Claim Service Providers. Our turn-key applications are hosted, managed solutions that are integrated with Xactware, Symbility Solutions, Policy Management Systems, and over 50 carrier dispatch systems. Your Claims are Our Commitment.
Specialities
  • Claims Management Systems
  • Web-based SaaS
Visit site
111

Cloud Claims

10-49 Employees
Norwalk, United States
Est. 2003
Cloud Claims handles all commercial lines including P&C, workers’ compensation, auto, PL, GL, and more. User-friendly and aesthetically clean on desktop or mobile browsers, Cloud Claims accurately and easily manages the entire claims lifecycle -from first report of incident through payments and collections. Its rich features include dashboards, reports, document management, reserves, payments, notes, diary, and subrogation/recovery.
Specialities
  • Claims Management Software
  • Reporting and Analytics
Visit site
112

Eclipse WC

10-49 Employees
Novi, United States
Est. 1997
Total environment designed to manage the needs of workers’ compensation claims.
Specialities
  • Insurance
  • Medical Software
Visit site
113

expEDIum Claims Portal

10-49 Employees
Bangalore, India
Est. 1998
A web-based automated medical claims solution that has a variety of features including online referrals & authorizations management.
Specialities
  • Healthcare IT Solutions
  • Cloud-based Medical Billing
  • Practice Management Software
Visit site
114

FileHandler Enterprise

10-49 Employees
St. Louis, United States
Est. 1989
FileHandler Enterprise is an intuitive Claim Administration System designed to help streamline and automate the workflow for claims and risk management companies. Complete with new dashboards, reporting functionality, business intelligence tools, and the latest security technology, the FileHandler Enterprise system is the new benchmark for all claims management systems in the industry. FileHandler Enterprise helps TPA’s, Carriers, Risk Pools, Risk Managers, and a variety of other business professionals administer claims, payment, and employee data to effectively manage their business. FileHandler Enterprise is scalable and can be adapted for companies ranging from a single employee to hundreds. Contact us to set up a demo.
Specialities
  • Management Software
  • Claims Management System
Visit site
115

Five Sigma Claims Management Platform

10-49 Employees
Tel Aviv, Israel
Est. 2017
Five Sigma claims management platform helps claims organizations optimize their operations and reduce claims leakage. Using innovative SaaS and digital technologies and an unique implementation approach, claims organizations can make sure that their teams are making decisions while their software helps them and takes care of everything else.
Specialities
  • Insurance
  • Productivity Tools
Visit site
116

IDP:Claims

10-49 Employees
Philadelphia, United States
Est. 1949
Manage everyday claims requirements, including salvage, subrogation and litigation processing, coverage limits editing and more.
Specialities
  • Cloud-based Software Solutions
  • Insurance Industry
Visit site
117

Incident Management System

10-49 Employees
Norwalk, United States
Est. 2003
IMS is an industry-leading claims/risk management system, covering all commercial lines including P&C, workers’ compensation, auto, and general liability. IMS accurately manages the entire claims lifecycle, from first report of incident through issuing payments and collections.
Specialities
  • Claims Management Software
  • Reporting and Analytics
Visit site
118

InsurancePlus Software Series

10-49 Employees
Lake Mary, United States
Est. 1979
Robust software for underwriting, new business processing, policy services, billing, agent commissions, and claims adjudication.
Specialities
  • Insurance Administration Software
  • Document Management
Visit site
119

InsureQ

10-49 Employees
München, Germany
Est. 2020
Whether freelancer, startup or business owner – insureQ knows which coverage fits best to your professional needs.
Specialities
  • Property Management
  • Consulting
Visit site
120

JCAD LACHS

10-49 Employees
Liss, United Kingdom
Est. 1992
JCAD LACHS offers Claims Handling system, LACHS, for efficient claims management.
Specialities
  • Risk Management
  • Claims Processing
Visit site
121

LMS Suite

10-49 Employees
Jersey City, United States
Est. 1999
Loan management platform for secondary markets. A true end-to-end platform for managing all loan processes from acquisition to exit.
Specialities
  • Loan Markets
  • Hedge Funds
Visit site
122

MediClaims

10-49 Employees
Clearwater, United States
Est. 1979
Benefit administration and claims processing software for Insurance Companies, Government Plans, TPAs and Self Administered Groups.
Specialities
  • Benefits Administration
  • Claims Adjudication Systems
Visit site
123

Metromile Enterprise

10-49 Employees
San Francisco, United States
Est. 2018
Metromile offers the industry’s most advanced touchless claims platform, harnessing the power of AI and end-to-end digital automation to deliver the best customer experience at the industry’s lowest cost.
Specialities
  • Software-as-a-service
  • Insurance
Visit site
124

Mirror.me

10-49 Employees
New York, United States
Est. 2016
Mirror helps enterprises improve the customer experience using data-rich interactions to document issues.
Specialities
  • Casualty Insurance
  • Data Automation
Visit site
125

NIS – Cloud based insurance software for automated insurance administrations /management

10-49 Employees
Bergen, Norway
Est. 1996
NIS is a low cost license software for any insurance concept! It is 100% built as a web based cloud solution, meaning it´s fully operational on any device (pc/pad/mobile) anywhere, with an internet connection. It is built and hosted on Microsoft cloud platform: MS Azure, so it´s scalable to any needs/size for automated growth. A selection of NIS moduls – They are all connected for automated interaction, but can also be operated individually: Policy administration (with automated renewal) Broker administration Billing Sales portal Customer portal Risk supplier portal Tailor-made reports Engines (Price, UW, Commission, etc.) Claims handling administration Claims supplier portal How automated do you want your administration to be? It varies, but the set up for one of our clients gave them a proximately 90% automated insurance administration. Their growth is incredible.
Specialities
  • Insurance System
  • Human Resource Planning System
  • Licence Software Solution
Visit site
126

PBM Express

10-49 Employees
Lakeville, United States
Est. 2000
Modular adjudication software designed to achieve accurate processing results.
Specialities
  • Pharmaceutical Software
  • Pharmacy Claims Industry
Visit site
127

QuickCap

10-49 Employees
Arlington Heights, United States
Est. 1994
QuickCap is an advanced healthcare claim processing system built for IPAs, PHOs, MSOs and other management organizations. It is designed to process EDI and manual claims, capitation, eligibility, referrals, authorizations, premium billing, case management and other healthcare related items.
Specialities
  • Management Services Organizations
  • Health Plans
  • Specialty Networks
Visit site
128

Record360

10-49 Employees
Seattle, United States
Est. 2013
Record360 offers software for digital condition documentation, asset condition management, and claims management.
Specialities
  • Leading Software
  • Asset Condition Management
Visit site
129

RIGHTINDEM

10-49 Employees
London, United Kingdom
Est. 2016
Enables customers to easily describe how the incident happened and add supporting photos and videos, helping them submit and manage their claim in a faster, more transparent way.
Specialities
  • Insurance Claims
  • Insurance Business
Visit site
130

Risk Management Systems

10-49 Employees
Palm Harbor, United States
Est. 1987
Web-based claims management system; worker’s comp, multi-line liability, FROI, EDI, bill review, group health.
Specialities
  • Management Software
  • Insurance Agents
Visit site
131

RiskVille

10-49 Employees
Blackrock, Ireland
Est. 2018
RiskVille is a flexible scalable cloud solution for insurance companies, insurance brokers, insurance agencies, and captive managers with modules like: 1) CRM 2) Rating, Quoting, Policy Management, and issuance 3) Billing and reporting 4) Claims Management 5) Document and Mail handling. Its single data storage accessible 24/7 for managing personal lines, commercial lines, or benefits. Our know-how allows us to set 3 times lower price than competitors. We can implement it for you within 3 days.
Specialities
  • Policy Management
  • Claims Management
  • Rating
Visit site
132

Series 3000

10-49 Employees
Hackettstown, United States
Est. 1990
Claims processing solution with unlimited system variables that can be programmed to meet your specific needs.
Specialities
  • Insurance Industry
  • Claims Processing Service
Visit site
133

Spyglass

10-49 Employees
Carmel, United States
Est. 1995
SpyGlass is a web-based medical claims software that handles health, dental, vision, standard or lifetime disability, time-loss payments, COBRA and life claims.
Specialities
  • Leading Edge Software
  • Health Claims Management Solutions
Visit site
134

TrackAbility

10-49 Employees
Sarasota, United States
Est. 1992
Risk and claims management software that tracks issues related to general liability, auto, P&C, incidents and professional liability.
Specialities
  • Occupational Health Software
  • Disability Management
Visit site
135

Virtual Claims Adjuster

10-49 Employees
Bolton, Canada
Est. 1998
Virtual Claims Adjuster is a web based claims management software package which was built with you in mind.
Specialities
  • Intelligent Automation
  • Insurance Claims Process
Visit site
136

AI Insurance

1-9 Employees
San Francisco, United States
Est. 2018
AI Insurance offers claims management software.
Specialities
  • Insurance Management Platform
  • Cloud-based Software
Visit site
137

CAMS

1-9 Employees
Greensboro, United States
Est. 1998
Simplifies management, record keeping and reporting.
Specialities
  • Advanced Software
  • Business Solutions
Visit site
138

Claimable

1-9 Employees
London, United Kingdom
Est. 2009
Claimable prides themselves on making simple, affordable claims management software. Their software has been carefully crafted to provide the tools necessary for timely and efficient claims management.
Specialities
  • Claims Management Software
  • Insurance Industry
Visit site
139

ClaimAdept

1-9 Employees
Pickering, Canada
Est. 1986
System used for calculation and payment of group disability claims. The adjudicator’s workflow is task driven.
Specialities
  • Insurance Claims Systems
  • Deveopment and Customization
Visit site
140

ClaimsControl

1-9 Employees
Vilnius, Lithuania
Est. 2018
ClaimsControl is an insurance claims collaboration platform that performs data exchange between insurers, brokers, their customers.
Specialities
  • Data Exchange
  • InsurTech
Visit site
141

ClaimsPoint

1-9 Employees
Gatwick, United Kingdom
Est. 1999
Improving customer service and satisfaction, streamlining business processes, and reducing costs.
Specialities
  • Consulting
  • Insurance
  • Software
Visit site
142

ClaimWizard

1-9 Employees
San Antonio, United States
Est. 2013
ClaimWizard assists your public adjusting business by providing powerful tools for managing every step of the claim process – from origination to settlement and beyond. ClaimWizard helps you stay on top of your adjusting case-load, proactively guiding you through your process, and providing improved customer service. Its client-centric approach helps to increase your company’s capacity, providing you with the tools you need to grow and succeed.
Specialities
  • Improved Client Relationships
  • Superior Reporting and Analytics
  • Claim Settlement
Visit site
143

Complete Claims

1-9 Employees
Wichita, United States
Est. 1991
Claims processing and payment software with unlimited plans, on-line repricing and PPO fee schedules capabilities.
Specialities
  • Healthcare
  • Software Products
  • Health Benefits Administration Application
Visit site
144

FileTrac

1-9 Employees
New York, United States
Est. 2005
The # 1 ranked Claim management system for independent adjusters, TPA’s, MGA’s, & Mutual Ins. Co.’s. System does not apply to Public Adjusters. Entire system is based on the input from our 1000’s of Users. Integrates with Outlook, Quick Books, Xactimate, Xactanalysis, Symbility, NFIP/NFS, LEDES and Google Maps.
Specialities
  • Management Consulting
  • Insurance
Visit site
145

HIPAA Claim Master

1-9 Employees
Brinklow, United States
Est. 2001
HIPAAsuite has products for every HIPAA transaction including CORE Certified solutions.
Specialities
  • Healthcare Industry
  • InsurTech
Visit site
146

I-CAPS

1-9 Employees
Topeka, United States
Est. 1981
Claims adjudication and processing system that includes payee accounting, automated correspondence, anesthesia pricing capabilities.
Specialities
  • Information Technology
  • Health Care
Visit site
147

Panoramis

1-9 Employees
Edinburgh, United Kingdom
Claims management system specifically for the insurance industry.
Specialities
  • Claims Management Software
  • InsurTech
Visit site
148

PowerClaim

1-9 Employees
Murray, United States
Est. 1996
Complete property adjusting software package; quickly complete estimates and create photo sheets, diagrams, captioned reports and more.
Specialities
  • Software Solutions
  • InsurTech
Visit site
149

ScanNStore

1-9 Employees
Sydney, Australia
Est. 2015
ScanNStore claim scanning and document storage solution for healthcare industry. Works with a variety of scanners and databases.
Specialities
  • Online Service
  • Document Automation
Visit site
150

TED

1-9 Employees
München, Germany
Est. 2016
ted offers insurance in a modern and innovative way – transparent, simple, digital and of course with first-class customer care and guaranteed data security. Whether it’s basic security, all-round security or old-age provision – with ted you can comfortably determine, administer and cover your entire insurance needs.
Specialities
  • Data Security
  • InsurTech
Visit site