Insurance Claims Management Software
Ventiv Claims Administration software is designed to handle claims with speed and precision.
Xactimate is a property claims estimating application, supporting restoration professionals with repair process management. Xactimate was developed by Xactware, a property insurance and repair / remodeling software specialist that is now a Verisk Analytics company since the 2017…
GuideWire Software in California offers ClaimCenter as an end-to-end insurance claims management system for personal, commercial or workers compensation, with automation designed to eliminate the need to perform low level tasks associated to managing claims.
Pega Customer Service is a solution for solving interactions with customers, including collections, claims management, and other case management. It is available in 3 editions: the Digital Customer Engagement Edition, the Enterprise Edition, and the Case Management Edition.
The TriZetto Core Administration platform aims to provide the flexibility, automation and configurability needed to boost payer efficiency and launch new business models. Cognizant’s line of TriZetto Healthcare Products provides enterprise-wide core administration solutions. Editions…
British company JC Application Development (JCAD) offers LACHS, a claims management application focused on risk management in the claims process.
Oracle Insurance Claims is a claims lifecycle management system featuring claims assignment rules, business intelligence, and other features of use to larger organizations and enterprises.
HyperQuest, a Solera company, offers their insurance claims application to property and casualty insurers, focusing on easily accessible centralized information related to claims.
New York company PCIS offers ClaimsVision, a cloud-based claims management offering containing a claims processing, a business rules engine for claims assignment, and accounting, among other features.
QIS Claims Management from Dutch company Keylane is a claims administration application focused on customer relationship management and operational efficiency related to this.
nsurity Workers Comp Suite (replacing the former Tropics Claims) is a workers' compensation focused insurance claims administration software, featuring document and payment management, an automated reinsurance module with definable rules, and is now supported by Insurity since acquired…
Insuresoft in Illinois offers Diamond Claims, a web-based application touting an efficient claims handling process with many possible third party integrations.
ClaimEnterprise is a claims lifecycle management application from CodeObjects touting features like claim assignment based on skill and availability, risk analysis and management, and fraud prevention.
ClaimZone Manager is a commercial insurance claims management software offered by Mountainview Software, a property of insurance services company Gallagher Bassett.
French company i2S offers their modular platform to suit different the needs of insurers requiring automation in claims processing, customer relationship and data management, and other administrative needs.
British company Fadata offers INSIS Life, a claims management application for insurers providing life insurance and related products.
OneShield Software offers the OneShield Claims application for end-to-end claims lifecycle management focused on efficiency and process automation.
Insurity offers a suite of applications, the Insurance Decision Suite , which features Insurance Enterprise View along with additional applications: Policy Decisions, Billing Decisions, Claims Decision, and Reinsurance.
Unified Workplace Health, Safety, Medical Care, Case and Compliance Management Cloud Platform For Managing Employee Safety And Care Path Life-Cycle – Pre and post-injuryXybions Integrated Low-Code Workplace Health, Safety, Care, Case and Claims Management Digital Platform is designed…
GalaxE.Solutions headquartered in Somerset offers GxClaims, a claims processing and management application, and part of its Gx suite of offerings.
IVANS Exchange is a complimentary online tool that is designed to provide an easy way to track current and new download connections so an agency can increase insurer and MGA connectivity.
CNSI offers the EvoBrix modular healthcare claims platform, a comprehensive Medicaid management information system. EvoBrix is designed to support high volume claims processing, and provides modules for health records, claims and managed care, contract and provider information, and…
CNSI offers eCAMS, a Medicaid claims processing solution deployed primarily by government entities.
ExamWorks headquartered in Atlanta offers the ExamWorks Virtual Enterprise Platform as a Service, a managed claims review platform providing independent medical claims reviewing.
EXL’s Subrosource platform is a claims management technology with advanced analytics, and patented methodologies designed to improve both net- and top-line recoveries. The solution embeds analytics throughout the process to proactively identify opportunities, provide decision support,…
What is Insurance Claims Management Software?Insurance Claims Management Software focus primarily on providing information essential for the evaluation of claims with a centralized system of record.
Beyond providing operational efficiency in the management of claims, insurance claims systems should also reduce the risk of fraudulent claims by providing access to all relevant data associated to claims in an organized fashion, supporting risk evaluation.
Insurance Claims Management Software Features
Insurance Claims Management Software include the following identifiable features:
Automated claims processing
Risk assessments & fraud detection
Document storage and management
Detailed reports and analytics
Insurance Claims Management Software Comparison
When comparing Insurance Claim Management Software, consider the following factors:
Software Integrations: Select insurance claims management software that integrates with CRM, accounting, and Business Process Automation software.
Data Storage: Insurance claims management software is offered with cloud or on-premise data storage.
Workflows: The software workflows are customizable based on the type of claim being processed.
Insurance Claims Management Software Price
Insurance Claims Management Software vendors typically charge a monthly or annual subscription fee per user. The cost of Insurance Claims Management Software can range from $10/user/month to over $200/user/month. Contact vendors to get specific pricing information and request a demo.