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Claims Management Software

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Partner XE is a cloud-based insurance agency management system for independent agencies. Partner XE offers accounting, claims management and policy management. Using the system's integrated accounting functionality, users can manage... Read More
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Partner XE is a cloud-based insurance agency management system for independent agencies. Partner XE offers accounting, claims management and policy management. Using the system's integrated accounting functionality, users can manage... Read More
 
 

DRC

DRC's insurance system is a cloud-based insurance solution that enables property and casualty insurance businesses to manage their policy quotes, ratings, billing and claims. The solution offers features for brokers, carriers and policyholders. DRC... Read More
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DRC's insurance system is a cloud-based insurance solution that enables property and casualty insurance businesses to manage their policy quotes, ratings, billing and claims. The solution offers features for brokers, carriers and policyholders. DRC... Read More
 
 
NetClaim by Navex Global is an online claims management and incident reporting solution for insurance carriers and third-party administrators (TPAs). It allows clients to handle various types of claims, such as workers' compensation,... Read More
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NetClaim by Navex Global is an online claims management and incident reporting solution for insurance carriers and third-party administrators (TPAs). It allows clients to handle various types of claims, such as workers' compensation,... Read More
 
 
Applied Epic is a cloud-based insurance solution that assists agents, brokers, insurance providers and consumers with the exchange of insurance data and information. Key features include policies and benefits administration, license... Read More
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Applied Epic is a cloud-based insurance solution that assists agents, brokers, insurance providers and consumers with the exchange of insurance data and information. Key features include policies and benefits administration, license... Read More
 
 
Agency Suites is a cloud-based workflow management solution from EZLynx that integrates user websites with consumer quoting and client centers. Users can connect to the solution from home, office or mobile devices. The retail packages... Read More
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Agency Suites is a cloud-based workflow management solution from EZLynx that integrates user websites with consumer quoting and client centers. Users can connect to the solution from home, office or mobile devices. The retail packages... Read More

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Insly is a cloud-based accounting solution that is designed for brokers, agents and accounting professionals. Key features include accounting and billing management, debt management and reporting. Insly helps in managing sales pipeline... Read More
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Insly is a cloud-based accounting solution that is designed for brokers, agents and accounting professionals. Key features include accounting and billing management, debt management and reporting. Insly helps in managing sales pipeline... Read More
 
 
ISI Enterprise is a cloud-based insurance solution that assists businesses in policy administration, billing, claims and other related services. Key features include reinsurance management, a policy rating engine, document management... Read More
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ISI Enterprise is a cloud-based insurance solution that assists businesses in policy administration, billing, claims and other related services. Key features include reinsurance management, a policy rating engine, document management... Read More
 
 
Adaptik Suite is cloud-based and on-premise insurance software designed for property and casualty (P&C) insurers. Businesses can use the integrated suite for managing claims, administering policies, billing customers and much more.... Read More
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Adaptik Suite is cloud-based and on-premise insurance software designed for property and casualty (P&C) insurers. Businesses can use the integrated suite for managing claims, administering policies, billing customers and much more.... Read More
 
 
InsuranceSuite is an insurance management solution that helps agencies streamline operations and manage claims, bills and receivables, as well as underwriting and policy administration. The solution can be deployed in the cloud and... Read More
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InsuranceSuite is an insurance management solution that helps agencies streamline operations and manage claims, bills and receivables, as well as underwriting and policy administration. The solution can be deployed in the cloud and... Read More
 
 
Vertafore Agency Platform is a cloud-based insurance management solution designed for insurance companies of all sizes. It offers accounting, customer management, document management, policy management and reporting within a suite.... Read More
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Vertafore Agency Platform is a cloud-based insurance management solution designed for insurance companies of all sizes. It offers accounting, customer management, document management, policy management and reporting within a suite.... Read More

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SchemeServe is a cloud-based insurance solution designed for insurance organizations, managing general agents (MGAs) and brokers. Features include cancellation tracking, claims tracking, policy generation, a rating engine, reinsurance... Read More
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SchemeServe is a cloud-based insurance solution designed for insurance organizations, managing general agents (MGAs) and brokers. Features include cancellation tracking, claims tracking, policy generation, a rating engine, reinsurance... Read More
 
 
Applied TAM is a cloud-based insurance management solution designed for small and midsize businesses. It offers business process management, risk management, insurance renewals, marketing management and reporting functionalities within... Read More
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Applied TAM is a cloud-based insurance management solution designed for small and midsize businesses. It offers business process management, risk management, insurance renewals, marketing management and reporting functionalities within... Read More
 
 
1insurer Suite is a cloud-based and on-premise insurance solution that combines software modules such as policy management, billing, claims management, agent/customer/repairer portals and insurer analytics. Businesses can choose to... Read More
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1insurer Suite is a cloud-based and on-premise insurance solution that combines software modules such as policy management, billing, claims management, agent/customer/repairer portals and insurer analytics. Businesses can choose to... Read More
 
 
AgencyPro is agency software designed for insurance companies, intermediaries and underwriting agencies. It is suitable for organizations with multiple insurance products, including auto, home, health, accident, causality and life... Read More
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AgencyPro is agency software designed for insurance companies, intermediaries and underwriting agencies. It is suitable for organizations with multiple insurance products, including auto, home, health, accident, causality and life... Read More
 
 
Bridge is a property and casualty insurance solution that supports the insurance policy lifecycle and helps users adapt business processes and workflows. Users can make changes to the products, fill gaps in existing legacy systems,... Read More
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Bridge is a property and casualty insurance solution that supports the insurance policy lifecycle and helps users adapt business processes and workflows. Users can make changes to the products, fill gaps in existing legacy systems,... Read More

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BriteCore is a cloud-based insurance solution for personal, commercial, auto and specialty insurance providers. Designed for the needs of small and midsize insurance service providers, it provides support for multi-line, multi-state... Read More
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BriteCore is a cloud-based insurance solution for personal, commercial, auto and specialty insurance providers. Designed for the needs of small and midsize insurance service providers, it provides support for multi-line, multi-state... Read More
 
 
Diamond Suite is a cloud-based suite of insurance policy administration applications that cater to personal and commercial insurance organizations. Key features include policy administration, claims administration, a built-in web page... Read More
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Diamond Suite is a cloud-based suite of insurance policy administration applications that cater to personal and commercial insurance organizations. Key features include policy administration, claims administration, a built-in web page... Read More
 
 
InsuranceEnterprise by CodeObjects is an integrated insurance solution that can be deployed on-premise or in the cloud. The solution offers four modules, which include policy administration, claims management, ratings and billing.... Read More
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InsuranceEnterprise by CodeObjects is an integrated insurance solution that can be deployed on-premise or in the cloud. The solution offers four modules, which include policy administration, claims management, ratings and billing.... Read More
 
 
Sapiens P&C general insurance software is a cloud-based, General Data Protection Regulation (GBDR)-compliant insurance management solution designed for medium and large organizations. It caters to non-life property and casualty and... Read More
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Sapiens P&C general insurance software is a cloud-based, General Data Protection Regulation (GBDR)-compliant insurance management solution designed for medium and large organizations. It caters to non-life property and casualty and... Read More
 
 
Stream Suite is an insurance management solution designed for insurance companies of all sizes. It offers claims management, customer management, billing, policy administration and distribution management within a suite. The product... Read More
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Stream Suite is an insurance management solution designed for insurance companies of all sizes. It offers claims management, customer management, billing, policy administration and distribution management within a suite. The product... Read More
 

Buyer's Guide

by Brian Westfall,
Market Research Associate
Last Updated: September 26, 2018


Insurance providers need an efficient way to handle the entire claims management process from end-to-end—from the first notice of loss to setting up a claim, processing and settling.

When the insurer is first notified, the claims processing life cycle is kicked off. During this workflow, insurance professionals need to track the claims in a way that reduces costs, avoids fraud and improves customer service and communication.

This guide is designed to help insurance providers and agencies searching for a claims management system. In it, we look at common features, types of buyers, costs and trends that may impact your business.

Here's what we'll cover:

What Is Claims Management Software?
Common Claims Management Software Features
Benefits of Claims Management Software
Key Considerations When Purchasing Claims Management Software
How Much Does Insurance Software Cost?
Recent Events You Should Know About

What Is Claims Management Software?

Claims management software offers tools to streamline the process of moving a claim through the initial contact all the way to a resolution that is satisfying to the customer and your company.

Claims management in insurance software Insly

A view of claims being tracked in Insly

Throughout this task, users can leverage external sources to verify information, manage important documents, track customer details and utilize reporting tools to spot trends in operations.

Common Claims Management Software Features

Claims management systems potentially include several features designed to guide users through the full workflow. These can include:

Claims tracking and workflows Provides core claim workflows to standardize the majority of incoming claims. Many systems also offer the ability to modify existing or customize new workflows to fit the service provider's needs.
Electronic claims Enables the filing of claims from customers electronically.
EDI data exchange integrations Helps manage a large number of claims at once, importing from multiple insurance carriers.
Fraud management Allows insurers to identify and manage cases of fraudulent claims by tapping into various sources of information and verifying details. Sources may include other claims the customer has submitted, publicly available information or social media.
Document management Assists companies with the many paper and electronic documents necessary in the claims management process by storing and organizing them.
Customer portals Allow customers to submit and view claims information online, increasing convenience.
CRM Provides for integration with a customer relationship management (CRM) module so customer details can be easily reviewed during the claims management process.
Reporting Claims processing data can be analyzed to reveal areas of improvement, which may involve processing times or specific details about claims that can highlight trends.

Benefits of Claims Management Software

The customizable workflows and tracking capabilities available in claims management systems result in some significant benefits for agencies:

  • Reduced costs due to a streamlined workflow and a quicker resolution for most claims.
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  • Better customer service based on the ability to provide more accurate insights into the status of a claim and self-service functionality.
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  • Fewer fraudulent claims using tools that connect you to multiple sources of data to verify claim information.
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Key Considerations When Purchasing Claims Management Software

For any software purchase, there are some important factors to consider that can impact the success of the investment. Some are universal, and some are specific to your particular type of business:

On-premise or cloud-based deployment? Insurance and claims management software are offered via two different types of deployments—on-premise or cloud-based. On-premise is the traditional method of installing a system on the buyer's computers, while cloud-based software (also called Software-as-a-Service, or SaaS) is accessible through a web browser.

On-premise is usually a more customizable option, but requires more IT resources. And cloud-based systems don't typically include a large upfront cost to get started. Evaluate these options for each vendor to determine the best fit.

What integrations do you need? Some types of software, such as CRM, accounting or advanced business intelligence systems, are used by a wide variety of industries. You may want these systems to connect with the claims management functionality. It's important to discuss integration options with any vendor you decide to work with.

What type of insurance do you offer? Based on whether you provide property and casualty (P&C), life and annuities (L&A) or health insurance, some claims management software vendors can offer workflows for different types of claims. Ask whether vendors can customize aspects of the system so your daily tasks are as streamlined as possible.

How Much Does Claims Management Software Cost?

Unlike some other software types, claims and insurance software vendors don't often list this information online, for a reason. Usually, it's because they want you to call for more details, so they can sell you on other software features.

Most insurance systems are offered on a subscription pricing plan, and you're likely to find a stand-alone claims management system for a few hundred to $1,500 per month.

Some subscription costs may also include specific parameters, such as a price per user. Keep your budget in mind when evaluating pricing plans to find one that makes the most sense for your needs.

Recent Events You Should Know About

Current world events can have a significant impact on claims management. Here are some recent happenings that could impact your software search:

Growing advancements in technology enhance fraud detection. For years, fraudulent claims were simply a part of the insurance world, but technology is changing that. Predictive and machine learning capabilities in software are allowing insurance providers and agencies to identify fraudulent claims before they are paid out, saving time spent trying to reclaim losses.

Modern vendors are helping to make these tools feasible for smaller agencies. You can ask vendors about their product road map to see if these capabilities are planned for a future release.

2017 was the most expensive year to date for agencies, due to natural disasters. Damages from the 2017 Atlantic hurricane season topped more than $200 billion in damages with 17 major storms, including Harvey, Irma and Ophelia.

These types of disasters cause a surge of claims for insurers, so proper automation is necessary to handle this increase, and software is capable of processing a large volume of claims during catastrophes.

 

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