Best Claims Management Software of 2026
Updated January 27, 2025 at 9:57 AM
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Jenesis is designed specifically for the independent insurance agency, offering a seamless platform to manage various aspects of...Read more about Jenesis Software
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Applied Epic is an agency designed to help insurance agencies improve their processes, offering a multitude of benefits and capa...Read more about Applied Epic
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WaterStreet is a cloud-based insurance solution designed primarily for sectors such as property and casualty insurance. Wa...Read more about WaterStreet

Salesforce Financial Services Cloud is a customer relationship management (CRM) solution that helps businesses in the finance in...Read more about Financial Services Cloud

NextAgency is the Nation's leading Insurance Agency Management Platform featuring CRM, marketing, and commission tracking tools....Read more about NextAgency
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Eclipse is an insurance agency management system for independent insurance agents with both on-premise or cloud-based deployment...Read more about Eclipse

NowCerts is a cloud-based insurance solution designed for insurance agencies of all sizes. Key functionalities include commissio...Read more about NowCerts

With a claims engine as its core, VCA Software (formerly known as Virtual Claims Adjuster) is a global SaaS platform focused on ...Read more about VCA Software

Anagram, formerly Patch, is a cloud-based insurance management solution, which assists health centers and medical practitioners ...Read more about Anagram
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Insly has provided full-cycle low/no-code insurance software for MGAs and insurance companies since 2014. Insly delivers a scala...Read more about Insly

tigerlab offers a cloud-based Insurance Platform as a Service (IPaaS), designed for insurers, MGAs, insurance startups and digit...Read more about tigerlab

Agency Master is an insurance agency management solution that helps businesses manage insurance claims for trucking and transpor...Read more about Agency Master

Agentero is a cloud-based solution that enables insurance agencies to interact with clients and manage insurance policies on a c...Read more about Agentero

ClickClaims is a SaaS claims management solution that helps businesses of all sizes manage accounting, vendors, documents, tasks...Read more about ClickClaims

FileHandler Enterprise is a claims administration software designed to help public entities, third-party administrators and self...Read more about FileHandler Enterprise

Sibro is the simplest and easiest solution, specifically developed to manage end-to-end insurance businesses. It helps you keep ...Read more about SIBRO

Cooper Rose Digital is a suite of modules such as product distribution, policy management, rating engine, documentation generati...Read more about Cooper Rose Digital Full Suite

Virtual Benefits Administrator is a cloud-based claims processing solution that helps organizations of all sizes manage various ...Read more about VBASoftware

IMS 4 is an on-premise and cloud-based solution that helps insurance agencies manage various administrative operations such as d...Read more about Xanatek Connect

Cloud Claims is a claims management solution that helps businesses process incident-based claims including documentation, finan...Read more about Cloud Claims

Adjustify is a claims management solution designed to help businesses in the construction, furniture warranty, property insuranc...Read more about Adjustify

NetClaim by Navex Global is an online claims management and incident reporting solution for insurance carriers and third-party a...Read more about NetClaim

RiskVille is a cloud-based, GDPR-compliant risk and insurance management solution that allows insurance organizations to manage ...Read more about RiskVille

SchemeServe is a cloud-based insurance solution designed for insurance organizations, managing general agents (MGAs) and brokers...Read more about SchemeServe

SimpleINSPIRE is an integrated multi-line insurance platform suitable for P&C insurance companies of any size. It combines polic...Read more about SimpleINSPIRE
Buyers Guide
This detailed guide will help you find and buy the right claims management software for you and your business.
Last Updated on January 27, 2025Insurance 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?
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.

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.
Better customer service based on the ability to provide more accurate insights into the status of a claim and self-service functionality.
Fewer fraudulent claims using tools that connect you to multiple sources of data to verify claim information.
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.

