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Best Insurance Claims Management Software

Insurance claims management software helps insurers manage and evaluate insurance claims. Insurance claims management systems allow agents to manage the claims process with automated workflows, ensuring that all claim details are recorded within a centralized system of record. Claim details can include litigation, negotiation, settlement communications, relevant policy information, and claim assessments. Insurance claims management systems are commonly used by both independent and enterprise insurance agencies to support agents manage their clients’ claims. Insurance claims management products can help insurers reduce claims management costs, reduce fraudulent claims, and enhance customer experience. Insurance claims management products can be implemented either as a standalone solution or as part of an integrated insurance suite.

To qualify for inclusion in the Insurance Claims Management software category, a product must:

  • Support claims and settlement workflows
  • Provide risk assessment capabilities to identify claim complexity and likelihood of litigation
  • Analyze data to detect potential instances of fraudulent claims
  • Allow users to create claim reports
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Insurance Claims Management reviews by real, verified users. Find unbiased ratings on user satisfaction, features, and price based on the most reviews available anywhere.

Compare Insurance Claims Management Software
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    Applied Epic is the industrys most technologically advanced, flexible and secure cloud-based agency management system, providing powerful automation capabilities and a greater level of visibility across an entire book of business. The system offers a single, open application with integrated capabilities to efficiently manage customer relationships, policy and benefits administration, sales automation, and financial accounting processes.

    Guidewire ClaimCenter is a claims management system that supports all lines of personal, commercial, and workers' compensation insurance.

    Snapsheet utilizes proprietary technology to optimize virtual claims operations.

    ClaimXperience provides insurance companies with important tools that help claims representatives work more effectively with policyholders.

    ClaimZone Manager is designed from the ground up to be a comprehensive, web-based claims management system.

    CSCs RISKMASTER Accelerator claims software for carriers gives P&C claims professionals.

    Healthcare claims management solution that's designed to track financial transactions, capture and analyze detailed insurance coverage.

    Virtual Claims Adjuster is a web based claims management software package which was built with you in mind.

    ClaimsEnterprise is a complete claims processing system, from FNOL through adjudication.

    Web-based claims management system; worker's comp, multi-line liability, FROI, EDI, bill review, group health.

    SIMS Claims is a browser-based solution utilizing modern technology to streamline your claims administration processes.

    Web-based claims processing solution that helps with managing revenue cycle and scheduling patient appointments online.

    Simplifies management, record keeping and reporting.

    Integrated, flexible software solution for creating claims with intuitive data entry and support for compliance with state mandates.

    Medical, dental and vision claims, health benefits administration, and claims adjudication software in one solution.

    Claims Decisions is a complete claims lifecycle administration system for all standard Commercial & Personal Lines, Workers Comp, Specialty and Custom lines of business.

    Improving efficiencies within the healthcare billing process through automation and seamless integration.

    Medical claims forms scanning solution that provides data recognizing, validating and formatting.

    Duck Creek Claims allows you to manage the entire claims lifecycle.

    Simple yet powerful Electronic Response File Reader that translates Medicare HIPAA 5010 277CA and 999 responses into a readable format.

    Leading claims management system to optimise your claims handling. Exceptional reporting and automation help reduce claims burden.

    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.

    HIPAAsuite has products for every HIPAA transaction including CORE Certified solutions.

    Manage everyday claims requirements, including salvage, subrogation and litigation processing, coverage limits editing and more.

    iScope is a claim software for public insurance adjusting professionals that delivers loss estimating tools from the public adjusters perspective that includes tools to help the estimating process.

    Fully integrated customized claims processing solution for TPAs, self insured, claims administrators.

    Majesco Claims handles all types of claims across all lines of P&C insurance, allowing carriers to consolidate their business environment and reduce costs.

    Streamlines claims, policy, reporting and overall business process management needs.

    Component based, fully integrated, insurance processing system.

    Passport Claims Defense is designed to enable smart and efficient procurement, management, and delivery of legal services for claims organizations to help insurers improve expense and loss ratios.

    Improve efficiency and effectiveness with a claims management desktop that modernizes your underwriting environment on an enterprise scale.

    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.

    Record360 offers software for digital condition documentation, asset condition management, and claims management.

    Claims processing solution with unlimited system variables that can be programmed to meet your specific needs.

    Web based claims management system that handles lines including property, casualty, auto, marine, liability.

    Manages provider and client demographics, fee schedules and contracts, credentialing, customer service functions and claims repricing.

    A1 Tracker is a customizable claims management software to streamline your businesses. A1 Tracker software covers a vast array of claims management needs, including workflow approvals, notices, letters, and document management. Track approval workflow, costs, payments, and reserves. Offered as fully hosted and self hosted with technical support, data migration, and full training.

    Act-isure is a medical and protection insurance system supporting products, policy, enrollment & billing, and claims & accounts management.

    Modular policy, quoting, billing and claim administration application.

    DataCare provides software solutions for the workers' compensation industry to better manage medical treatment and billing. Their Medical Process Manager and UR platforms help integrate a medical aspect to the claims workflow and expedite the communication process between the URO and requesting physician.

    Comprehensive benefit management system offers Payers a single Web-based system for administering benefits across all lines of business.

    Processes claims and takes cases through from information capture to invoicing.

    ClaimBook helps hospitals by accelerating overall discharge process of insurance patients, enhances Hospital revenue collection by increasing effective bed care days in hospitals for new admissions and preventing revenue leakages in payment collections from TPA/Insurance companies. Integration with TPA backends for all TPAs and Hospital HIS systems helps in accelerating the overall claim processing cycle with TPA. Automatic TAT Analysis, Automated TPA Reminders and Aging reports help hospitals to track the TPA aged and defaulted cases.

    ACD delivers the leading virtual claims workflow technology that flexes to an auto insurer’s specific business needs. ACD's AutoLink® incorporates multi-channel methods of inspection into one, unified platform. ACD provides mobile self-service photo estimating, the largest crowdsourced on-demand field appraisal network, collision repair shops and salvage - all to help lower costs, deliver faster cycle times, improve accuracy and increase customer satisfaction.

    Uses data from practice management system, as well as electronic remittance from Medicare to match claims to EOBs.

    Solutions for Sales, New Business, Underwriting, Policy Maintenance, Billing, Collections, Commissions, Customer Service, and Claims.

    Bridge insurance claims software offers powerful features to improve the speed and efficiency of claims management and settlements.

    CaseBlocks for Claims Management provides a platform for managing the end-to-end claims process.

    Web based P&C Claims Administration System supporting a wide range of claim processing requirements. TPA, SIR Entities, Risk Managers. Client-centric workflow, Email integration, Messaging and Alerts, Shared Calendar, Litigation Support, Document Management - store any format including MP3 and DVD, Form Letters, Stat Reporting, Robust Transaction Processing - Reserving, Payment/Check Issuance and Recoveries.

    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.