Insurance Claims Management Software

Insurance Claims Management

What is Insurance Claims Management Software?

Insurance claims management software helps insurance companies manage and evaluate insurance claims. Products usually support workflow automation and document management to capture policy details, litigation actions, settlement information and evaluations of the claims.

Common Features

  • Collaboration
  • Analytics and Reporting
  • Risk and Fraud Assessment
  • Document Management
  • Workflow Management
  • Case Management
  • Claims Management
  • Compliance Management
  • Audit Management
  • Adjudication Process
  • Policy Management

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Top Insurance Claims Management Software 2024

Product scores listed below represent current data. This may be different from data contained in reports and awards, which express data as of their publication date.

Products below are ineligible for awards due to insufficient recent reviews

Systema Software

Systema Software

Composite Score
7.5 /10
CX Score
7.3 /10

SIMS Claims™ is a pure browser-based system, and was built by experienced enterprise system architects with direct input from a knowledgeable group of seasoned Insurance professionals. The system provides a complete set of out-of-the-box functionality enabling claims organizations to reduce expenses and increase productivity. SIMS Also provides the flexibility companies need to configure the application to meet their unique business needs.

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Pros

  • Reliable
  • Enables Productivity
  • Effective Service
  • Helps Innovate
Microsoft Corporation

Microsoft AXA Seguros

Composite Score
7.1 /10
CX Score
7.7 /10

AXA Seguros, part of AXA Group, is an insurance company that strives to deliver superior customer service, which is critical for success in this industry. The company is replacing an inefficient, manual, claims-management system with one based on the Windows Azure platform. AXA Seguros experienced simplified development and deployment, was able to focus its efforts on business logic rather than technology, and avoided capital expenses.

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Pros

  • Helps Innovate
  • Continually Improving Product
  • Reliable
  • Performance Enhancing
Composite Score
7.0 /10
CX Score
6.9 /10

For over two decades ImageRight has revolutionized the insurance market by automating and streamlining key processes, including quoting, underwriting, renewal, endorsement and claims.

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Pros

  • Helps Innovate
  • Performance Enhancing
  • Client's Interest First
  • Generous Negotitation
Composite Score
6.9 /10
CX Score
6.8 /10

Delphi Claims is a complete and proven, end-to-end, multi-line claims tracking and management system that captures extensive information for all claims functions -- and puts that data at your fingertips. Delphi Claims makes managing claims easier for your adjusters, as well as making it easier for them to provide quality service to your insureds.

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Pros

  • Unique Features
  • Inspires Innovation
  • Caring
  • Altruistic

Cons

  • Charges for Enhancements
Composite Score
6.8 /10
CX Score
7.5 /10

An end-to-end claims management solution, including loss-report intake, adjudication processes, and operational reporting

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Scorecard
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Scorecard

Pros

  • Reliable
  • Enables Productivity
  • Trustworthy
  • Efficient Service
Composite Score
6.6 /10
CX Score
7.1 /10

Claims software by A1 Enterprise is ideal for claims processing and cloud claims management software to Claims Software A1 Enterprise both measure and reduce claims. There are many types of claims and risk exposures leading to claims for an organization. Claim processing software can include liability insurance claims, occupational injuries, damaged assets, return claims, and theft.

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Scorecard
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Scorecard

Pros

  • Trustworthy
  • Respectful
  • Fair
  • Reliable
Applied Systems, Inc.

Applied Epic

Composite Score
6.4 /10
CX Score
6.4 /10

Power your brokerage with the only system in the industry that has integrated capabilities to manage personal, commercial, scheme and benefits and sales in a single application. As the world’s most widely used brokerage management system, Applied Epic®’s integrated and open architecture provides essential capabilities for your brokerage to better manage customer relationships, sales opportunities, market access, financial accounting, reporting, business processes, and policy and benefits administration.

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Pros

  • Continually Improving Product
  • Effective Service
  • Client Friendly Policies
  • Includes Product Enhancements

Cons

  • Vendor's Interest First
  • Less Reliable
  • Less Generous
Change Healthcare Corp

Change Healthcare

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Our integrated end-to-end payment solutions, deep expertise, and commitment to customer service enable our clients to save billions of dollars annually in medical and administrative costs.

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ClaimPilot

ClaimPilot

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ClaimPilot offers solutions for Independent Adjusting Agencies, Third Party Administrators, Self-insured Companies, Public Entities, and more!

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For organizations leveraging the right technology, the management and adjudication of fee basis claims isn’t a complicated or time-consuming task. Fee Basis Claims System (FBCS) streamlines the processing of VA claims and provides strategic insight that can help guide decisions related to the delivery of non-VA care.

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