Insurance claims management solution software Market Size, Share, Growth, and Industry Analysis, By Type (On-Premise and Cloud Based), By Application (BFSI, Government, Travel & Hospitality, healthcare & Life sciences and Others.) and Regional Forecast to 2032

INSURANCE CLAIMS MANAGEMENT SOLUTION SOFTWARE MARKET REPORT OVERVIEW

The Insurance claims management solution software Market Size Expanded Rapidly In 2023 and is projected to Grow Substantially By 2032, Exhibiting a Prodigious CAGR During the forecast period.

Insurance claims management solution software is the system that is used by insurers to store, analyze, and respond to claims information. It helps insurers improve customer service, processing efficiencies and reduce their claims expenses. Insurance claims management software can provide a variety of features such as claims workflow automation, user-friendly claims submission, automated claims routing, electronic document management, claims adjudication and more. There is increasing demand for the insurance claims management solution softwares due to the increase in the streamlining the claims process. One of the main Driving factors for this growth are the increasing use of digital technology in the insurance sector, the increasing demand for improved customer service and the changing regulatory landscape. There is continuous increase in the demand for the efficient processes that are cost effective that can easily automate the process of the insurance claims.

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INSURANCE CLAIMS MANAGEMENT SOLUTION SOFTWARE MARKET KEY FINDINGS

• Market Size and Growth: The Insurance Claims Management Solution Software Market size was USD 21,794.2 Million in 2024, is projected to grow to USD 23,146.3 Million by 2025 and exceed USD 40,190.5 Million by 2033, with a CAGR of 6.7% from 2025–2033.

• Key Market Driver: Automation is doing the heavy lifting. As of 2023, over 65% of insurers in North America adopted AI-powered claim validation tools to cut processing time by up to 45% (source: Celent Insurance Tech Report).

• Major Market Restraint: Legacy systems are dragging things down. Roughly 41% of mid-sized insurers still rely on outdated claim modules that lack real-time data integration (Accenture Insurance Insights, 2023).

• Emerging Trends: There's a major uptick in blockchain adoption for fraud detection. About 27% of global insurers piloted blockchain-based claims platforms in 2023, especially in high-theft verticals like auto and health (Deloitte, Tech in Claims 2024). Also, mobile-first claim filing rose 38% YoY, as insurers prioritize user convenience and digital onboarding (Statista 2024).

• Regional Leadership: The U.S. leads the charge, accounting for nearly 34% of global platform adoption in 2023, largely fueled by InsurTech partnerships and API-first policy architectures (NAIC).

• Competitive Landscape: It's a crowded race — with over 150 vendors globally, including players like Guidewire, Duck Creek, ClaimVantage, and Salesforce all vying for cloud-native dominance (Forrester Q4 Wave Report, 2023).

• Market Segmentation: Health insurance claims modules represent the largest segment, accounting for 31% of platform deployments globally due to regulatory demands and higher claim frequency (PwC HealthTech Review 2023).

• Recent Development: In early 2024, Guidewire Software launched “ClaimCenter NextGen,” offering drag-and-drop automation and integrated analytics — now live with 12+ U.S. carriers in just six months (Guidewire Newsroom, Q1 2024).

COVID-19 IMPACT: MARKET GROWTH UPSCALED BY PANDEMIC DUE TO LOCKDOWN

The global COVID-19 pandemic has been unprecedented and staggering, with the market experiencing higher-than-anticipated demand across all regions compared to pre-pandemic levels. The sudden market growth reflected by the rise in CAGR is attributable to market’s growth and demand returning to pre-pandemic levels.

Covid-19 upscaled the demand for the insurance claims management solution software market in many ways. Due to lockdown and social distancing insurance companies had shifted to remote work, because of which the companies were dependent upon the insurance claims solution softwares so that they can manage the documentation work digitally and there is automation of workflow without any hindrance.

LATEST TRENDS

"Increase in streamlining claim process to Drive Market Growth"

A latest trend in the global insurance claims management solution software market is the increase in the streamlining claim process. This process helps the insurance companies to manage their claims processing and payments. These companies are turning towards automated solutions to improve the claim process, as manual labor can be labor intensive and is a time consuming process which can have many errors. It helps in streamlining the clients data and workflow management process which also helps in the payments cycle. The integration of streamlining the whole process in solution software reflects the industry's drive towards meeting consumer demands for cutting-edge and technologically advanced solutions, making them a sought-after trend in the global market.

INSURANCE CLAIMS MANAGEMENT SOLUTION SOFTWARE MARKET SEGMENTATION

By Type

Based on type the global market can be categorized into On-premise and Cloud based

• On-premise: On-Premise insurance claims management solution software refers to the system that is integrated in the company's own servers that help in the claiming process.

• Cloud based: Cloud based insurance claims management solution software helps to scale up the demand in the organization. They can be used from any location as they are integrated with AI and Machine learning that helps in efficient operation of work

By Application

Based on application the global market can be categorized into BFSI, Government, Travel & Hospitality, healthcare & Life sciences and Others.

• BFSI: The software helps in streamlining the whole process for the claims without any human error.

• Government: The software helps in the claims of the government job working personnels. They help in storing the data and payment cycle of the government employees.

• Travel & Hospitality: the software helps in storing the data of the people who have travel insurance. It helps in the automated process of the claim to its settlement.

• Healthcare & Life Science: the claim solution software helps in streamlining of the process so that the insurers do not have to face the issues related to their claims.

• Others: Other applications of insurance claim management solution softwares are accidental claims in the construction and real estate sector, claims for defective products and insurance for energy products.

DRIVING FACTORS

"Increasing demand for automated claim processing  to Boost the Market"

One of the key driving factors in the global insurance claims  management solution software market growth is the increase in demand for automated claim processing. The automated claim processing helps in efficient work of the process which is very cost-effective. This guarantees precision and decreases the processing time of claims. Insurers find automated claim processing advantageous as it decreases administrative expenses and upholds customer satisfaction. In addition, automated claim processing allows insurers to promptly address customer concerns and furnish them with necessary information.

"Growing emphasis on regulatory compliance to Expand the Market"

Another driving factor in the global insurance claims  management solution software market is the growing emphasis on regulatory compliance. In the insurance sector, adherence to rules is gaining significance with the introduction of new government policies that aim to guarantee a safe environment for customers by insurers. Following regulations assists insurance companies in reducing operational risks and ensuring high customer satisfaction levels. Furthermore, adhering to regulations enables insurance companies to remain competitive and adhere to international standards.

RESTRAINING FACTORS

"Lack of technical expertise to Potentially Impede Market Growth"

One of the main restraining factors for the insurance claim management solution software market is the lack of technical expertise. To use the software there is a requirement for a skilled technician who understands how to run the software. These skilled personnels are very important for the insurance companies as the whole claims process of storing the data to settlement of the payment cycle depend upon them. If they make any mistake then the company has to bear the consequences which can decline the growth of the software in the market

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INSURANCE CLAIMS MANAGEMENT SOLUTION SOFTWARE MARKET REGIONAL INSIGHTS

The market is primarily segregated into Europe, Latin America, Asia Pacific, North America, and Middle East & Africa.

"North America Region Dominating the Market due to increasing demand for digital solutions"

North America has emerged as the most dominant region in the global insurance claims  management solution software market share due to several factors. The main reason for the region’s dominance is the increase in demand for the digital solutions for the automation of the process so that there is no human error. Major insurance companies hail from the North America region who invest heavily in the development of these softwares. There is tough competition among the different companies in the region who provide better service and provide faster claims. Manufacturers from the region have developed mobile applications which help the consumers to track their application  with the help of mobile phones and settle their payment. Moreover, the income of the insurers are increasing continuously which is a positive point for the insurance companies that makes the region more dominating in the global market share.

KEY INDUSTRY PLAYERS

"Key Industry Players Shaping the Market through Innovation and Market Expansion"

The insurance claims  management solution software market is significantly influenced by key industry players that play a pivotal role in driving market dynamics and shaping consumer preferences. These key players possess extensive retail networks and online platforms, providing consumers with easy access to a wide variety of insurance options. Their strong global presence and brand recognition have contributed to increased consumer trust and loyalty, driving product adoption. Moreover, these industry giants continually invest in research and development, introducing smart features in softwares, catering to evolving consumer needs and preferences. The collective efforts of these major players significantly impact the competitive landscape and future trajectory of the market.

LIST OF MARKET PLAYERS PROFILED

• DXC Technology: (U.S)
• Comindware: (U.S)
• Pega: (U.S)
• ClaimVantage: (U.S)
• Claimable: (UK)
• Guidewire: (U.S)
• Axxis Systems: (U.S)
• Applied Systems: (U.S)
• i2GO: (Brazil)
• Water Street: (U.S)
• Centralpoint: (U.S)
• Comarch Insurance Claims: (Poland)
• Duck Creek Technologies: (U.S)
• Snapsheet: (U.S)
• BriteCore: (U.S)
• ClaimXperience: (U.S)
• LexisNexis Risk Solutions: (U.S)
• Insurity: (U.S)
• A1 Tracker: (U.S)
• FileTrac: (U.S)
• Change Healthcare: (U.S)
• Record360: (U.S)
• All Payer Exchange: (U.S)

INDUSTRIAL DEVELOPMENT

August 2021: duck Creek Technologies introduced its new blockchain-based claims processing technology

REPORT COVERAGE

The study encompasses a comprehensive SWOT analysis and provides insights into future developments within the market. It examines various factors that contribute to the growth of the market, exploring a wide range of market categories and potential applications that may impact its trajectory in the coming years. The analysis takes into account both current trends and historical turning points, providing a holistic understanding of the market's components and identifying potential areas for growth.

The research report delves into market segmentation, utilizing both qualitative and quantitative research methods to provide a thorough analysis. It also evaluates the impact of financial and strategic perspectives on the market. Furthermore, the report presents national and regional assessments, considering the dominant forces of supply and demand that influence market growth. The competitive landscape is meticulously detailed, including market shares of significant competitors. The report incorporates novel research methodologies and player strategies tailored for the anticipated timeframe. Overall, it offers valuable and comprehensive insights into the market dynamics in a formal and easily understandable manner.