Procurement Market Intelligence Report
Claims Management Software
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Claims Management Software Global Overview
Definition
Summary
This report is intended to assist buyers of claims management software. This software, typically used by insurance carriers, tracks and manage insurance claims from client creation and submission to settlement. Claims management software automates the insurance claim process, which helps companies improve the efficiency of the claims process for clients, reduce the occurrence of false insurance claims and cut down on claims management costs. Claims management software can handle life insurance and annuities, commercial property and casualty insurance, homeowners and personal auto insurance, and workers compensation insurance. Common buyers include various insurance carriers, while suppliers are software companies.
This Report Includes:
- Life Insurance & Annuity
- Homeowner & Commercial Property Insurance
- Auto Insurance
- Casualty Insurance
- Workers Compensation Insurance
Not in this Report:
- Insurance Claims Services
- Insurance Brokers
- Billing Management Software
Global Claims Management Software Procurement Trends
Discover the top international trends affecting procurement in the global Claims Management Software market.
Warning Trends
The European Union’s Artificial Intelligence (AI) Act enters into force
- In August 2024, the European Union (EU) began enforcing its new regulation on artificial intelligence. Although EU legislation, the act will have a major effect on global technological companies operating in the AI space, similar to the General Data Protection regulation.
- The legislation aims to apply a risk-based framework to AI regulation, meaning different AI applications will be treated differently. The law applies a general ban for “unacceptable” uses, such as social scoring and predictive policing.
- For general-purpose AI models, companies will be required to comply with EU copyright law and intellectual property provisions, carry out regular testing, issue transparency disclosures, and implement adequate cybersecurity protections. For “high-risk” AI applications, such as autonomous vehicles, medical devices, financial services, and biometric identification systems, companies must meet stricter requirements in terms of risk-mitigation systems, documentation, human oversight, and cybersecurity.
- Companies that breach the AI Act may face fines ranging from 7.5 million euros or 1.5% of global annual revenues to 35.0 million euros or 7.0% of global annual revenues, whichever amount is higher.
- While the blanket ban on unacceptable systems entered into force in February 2025, most of the obligations do not take effect for a full year. In August 2025, requirements for general-purpose AI will come into effect, and in August 2026, obligations for high-risk AI systems will be enforced.
Neutral
GSA memo asks agencies to review consulting contracts
- The General Services Administration (GSA) recently issued a memorandum asking government agencies to review their consulting contracts with the ten highest-paid firms. The ten firms are Accenture PLC (Accenture Federal Services), Booz Allen Hamilton Inc., CGI Group Inc. (CGI Federal), Deloitte Touche Tohmatsu (Deloitte Consulting), General Dynamics Corporation (General Dynamics IT), Guidehouse Inc., Huntington Ingalls Industries Inc. (HII Mission Technologies), International Business Machines Corporation (IBM), Leidos Holdings, Inc., and Science Applications International Corporation, Inc. (SAIC).
- The memo states that agencies are strongly encouraged to cut non-essential consulting contracts, providing a list of those intended to be terminated by March 7, 2025. By April 19, 2025, agencies must submit their reviews of non-GSA consulting service contracts.
- According to the GSA, the ten consulting firms identified are set to receive $65.0 billion in fees in 2025. The Department of Defense (DoD) has stated its intention to terminate or descope contracts non-essential to the DoD’s purposes; some of the largest market players with high-value DoD contracts include Booz Allen Hamilton, Deloitte, and Accenture.
- According to the Government Accountability Office, in the fiscal year 2023, government agencies spent $478.0 billion on services, with the DoD accounting for $230.0 billion and non-defense agencies accounting for the rest. The DoD spent $21.3 billion on support, professional, and engineering and technical services, while non-defense agencies spent $21.4 billion on professional services, which includes consulting, training, and support services.
- The Department of Veterans Affairs (VA) initially cancelled 875 contracts (amounting to around $2.0 billion) but has currently paused efforts. However, contract terminations across most agencies are expected to continue.
Positive Trends
The DOJ proposes Google breakup in latest tech antitrust action
- In August, Google was found guilty of operating as a monopoly and engaging in anti-competitive practices through the operation of its search engine business.
- In response to this ruling the Department of Justice (DOJ) has stated it will seek a breakup of Google’s business segments, among other similarly harsh penalties. While the actual penalty Google receives must be approved by the judge, the DOJ’s proposed penalties signal a zero-tolerance policy toward tech monopolies.
- During the last few years, the Federal government has significantly increased its enforcement actions against major technology companies in an effort to contest the high level of market share concentration in this sector.
- These actions include high-profile anti-trust lawsuits against Amazon, Apple, and Meta, in addition to the case against Google. Consequently, the results of these lawsuits could significantly affect the structure of a wide range of tech markets.
Global Claims Management Software Market - Suppliers by Region
| Country/Region | Number of Suppliers |
|---|---|
| #1 Europe | 445 |
| #2 United States | 345 |
| #3 China | 225 |
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2
Geography Drilldown - US
Average Cost of Claims Management Software
United States
2026 Market Pricing$50.00 to $XXX.XX
per user per monthAverage Price
Prices in the Claims Management Software market range from $50.00 to $XXX.XX, depending on Capabilities, Capacity and Support. For example, lower prices are associated with 1-2 claim types ($50.00 to $100 per user per month), whereas higher prices are associated with 3+ claim types ($100 to $250 per user per month).
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Between our Europe and Canada collections, we provide price data for 350 markets so you can instantly compare prices across borders. Or, use our custom research services for intel on prices in any region across the globe.
Claims Management Software Category Price Trends
Pricing trends are indicated by the compound annual growth rate (CAGR) during a set period of time. For the Claims Management Software market, prices in the US have grown 1.5% from 2022 to 2025. Subscribers can access price trend forecasts, price driver projections and forward-looking cost structure data. Learn more
United States (2022-2025)
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Price trend forecasts are available to subscribers, along with price driver projections and forward-looking cost structure data.
Cost Analysis - Total Cost of Ownership for Claims Management Software
Total cost of ownership is Medium in the Claims Management Software market. The average cost of ownership differs depending on the contract but generally includes costs negotiated before the contract begins, costs billed during the contract period and unforeseen costs. For example, unforeseen costs in the form of Downtime may raise the total cost of ownership unexpectedly.
Negotiated Before
Customization
Installation
Billed During
Upgrades
Unforeseen
Downtime
Buyer Power in Procurement Negotiations
In 2026, buyer power amounts to 0.2 in the United States. Buyer power is most positively impacted by Forecast Price Trend. It is most negatively impacted by Market Share Concentration. Subscribers can access details on eight other factors that impact buyer power. Learn more
United States
Buyer power forecasts: your glimpse into the future
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- Near-real-time updates to current and forecast Buyer Power Scores
- Methodology and weightings for Buyer Power Score Components
Supply Chain Risk
The average level of supply chain risk is assessed as Low, which has a positive impact on buyer power. The level of supply chain risk is affected by industry volatility, barriers to entry, competition, import penetration, regulation and industry financial risk. Buyers in this market can mitigate procurement and supply chain management risks by monitoring risk levels for individual first and second tier suppliers:
1st
Tier Suppliers
- Operating Systems & Productivity Software Publishers
- Data Processing & Hosting Service Providers
- Computer Manufacturers
2nd
Tier Suppliers
- Intellectual Property Licensing Services
- Wired Telecommunications Carriers
- Semiconductor & Circuit Manufacturers
Biggest Claims Management Software Suppliers in the US by Revenue
The largest Claims Management Software vendors by revenue in the US are Virtual Claims Adjuster Inc., DXC Technology Company and Applied Systems Inc. Subscribers can sort and filter by market share concentration, profit level and other factors. Learn more
| Supplier | Operational Size | Headquarters | Number of Employees | Market Share (%) | Market Share Performance (3yr trend) | Total Revenue ($ million) | Profit Level (%) | Risk Level |
|---|---|---|---|---|---|---|---|---|
| Accenture Plc | International | DUBLIN | >10,000 | < 5 | ||||
| International Business Machines Corporation | Global | ARMONK | >10,000 | < 5 | ||||
| Oracle Corporation | Global | AUSTIN, CA | >10,000 | < 5 | ||||
| DXC Technology Company | Global | ASHBURN, VA | >10,000 | < 5 | ||||
| Roper Technologies Inc. | Global | SARASOTA, FL | >10,000 | < 5 | ||||
| OpenText Corporation | Global | ONTARIO CANADA | >10,000 | < 5 | ||||
| Guidewire Software Inc. | Global | SAN MATEO | 1,001-10,000 | < 5 | ||||
| Applied Systems Inc. | International | University Park, IL | 1,001-10,000 | < 5 | ||||
| Mitchell International Inc. | Global | San Diego, CA | 1,001-10,000 | < 5 | ||||
Looking for a list of suppliers by country?
Subscribers can access vendor information on Canadian and European suppliers, too. We also offer custom research services to help with vendor sourcing anywhere in the world.
Profit Analysis
The average profit margin across vendors in the Claims Management Software market is 19.0% and steady. Profit levels shift depending on suppliers' spend on wages, purchases and overhead. The highest cost component for vendors is Overhead. The cost trend for this component is falling, when considering movement between 2025 and 2026. To understand cost forecasts for 2027 and uncover the implications on profit, start your subscription. Learn more
Vendor & Supply Chain Analysis
Vendor risks for claims management software are low due to a strong demand outlook, high profits, and low regulatory change. Buyers can expect vendors in the market to provide stable service with little risk of failing and interrupting business productivity.
Market share concentration in the claims management software market is low due to low barriers to entry, rising sales revenue and increasing demand, all of which have provided incentives for vendors to enter the market.
Supply chain risk in the market is low overall despite moderate risk in upstream suppliers. Purchases account for a small portion of claims management software suppliers' budgets, making the moderate risk in the upstream supply chain caused by the coronavirus pandemic have a relatively small effect on vendors and buyers.
The United States is a net importer of computers, meaning it imports more computers than it exports. While lower manufacturing costs abroad drive down prices for imported computers, relying on imports can lead to potential shortages or price increases if there are supply chain disruptions due to geopolitical tensions, trade disputes, or global crises
Supplier Information
Accenture Plc
Accenture Plc is a public company operating internationally in the mining, information, professional, scientific and technical services and administration, business support and waste management services sectors. The company's offerings include mobile enterprise application platforms, claims management software,... Subscribe to learn more
Applied Systems Inc.
Applied Systems Inc. is a private company operating internationally in the information sector. The company's offerings include claims management software. Founded in 1983, the company is currently headquartered in University Park, Illinois, United States of America with an estimated 5500 employees. Subscribe to learn more
DXC Technology Company
DXC Technology Company is a public company operating globally in the information sector. The company's offerings include claims management software. Founded in 2017, the company is currently headquartered in ASHBURN, Virginia, United States of America with an estimated 130000 employees. Subscribe to learn more
Guidewire Software Inc.
Guidewire Software, Inc. is a software solutions provider for the property and casualty insurance industry. It offers Guidewire InsurancePlatform™, which consists of cloud and on-premise applications to support core operations, data management, data analytics, and digital engagement; Guidewire InsuranceSuite™,... Subscribe to learn more
Insurity Inc
Insurity Inc is a private company operating globally in the information sector. The company's offerings include claims management software. Founded in 1985, the company is currently headquartered in Hartford, Connecticut, United States of America with an estimated 750 employees. Subscribe to learn more
International Business Machines Corporation
International Business Machines Corporation (IBM) is a global integrated computer technology, hardware, software, and services provider. It organizes its business into four segments: Software segment, which provides software solutions for a hybrid cloud platform, data and artificial intelligence, automation,... Subscribe to learn more
Mitchell International Inc.
Mitchell International Inc. is a private company operating globally in the information sector. The company's offerings include claims management software. Founded in 1946, the company is currently headquartered in San Diego, California, United States of America with an estimated 5500 employees. Subscribe to learn more
OpenText Corporation
Open Text Corporation is an information management company that provides software and services for global enterprises, small and medium-sized businesses, governments, and consumers. It delivers software as a service (SaaS) offerings, application programming interface (API) services, data services, and private... Subscribe to learn more
Oracle Corporation
Oracle Corporation is a global technology company that provides enterprise information technology (IT) products and services. It comprises three businesses: the Cloud and License business, which offers Oracle Applications, Oracle Database, and Oracle Middleware software offerings, among others, deployed using... Subscribe to learn more
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Procurement Management KPIs for the Claims Management Software Market
Managing vendor performance throughout the contract period is easier when tracking specific key performance indicators (KPIs). For example, buyers should monitor Average Resolution Time and Customer Retention Rate. Buyers may experience better performance throughout their contracts if they establish service level agreements (SLAs) based on Security and other factors.
| KPI | Level of Importance (1-5) | Measurements | Key Considerations |
|---|---|---|---|
| Average Resolution Time |
|
Total service set up time Response time to questions |
For buyers that require integration of the claims management software into their existing IT systems, the total service set up time will be an additional cost in money and time that must be considered, Vendors that respond to support quickly will be beneficial to the efficiency and productivity of a buyers business. |
| Customer Retention Rate |
|
Yearly customer retention rate Number of customer win-backs |
Customer retention rate gives a clear picture on the reliability of a vendor. Considering that buyers expect to use claims management software as long as business exists, a vendor that has a low retention rate is losing customers to other vendors that likely have a better product. A vendor that is able to win back customers that was previously lost show growth in their product and service. |
Questions to Ask During Procurement Negotiations
How can I gain leverage during negotiations?
Competition
How do you stay competitive in the market?
What sets your product apart from your competitors'?
Experience and Expertise
How long have you provided claims management software to your longest-tenured client?
How long have you served customers in my industry?
Integration
With which programs and platforms is your claims management software compatible?
What steps does your company take in assisting the integration process?
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Claims Management Software RFP Guidelines
What should my RFP include?
Organizational Overview
Buyers should describe their organization, including the size of their organization and where they are located.
Buyers should explain why they are seeking claims management software.
Statement Of Need
Buyers must detail the scope of work required.
Buyers should detail the number of users the claims management software must be able to support.
Project Budget
Buyers should specify the number of software licenses required.
Buyers should detail the contract term for additional fees, including annual ongoing costs.
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