Procurement Market Intelligence Report
Insurance Claims Processing Services
Sourcing Guide & Market Intelligence
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Europe
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Insurance Claims Processing Services Global Overview
Definition
Summary
Insurance claims processing services help buyers reduce the costs associated with their claims management system. These services can benefit various types of insurers, including health and medical insurance carriers, life insurance carriers and property, casualty and direct insurance carriers.
This Report Includes:
- Front-end claims acceptance
- Claims pre-adjudication
- Claims adjudication and adjustments
- Coordination and explanation of benefits processing
- Data entry
Not in this Report:
- Distribution of retirement funds
- Distribution of pension funds
Global Insurance Claims Processing Services Market - Suppliers by Region
| Country/Region | Number of Suppliers |
|---|---|
| #1 China | 177,280 |
| #2 United States | 126,000 |
| #3 Europe | 113,530 |
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Geography Drilldown - US & Europe
Average Cost of Insurance Claims Processing Services
United States
2026 Market Pricing$7.00 to $XXX.XX
per claimEurope
Average Price
Prices in the Insurance Claims Processing Services market range from $7.00 to $XXX.XX, depending on Service scope, Claims volume, Supplier reputation and Geographic location. For example, lower prices are associated with Narrower scope of services, whereas higher prices are associated with Wider scope of services.
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Insurance Claims Processing Services Category Price Trends
Pricing trends are indicated by the compound annual growth rate (CAGR) during a set period of time. For the Insurance Claims Processing Services market, prices in the US have grown 1.1% from 2022 to 2025. Meanwhile, the recent three-year CAGR for Europe is +0.8%.
United States (2022-2025)
Europe (2022-2025)
Compound Annual Growth Rate
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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 Insurance Claims Processing Services
Total cost of ownership is Low in the Insurance Claims Processing Services 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.
Negotiated Before
Customization
Buyer Power in Procurement Negotiations
In 2026, buyer power amounts to 1.3 in the United States. Buyer power is most positively impacted by Switching Costs. It is most negatively impacted by Price Driver Volatility. Subscribers can access details on eight other factors that impact buyer power. Learn more
United States
Europe
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- 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
- Commercial Lessors
- Computer Stores
- Office Supply Stores
- Wired Telecommunications Carriers
2nd
Tier Suppliers
- Property Managers
- Computer & Packaged Software Wholesalers
- Office Stationery Wholesalers
Procurement Management KPIs for the Insurance Claims Processing Services Market
Managing vendor performance throughout the contract period is easier when tracking specific key performance indicators (KPIs). For example, buyers should monitor Average Response Time and Claims Settlement Cycle Time. Buyers may experience better performance throughout their contracts if they establish service level agreements (SLAs) based on Accuracy and other factors.
| KPI | Level of Importance (1-5) | Measurements | Key Considerations |
|---|---|---|---|
| Average Response Time |
|
Number of requests Cumulative response time |
Buyers can assess their service provider's level of customer service by looking at the average response time. A customer’s buyers may switch insurance providers if their questions are not responded to promptly. Service providers should respond to queries within 48 hours during the workweek. |
| Claims Settlement Cycle Time |
|
Number of claims settled Cumulative resolution time |
The claims settlement cycle time matters because the buyer may lose customers if the claims settlement process is too long. Buyers should ensure that their service providers are processing their claims within the desired time period. |
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Questions to Ask During Procurement Negotiations
How can I gain leverage during negotiations?
Product Lines
What types of insurance claims processing services do you offer?
What is your standard turnaround time for claims?
Supply Chain Risk
Amidst widespread health concerns, what contingency plans are in place to mitigate risk to your clients and employees? Do you offer clients any flexible exceptions, such as contract suspensions?
Are you experiencing serious fluctuations in demand as a result of the coronavirus pandemic? What measures are you taking to handle increased/reduced demand?
Experience Qualifications
How many claims did you process during past year?
Where are your offices located throughout the country?
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Insurance Claims Processing Services RFP Guidelines
What should my RFP include?
Organizational Overview
Buyers should give a company summary, any notable history and relevant plans for the future.
Buyers should briefly outline the type of insurance policies they offer.
Statement Of Need
Buyers should describe the types of forms that need processing based on the type of insurance being offered.
Buyers should give any historical claim volumes broken down by month and claim type.
Project Budget
Buyers should explain terms of payment and details for the desired contract, including length and exclusivity.
Buyers can consult the Market Pricing and Total Cost of Ownership sections of this report to estimate what they should be willing to pay for services.
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We display average pricing information, trends and market data.
Our Reports include:
- Opportunity assessment
- Market dynamics
- Recent developments
- Positive and warning trends
- Buyer power levers
- Price environment and market pricing
- Geographic wage rates
- Global market updates
- Total cost of ownership
- Cost structure benchmarks and analysis
- Supply chain and vendors
- Global supplier breakdown
- Market share concentration
- Regulation and business requirements
- Vendor management and KPIs
- Sourcing strategy guidance
