Claims Processing
Software Directory

Comprehensive Directory

90 Solutions Listed


@Global - Allegro

Claims administration, care management and medical bill review software solution.

Target Market: Mid - Large

AdvanTec Information Systems - CAMS

Simplifies management, record keeping and reporting.

Target Market: Small - Mid

American Technical Services - Risk Management Information System

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

Target Market: Small - Mid

APP Technologies - Incident Management System

Powerfully handles the full range of operations required of claims administrators, self-insureds, and TPAs.

Target Market: Small - Mid

Aquarium Software - AquariumClaims

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

Target Market: Small - Mid

BEMAS Software - PayDirect

Suite of benefit management software solutions that will automate day-to-day claims and plan administration activities.

Target Market: Mid

Intuitive, fast, HTML claims system, designed with detailed business rules and uncompromised security.

Target Market: Small - Mid

Burkitt Computer - W5

Features for: claim recording, time and expense recording, billing, reserve and payment control, and more.

Target Market: Mid

CAS Software Group - CAS

Claims automation software for Life, Annuity and Disability insurers.

Target Market: Mid - Large

Castek Software - Insure3

Insurance management solution with policy, billing and claims management.

Target Market: Small - Large

Chordiant Software - Chordiant Claims Management

Automates the full range of claims processing to guide agents and CSRs through each step across multiple channels.

Target Market: Mid - Large

City Computers - Polygonal

Insurance software system with underwriting, claims, accounting and reporting functions.

Target Market: Small - Mid

ClaimBase - CM12

Suite of professional indemnity and employers liability/public liability (EL/PL) claim management systems.

Target Market: Mid - Large

ClaimScape - ClaimScape

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

Target Market: Mid - Large

Provides coverage for the full claims life cycle, from claim intake and triage to adjudication and payment of benefits.

Target Market: Small - Large

CMEwww SB - PayorLink

Healthcare claims system for payors; designed to reduce health cost and optimize provider claims quality.

Target Market: Large

CODE Evolution - Virtual Claims Adjuster

Web-based claims management software designed to let you access the program from anywhere, at anytime.

Target Market: Small - Mid

Conciseware - Conciseware Carrier for Property & Casualty

For property & casualty claims; allows complete workflow claims processing over all your day to day and catastrophe property claims.

Target Market: Mid - Large

Concord Information Systems - Insurance Management System

Manages submissions and quotes, policies and premiums, claims, losses payable and premiums receivable.

Target Market: Small - Large

Cost Management Technology - Advanced Resolution Systems

Fully automated healthcare claims negotiation and repricing systems customized to meet any client's needs.

Target Market: Small

DAVID - NavRisk

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

Target Market: Small - Mid

Delphi Technology - OASIS

Component based, fully integrated, insurance processing system.

Target Market: Mid - Large

EDS SOLCORP - INGENIUM

A fully integrated insurance processing solution that provides comprehensive client-focused support.

Target Market: Small - Large

Envision Technology Solutions - Claims3

Provides claim intake, compliance reporting, vendor services, subrogation and salvage, document management and imaging, claims payment.

Target Market: Mid - Large

ERIC Systems - Risk Manager

An integrated suite of programs for the administration of worker compensation and property & casualty claims.

Target Market: Small - Large

Everest Automation - Claims Automation

Enhance collaboration between claims and legal teams while tracking litigation files and dates.

Target Market: Mid - Large

Health Claims Processing Software for on-line adjudication of medical, dental, vision, drug, disability, and COBRA claims.

Target Market: Small - Large

Fadata - INSIS

Information system for all fields of insurance; policy administration and claims settlement.

Target Market: Mid

FINEOS - FINEOS Claims

Part of a componentized enterprise suite delivering complete rules-driven, case and customer centric claims management.

Target Market: Mid - Large

Garvin-Allen Solutions - Advanced Insurance System

Modular policy, quoting, billing and claim administration application.

Target Market: Mid - Large

GenSource Integrated Risk Technologies - GenIRIS

Suite of claims administration applications covering workers' compensation, property and casualty and non-occupational disability.

Target Market: Mid - Large

Hawkins Research - PowerClaim

Complete property adjusting software package; quickly complete estimates and create photo sheets, diagrams, captioned reports and more.

Target Market: Mid - Large

HealthSoft Enterprise Systems - Mcare

Managed care software designed to pay medical claims, process referrals, track eligibility & monitor medical benefits.

Target Market: Small - Mid

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

Target Market: Mid - Large

IDP - Acies/one

Fully-integrated administration system with policy, billing, claims, reinsurance and cash disbursement modules that can stand alone.

Target Market: Mid - Large

INDIO Software - Claims Management Database

Allows the manager to enter, assign, track and close virtually an unlimited number of claims by an unlimited number of adjusters.

Target Market: Mid - Large

Infinity Systems Consulting - Infinity

Policy and claims administration system designed for property and casualty insurers.

Target Market: Small - Mid

Infoton - Insure

For brokerages handling sales, billing and claims for household goods, transit, cargo, marine and storage.

Target Market: Small - Mid

Isoft - ClaimAdept

System used for calculation and payment of group disability claims. The adjudicator's workflow is task driven.

Target Market: Mid - Large

Java-based, robust translation engine that supports all eleven HIPAA mandated transaction sets.

Target Market: Small - Mid

J&J Technology Consulting - Truck Insurance Form Automation

Automates truck insurance form processing by transferring data to any carrier application, broker agreement, permits or any other form.

Target Market: Small - Mid

Claims Management System for Insurance Company Claims Departments and TPAs with emphasis on complex litigation.

Target Market: Mid - Large

Jopari Solutions - JopariPay

Comprehensive claim disbursement automation and interactive Payment Portal services.

Target Market: Mid - Large

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

Target Market: Small - Large

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

Target Market: Small - Mid

Linnaeus - TheSys

Flexible, effective and proven product for nearly any claims payment situation.

Target Market: Mid - Large

Managed Care Systems - Impact

Health claim processing software; automated EDI, PPO repricing, adjudication and related TPA functionality.

Target Market: Small - Mid

Mandon Software - mPACS

Provides a complete solution for managing your database of quotations and policies.

Target Market: Small - Mid

Marshall & Swift / Boeckh - IntegriClaim Suite

Helps insurers and adjusters prioritize, implement and follow through with property claims.

Target Market: Small - Mid

Mastek - Claim Processing Engine

Provides benefits of a custom-made unified claim processing solution and allows for rapid integration with legacy systems.

Target Market: Large

MedVision - QuickCap

Advanced software to process claims, capitation, eligibility, referrals, authorizations, case management, etc.

Target Market: Mid - Large

Merimen - Merimen IFE

Claims management with document imaging, communication management and risk management.

Target Market: Mid - Large

Mitchell International - eMitchell

Electronically connects all parties involved in the claims process to streamline workflow and enhance productivity.

Target Market: Mid - Large

Mountain Microsystems - Auto-Appraiser 2000

Designed for the independent claims appraiser, and provides all of the tools you will need to fully automate your claims office.

Target Market: Small - Mid

MountainView Software - ClaimZone Enterprise Edition

Covers all commercial lines, including workers' compensation, general liability and auto liability.

Target Market: Small - Mid

Novin HPA - Electronic Staff

Replicates any manual operation activity performed by a human operator for processing claims.

Target Market: Mid - Large

Occusoft - RiskPRO On-line Reporting

Browser application for direct entry of incident reports into a database.

Target Market: Small - Large

Pac Total Solutions - ClaimsTracker

Allows insurers, policy owners, brokers, and agents to have instant knowledge of the status of the claims.

Target Market: Mid

Patriot Managed Care Solutions - Patriot

Effectively manage all phases of managed care, claims and TPA administration.

Target Market: Small - Mid

PCMI - SCS Administration System

Policy claim administration for manufacturer, retailer/dealer and third party administrators.

Target Market: Large

Medical Claims Processing Software that streamlines and automates claims payment and medical case management.

Target Market: Small - Large

ppoONE - WebDM/WebCR

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

Target Market: Mid - Large

Workers' compensation, safety, and OSHA claims management software.

Target Market: Mid - Large

Quick Internet Software Solutions - Claims Management System

Web-based insurance claims management software service for insurance adjusting firms, TPA's, and more.

Target Market: Mid

Radixweb - Insurance Management Software System

Web-based solution for policy management, claims processing and insurance agency administration.

Target Market: Mid - Large

Software solution to automate all aspects of claims processing/benefits administration.

Target Market: Small - Mid

Remedysoft - RemedyRoute

Auto dealer warranty submission system.

Target Market: Mid - Large

Sapiens International - Sapiens INSIGHT

P&C and Reinsurance policy administration and expert underwriting systems.

Target Market: Mid - Large

Scott Insurance - MODEL

MODEL (Managing, Organizing and Documenting Every Loss) is a comprehensive Claims Management System.

Target Market: Mid

Smart-Insurer - SAVANT Virtual Insurer

Web-based front end system for insurance agencies; includes policy, broker, agent, claims and client administration.

Target Market: Small

SPI Software Solutions - Insurance Claims Management System

Features: Detailed policy, claim & claimant information; Reporting and Financial services; and more.

Target Market: Mid

Total environment designed to manage the needs of workers' compensation claims.

Target Market: Mid - Large

StoneEagle Group - SEcureCard

Provides vehicle service contract administrators a real-time approach to handle claim payments.

Target Market: Mid - Large

Support Systems International - CompSupport

Comprehensive workers' compensation policy and claims administration system.

Target Market: Mid - Large

Symbility Solutions - mobile claims

Allows property claim adjusters and contractors to process claims on-site.

Target Market: Mid

TCP LifeSystems - Copernicus SS/G

Comprehensive Life, Health, Pensions, Annuity and Investment administration system that can support Individual and Group processing.

Target Market: Mid - Large

The SSI Group - ClickON Claims Processing Tools

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

Target Market: Mid

TIA Technology - TIA

Comprehensive, fully flexible, insurance application for insurers and brokers; continuous upgrade and maintenance.

Target Market: Mid - Large

Transactor Global Solutions - Transactor

Manages all insurance business processes from new business to claims.

Target Market: Mid - Large

Tropics Software Technologies - Products Framework

Workers' compensation software system with policy and claims administration, document management and email alerts.

Target Market: Mid - Large

Unicomp Associates - AutoMatch

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

Target Market: Mid - Large

United Systems and Software - Life and Health Administration System

Software for underwriting, new business processing, policy services, insurance billing, agent commissions.

Target Market: Mid

Valley Oak Systems - iVOS

Web-based claims administration software; includes diary, notepad, payment processing, reserves and more.

Target Market: Mid

Verity - MediClaim

Software for scanning insurance claim forms and automating the collection and processing of claim payment data.

Target Market: Mid - Large

Virtual Benefits Administrator - Virtual Benefits Administrator

Can independently or collectively administer Medical, Dental, FSA, Disability, Vision and Medicaid/Medicare lines of business.

Target Market: Small

Whitespace Software - ClaimSuite

Web-based system for loss adjusters, in-house claims, brokers, captives, claims management companies.

Target Market: Mid - Large

WLT Software - MediClaims

Claims Administration Software systems for Health, Workers' Compensation, Consumer Driven Health Care, Flex and more.

Target Market: Mid - Large

Wyde - Wynsure

Life insurance solution; product and policy management, billing, payments, compensation.

Target Market: Mid

Xactware - XactValue

Web-based claims estimation program for residential, commercial, and agricultural structures.

Target Market: Mid

ZirMed - Claims Management System

Provides users power over the electronic claim filing process for both professional (HCFA-1500) and institutional (UB92) claims.

Target Market: Mid - Large

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