Claims Processing Software Finder

Featured Software

KMR Claims Manager is a fully integrated, customizable state-of-the-art medical claims processing software solution for TPAs, self insured and claims administrators. Features include: comprehensive claims processing-ability to scan, receive via EDI or manual entry; coordination of benefits, co-pays [more]

Virtual Benefits Administrator is a highly customizable and comprehensive enterprise application used to administer all aspects of benefits management. Utilizing a modular design, Virtual Benefits Administrator can independently or collectively administer Medical, Dental, FSA, Disability, Vision [more]

Hosted, Secure, Customizable Document Management; Forms Automation of any high volume client remittance; Full Text Search & Indexing; Intuitive Interface; Auto-Scan Options; Fully automated Data Extraction right into your current software; Fully customizable (every function and feature you need, [more]

FACTS Services is an integrated technology and services provider focused on providing cost effective healthcare payor solutions across the entire claim continuum. The result is a dramatic reduction in cost and improved turnaround time for all facets of the healthcare delivery cycle. FACTS delivers [more]

HEALTHsuite is a comprehensive benefit administration system and claims processing software solution designed for health plans and benefit administrators. HEALTHsuite is a rules-based auto adjudication software solution designed to administer complex benefit offerings including Medicare, Medicaid, [more]

Prognos includes a complete set of claims management tools to help both employers and service providers efficiently manage workers' compensation and disability claims. Employers using third-party administrators or insurance carriers will find everything they need to manage notes, tasks and return-to [more]

The Alyce Claims Management System is designed for TPAs, Insurance Carriers and Agencies. It has a very intuitive design, with pages laid out in a logical fashion, which makes it easier for adjusters to get their jobs done faster and more efficiently. Features include multi-tiered infrastructure, [more]

Series 3000 is a claims processing solution with unlimited system variables that can be programmed to meet your specific needs. You won't have to change the way you do business to utilize our software, because we'll partner with your company to ensure that our software is customized to work for you. [more]

Venue is a secure web-based claims processing software that can handle multiple lines of insurance claims (except health and dental). Track time and expenses accurately, invoice your clients from within Venue, eliminate duplication using Venue's comprehensive document management, store audio, [more]

ClaimVantage delivers world class claims management software for the life and health market. The target market includes insurance carriers, Third Party Administrators and self-funded companies who require flexible software solutions that can be customized and enhanced by internal IT resources. [more]

The expEDIum Claims Portal is a web based application that has a variety of features like processing of legacy healthcare formats, providing validation reports and scrubbing facility using standard healthcare forms. Our expEDIum Claims Portal processes a variety of healthcare formats into [more]

Plexis Claims Manager is an integrated benefit and claim administration system providing complete medical, dental & vision claim processing for organizations in a competitive healthcare IT environment. Use of HIPAA compatible EDI tools & Web portal allows users to import/export data & create ad-hoc [more]

SpyGlass helps clients improve business performance, increasing automation and efficiencies, letting you generate new revenues and giving you an advantage in the marketplace. It enhances accuracy, minimizes manual labor, and streamlines the health claims management process. [more]

Comprehensive Directory

100 Solutions Listed


@Global - Allegro

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

Target Market: Mid - Large

AdvanTec Information Systems - CAMS

Simplifies management, record keeping and reporting. [more]

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. [more]

Target Market: Small - Mid

APP Technologies - Incident Management System

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

Target Market: Small - Mid

Aquarium Software - AquariumClaims

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

Target Market: Small - Mid

Health claims software; web-based and made for HIPAA; easy, powerful plan setup drives high rates of auto-adjudication. [more]

Target Market: Mid - Large

BEMAS Software - PayDirect

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

Target Market: Mid

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

Target Market: Small - Mid

Burkitt Computer - W5

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

Target Market: Mid

CAS Software Group - CAS

Claims automation software for Life, Annuity and Disability insurers. [more]

Target Market: Mid - Large

Castek Software - Insure3

Insurance management solution with policy, billing and claims management. [more]

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. [more]

Target Market: Mid - Large

City Computers - Polygonal

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

Target Market: Small - Mid

ClaimBase - Panoramis

Claims management system specifically for the insurance industry. [more]

Target Market: Mid - Large

ClaimScape - ClaimScape

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

Target Market: Mid - Large

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

Target Market: Small - Large

CMEwww SB - PayorLink

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

Target Market: Large

CODE Evolution - Virtual Claims Adjuster

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

Target Market: Small - Mid

Concord Information Systems - Insurance Management System

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

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. [more]

Target Market: Small

DAVID - NavRisk

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

Target Market: Small - Mid

Delphi Technology - OASIS

Component based, fully integrated, insurance processing system. [more]

Target Market: Mid - Large

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

Target Market: Small - Large

EDS SOLCORP - INGENIUM

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

Target Market: Small - Large

ERIC Systems - Risk Manager

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

Target Market: Small - Large

Everest Automation - Claims Automation

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

Target Market: Mid - Large

Fadata - INSIS

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

Target Market: Mid

FINEOS - FINEOS Claims

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

Target Market: Mid - Large

Garvin-Allen Solutions - Advanced Insurance System

Modular policy, quoting, billing and claim administration application. [more]

Target Market: Mid - Large

GenSource Integrated Risk Technologies - GenIRIS

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

Target Market: Mid - Large

Hawkins Research - PowerClaim

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

Target Market: Mid - Large

HealthSoft Enterprise Systems - Mcare

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

Target Market: Small - Mid

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

Target Market: Mid - Large

IDP - IDP::Claims

Manage everyday claims requirements, including salvage, subrogation and litigation processing, coverage limits editing and more. [more]

Target Market: Small - 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. [more]

Target Market: Mid - Large

Infinity Systems Consulting - Infinity

Policy and claims administration system designed for property and casualty insurers. [more]

Target Market: Small - Mid

Infoton - Insure

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

Target Market: Small - Mid

Isoft - ClaimAdept

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

Target Market: Mid - Large

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

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. [more]

Target Market: Small - Mid

JDi Data - Claims Manager

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

Target Market: Mid - Large

Jopari Solutions - JopariPay

Comprehensive claim disbursement automation and interactive Payment Portal services. [more]

Target Market: Mid - Large

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

Target Market: Small - Large

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

Target Market: Small - Mid

Linnaeus - TheSys

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

Target Market: Mid - Large

Managed Care Systems - Impact

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

Target Market: Small - Mid

Mandon Software - mPACS

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

Target Market: Small - Mid

Marshall & Swift / Boeckh - IntegriClaim Suite

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

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. [more]

Target Market: Large

Medical Administrators International - SIGMA

Online multicurrency multilingual claims adjudication.  [more]

Target Market: Small - Mid

MedVision - QuickCap

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

Target Market: Mid - Large

Merimen - Merimen IFE

Claims management with document imaging, communication management and risk management. [more]

Target Market: Mid - Large

Mitchell International - Mitchell WorkCenter

Platform of integrated and innovative solutions specifically designed to help settle claims accurately and efficiently. [more]

Target Market: Small - 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.  [more]

Target Market: Small - Mid

MountainView Software - ClaimZone Enterprise Edition

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

Target Market: Small - Mid

Novin HPA - Electronic Staff

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

Target Market: Mid - Large

Occusoft - RiskPRO On-line Reporting

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

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. [more]

Target Market: Mid

Patriot Managed Care Solutions - Patriot

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

Target Market: Small - Mid

PCMI - SCS Administration System

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

Target Market: Large

Peak Performance Solutions - RiskEnvision

Supports risk management and claims functions including payments, reserve management, correspondence, policies, diary, reporting. [more]

Target Market: Small - Mid

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

Target Market: Small - Large

ppoONE - WebDM/WebCR

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

Target Market: Mid - Large

Hosted document management solution that integrates with your current software securely and remotely. [more]

Target Market: Mid

Workers' compensation, safety, and OSHA claims management software. [more]

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. [more]

Target Market: Mid

Radix - Insurance Management Software System

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

Target Market: Mid - Large

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

Target Market: Small - Mid

Recordables - TrackAbility

Risk and claims management software that tracks issues related to general liability, auto, P&C, incidents and professional liability. [more]

Target Market: Mid - Large

Remedysoft - RemedyRoute

Auto dealer warranty submission system. [more]

Target Market: Mid - Large

Sapiens International - Sapiens INSIGHT

P&C and Reinsurance policy administration and expert underwriting systems. [more]

Target Market: Mid - Large

Scott Insurance - MODEL

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

Target Market: Mid

Simsol - Simsol for Adjusters

Provides adjusters and carriers with complete solution for assignment, estimating, documentation, data management for property claims. [more]

Target Market: Mid - Large

Smart-Insurer - SAVANT Virtual Insurer

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

Target Market: Small

SPI Software Solutions - Insurance Claims Management System

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

Target Market: Mid

Startech Software - Eclipse WC

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

Target Market: Small - Large

StoneEagle Group - SEcureCard

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

Target Market: Mid - Large

Support Systems International - CompSupport

Comprehensive workers' compensation policy and claims administration system.  [more]

Target Market: Mid - Large

Symbility Solutions - mobile claims

Estimating platform and workflow management application for property and casualty claims. [more]

Target Market: Mid - Large

TC3 Health - TC3 Integrated Loss Control Solutions

Provides healthcare payers with a total claims management solution to validate payment integrity and maximize savings. [more]

Target Market: Mid - Large

TCP LifeSystems - Copernicus SS/G

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

Target Market: Mid - Large

The SSI Group - ClickON Claims Processing Tools

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

Target Market: Mid

TIA Technology - TIA

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

Target Market: Mid - Large

Transactor Global Solutions - Transactor

Manages all insurance business processes from new business to claims. [more]

Target Market: Mid - Large

Tropics Software Technologies - Products Framework

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

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. [more]

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. [more]

Target Market: Mid

Valley Oak Systems - iVOS

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

Target Market: Mid

Vaulthouse - ClaimAble

Web based claims management software, access claims from anywhere, upload photos, documents and track claim progress in real time. [more]

Target Market: Mid

Verbatim Claim Services - VS Investigator

Software product line for accident and crime scene reconstruction. [more]

Target Market: Mid - Large

Verity - MediClaim

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

Target Market: Mid - Large

View Links - Insurify

Provides real time decision support along the entire process of underwriting, claims processing and claims investigation. [more]

Target Market: Mid - Large

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

Target Market: Small - Mid

Whitespace Software - ClaimSuite

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

Target Market: Mid - Large

WLT Software - MediClaims

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

Target Market: Mid - Large

Wyde - Wynsure

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

Target Market: Mid

Xactware - XactValue

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

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. [more]

Target Market: Mid - Large

ZSL - Claims Management System

Allows insurance claim agents/brokers to assign and manage tasks and manage all claim related processing activities. [more]

Target Market: Mid - Large

Zylog Systems - ClaimsPoint

Web-based claims management software. [more]

Target Market: Mid - Large

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