Last Reviewed: November 21st, 2024

Best Claims Management Software Of 2024

What is Claims Management Software?

Claims Management Software (CMS) is a digital solution within the insurance industry, streamlining the process of managing and settling claims. CMS efficiently addresses the arduous task of dealing with vast amounts of paperwork, tedious manual processes, and growing customer expectations. CMS brings undeniable utility, such as speeding up the claims processing timeline, minimizing clerical errors, and bolstering customer satisfaction. Its arsenal includes core functionalities like data integration, intuitive dashboards, workflow automation, and fraud detection. Emerging features, such as AI and machine learning, are making strides in introducing predictive analytics and automated decision-making capabilities. Insurance companies primarily leverage CMS acutely, though any business dealing with claims can benefit. However, it's not without limitations. Transforming legacy systems to CMS can be a steep investment, and CMS's effectiveness ties closely with the quality of data inputs. In conclusion, CMS stands as a vanguard in transforming how businesses handle claims, thus ensuring operational efficiency and improved customer experience.

What Are The Key Benefits of Claims Management Software?

  • Speeds up claim processing
  • Improves customer satisfaction
  • Reduces clerical errors
  • Enhances operational efficiency
  • Automates manual processes
  • Strengthens fraud detection
  • Fosters data integration
  • Streamlines administrative tasks
  • Aids in regulatory compliance
  • Promotes proactive decision-making
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Overall

Based on the latest available data collected by SelectHub for 31 solutions, we determined the following solutions are the best Claims Management Software overall:

Start Price
$350
Monthly
Company Size
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Cloud On-Premise
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Why We Picked EZLynx

EZLynx provides both independent agents and agencies with a single platform to manage all insurance requirements, including comparative rating, eSignatures, accounting, quoting, online marketing and more. The system is reasonably priced, integrates with many third-party apps and connects to a vast number of carriers. Performance is good with regular updates, making it a go-to option in this category.

However, vendor support is notoriously poor, with complaints of long response times and indifferent personnel. Implementation is long, and the system is difficult to learn. But if you are under a strict budget and willing to overcome these obstacles, EZLynx is a strong contender in terms of cost and performance.

Pros & Cons

  • Functionality: The platform has superb functionalities, especially for carrier connectivity, according to 96% of users mentioning this aspect.
  • Ease of Use: According to 68% of users who reviewed this element, the software has a simple UI and is easy to navigate.
  • Integrations: 67% of users who mentioned this aspect said the platform has good integration options.
  • Performance: 79% of users who reviewed performance said the system runs smoothly with frequent updates.
  • Cost: According to 80% of users who reviewed cost, the software has competitive pricing.
  • Training: The system has a steep learning curve and lacks enough training material, according to 83% of reviewers mentioning this element.
  • Service and Support: According to 91% of users who reviewed this aspect, the vendor has terrible customer service.
  • Implementation: 100% of users who mentioned this element said the implementation process is considerably long.

Key Features

  • Rating Engine: Provide clients with real-time multi-carrier quotes for home or auto policies. Quote rates, issue policies and store ACORD forms with the intuitive dashboard. Pull vehicle and driver records to pre-fill carrier-specific forms. Capture and share carrier defaults and pre-set coverage scenarios via built-in templates. Automatically calculate premiums, validate addresses and check for missing data and discrepancies. 
    • Graph View: Use color-coded graph views to compare home and auto policy results. Automatically combine the same carrier results into a single bar. 
    • Applicant / Co-Applicant Switch: Easily swap applicant and co-applicant positions to submit a new quote. 
  • Management System: Streamline agency and workflow management with a centralized repository for customer’s quotes, documents and policies. Streamline the renewal process with automated client information updates and policy synchronization. Directly convert the agency’s data to the new platform to accelerate time to market. 
    • Performance Metrics: Collate information from the rating engine and management system modules to receive intelligent insights via email reports. 
    • Policy Comparison: Compare expired and renewed policies side-by-side. Explain the latest premiums and coverages for both commercial and personal lines. 
    • Accounting: Manage all financial transactions with direct billing support. Process commissions faster with graduated commission structure, commission downloads, split-commission tracking, percentage rules and more. 
    • Certificates and Forms: Store ACORD forms, policy downloads and e-signatures in client-specific electronic files. Use client information to create new certificates or renew existing ones. 
    • Document Storage: Centrally store client-related documents such as emails, certificates, forms, policies and more. Search for specific documents using custom data fields and upload files using the drag-and-drop function. Connect policies to associated clients. 
    • Document Signing: Streamline policy processing with secure electronic signatures. 
  • Agency Websites: Optimize an existing website or create a new one that includes the latest search engine algorithms. Increase the agency’s local reach and brand awareness with integrated editing, hosting, development and content services. Seamlessly integrate consumer quoting and client center modules into the website while keeping it mobile-friendly. Access website statistics during quarterly reviews. 
  • Consumer Quoting: Allow potential clients to get rate quotes directly from the website. Implement optimized, industry-specific web forms to provide multiple quotes instantaneously. Use vehicle and license data to autofill available information for faster quoting. 
    • Automated Contact: Automatically follow up on potential clients with incomplete quoting processes. Provide a secure link to access all relevant information and finish the process. 
    • Agent Options: Use online customer data to contact them directly with quotes. Get email reminders to follow up on quotation requests. 
    • Capture Leads: Capture leads through the agency website and reach them with purpose-built email marketing campaigns. 
    • Tracking Analytics: Record key analytics and analyze consumer quote traffic to improve the agency’s marketing and lead campaigns. 
  • Communication Center: Simplify client communication and outreach with targeted drip marketing campaigns, email campaigns, attachments and postal mail. 
  • Client Center: Provide clients with 24/7 access to the agency via the self-service portal. Safeguard client personal information with secure and unique login credentials. Agents can directly share policy documents and update client data at regular intervals. 
  • Integrations: Supports integration with a wide range of third-party applications, including QuickBooks, Microsoft 365, Netstar, CoreLogic, EverQuote and more. The API-based architecture provides in-house tools such as Data Bridge, Live Rating and Policy Management. 
  • Mobile App: Provides global access to client data and policy information with the mobile application. 
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Why We Picked AMS360

How do users rate AMS360, is it the agency management system that takes the cake? AMS360, Vertafore's agency management software, generally garners positive feedback for its thorough features. Users particularly value its robust reporting capabilities, which provide exactly the data they need without any guesswork, and its seamless integration with other Vertafore products, creating a unified ecosystem. This integration is critical for agencies already invested in the Vertafore suite, as it streamlines workflows and data sharing. However, some users point out a steep learning curve, occasional system slowdowns, and a desire for more intuitive user interfaces, indicating that while powerful, AMS360 might not be the most user-friendly for new or non-technical users. A notable strength is its comprehensive documentation and policy tracking, which is essential for managing client information effectively. Conversely, a weakness is the system reverting to default account information even after policy-specific updates, leading to inconsistencies in documents like certificates. This highlights a potential area for improvement in future updates. Overall, AMS360 emerges as a robust solution best suited for insurance agencies, particularly those familiar with Vertafore products, who prioritize functionality, comprehensive reporting, and reliable support over ease of use and cutting-edge user interface design.

Pros & Cons

  • Robust Reporting: AMS360 is praised for its strong reporting features, allowing agencies to analyze business data effectively.
  • Vertafore Integration: Users appreciate the seamless integration with other Vertafore products, creating a unified system.
  • Streamlined Operations: AMS360 helps agencies improve efficiency by automating workflows and centralizing key processes.
  • Steep Learning Curve: AMS360 can be difficult to learn, especially for new users who are not familiar with agency management systems.
  • System Slowdowns: Some users report experiencing occasional slowdowns with AMS360, which can be frustrating and impact productivity.
  • Unintuitive User Interface: The user interface is not considered intuitive by some users, making it difficult to find the information they need quickly and easily. For example, extracting accurate reports can be a challenge.
  • Inconsistent Data Updates: Some users report inconsistencies with data updates, such as changes to insured names reverting back to previous entries, especially with policy renewals. This can cause problems with certificates and other forms that require accurate information.

Key Features

  • Workflow Management: Implement standard, customizable workflows for onboarding, governance, navigation, task assignment, document automation, Corporate Social Responsibility (CSR) and client outreach. Use purpose-built form and policy templates to process and review applications faster. Automatically generate commercial property and casualty (P&C) proposals and consolidate all carrier information under a single interface. 
  • Agency Management: Seamless import and export schedules into the agency’s calendar with automated addition, deletion and existing data synchronization. Compare past and current policies side by side. Mass distribute certificates in accordance with individual client preferences. 
    • Agency Home: Get a real-time feed of information, obligations and tasks directly in the dashboard. 
    • Declaration Page View: The declaration page view integrates coverages, endorsements and client history information into a single page for improved visibility. 
  • Client Management: Organize renewal requests according to date ranges and assign tasks to available producers, managers and agents. Track submissions, and issue updates and alerts for unpaid bills, premium changes, expired policies and more. Filter potential and existing clients based on area, age, line of business and coverage. Link related customers to map out customer relationships. 
    • Campaigns: Prepare target lists featuring prospects and cross-sell opportunities. Set up marketing strategies based on touchpoints such as emails, meetings, phone calls and letters. 
    • Document Distribution: Set up document distribution schedules for specific scenarios like renewals and policy expirations. 
    • Communication: Access all client communication from a single interface to better understand the person behind the interaction. 
  • Mobile App: Get instantaneous on-the-go access to carrier data, policy information and rate quotes with the mobile application. 
  • Document Management: Securely store all documents in a central repository. Search for specific documents using data fields. 
  • Reporting: Run reports on business health, productivity, financial state and more. Use reporting templates with built-in filtering and viewing options or customize existing ones. Schedule upcoming reports and deliver results to related administrators for agile business decisions. Estimate the agency’s growth and revenue based on acquisitions. 
  • Integrations: Access over 200 APIs through the developer portal. Log in to multiple products with the Vertafore Single Sign-On (VSSO) tool. Partner with Vertafore’s in-house solutions for increased scalability. 
  • Risk Management: Implement automated workflows to eliminate the risk of errors and omissions (E&O). Restrict access to sensitive information with internal controls. Protect personally identifiable information and audit logs with multi-factor authentication, role-based permissions and user groups. 
  • Operations and Accounting: Keep the agency’s finances updated with real-time insurance accounting. Convert spreadsheets in Excel binary file formats to Acord AL3. Directly download carrier statements and auto-populate consistent data in direct bill entry statements (DBES). 
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Why We Picked Pega

Pega's workflow automation and AI decision-making capabilities have garnered praise, particularly for their ability to streamline complex business processes. Users highlight Pega's scalability and reusability, enabling efficient management of multiple teams and rapid development through reusable code. The platform's quick deployment capabilities allow for swift implementation of changes, while its collaborative approach, involving business teams in development phases, ensures alignment with business needs. Pega's real-time optimization, powered by AI, enables data-driven decision-making and adaptation.

However, Pega's complexity is a double-edged sword. While it empowers robust solutions, it demands significant technical expertise for setup and management. Some users have reported discrepancies between the platform's theoretical descriptions and practical implementation, especially regarding its RPA features, leading to documentation issues. Additionally, the user experience, particularly the search function and front-end interface, has been criticized as less intuitive compared to some competing solutions. For instance, users have found the menu structure and decisioning portal to be cumbersome.

Pega's strength lies in its ability to handle intricate workflows and leverage AI for real-time optimization, making it a suitable choice for large enterprises with complex operational needs and ample technical resources. However, its complexity and resource requirements might pose challenges for smaller businesses seeking simpler solutions.

Pros & Cons

  • Fast Rollout: Pega allows companies to implement process changes quickly, reducing the time it takes to go from idea to execution.
  • Built-in Collaboration: Pega bridges the gap between IT and business teams by providing a shared platform to design solutions that directly address business needs.
  • Handles Large Volumes: Pega is built to manage large-scale operations, making it suitable for enterprises dealing with high volumes of data and transactions.
  • Smart Decisions with AI: Pega integrates AI to automate decision-making within workflows, leading to more efficient operations and better outcomes. For example, AI can be used to automatically route service requests to the appropriate team.
  • Steep Learning Curve: Pega's complexity makes it difficult to learn, especially for those without extensive coding experience, leading to longer onboarding periods.
  • Technical Support Challenges: Users frequently report difficulties reaching Pega's support team and receiving timely assistance, potentially causing delays in resolving critical issues.
  • Subpar User Experience: The platform's user interface is often criticized for being unintuitive and difficult to navigate, impacting user productivity and satisfaction.

Key Features

  • BPM and Case Management: Optimize the agency’s business process management (BPM) and case management systems with customizable workflows, robotic automation, AI and work orchestration strategies. Monitor work status across multiple business units in real time. 
    • Compliance: Automatically maintain records and prepare an audit trail of all activities. Comply with global regulations such as GDPR. 
  • Chatbots and Virtual Assistants (VAs): Leverage intelligent VAs and conversational UI to offer best-in-class self-service aid. Understand conversational intent and human speech regardless of the channel or practice area. Access multiple means of communication, including Facebook Messenger, Amazon Alexa, email, SMS/text messages and more. Scan emails for important information and prepare personalized responses. 
    • VA Optimization: Utilize existing data to prevent duplicate tech silos. Collaborate with bots and automated processes to interpret contextual data from client service, sales, automation and marketing. 
    • Test Deployment: Run simulations to test the virtual assistant’s performance on different channels. Configure, manage and update the VA without code or downtime. 
  • DevOps and Testing: Vastly decrease time to market with one-click DevOps, CI/CD pipeline and complete automation. Third-party integrations include Agile Workbench, Agile Studio, App Studio and DevOps tools such as Artifactory and Jenkins. 
  • Real-time Intelligence: Search for patterns, hidden opportunities and insights within streaming cross-channel data and client interactions with the real-time AI engine and digital automation tools. 
    • Responsible AI: Built-in Value Finder and Ethical Bias Check modules safeguard the agency against unintentional discrimination and help form empathetic connections with customers. 
  • Robotic Process Automation (RPA): Implement RPA to speed up business processes, remove redundancies and eliminate errors and omissions (E&O). Work in tandem with bots to optimize resources, balance investments, self-heal automation and measure business impact. 
    • Email Bot: Automatically respond to emails with natural language processing (NLP). Use AI to decide on triage and rerouting measures. 
  • UX Design: Choose the best application design from a range of preconfigured best practice templates. Seamlessly synchronize with multiple API endpoints. 
  • Workforce Intelligence: Run reports on essential processes, agent productivity and more. Use data visualization tools to understand the impact of automation and see the true intent behind customer interactions. 
Start Price
$70
Company Size
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Deployment
Cloud On-Premise
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Key Features

  • Agency Management: Maintain complete visibility over user groups, company information, policy data, claims and more. Keep tabs on enrollments, renewals and leads with automated communication and task assignment. Centralize all agent information and paperwork to calculate commissions accurately. 
  • Policy Management: Stay up-to-date with the agency’s policy-to-product ratio. Connect policies with associated individuals and resources. Set up automated reminders for upcoming tasks. 
  • Carriers: Centralize all carrier information to track policy ownership and best-selling products. 
  • Commissions: Manually enter commissions or import data from third-party sources. Automatically calculate total premiums, total commissions and net commissions based on existing policies, agents and payout rates. 
  • Workflow Automation: Implement industry-specific fields or custom datasets to automate regular processes and daily communications. Integrate with Microsoft Outlook to automatically assign tasks from emails. Automatically notify clients about important dates, events and license expirations. Get an overview of automated processes; pause automation whenever required. 
    • Automated Prospecting: Automatically assign leads to suitable agents for follow-up activities. Assimilate information from Lead Forms to trigger emails and tasks. 
  • Lead Distribution: Categorize leads according to servicing agent, lead source, activities due, lead date, status and more. Automatically assign the right leads to the suitable agents. Monitor interactions, communications, activities and opportunities with the sales pipeline module. Utilize the firm’s leads and sales data to uncover trends and patterns using data visualization. 
    • Lead Forms: Create custom lead forms and embed them on the firm’s website to capture leads effortlessly. Instantly notify available agents on completion of a form. 
    • Lead Follow-up: Set up automated email campaigns. Contact potential clients with rate quotes and agency-specific information after form submission. Track the source, status, priority and notes related to active leads in real time. 
  • Client Management: Set up email marketing campaigns and newsletters with purpose-built customizable templates. Stay in touch with clients via consistent communications for events such as birthdays, enrollment reminders, upcoming renewals, carrier updates, policy changes and more. 
  • Advanced Search: Search the agency database for specific documents with custom data fields. Save search queries and results for future reference. Search for particular agents based on clients, expiration dates, upcoming renewals and more. 
  • Reporting: Run reports on lead sources, renewal dates, policies, agent license, carrier products, agents and more. Choose from a list of built-in reports or create custom ones. Calculate projected revenue based on products sold. Analyze commission data to compare actual commission amounts with projected totals. Get insights into the firm’s productivity metrics via charts and graphs. Track policies and payment history in real time to identify missed carrier commissions. 
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Why We Picked Guidewire

Imagine a bustling marketplace where insurance companies shop for the perfect software to manage their intricate operations. Among the vibrant stalls, Guidewire stands out, attracting attention with its comprehensive suite of tools. However, like any seasoned shopper, insurance companies carefully examine the reviews before making a decision. Let's delve into the feedback from the past year to uncover the strengths, weaknesses, and unique qualities of Guidewire, ultimately determining who can benefit most from its offerings.

One recurring theme in user reviews is the robust functionality of Guidewire, particularly in handling complex insurance processes. Its ability to manage underwriting, policy administration, claims, and billing within a single platform is a significant advantage for large insurance companies with diverse product lines. Users appreciate the flexibility to configure workflows and rules to match their specific requirements, ensuring efficient and accurate operations. For instance, a multinational insurer highlighted Guidewire's capability to handle multiple currencies and languages, streamlining their global operations.

However, some users noted that Guidewire's extensive features come at the cost of complexity. The initial setup and configuration can be time-consuming and require specialized expertise. Smaller insurance companies with limited IT resources may find the learning curve steep and the implementation process challenging. Additionally, while Guidewire offers a wide range of integrations with third-party systems, some users expressed a desire for more seamless and out-of-the-box integrations to further enhance connectivity and data exchange.

Considering these factors, Guidewire appears most suitable for large insurance companies with complex operations and the resources to invest in implementation and ongoing maintenance. Its comprehensive functionality, scalability, and configurability make it an ideal choice for organizations seeking a robust and future-proof solution to manage their insurance processes efficiently. For smaller companies or those with simpler needs, alternative solutions with a more intuitive interface and quicker implementation might be a better fit.

Pros & Cons

  • Comprehensive Suite: Guidewire offers a full range of products covering claims management, policy administration, and billing, providing a one-stop shop for insurance carriers' core needs. This integrated approach streamlines operations and reduces the need for multiple vendors.
  • Industry-Specific Focus: Guidewire's solutions are tailored specifically for the insurance industry, addressing the unique challenges and regulatory requirements of the sector. This focus ensures that the software aligns with industry best practices and evolving needs.
  • Scalability and Flexibility: Guidewire's platform is designed to accommodate the growth and changing needs of insurance companies. Whether it's expanding into new markets or launching new products, the software can adapt to support evolving business requirements.
  • Cloud-Based Options: Guidewire offers cloud-based deployments, providing flexibility and scalability for insurance carriers. Cloud solutions eliminate the need for on-premises infrastructure management, reducing IT overhead and enabling faster implementation times.
  • Complexity: Guidewire's comprehensive nature can be overwhelming for new users due to its extensive features and functionalities. The learning curve can be steep, requiring significant time and resources for training and implementation.
  • Cost: As an enterprise-level solution, Guidewire often comes with a hefty price tag, including licensing, implementation, and ongoing maintenance fees. This can be a barrier for smaller insurance companies or those with limited budgets.
  • Customization Challenges: While Guidewire offers customization options, tailoring the software to specific needs can be complex and time-consuming. It may require specialized skills or external consultants, adding to the overall cost and implementation time.
  • Integration Complexity: Integrating Guidewire with existing systems, such as legacy databases or third-party applications, can pose challenges. This can lead to data migration issues, compatibility problems, and additional development efforts.

Key Features

  • Policy Management: Facilitates direct, digital, omnichannel communication with policyholders and partners. Streamline policy approval and verification with strategic automation and predictive analytics. 
  • Application Development: Leverage APIs, integrations and microservices to create new lines of product faster. Run reports to benchmark performance and get actionable insights. 
  • Billing Management: Offer multiple payment options, invoice flexibility and personalized plans to improve customer loyalty. Process flat rate and traditional agent commissions from the same module. Maintain complete visibility over financial transactions with tailored billing strategies. 
  • Claims Management: Create and define activities, exposures and reserves. Implement automated workflows to deal with straightforward claims. Integrate with over 60 purpose-built applications to streamline claims processing. 
  • Customer Service: Implement digital self-service channels for clients. Prioritize first notice of loss reports to improve customer retention and loyalty. 
  • Predictive Analytics: Augment business processes with artificial intelligence and predictive analytics. Optimize core processes such as claims processing and underwriter commissions. 
    • Claims Optimization: Evaluate the most productive adjuster for pending claims. Leverage intelligent insights and smart remediation strategies to reduce loss-adjustment expenses, leakage and risk litigation. 
    • Underwriter Profitability: Figure out the pricing range required to maximize policyholder retention. Develop a sophisticated scoring system for underwriters to optimize the submission and renewal processes. 
    • Smart Recommendations: Easily integrate predictive models created externally. Run reports on productivity and modify workflows based on results. 
  • Risk Insights: Analyze exposure data in real time, including risk factors and accumulation events, to gain valuable insights. Study market trends to make intelligent pricing and risk selection decisions. Self-diagnose cyber-risk events. 
  • Business Intelligence: Always keep an eye on financial and operational metrics and underwriting, sales, claims and service management. Securely access anonymous and current benchmarks to measure the agency’s performance scores against existing frameworks. 
Start Price
$1,000
Monthly
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Why We Picked eBacon

User reviews from the past year suggest that eBacon, particularly its certified payroll processing, is a significant time-saver, with some users claiming a reduction from days to just 20 minutes for specific tasks. This efficiency stems from eBacon's intuitive design and robust reporting capabilities, which streamline complex payroll processes, especially for construction companies dealing with prevailing wage requirements. Users specifically praise eBacon's superiority over competitors like Paychex in understanding and managing certified payroll, highlighting a key differentiator. This specialized focus is crucial for businesses operating in sectors with stringent compliance regulations, as accurate and timely payroll processing is paramount for maintaining employee morale and avoiding legal ramifications.

However, while eBacon receives accolades for its core functionalities, some users express that certain aspects need improvement. For instance, the trust account feature, while innovative, is reportedly prone to glitches and lacks user-friendly clarity. Additionally, limited customization options and the absence of benefits administration in specific geographical areas, like California, are drawbacks for some users. Despite these areas for improvement, eBacon is generally lauded for its efficiency and effectiveness in handling intricate payroll tasks. Its strength lies in simplifying certified payroll, making it particularly well-suited for construction companies or businesses navigating the complexities of prevailing wage requirements.

Pros & Cons

  • Easy to Use: eBacon's user interface is designed to be straightforward and easy to navigate, making payroll processing less of a chore for users.
  • Time-Saver: eBacon can significantly reduce the time spent on payroll tasks, especially certified payroll, freeing up time for other important business operations.
  • Accuracy Boost: eBacon helps minimize costly payroll errors, ensuring employees are paid correctly and on time, which boosts morale.
  • Limited Customization: eBacon lacks flexibility in tailoring the software to specific business needs beyond its core features.
  • Trust Account Glitches: Some users have reported issues with the accuracy and reliability of eBacon's trust account feature, causing confusion and requiring manual workarounds.
  • Mobile App Shortcomings: The absence of a dedicated mobile app limits employee access to pay stubs and other payroll information, potentially causing inconvenience.
  • Post-Implementation Support: A few users have expressed dissatisfaction with the responsiveness and effectiveness of customer support after the initial software implementation phase.

Key Features

  • Certified Payroll Reporting: Automatically generates certified payroll reports that comply with federal, state, and local regulations.
  • Time Tracking Integration: Seamlessly integrates with various time tracking systems to ensure accurate payroll calculations.
  • Prevailing Wage Compliance: Ensures that all payroll calculations meet prevailing wage requirements for government contracts.
  • Fringe Benefit Management: Manages fringe benefits efficiently, including health insurance, retirement plans, and other employee benefits.
  • Automated Deductions: Automatically calculates and applies deductions for taxes, garnishments, and other withholdings.
  • Multi-State Payroll Processing: Handles payroll processing for employees working in multiple states, ensuring compliance with varying state laws.
  • Customizable Reporting: Offers a range of customizable reports to meet specific business needs and compliance requirements.
  • Employee Self-Service Portal: Provides employees with access to their payroll information, including pay stubs and tax documents.
  • Direct Deposit: Facilitates direct deposit payments to employees' bank accounts, streamlining the payroll process.
  • Job Costing: Tracks labor costs by job or project, providing detailed insights into project profitability.
  • Mobile Access: Allows users to access payroll information and perform tasks from mobile devices, enhancing flexibility and convenience.
  • Compliance Alerts: Sends alerts for compliance deadlines and requirements, helping businesses stay on top of regulatory changes.
  • Integration with Accounting Software: Integrates with popular accounting software like QuickBooks, ensuring seamless financial management.
  • Audit Trail: Maintains a detailed audit trail of all payroll transactions, supporting transparency and accountability.
  • Support for Union Payroll: Manages union-specific payroll requirements, including dues and benefits calculations.
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Why We Picked Duck Creek

Navigating the insurance technology landscape can feel like being lost at sea, with countless options promising smooth sailing. Duck Creek emerges as a sturdy vessel, but is it the right fit for your voyage? User feedback from the past year paints a picture of a platform with a robust hull and powerful engines, but perhaps lacking some of the finer amenities of its competitors.

Duck Creek's strengths lie in its configurability and scalability. Like a seasoned shipwright, users can customize the platform to their specific needs, building out complex workflows and integrations. This flexibility makes Duck Creek a popular choice for larger enterprises with intricate operations. However, this strength can also be a weakness. The level of customization requires significant technical expertise, often necessitating the help of experienced consultants or a dedicated in-house team. This can lead to higher implementation costs and longer timelines compared to more out-of-the-box solutions like Guidewire or Majesco.

Duck Creek differentiates itself with its cloud-native architecture, allowing for seamless updates and scalability. This is crucial in today's rapidly evolving insurance landscape, where agility is key. Users appreciate the platform's ability to adapt to changing market demands and regulatory requirements. However, some find the user interface to be less intuitive than competitors, requiring additional training and support.

In conclusion, Duck Creek is best suited for large insurance carriers and MGAs with complex operations and the resources to invest in implementation and ongoing maintenance. Its configurability and scalability make it a powerful tool for those who can harness its potential. However, smaller organizations or those seeking a more user-friendly experience may find better options elsewhere in the vast ocean of insurance technology.

Pros & Cons

  • Configuration Tools: Duck Creek's configuration tools empower users to tailor the platform to their specific needs without extensive coding. This flexibility allows insurers to adapt to changing market demands and create unique product offerings.
  • Product Development: The platform streamlines product development, enabling insurers to launch new insurance products quickly and efficiently. This agility is crucial in today's competitive market where speed to market is a key differentiator.
  • Cloud-Based: As a cloud-based solution, Duck Creek eliminates the need for on-premises infrastructure, reducing IT costs and complexity. This scalability allows insurers to easily adjust their resources as their business grows.
  • API Integrations: Duck Creek's open API architecture facilitates seamless integration with third-party systems and data sources. This interconnectivity empowers insurers to leverage a broader ecosystem of tools and services.
  • Complex Configuration: Implementing and customizing Duck Creek often demands a high level of technical expertise, making it challenging for users without a strong IT background to navigate the system effectively. This complexity can lead to longer implementation times and increased reliance on external consultants, potentially raising costs and causing frustration for users who prefer a more intuitive and user-friendly experience.
  • Performance Issues: Some users report experiencing performance slowdowns and system lags, particularly when handling large volumes of data or complex workflows. These performance issues can disrupt daily operations, hinder productivity, and lead to user dissatisfaction, especially for businesses with high-transaction volumes or time-sensitive processes.
  • Cost Considerations: Duck Creek's pricing structure, which often involves licensing fees, implementation costs, and ongoing maintenance expenses, can be a significant investment for insurance companies. Smaller businesses or those with tighter budgets may find the cost prohibitive, leading them to explore alternative solutions that offer a more affordable entry point and predictable cost structure.

Key Features

  • Quote: Accelerates quote workflows and offers omnichannel, responsive customer service. Create automated quote proposals and letters. Use predefined rules to streamline data capture at every stage. 
  • Underwrite: Access automated underwriting services based on risk complexity. Analyze policyholder accounts and collaborate across multiple domains to determine risk. Monitor status of active applications via an underwriter dashboard. 
  • Endorsements: Automatically process out-of-sequence and cross-term endorsements. Get a comprehensive view of all endorsement activities across different policy stages. Intelligent underwriting and third-party information ordering improve data and transaction accuracy. 
  • Audit: Supports monthly reporting, self-audits and interim and final audits. Track policy transactions and audit transactions separately. Create a post-audit declaration page and void audits according to requirements. 
  • Renewals: Automatically issue renewal policies via trigger-based workflows. Use predefined rules and date-driven ranges to rate, underwrite and document renewals. Mark specific policies for non-renewals. 
  • Cancellations: Supports automatic and manual cancellation notices. 
  • Reissue: Reinstate, reissue and rewrite policies manually or via predefined rules. Automatically issue notices and reactivate offset transactions. 
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Why We Picked Majesco

Stepping into the bustling marketplace of insurance software solutions, Majesco has carved out its own niche, attracting a diverse range of users with its unique blend of features and functionalities. Feedback from the past year paints a picture of a platform that excels in certain areas while acknowledging room for improvement in others. Users frequently highlight Majesco's robust policy administration capabilities as a standout strength, enabling insurers to efficiently manage the entire policy lifecycle, from quoting and issuance to renewals and claims. This comprehensive functionality streamlines operations and reduces manual tasks, ultimately boosting productivity for insurance professionals.

However, some users point out that Majesco's interface can feel clunky and outdated compared to newer, more intuitive platforms. Navigating through the system and accessing specific information can sometimes require multiple steps, leading to a less-than-ideal user experience. Despite this drawback, Majesco differentiates itself through its extensive configurability and customization options. Insurers can tailor the platform to their specific workflows and requirements, ensuring a snug fit for their unique business processes. This adaptability is particularly valuable for larger enterprises with complex operations and diverse product lines.

Considering these factors, Majesco appears to be most suitable for established insurance companies seeking a comprehensive and customizable solution for policy administration. Its strengths lie in its ability to handle complex workflows and provide a high degree of control over policy management. While the user interface may require some acclimation, the platform's flexibility and powerful features make it a compelling choice for insurers who prioritize functionality and adaptability over a purely modern aesthetic.

Pros & Cons

  • Cloud-Based Flexibility: Majesco's cloud-based platform allows insurers to scale their operations up or down quickly and efficiently, adapting to changing market demands without the need for significant infrastructure investments. This agility is particularly beneficial for managing seasonal fluctuations or entering new markets.
  • Streamlined Policy Administration: The software offers comprehensive policy administration features, including automated workflows, underwriting rules engines, and document management tools. These capabilities help insurers reduce manual tasks, improve accuracy, and accelerate policy issuance, leading to enhanced customer satisfaction and operational efficiency.
  • Data-Driven Insights: Majesco's robust reporting and analytics tools empower insurers to gain deeper insights into their business performance, customer behavior, and market trends. By leveraging data effectively, insurers can make informed decisions, identify growth opportunities, and optimize their product offerings and pricing strategies.
  • API-First Architecture: Majesco's API-first architecture facilitates seamless integration with third-party applications and services, enabling insurers to create a connected ecosystem and extend the functionality of their core systems. This flexibility allows for the incorporation of innovative technologies and the development of new distribution channels.
  • Implementation Challenges: Majesco's suite of products can be complex, requiring significant configuration and customization. This often leads to longer implementation times and higher costs than anticipated, frustrating users with budget and time constraints.
  • Learning Curve: The user interface, particularly in older versions, can feel clunky and outdated, leading to a steep learning curve for new users. This can impact user adoption and productivity, especially for those accustomed to more modern software experiences.
  • Integration Complexities: Integrating Majesco with existing systems, such as CRM or policy administration systems, can pose challenges due to compatibility issues and data mapping complexities. This can hinder data flow and create inefficiencies in business processes.

Key Features

  • Distribution Management: Set up multi-channel distribution networks, purpose-built hierarchies, and compensation models. 
  • Self-Service: Provide access to self-service capabilities such as automated onboarding and application optimization. Access transaction records and commission statements in real time. Prepare configurable and intuitive user interfaces for traditional insurance products and core processes. 
  • Data Analytics: Analyze data from multiple sources to get customer-focused insights. Leverage actionable information, intuitive dashboards and data visualization to uncover new business opportunities. 
    • Data Warehousing: Implement a powerful data framework for commercial property and casualty (P&C) lines of insurance. Provide access to a shared data repository and open quality and business rules. 
  • Majesco EcoExchange: Access third-party applications via the partner ecosystem. Featured integrations include Verisk, Chase, IHS Markit, TransCard, and more. 
  • Reporting: Map out standard user metadata, dashboard and standard reports. Run reports on productivity, claims history, cost-efficiency and more. 
  • Proactive Updates: Get regular updates on the latest Bureau forms, rates, policies and rules. 
  • Policy Management: Third-party partners, such as ISO, NCCI and more, provide built-in P&C, personal and specialty insurance policies. Access out-of-the-box bureau and product content for both commercial and personal lines of business. The predefined content directory includes over 4,000 forms, 14,000 data fields and 40,000 rules in accordance with ISO standards. 
    • Rating Engine: Integrate with external raters or manually create agency-specific rates. 
  • Claims Management: Manage the entire claims lifecycle from, first notice of loss to settlement, for all lines of business. 
    • Risk Assessment: Connect to multiple data sources to accurately analyze claim complexity and litigation likelihood. Assign fraud scores based on social media history, private records, public information and claims history. 
    • Catastrophe Contingency: Track catastrophes concerning insured properties. Process inflated claims seamlessly and route mobile claims appraisers for expedited settlements. 
  • Billing: Process all billing types, including agency bill, direct bill, list bill, and deductible bill. Offer customized payment plans and due dates. Accept credit card payments via the Electronic Bill Presentment and Payment (EBPP) portal and allow insureds to check transaction history. 
    • Moratorium Support: Automatically decide moratorium period and leniency towards fees, charges and collections for insured with financial difficulties. 
    • Compensation Distribution: Streamline agent compensation with a rules-based commission engine capable of processing high-volume compensation, charge-backs on policy events, commission sharing/sacrificing and automating commission advances. Calculate flexible commission contracts with variable incentives, commission plans and payments. 
Start Price
$250
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Why We Picked HawkSoft

Is HawkSoft Insurance software for the birds, or will it make your agency soar?

Over the past year, user reviews on HawkSoft have been largely positive, with many highlighting its intuitive interface and robust features as major strengths. Users particularly appreciate the platform's policy management capabilities, noting that it streamlines tasks like underwriting, quoting, and renewals, which are essential for daily operations. The built-in reporting and analytics tools, dubbed "Agency Intelligence," also receive praise for providing valuable insights into sales pipelines, client retention, and growth opportunities. However, some users have pointed out that the software's integration with third-party applications could be improved, citing occasional difficulties with data syncing and limited compatibility options. Despite this drawback, many users consider HawkSoft a worthwhile investment due to its comprehensive feature set and user-friendly design, especially when compared to competitors with less intuitive interfaces or fragmented functionalities. In conclusion, HawkSoft appears to be best suited for independent insurance agencies of all sizes looking to streamline their operations, improve client management, and gain a competitive edge. Its robust features, combined with its user-friendly interface, make it a powerful tool for agencies seeking to enhance efficiency and drive growth.

Pros & Cons

  • Easy to Use: Many users find HawkSoft's interface intuitive and easy to navigate, even for those who are new to insurance software. They appreciate the straightforward design and clear labeling of features, making it simple to find what they need.
  • Comprehensive Features: HawkSoft offers a wide range of features that cater to the needs of insurance agencies, including policy management, client tracking, reporting, and more. Users appreciate having all the tools they need in one place, streamlining their workflow.
  • Excellent Customer Support: HawkSoft is known for its responsive and helpful customer support team. Users praise the quick turnaround times and the ability to reach knowledgeable representatives who can assist with any issues or questions.
  • Strong Integrations: HawkSoft integrates seamlessly with other popular business applications, such as accounting software and email marketing platforms. This allows users to connect their systems and automate tasks, saving time and effort.
  • Limited Customization: Some users find the system's rigid structure limits their ability to tailor workflows to their specific needs, leading to inefficiencies. For example, they may struggle to create custom reports or automate tasks that are unique to their agency.
  • Steep Learning Curve: The software's complexity can be daunting for new users, requiring significant time and effort to master. This can lead to frustration and slow adoption, especially for smaller agencies with limited resources.
  • Integration Challenges: Integrating HawkSoft with other essential business tools, such as CRM or accounting software, can be difficult and time-consuming. This can create data silos and hinder overall efficiency.
  • Customer Support Issues: Some users have reported inconsistent or slow response times from HawkSoft's customer support team. This can be frustrating when encountering technical difficulties or needing assistance with complex tasks.

Key Features

  • Agency Management System: Implement a consistent and reliable documentation process for all carriers, policyholders and agents. Set up automated strategies for client communication, marketing campaigns, lead generation, task assignments and notifications. Run reports on productivity, profitability, revenue and more. 
  • Agency Intelligence: Generate customized reports on policyholder data, sales pipeline forecasts, account rounding, cross-selling and more. Use data visualization to aid in business decision-making. 
  • Agent Portal: Access policy information, client data and communication from any device with an internet connection. Limit access to sensitive data with permission-based restrictions. 
  • API Integrations: Integrate with multiple third-party applications with the API-based architecture. Supported applications include AgencyZoom, Bridge, Fuse, InsuredMine, Renew King, Rocket Referrals and many more. 
  • Accounting: Seamlessly create and maintain trust and operating accounts in tandem with QuickBooks. 
    • Trust Accounting: Issue invoices, accept payments, verify receipts, track receivables and payables, upload carrier payments and perform year-end reconciliations with built-in tools. Run reports on paid commissions, customer receivables, agent fees and more. 
    • Operating Accounting: Directly integrate with QuickBooks to synchronize both trust and operating accounts. Track expenses and compulsory personal accidents (CPA) and measure KPIs. 
  • E-signature: Optimize the application and renewal process with the built-in e-signature tool. Securely maintain digital records and send texts or emails to request signatures. 
  • Mobile Application: The mobile app provides clients with dedicated self-service, 24/7 access to their policy details and ID cards. Agents can send push notifications, as well as share accident and claim reports and photos in accordance with ACORD regulations. 
  • Rater: Choose a rater service and get a direct feed of accurate quotes from multiple carriers. Clients can seamlessly compare and choose from relevant rate quotes. Supported raters include ITC TurboRater, Applied Rater, Agency Computer Systems (ACS), AccuAgency and more. 
  • Self-service Certificates: Allow insured parties to generate self-service certificates. Provide access via links and revoke certificates as per requirements. Clients can log in to the portal with their email addresses and verification codes. 
  • Client Communication: Communicate with clients via text message and share images with them, all accessible directly from their files. Turn on desktop notifications for essential customers. Comply with TCPA regulations by asking insured clients for their consent before initiating contact. 
  • Website: Choose from multiple SEO-optimized website packages preconfigured with insurance-specific content. Capture more leads with automated marketing campaigns and enriching content such as videos, articles and infographics. Track website traffic via Google Analytics. 
Company Size
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Key Features

  • Policy Decisions: Provide Bureau-based insurance products for over 20 commercial lines across ISO, NCCI and AAIS. Leverage third-party integrations, embedded data, predictive modeling and analytics to create personalized workflows and role-driven screens. Automatically update regulatory content. Create tailored user interfaces for every distribution channel. 
  • Bridge Specialty: Create and define policies and business lines with screen-based Bridge SmartTools. Set up configurable transaction workflows for renewals, adjustments, endorsements, cancellations, businesses and more. Record data elements and risk information for all transactions and lines of business. 
    • Data Capture: Automatically validate data going through workflows and trigger relevant activities. Implement exact or fuzzy logic match criteria to identify risk elements. Account for insuring conditions and exclusions while calculating premiums, taxes, commissions and fees. 
    • Automatic Referrals: Smoothly transmits policy information from agents to underwriters. Provides dedicated notification and submission queues. 
    • Mobile Access: Access policy information on any device with an internet connection, complete with dynamic user interface, fields and screens. 
    • Plug-In Integration: Seamlessly integrate with internal or third-party applications, including rating engines, document management systems, clearance, back-office accounting and data providers. 
  • Workers’ CompXPress: Manage workers’ compensation policies with rules-based rates from different states, tiers and algorithms. Suggest multiple quotes based on relevant plans, credits/debits and other pertinent factors. Automatically populate and print endorsement and policy forms in batches and pinpoint delinquent policies. Built-in logic accounts for class codes, loss ratio, industry, renewals and client-specific underwriting rules. Automatically flag policies for renewal and underwriter review. 
    • Reporting: Run preconfigured financial, management and exception reports. The user-friendly dashboard supports data visualization. 
    • Information Management: Provides tiered data entry for all information associated with agency, broker, branch and agent. 

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All Claims Management Software (31 found)

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Damco Solutions

by Damco Group
Damco Solutions
Damco Solutions provide a complete end-to-end, scalable agency management platform designed to digitize and streamline modern day business processes and improve customer relations. It employs various modules to organize and simplify complex procedural data. It automatically logs consumer behaviour, daily activities and transactions to produce a dynamic view of business operations. Predictive analytics generate statistical data reports and business leads required to increase growth and speed to market. Its configurable agency module allows agents to manage claims, policies, renewals, cancellations and enrollments remotely. All data can be shared in real time between the insurers, insured parties and carriers. Its communication portal serves as a central hub for clients, brokers, agents and vendors. The multi-device architecture allows policyholders to manage their policies, raise claims, perform cancellations and more through interactive chats. Insurers can process requests in real time in addition to up-selling and cross-selling products. Users can automate daily tasks, reminders, information updation and policy administration. It surveys market trends to generate rate quotes, discounts and recommendations. It centrally secures all data for error-free bookkeeping. Its blockchain-based payment module automatically verifies customer identities to protect against fraud.
Cost Breakdown
$100 - $500
Company Size
Small Medium Large
Deployment
Cloud On-Premise
Platform
Mac Windows Linux Chromebook Android

Oracle Financial Services For Insurance

by Oracle
Oracle Financial Services For Insurance
Oracle Financial Services For Insurance is a comprehensive software solution designed to streamline and optimize various insurance-related tasks. It is particularly well-suited for insurance companies seeking to enhance their operational efficiency, regulatory compliance, and customer service. The software offers a range of benefits, including improved data management, automated processes, and advanced analytics, which collectively contribute to more informed decision-making and reduced operational costs. Popular features of Oracle Financial Services For Insurance include policy administration, claims management, and financial reporting. These features are designed to integrate seamlessly, providing a cohesive user experience that simplifies complex insurance workflows. Users often highlight the software's robust analytics capabilities and its ability to handle large volumes of data with ease. Compared to similar products, Oracle Financial Services For Insurance is frequently praised for its scalability and reliability. Pricing for the software typically varies based on the size of the organization and the specific modules required, with options for annual or multi-year subscriptions. This flexibility allows companies to tailor the solution to their unique needs and budget constraints.
User Sentiment User satisfaction level icon: great
Cost Breakdown
$1,000 or more
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Buyer's Guide

Claims Management Software Is All About Digitizing and Optimizing the Entire Coverage Lifecycle 

Claims Management Software Intro Header

Claims management software is a crucial component of most insurance software products and a comprehensive solution for streamlining the claims lifecycle. It allows insurance agencies to automate tasks in the claims lifecycle and offer customers extended claim-related reporting. You can offer your clients enrollment through multiple sources and create a complete ecosystem for brokers and insurers to manage the coverage lifecycle using claims management software.

Learn what to expect from claims management software in this guide. Below is an overview of claims management software, a summary of key features and benefits, a comparison strategy and cost and pricing information.

Executive Summary

  • Automate processes to decrease focus on administrative tasks and quickly settle claims.
  • Organize claims information, secure essential client data and simplify preparing and executing claim-related documents.
  • Alleviate risks, expand scalability and reach new customers.
  • Pinpoint critical variables while ensuring quality interactions with clients.
What This Guide Covers:

What Is Claims Management Software?

Claims management software allows insurers to optimize coverage and compensation processes and systemize information to evaluate data faster and more accurately. Enable end-to-end claims processing and access all coverage assets in one location. Offer clients easy enrollment and assistance during the coverage lifecycle. The claims management software market is large and projected to have a 9.78 billion dollar growth.

Who Uses Claims Management Software?

Claims management software can be offered as a single system, but it’s typically bundled with more comprehensive insurance software solutions. Claims management systems can be used by any sized firm and optimize establishing new processes and procedures.

Insurance Policy Software Categories

Primary Benefits

There are various benefits to consider when choosing claims management software. This section discusses the direct benefits of claims management software.

Primary Benefits of Claims Management Software

Streamlined Claims Administration

Speed up processing times for claims by creating various workflows. Offer clients flexible enrollment and reporting options. Automation allows insurers to utilize intelligent document processing and artificial intelligence for enhanced data assimilation and collection. Aggregate documents into a centralized hub and access information through various entry points.

Improved Documentation Processes

Create, organize and secure claims documents in a single location. Utilize different third-party connections and reporting capabilities to leverage the most accurate data and provide forecasts for future events. Enable document shortcuts and give complete visibility to insurers when locating information.

Stronger Customer Connection

Improve customer experience and engage with clients throughout the claims lifecycle. Give clients the ability to report claims quickly through an automated reporting system. Use portals to reach out to customers throughout the coverage lifecycle. Decrease time spent handling claims manually and enhance focus on member services and sales.

Increased Productivity

With end-to-end automation for simple claims scenarios, insurers can focus on complicated coverage tasks. Portals can decrease time spent navigating interfaces, leaving more time to speed up processing and attend to customers. Create workflows that accelerate processing and settle claims faster.

Key Features & Functionality

Reporting and Advanced Analytics

Analyze and improve strategies to oversee risk and cost management. Assimilate data from multiple sources into an aggregate view. Define variables that impact the outcome.

Automate the archival of important data for fast modification and perform in-depth analyses using data generation and migration.

Comprehensive Management

Streamline tasks and manage the entire coverage lifecycle. View and edit data throughout the compensation process. Pinpoint process inefficiencies and improve the usability of systems. Use scripts to gather FNOL data through multiple channels quickly.

Risk Management

Identify and evaluate possible problems before they occur. Simplify forecasting future risks and utilize advanced reporting to resolve incoming issues rapidly. Create and implement automated protocols to mitigate risks.

Underwriting Management

Find necessary data rapidly when it’s needed. Group policy and claim information for improved accessibility. Utilize in-house and third-party rating systems to gather essential data with a flexible architecture to simplify the coverage cycle.

Portals

Utilize internal portals to navigate the claims dashboard quickly. Enable extranet portals where customers can access specified data through provided entry points.

Secure data in one hub and create access points for insurers to quickly locate data.

Integrations

Connect with external applications to extend claims management capabilities and utilize third-party BI applications. Utilize open APIs to connect with external systems and display data from various providers on one dashboard.

Software Comparison Strategy

There are three crucial factors to consider when deciding on the correct claims management software for your organization.

Analysis of Claims Management Software

  1. Evaluating your business requirements is extremely important when choosing claims management software because many offer capabilities tailored to specific business needs. Provisions provide a basis for necessary practices like testing potential software and setting up foundations for future projects.
  2. Configurability is also very important when choosing the correct claims management software. Looking at what type of external applications your organization already uses can help you navigate which software is most compatible for arising business needs.
  3. The size of an organization can be a significant factor in choosing the right system. Some claims management systems offer beneficial features until a certain growth point is reached. The software can then seem dated and unable to fulfill the necessary actions required to compete in today’s insurance marketplace.

Cost & Pricing Considerations

Different deployment types will apply certain expenses to your tab when it comes to claims management software. On-premise deployment is dependent on the size and capacity of hardware in your agency. In contrast, the cost of cloud-based solutions is dependent on the number of employees in the organization. Vendors may also charge for additional migration, underwriting and website maintenance services.

Since insurance is a volatile market, new software is constantly competing for attention with different variations of workflow improvement. Focusing on set business requirements can alleviate the stress of trying multiple software before finding the best fitting solution.

Most Popular Claims Management Software

Here is a list including three of the most popular systems in the industry.

Majesco

Majesco is a cloud-native platform for insurers and brokers that houses an internal claims management system. It focuses on risk and catastrophe contingency management. Evaluate reports and view coverage information on one dashboard.

Majesco

Visit the dashboard to track all recent activities.

BriteCore

BriteCore offers agencies a digital ecosystem for managing insurance activities. Provide clients with portals and various enrollment options. Manage financials, organize documentation and optimize the entire claims lifecycle. Track claims against policy data and reduce errors with end-to-end automation for uncomplicated claims tasks.

BriteCore

Get an overview of all active and unsubmitted policies.

EIS

EIS is a comprehensive cloud-native solution for managing the coverage lifecycle. It offers end-to-end automation and extended capabilities using seamless integration with third-party applications. Utilize user-friendly navigation and access advanced reporting and data management.

Insly

Access historical payment and billing information.

 

 

Questions to Ask

Claims Management Software Key Questions to Ask

A smart purchase starts with asking smart questions internally. Some ideas to get you started:

  • Do we currently have processes that would benefit from automation?
  • What areas could we be more efficient in, and how could software solve those problems?
  • Which features are mandatory to achieve the success we’re looking for with our operations?
  • What’s our budget?
  • What’s our implementation timeline?

You also need to think about what questions to ask vendors to make sure you’re on the right track:

  • What integrations are possible?
  • How in-depth are the automation processes?
  • Are data migration services offered?
  • What support is available? Does it cost extra?
  • How does the solution meet the specific needs of claims management?

In Conclusion

Claims management software can reduce errors, expedite claims processing and enhance customer experience. To fully understand how claims management software could impact your growth, it’s critical to determine your business requirements and client expectations.

Use this guide as a reference point for claims management software selection to find the most suitable solution for your organization.

About The Contributors

The following expert team members are responsible for creating, reviewing, and fact checking the accuracy of this content.

Technical Content Writer
Shauvik Roy is a Market Analyst at Selecthub. He writes content for the insurance, risk management and legal domains. Hailing from the city of Kolkata, he has a Master's Degree in English from the University of Hyderabad. When he's not busy pitting one software against another, you will find him playing video games, reading sci-fi books or tinkering with his PC.
Technical Research By Rohit Dutta Mazumder
Senior Analyst
Hailing from the serene landscapes of Assam, India, Rohit is a seasoned professional with diverse expertise in several software categories. Armed with a Bachelor of Technology in Mechanical Engineering and an MBA in Operations Management, he brings a unique blend of technical acumen and strategic thinking to the table. His proficiency extends across dynamic fields such as Product Lifecycle Management, Hotel Management, Ecommerce, Accounting and Finance.
Technical Review By Shashank K K
Principal Analyst
After graduating with a Masters in Finance from Trinity College Dublin, K K Shashank's research and detail-oriented skills led them to SelectHub. He has diverse knowledge across various software categories like Accounting, Financial Planning and Analysis, Ecommerce, Risk Management, PLM, Insurance and more since 2020.
Edited By Pooja Verma
Content Editor
Pooja Verma is a Content Editor and Senior Market Analyst at SelectHub, who writes and edits content for endpoint security, legal, CRM, fundraising software, eCommerce, and mental health software. She earned a literature degree from Miranda House, DU and also holds Master’s in Journalism from Symbiosis Institute of Media and Communication in India. In her free time, you can spot her reading a book or binge-watching the latest web series and movies.