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Insurance Claims Processing Services in the US Procurement Price, Data and Insights
Insurance claims processing services help buyers reduce the costs associated with their claims management system. These services can benefit various types of insurers, including health and medical insurance carriers, life insurance carriers and property, casualty and direct insurance carriers.
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What’s included in this market coverage
IBISWorld's research coverage on the Insurance Claims Processing Services procurement and pricing environment in the United States includes market dynamics, buyer power scores, supply chain vendors with pricing trends and forecasts.
About this Market
What’s this procurement report about?
This procurement coverage of the Insurance Claims Processing Services market in the United States includes Simple Health Insurance Claim, Complex Health Insurance Claim, Workers' Compensation Insurance Claim and Auto Insurance Claim. Standard coding in this coverage includes ISIC-6629-Other activities auxiliary to insurance and pension funding, NACE-66.29-Other Activities Auxiliary To Insurance And Pension Funding, NAICS-524292-Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds and UNSPSC-84131613-Claims payment processing or administration.
What common market terminology is included?
Common market terminology included in the Insurance Claims Processing Services procurement coverage includes Adjuster (An insurance company employee that verifies the damage for claims and recommends the appropriate level of compensation.), Business Process Outsourcing (BPO) (A type of outsourcing specific to business-related functions, such as human resources, finance, accounting and customer service.), Explanation of Benefits (A statement from an insurance company to covered individuals detailing the treatments and services that were paid for on their behalf.) and Service-Level Agreement (A type of contract that defines the tasks to be handled by a supplier and the amount of time the supplier has to complete each task.).
What companies are included as top suppliers?
The top companies covered in the Insurance Claims Processing Services procurement report as suppliers are Sedgwick Claims Management Services Inc., Conduent Business Services, Llc, Liberty Mutual Insurance Group Inc., Arthur J. Gallagher & Co. and Infosys Limited.
Opportunity Assessment
What’s included in the Opportunity Assessment chapter?
The Opportunity Assessment chapter provides a comprehensive market analysis of the Insurance Claims Processing Services market in the United States category, including buyer power scoring, market pricing trends, vendor landscape, cost structure, and strategic negotiation levers.
The market pricing trends include the Market Price (2026) per claim, a five year price forecast and a supply chain risk score. Vendor coverage includes a market share and cost structure breakdown.
Analysis includes a comprehensive SWOT analysis of and recent developments impacting the Insurance Claims Processing Services market environment.
Buyer Power Score
What’s included in the Buyer Power Score chapter?
The Buyer Power Score chapter assesses key components impacting Insurance Claims Processing Services procurement including the recent price trend, forecast price trend, availability of substitutes, switching costs, product specialization, average vendor risk, market share concentration, supply chain risk, price driver volatility and recent price volatility.
These components generate a Buyer Power Score that ranges from -5 (strongly favoring sellers) to +5 (strongly favoring buyers) plus a recommended strategy for procurement specialists.
Price Environment
What’s included in the Price Environment chapter?
The Price Environment chapter covers detailed pricing analysis and datasets on Insurance Claims Processing Services market environment. This includes insights into market pricing Market Price (2026), price forecasts, volatility, specialization, substitutes and switching costs.
Datasets in the Price Environment chapter include vendor cost structure, breakdowns of wage rates by geography and specialty, key external economic and labor drivers impacting the market and market pricing models.
Supply Chain & Vendors
What’s included in the Supply Chain & Vendors chapter?
The Supply Chain & Vendors chapter covers the concentration, risk and diversity of the Insurance Claims Processing Services market. This includes datasets on the market’s top suppliers, detailed analysis on the key sourcing risks and supply chain dynamics, with environmental, social and governance (ESG) considerations and scores.
Business Requirements
What’s included in the Business Requirements chapter?
The Business Requirements chapter covers vendor relationships, qualifications, service level agreements and key performance indicators. These inputs provide insight into the planning process through the buying lead time, vendor relationship and vendor qualifications. The sourcing process include key RFP elements like an organizational overview, project budget, selection criteria, project schedule, proposal format, inventory control, cost containment, regulation, quality control, distribution and key contract clauses.
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Frequently Asked Questions
What is the current market price for Insurance Claims Processing Services?
The 2026 benchmark market price for Insurance Claims Processing Services is $210 per claim. Prices have increased at a CAGR of 0.64 from 2023-26.
Who are the top vendors in the Insurance Claims Processing Services market?
The top vendors in the Insurance Claims Processing Services market include Sedgwick Claims Management Services Inc., Conduent Business Services, Llc, Liberty Mutual Insurance Group Inc., Arthur J. Gallagher & Co. and Infosys Limited.
What industries supply the Insurance Claims Processing Services market?
The top industries supplying the Insurance Claims Processing Services market are Commercial Leasing in the US, Residential Property Managers in the US, Computer Stores in the US, Computer & Packaged Software Wholesaling in the US, Office Supply Stores in the US and Office Stationery Wholesaling in the US.
What is the supply chain risk for Insurance Claims Processing Services?
The fragmented nature of this market ensures a high level of competition, increasing buyer leverage in negotiations. Insurance claims processing in the United States involves a low level of market share concentration with many competing providers. This competitive landscape enables buyers to negotiate aggressively, securing more favorable pricing and contract terms. Buyers can further enhance their position by engaging multiple vendors for competitive bidding and regularly benchmarking contracts.
What factors affect the price of Insurance Claims Processing Services?
Certain types of insurance claims cost more because they require more rigorous investigations. For example, auto insurance and workers' compensation claims cost more because they require more investigation than health insurance claims, which are typically verified by a licensed medical professional.
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