Is your claims process a bottleneck?
You’re likely bogged down by overwhelming claim volumes, leading to frustrating delays for your internal team and very unhappy clients.
The real issue is that outdated systems and manual processes create operational chaos, making it nearly impossible to keep up with demand.
Recent disruptions only made this worse. Fortune Business Insights found a surge in claims overwhelmed systems, forcing costly operational adjustments. This pressure to perform efficiently just isn’t going away.
But the right software can fix this, helping you finally gain clarity and quicken resolutions for every single claim you handle.
In this guide, I’ll review the best claim management software designed to help you automate tedious tasks, reduce errors, and resolve cases faster.
You will discover modern tools that provide the deep visibility needed to cut cycle times and boost your overall customer satisfaction scores.
Let’s get started.
Quick Summary:
| # | Software | Rating | Best For |
|---|---|---|---|
| 1 | Guidewire → | Growing P&C insurers | |
| 2 | Duck Creek → | Large insurance enterprises | |
| 3 | Sapiens → | Mid-sized insurance firms | |
| 4 | Riskonnect → | Growing firms & mid-sized TPAs | |
| 5 | Vertafore → | Agencies, carriers & MGAs |
1. Guidewire
Struggling to manage complex claim lifecycles?
Guidewire’s ClaimCenter software within InsuranceSuite provides the robust core functionalities you need. This means you can handle policies, claims, and billing all on one platform.
You’ll discover how Guidewire helps you streamline operations and efficiently manage policies, claims, and underwriting processes. This will provide clarity and quicken resolutions.
Ready to gain operational clarity?
Guidewire helps P&C insurers drive growth and efficiently manage various lines of business, including commercial, personal, and workers’ compensation. Their InsuranceNow all-in-one cloud platform ensures quick, seamless implementation.
You can automate processes and streamline workflows, which helps unlock new opportunities. Additionally, analytics tools like HazardHub provide 10x more data, enhancing risk selection and pricing for your team.
This comprehensive approach allows you to engage confidently, connect with audiences across the entire lifecycle, and accelerate your digital transformation with analytics-driven P&C software and seamless integrations. The result: increased customer satisfaction and faster resolution times.
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Key features:
- InsuranceSuite: Harness core solutions for policy administration, claims management, and billing, centralizing your P&C insurance operations for enhanced control.
- Analytics: Leverage tools like HazardHub to improve pricing strategies, underwriting efficiency, and risk selection with comprehensive data insights.
- Guidewire Cloud Platform: Benefit from a cloud-native platform designed for agility, enabling faster deployment, reduced downtime, and seamless updates for continuous innovation.
Guidewire features, pricing, & alternatives →
Verdict: Guidewire’s integrated P&C insurance platform, including ClaimCenter and powerful analytics, positions it as the best claim management software for growing firms. With over 1,600 successful implementations across 40 countries, it offers the proven experience and technology to reduce cycle times and enhance customer satisfaction, ensuring efficient growth for your business.
2. Duck Creek
Are you struggling with slow, complex claim resolutions?
Duck Creek’s Claims management software is built to help P&C insurers simplify complexity and humanize experiences. This means you can quickly implement changes without altering code.
This low-code configurability enables your developers to rapidly respond to evolving consumer needs, enhancing customer satisfaction and boosting efficiency throughout the claims lifecycle. The result is faster speed-to-market.
So, how can Duck Creek help you?
Duck Creek’s full suite of insurance technology allows you to evolve and innovate faster. With its Anywhere Integration capability, you can connect to the entire global payments ecosystem, regardless of your existing IT infrastructure.
The Duck Creek Platform, coupled with Future-Ready Upgradability and Low-Code Configuration, ensures you can create and scale new products at speed. You’ll also gain clarity with their insurance data analytics software for better decision-making. Plus, their 130+ partner integrations and 2,600+ APIs across all applications simplify every step of the insurance lifecycle, processing millions of claims in the cloud.
The benefit is a streamlined, intelligent, and humanized technology approach.
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Key features:
- Low-Code Configurability: Allows your team to quickly adapt and deploy new insurance products and update existing ones without extensive coding, enhancing your speed-to-market.
- Anywhere Integration & APIs: Connects seamlessly with your existing IT infrastructure and a vast partner ecosystem, providing flexible global payment collections and payouts.
- Clarity & Compliance Management: Offers robust data analytics and compliance solutions, providing clear insights and ensuring adherence to regulatory requirements for efficient operations.
Duck Creek features, pricing, & alternatives →
Verdict: Duck Creek is a strong contender for the best Claim Management Software if you’re looking to enhance efficiency, humanize customer experiences, and achieve faster speed-to-market. With over 30 million claims processed in the cloud and 1,100+ successful implementations, it offers the core functionalities and integration capabilities to simplify your claims process.
3. Sapiens
Struggling with slow claim resolutions and compliance?
Sapiens offers intelligent insurance solutions designed to accelerate innovation and reduce time-to-market. This means you can swiftly build new products and stay ahead.
The software helps your firm achieve agility, offering the scalability and flexibility of the cloud for meeting your business goals. The result? Faster, more accurate claim processing.
Ready to transform your claim operations?
Sapiens provides AI-driven solutions to automate processes, which is crucial for modern claims management. This allows your team to focus on strategic initiatives rather than manual data entry.
You’ll find it an open, comprehensive, and integrated insurance platform that accelerates innovation, delivering sustained value. Additionally, it empowers you to differentiate and stay ahead in the market. Plus, Sapiens is trusted by over 600 customers across 38 countries, demonstrating its proven reliability and industry recognition with awards like the Celent Luminary for ClaimsMaster.
Key features:
- IDITSuite for P&C: Offers a multilingual, multicurrency, and configurable solution, complete with a user-friendly, web-based interface for efficient claim handling.
- ClaimsMaster for P&C: Provides a comprehensive, flexible, and highly automated property and casualty claims management solution to streamline your operations.
- Sapiens Insurance Platform: A future-proof, AI-based, open, and integrated platform designed to accelerate innovation and empower insurers to grow and differentiate.
Sapiens features, pricing, & alternatives →
Verdict: Sapiens stands out as a strong contender for the Best Claim Management Software due to its AI-driven solutions and comprehensive platforms for Property & Casualty, Life & Pensions, and Reinsurance. With over 600 customers worldwide, its robust capabilities help reduce time-to-market and enhance agility, addressing key challenges faced by growing insurance firms and TPAs.
4. Riskonnect
Struggling with complex claim management and compliance?
Riskonnect offers a unified platform to [manage risk and compliance], providing clarity and speeding up resolutions for your team.
This means you can make decisions with confidence, understanding each risk and how it impacts your organization. The platform connects insurable risk, claims, policy administration, and more, offering a comprehensive view.
See your entire risk landscape.
Riskonnect provides unparalleled insight into your key risk metrics, allowing you to effectively communicate your story across your entire organization. This integrated approach solves the problem of disjointed data.
You can also collaborate with other risk owners using shared views to decide on the best actions together. Additionally, their Intelligent Risk feature automates tasks, uncovers risk correlations, aggregates data, and enhances decision-making with speed and precision through AI-driven tools, advanced analytics, and intuitive dashboards.
Achieve measurable improvements in claim resolution speed.
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Key features:
- Integrated Risk Management: Connects various risk areas like claims, policy, and compliance into one platform for a unified view.
- Intelligent Risk Capabilities: Leverages AI-driven tools, advanced analytics, and machine learning to automate tasks and predict future outcomes.
- Collaborative Decision-Making: Enables shared views and real-time guidance through intuitive dashboards for better team collaboration on risk actions.
Riskonnect features, pricing, & alternatives →
Verdict: Riskonnect is the best claim management software for growing insurance firms and mid-sized TPAs, offering a comprehensive, integrated platform that addresses scalability and compliance needs. Its unified approach to risk management, paired with intelligent features like AI-driven analytics and collaborative tools, significantly helps in reducing cycle times and improving overall customer satisfaction.
5. Vertafore
Struggling with slow claim resolutions and compliance headaches?
Vertafore offers solutions like AgencyOne, creating a single, integrated platform to streamline your operations. This means you can manage and grow your business with all necessary tools in one connected experience.
This unified approach helps overcome the pain points of disparate systems and manual processes, allowing you to gain nearly an hour back in your day. This ultimately ensures more efficient workflows.
Here’s how Vertafore empowers your business.
Vertafore’s technology enhances relationships by simplifying and automating insurance processes for agencies, carriers, and MGAs. They offer specialized solutions to manage your agency and engage clients effectively.
You can leverage analytics and industry insights, with tools like ReferenceConnect and RiskMatch, to predict market shifts and position yourself accordingly. Their solutions also enhance credentialing and compliance, ensuring you meet strict regulatory requirements and maintain clear visibility.
Additionally, Vertafore supports robust connectivity for rating, quoting, and comprehensive data and information management. This holistic approach ensures faster resolutions, improved customer satisfaction, and a truly transformed business operation.
Vertafore powers your possible.
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Key features:
- Integrated Platform: AgencyOne delivers a single, connected experience, integrating essential tools for managing and growing your insurance business efficiently.
- Time Savings and Efficiency: “Project Impact” focuses on significant time savings for service professionals, aiming to save nearly an hour of daily work per employee.
- Analytics and Insights: Leverage tools like ReferenceConnect and RiskMatch for agencies, carriers, and MGAs to gain data-driven insights and predict market shifts.
Vertafore features, pricing, & alternatives →
Verdict: For claims managers and IT directors seeking to modernize their operations, Vertafore stands out as a strong candidate for the best claim management software. Its integrated platform, focus on time savings, and robust analytics capabilities help you gain clarity and quicken resolutions, backed by their commitment to customer success.
6. BriteCore
Are you struggling with outdated claim management systems?
BriteCore offers a cloud-native platform designed for P&C insurers, built to unlock business growth and provide a modern customer experience. This means your team can finally gain clarity and quicken resolutions.
Their platform targets challenges like manual data entry and slow processing, offering a cohesive and consistent experience optimized for your users. It specifically supports efficient operations for claims and finance teams.
Here’s a modern solution for you.
BriteCore provides an all-in-one, web-based platform to manage your daily P&C operations from a single system. This empowers you to streamline workflows, reducing manual tasks and accelerating claim resolution times.
Their Reporting & Analytics includes persona-based executive dashboards, advanced analytics, and reporting, allowing executives and claims leaders to immediately access pre-configured dashboards. You can create custom views to identify new business opportunities for growth or cost savings.
Additionally, BriteCore leverages a modern in-memory database, AI/machine learning, and data visualization technologies. This supports real-time execution and gives your team the agility to work unconstrained by a physical office, minimizing business disruptions and enabling remote work.
The result is measurable improvements in claim resolution speed.
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Key features:
- Cloud-native platform: Designed for P&C insurers to unlock business growth, increase productivity, and provide a modern customer experience, accessible anywhere with an internet connection.
- Comprehensive reporting & analytics: Offers persona-based executive dashboards, advanced analytics, and custom reports for data-driven insights into cost savings and growth opportunities.
- Flexible low-code tools & templates: Enables fast and simple product and rating modifications, promoting rapid rollout of new insurance products with built-in version control.
BriteCore features, pricing, & alternatives →
Verdict: BriteCore stands out as the best claim management software for growing insurance firms and TPAs seeking modernization and efficiency. Its cloud-native architecture, robust reporting capabilities, and flexible tools empower teams to streamline operations, reduce cycle times, and improve customer satisfaction, making it a compelling choice for your business.
7. FlowForma
Struggling with slow claim resolutions and compliance headaches?
FlowForma tackles these issues head-on, leveraging AI-driven process automation for quicker, clearer results. This all-in-one platform merges forms, workflows, and insights to cut down on manual effort.
You can streamline your operations, gaining real-time visibility and ensuring consistency in your claim management data. This focus on automation directly addresses your need to reduce cycle times and improve overall efficiency.
Let’s transform your claim processes.
FlowForma helps you automate simple to complex processes, saving significant hours on administrative tasks. Your site, finance, and survey teams can be relieved of mundane, time-consuming work, allowing everyone to work smarter.
With FlowForma’s powerful workflow engine, you can standardize processes and automate communications, giving you crucial audit trails for compliance. Plus, the platform supports automated document generation, effortlessly creating professional documents at scale with just one click.
Additionally, FlowForma’s mobile app allows your team to fill out and submit forms, review, and approve documents from anywhere, while the Engage feature lets you involve external stakeholders like customers and suppliers in your digital processes, enhancing collaboration.
This means faster, more accurate claim handling.
Key features:
- AI (Copilot): Accelerate automation by simply uploading a process image or describing your needs to build workflows quickly.
- Form & Workflow Automation: Standardize processes with user-friendly forms ensuring accurate data collection and a powerful workflow engine providing automated communications and audit trails.
- Insights (Analytics) & Document Generation: Create dashboards in minutes for comprehensive process and business data assessment, alongside effortless automated document creation.
FlowForma features, pricing, & alternatives →
Verdict: If you’re seeking the best claim management software to reduce manual data entry, gain real-time visibility, and ensure compliance, FlowForma offers a robust, no-code solution. Customers report significant time savings, with one organization saving over 3,000 hours of work, making it ideal for improving efficiency and accelerating claim resolutions.
Conclusion
Claim backlogs are killing your efficiency.
I know finding the right software feels overwhelming. Outdated systems and manual processes create chaos, making it nearly impossible for your team to keep up.
IMARC Group found that AI improves claims processing efficiency through faster adjudication and fraud detection. This has a massive impact on accuracy and cost containment, which you simply can’t ignore.
So, which platform delivers on this?
From everything I’ve seen, Guidewire stands out as the clear winner. Its integrated platform is specifically designed to fix bottlenecks and streamline your entire claims lifecycle.
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With over 1,600 successful implementations across 40 countries, their experience is undeniable. Choosing the best claim management software like Guidewire gives you proven tools to reduce cycle times.
I recommend you book a free demo of Guidewire to see firsthand how it can transform your team’s daily workflow.
You’ll gain clarity and quicken resolutions.
