Featured Software
KMR Claims Manager is a fully integrated, customizable state-of-the-art medical claims processing software solution for TPAs, self insured and claims administrators. Features include: comprehensive claims processing-ability to scan, receive via EDI or manual entry; coordination of benefits, co-pays & deductibles; full claims history display; adjuster analysis reporting; actuarial reporting; custom & ad-hoc reports, online portals for members/participants & providers, document imaging integration
Virtual Benefits Administrator is a highly customizable and comprehensive enterprise application used to administer all aspects of benefits management. Utilizing a modular design, Virtual Benefits Administrator can independently or collectively administer Medical, Dental, FSA, Disability, Vision and Medicaid/Medicare lines of business.
Comprehensive Directory
97 Solutions Listed
Claims administration, care management and medical bill review software solution.
Target Market: Mid - Large
Simplifies management, record keeping and reporting.
Target Market: Small - Mid
Web-based claims management system; worker's comp, multi-line liability, FROI, EDI, bill review, group health.
Target Market: Small - Large
Powerfully handles the full range of operations required of claims administrators, self-insureds, and TPAs.
Target Market: Small - Mid
Processes claims and takes cases through from information capture to invoicing.
Target Market: Small - Mid
Health claims software; web-based and made for HIPAA; easy, powerful plan setup drives high rates of auto-adjudication.
Target Market: Mid - Large
Suite of benefit management software solutions that will automate day-to-day claims and plan administration activities.
Target Market: Mid
Intuitive, fast, HTML claims system, designed with detailed business rules and uncompromised security.
Target Market: Small - Mid
Features for: claim recording, time and expense recording, billing, reserve and payment control, and more.
Target Market: Mid
Automates the full range of claims processing to guide agents and CSRs through each step across multiple channels.
Target Market: Mid - Large
Insurance software system with underwriting, claims, accounting and reporting functions.
Target Market: Small - Mid
Claims management system specifically for the insurance industry.
Target Market: Mid - Large
Medical, dental and vision claims, health benefits administration and claims adjudication software in one solution.
Target Market: Mid - Large
Provides coverage for the full claims life cycle, from claim intake and triage to adjudication and payment of benefits.
Target Market: Small - Large
Healthcare claims system for payors; designed to reduce health cost and optimize provider claims quality.
Target Market: Large
Web-based claims management software designed to let you access the program from anywhere, at anytime.
Target Market: Small - Mid
Manages submissions and quotes, policies and premiums, claims, losses payable and premiums receivable.
Target Market: Small - Large
Fully automated healthcare claims negotiation and repricing systems customized to meet any client's needs.
Target Market: Small
Streamlines claims, policy, reporting and overall business process management needs.
Target Market: Small - Mid
Component based, fully integrated, insurance processing system.
Target Market: Mid - Large
Health Claims Processing Software for on-line adjudication of medical, dental, vision, drug, disability, and COBRA claims.
Target Market: Small - Large
A fully integrated insurance processing solution that provides comprehensive client-focused support.
Target Market: Small - Large
An integrated suite of programs for the administration of worker compensation and property & casualty claims.
Target Market: Small - Large
Enhance collaboration between claims and legal teams while tracking litigation files and dates.
Target Market: Mid - Large
Information system for all fields of insurance; policy administration and claims settlement.
Target Market: Mid
Part of a componentized enterprise suite delivering complete rules-driven, case and customer centric claims management.
Target Market: Mid - Large
Modular policy, quoting, billing and claim administration application.
Target Market: Mid - Large
Suite of claims administration applications covering workers' compensation, property and casualty and non-occupational disability.
Target Market: Mid - Large
Complete property adjusting software package; quickly complete estimates and create photo sheets, diagrams, captioned reports and more.
Target Market: Mid - Large
Managed care software designed to pay medical claims, process referrals, track eligibility & monitor medical benefits.
Target Market: Small - Mid
Claims processing solution with unlimited system variables that can be programmed to meet your specific needs.
Target Market: Mid - Large
Manage everyday claims requirements, including salvage, subrogation and litigation processing, coverage limits editing and more.
Target Market: Small - Large
Allows the manager to enter, assign, track and close virtually an unlimited number of claims by an unlimited number of adjusters.
Target Market: Mid - Large
For brokerages handling sales, billing and claims for household goods, transit, cargo, marine and storage.
Target Market: Small - Mid
System used for calculation and payment of group disability claims. The adjudicator's workflow is task driven.
Target Market: Mid - Large
Java-based, robust translation engine that supports all eleven HIPAA mandated transaction sets.
Target Market: Small - Mid
A desktop application for small billing agencies, collection agencies and home based billers.
Target Market: Small - Mid
Automates truck insurance form processing by transferring data to any carrier application, broker agreement, permits or any other form.
Target Market: Small - Mid
Claims Management System for Insurance Company Claims Departments and TPAs with emphasis on complex litigation.
Target Market: Mid - Large
Comprehensive claim disbursement automation and interactive Payment Portal services.
Target Market: Mid - Large
Web based claims management system that handles lines including property, casualty, auto, marine, liability.
Target Market: Small - Large
Fully integrated customized claims processing solution for TPAs, self insured, claims administrators.
Target Market: Small - Mid
Flexible, effective and proven product for nearly any claims payment situation.
Target Market: Mid - Large
Health claim processing software; automated EDI, PPO repricing, adjudication and related TPA functionality.
Target Market: Small - Mid
Provides a complete solution for managing your database of quotations and policies.
Target Market: Small - Mid
Helps insurers and adjusters prioritize, implement and follow through with property claims.
Target Market: Small - Mid
Provides benefits of a custom-made unified claim processing solution and allows for rapid integration with legacy systems.
Target Market: Large
Online multicurrency multilingual claims adjudication.
Target Market: Small - Mid
Advanced software to process claims, capitation, eligibility, referrals, authorizations, case management, etc.
Target Market: Mid - Large
Claims management with document imaging, communication management and risk management.
Target Market: Mid - Large
Platform of integrated and innovative solutions specifically designed to help settle claims accurately and efficiently.
Target Market: Small - Large
Designed for the independent claims appraiser, and provides all of the tools you will need to fully automate your claims office.
Target Market: Small - Mid
Covers all commercial lines, including workers' compensation, general liability and auto liability.
Target Market: Small - Mid
Replicates any manual operation activity performed by a human operator for processing claims.
Target Market: Mid - Large
Browser application for direct entry of incident reports into a database.
Target Market: Small - Large
Allows insurers, policy owners, brokers, and agents to have instant knowledge of the status of the claims.
Target Market: Mid
Effectively manage all phases of managed care, claims and TPA administration.
Target Market: Small - Mid
Policy claim administration for manufacturer, retailer/dealer and third party administrators.
Target Market: Large
Supports risk management and claims functions including payments, reserve management, correspondence, policies, diary, reporting.
Target Market: Small - Mid
Medical Claims Processing Software that streamlines and automates claims payment and medical case management.
Target Market: Small - Large
Manages provider and client demographics, fee schedules and contracts, credentialing, customer service functions and claims repricing.
Target Market: Mid - Large
Hosted document management solution that integrates with your current software securely and remotely.
Target Market: Mid
Workers' compensation, safety, and OSHA claims management software.
Target Market: Mid - Large
Web-based insurance claims management software service for insurance adjusting firms, TPA's, and more.
Target Market: Mid
Web-based solution for policy management, claims processing and insurance agency administration.
Target Market: Mid - Large
Software solution to automate all aspects of claims processing/benefits administration.
Target Market: Small - Mid
Risk and claims management software that tracks issues related to general liability, auto, P&C, incidents and professional liability.
Target Market: Mid - Large
P&C and Reinsurance policy administration and expert underwriting systems.
Target Market: Mid - Large
MODEL (Managing, Organizing and Documenting Every Loss) is a comprehensive Claims Management System.
Target Market: Mid
Provides adjusters and carriers with complete solution for assignment, estimating, documentation, data management for property claims.
Target Market: Mid - Large
Web-based front end system for insurance agencies; includes policy, broker, agent, claims and client administration.
Target Market: Small
Gives your adjusters and other personnel access to comprehensive customer, policy, claims and management information.
Target Market: Mid
Total environment designed to manage the needs of workers' compensation claims.
Target Market: Small - Large
Provides vehicle service contract administrators a real-time approach to handle claim payments.
Target Market: Mid - Large
Comprehensive workers' compensation policy and claims administration system.
Target Market: Mid - Large
Estimating platform and workflow management application for property and casualty claims.
Target Market: Mid - Large
Provides healthcare payers with a total claims management solution to validate payment integrity and maximize savings.
Target Market: Mid - Large
Comprehensive Life, Health, Pensions, Annuity and Investment administration system that can support Individual and Group processing.
Target Market: Mid - Large
Improving efficiencies within the healthcare billing process through automation and seamless integration.
Target Market: Mid
Comprehensive, fully flexible, insurance application for insurers and brokers; continuous upgrade and maintenance.
Target Market: Mid - Large
Manages all insurance business processes from new business to claims.
Target Market: Mid - Large
Workers' compensation software system with policy and claims administration, document management and email alerts.
Target Market: Mid - Large
Uses data from practice management system, as well as electronic remittance from Medicare to match claims to EOBs.
Target Market: Mid - Large
Software for underwriting, new business processing, policy services, insurance billing, agent commissions.
Target Market: Mid
Web-based claims administration software; includes diary, notepad, payment processing, reserves and more.
Target Market: Mid
Web based claims management software, access claims from anywhere, upload photos, documents and track claim progress in real time.
Target Market: Mid
Software product line for accident and crime scene reconstruction.
Target Market: Mid - Large
Software for scanning insurance claim forms and automating the collection and processing of claim payment data.
Target Market: Mid - Large
Provides real time decision support along the entire process of underwriting, claims processing and claims investigation.
Target Market: Mid - Large
Can independently or collectively administer Medical, Dental, FSA, Disability, Vision and Medicaid/Medicare lines of business.
Target Market: Small - Mid
Web-based system for loss adjusters, in-house claims, brokers, captives, claims management companies.
Target Market: Mid - Large
Claims Administration Software systems for Health, Workers' Compensation, Consumer Driven Health Care, Flex and more.
Target Market: Mid - Large
Life insurance solution; product and policy management, billing, payments, compensation.
Target Market: Mid
Web-based claims estimation program for residential, commercial, and agricultural structures.
Target Market: Mid
Provides users power over the electronic claim filing process for both professional (HCFA-1500) and institutional (UB92) claims.
Target Market: Mid - Large
Software Vendors - Sign up for a FREE basic listing.
Filter Software By:
