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North America Claims Management Market Size, Share & Trends Analysis Report By Enterprise Type, By Deployment Mode (Cloud, and On-premise), By Technology, By End-user, By Type, By Country and Growth Forecast, 2024 - 2031

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    Report

  • 130 Pages
  • December 2024
  • Region: North America
  • Marqual IT Solutions Pvt. Ltd (KBV Research)
  • ID: 6033772
The North America Claims Management Market is expected to witness market growth of 12.4% CAGR during the forecast period (2024-2031).

The US market dominated the North America Claims Management Market by country in 2023, and is expected to continue to be a dominant market till 2031; thereby, achieving a market value of $3.24 billion by 2031. The Canada market is experiencing a CAGR of 13.8% during 2024-2031. Additionally, the Mexico market is expected to exhibit a CAGR of 13.5% during 2024-2031.



The claims management market is pivotal in the insurance and healthcare industries, serving as the backbone for efficiently handling claims across various domains, including health, property, life, and specialized insurance products. The importance of robust claims management systems cannot be overstated in an environment characterized by increasing customer expectations, regulatory pressures, and rising claims volumes.

Additionally, these systems streamline the claims process, improve accuracy, and enhance customer satisfaction, making them indispensable for insurers, healthcare providers, and other stakeholders. The market has experienced substantial development in recent years, driven by technological advancements, increased insurance penetration, and the necessity for operational efficiency in claims management.

The claims management market in North America is marked by a combination of technological leadership, diverse insurance offerings, and a proactive approach to innovation. In the United States, the demand for claims management solutions is fueled by the integration of cutting-edge technologies to address the high volume and complexity of claims. The U.S. insurance sector, one of the largest, is characterized by diverse claim types, including property, health, life, and cyber insurance. The increasing prevalence of fraudulent claims, costing billions annually, has prompted insurers to adopt AI and ML-powered systems to enhance fraud detection and prevention.

List of Key Companies Profiled

  • Salesforce, Inc.
  • Conduent, Inc.
  • Aclaimant, Inc.
  • UnitedHealth Group, Inc. (Optum, Inc.)
  • Accenture PLC
  • IBM Corporation
  • PLEXIS Healthcare Systems, Inc.
  • Oracle Corporation
  • McKesson Corporation
  • DXC Technology Company

Market Report Segmentation

By Enterprise Type
  • Large Enterprises
  • Small & Medium Enterprises (SMEs)
By Deployment Mode
  • Cloud
  • On-premise
By Technology
  • Internet of Things (IoT)
  • Blockchain
  • Robotic Process Automation (RPA)
  • AI & ML & Other Technologies
By End-user
  • Insurance Companies
  • Healthcare Providers
  • Third-party Administrators (TPAs)
  • Government Agencies
  • Other End-users
By Type
  • Life Insurance Claims
  • Property & Casualty Insurance Claims
  • Health Insurance Claims
  • Worker’s Compensation Claims
  • Disability Insurance Claims
  • Other Types
By Country
  • US
  • Canada
  • Mexico
  • Rest of North America

Table of Contents

Chapter 1. Market Scope & Methodology
1.1 Market Definition
1.2 Objectives
1.3 Market Scope
1.4 Segmentation
1.4.1 North America Claims Management Market, by Enterprise Type
1.4.2 North America Claims Management Market, by Deployment Mode
1.4.3 North America Claims Management Market, by Technology
1.4.4 North America Claims Management Market, by End-user
1.4.5 North America Claims Management Market, by Type
1.4.6 North America Claims Management Market, by Country
1.5 Methodology for the Research
Chapter 2. Market at a Glance
2.1 Key Highlights
Chapter 3. Market Overview
3.1 Introduction
3.1.1 Overview
3.1.1.1 Market Composition and Scenario
3.2 Key Factors Impacting the Market
3.2.1 Market Drivers
3.2.2 Market Restraints
3.2.3 Market Opportunities
3.2.4 Market Challenges
3.3 Porter Five Forces Analysis
Chapter 4. North America Claims Management Market by Enterprise Type
4.1 North America Large Enterprises Market by Region
4.2 North America Small & Medium Enterprises (SMEs) Market by Region
Chapter 5. North America Claims Management Market by Deployment Mode
5.1 North America Cloud Market by Region
5.2 North America On-premise Market by Region
Chapter 6. North America Claims Management Market by Technology
6.1 North America Internet of Things (IoT) Market by Country
6.2 North America Blockchain Market by Country
6.3 North America Robotic Process Automation (RPA) Market by Country
6.4 North America AI & ML & Other Technologies Market by Country
Chapter 7. North America Claims Management Market by End-user
7.1 North America Insurance Companies Market by Country
7.2 North America Healthcare Providers Market by Country
7.3 North America Third-party Administrators (TPAs) Market by Country
7.4 North America Government Agencies Market by Country
7.5 North America Other End-users Market by Country
Chapter 8. North America Claims Management Market by Type
8.1 North America Life Insurance Claims Market by Country
8.2 North America Property & Casualty Insurance Claims Market by Country
8.3 North America Health Insurance Claims Market by Country
8.4 North America Worker’s Compensation Claims Market by Country
8.5 North America Disability Insurance Claims Market by Country
8.6 North America Other Types Market by Country
Chapter 9. North America Claims Management Market by Country
9.1 US Claims Management Market
9.1.1 US Claims Management Market by Enterprise Type
9.1.2 US Claims Management Market by Deployment Mode
9.1.3 US Claims Management Market by Technology
9.1.4 US Claims Management Market by End-user
9.1.5 US Claims Management Market by Type
9.2 Canada Claims Management Market
9.2.1 Canada Claims Management Market by Enterprise Type
9.2.2 Canada Claims Management Market by Deployment Mode
9.2.3 Canada Claims Management Market by Technology
9.2.4 Canada Claims Management Market by End-user
9.2.5 Canada Claims Management Market by Type
9.3 Mexico Claims Management Market
9.3.1 Mexico Claims Management Market by Enterprise Type
9.3.2 Mexico Claims Management Market by Deployment Mode
9.3.3 Mexico Claims Management Market by Technology
9.3.4 Mexico Claims Management Market by End-user
9.3.5 Mexico Claims Management Market by Type
9.4 Rest of North America Claims Management Market
9.4.1 Rest of North America Claims Management Market by Enterprise Type
9.4.2 Rest of North America Claims Management Market by Deployment Mode
9.4.3 Rest of North America Claims Management Market by Technology
9.4.4 Rest of North America Claims Management Market by End-user
9.4.5 Rest of North America Claims Management Market by Type
Chapter 10. Company Profiles
10.1 Salesforce, Inc.
10.1.1 Company Overview
10.1.2 Financial Analysis
10.1.3 Regional Analysis
10.1.4 Research & Development Expenses
10.1.5 SWOT Analysis
10.2 Conduent, Incorporated
10.2.1 Company Overview
10.2.2 Financial Analysis
10.2.3 Segmental and Regional Analysis
10.2.4 Research & Development Expense
10.3 Aclaimant, Inc.
10.3.1 Company Overview
10.4 UnitedHealth Group, Inc. (Optum, Inc.)
10.4.1 Company Overview
10.4.2 Financial Analysis
10.4.3 Segmental Analysis
10.5 Accenture PLC
10.5.1 Company Overview
10.5.2 Financial Analysis
10.5.3 Segmental Analysis
10.5.4 Research & Development Expenses
10.5.5 SWOT Analysis
10.6 IBM Corporation
10.6.1 Company Overview
10.6.2 Financial Analysis
10.6.3 Regional & Segmental Analysis
10.6.4 Research & Development Expenses
10.6.5 SWOT Analysis
10.7 PLEXIS Healthcare Systems, Inc.
10.7.1 Company Overview
10.8 Oracle Corporation
10.8.1 Company Overview
10.8.2 Financial Analysis
10.8.3 Segmental and Regional Analysis
10.8.4 Research & Development Expense
10.8.5 Recent Strategies and Developments
10.8.5.1 Product Launches and Product Expansions
10.8.6 SWOT Analysis
10.9 McKesson Corporation
10.9.1 Company Overview
10.9.2 Financial Analysis
10.9.3 Segmental Analysis
10.9.4 Research & Development Expense
10.9.5 SWOT Analysis
10.10. DXC Technology Company
10.10.1 Company Overview
10.10.2 Financial Analysis
10.10.3 Segmental and Regional Analysis
10.10.4 SWOT Analysis

Companies Mentioned

  • Salesforce, Inc.
  • Conduent, Inc.
  • Aclaimant, Inc.
  • UnitedHealth Group, Inc. (Optum, Inc.)
  • Accenture PLC
  • IBM Corporation
  • PLEXIS Healthcare Systems, Inc.
  • Oracle Corporation
  • McKesson Corporation
  • DXC Technology Company

Methodology

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