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PUBLISHER: KBV Research | PRODUCT CODE: 1616486

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PUBLISHER: KBV Research | PRODUCT CODE: 1616486

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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The North America Claims Management Market would 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 would continue to be a dominant market till 2031; thereby, achieving a market value of $3,240.6 million by 2031. The Canada market is experiencing a CAGR of 13.8% during (2024 - 2031). Additionally, The Mexico market would 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.

Based on Enterprise Type, the market is segmented into Large Enterprises, and Small & Medium Enterprises (SMEs). Based on Deployment Mode, the market is segmented into Cloud, and On-premise. Based on Technology, the market is segmented into Internet of Things (IoT), Blockchain, Robotic Process Automation (RPA), and AI & ML & Other Technologies. Based on End-user, the market is segmented into Insurance Companies, Healthcare Providers, Third-party Administrators (TPAs), Government Agencies, and Other End-users. Based on Type, the market is segmented into Life Insurance Claims, Property & Casualty Insurance Claims, Health Insurance Claims, Worker's Compensation Claims, Disability Insurance Claims, and Other Types. Based on countries, the market is segmented into U.S., Mexico, Canada, and Rest of North America.

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

North America Claims Management 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

LIST OF TABLES

  • TABLE 1 North America Claims Management Market, 2020 - 2023, USD Million
  • TABLE 2 North America Claims Management Market, 2024 - 2031, USD Million
  • TABLE 3 North America Claims Management Market by Enterprise Type, 2020 - 2023, USD Million
  • TABLE 4 North America Claims Management Market by Enterprise Type, 2024 - 2031, USD Million
  • TABLE 5 North America Large Enterprises Market by Region, 2020 - 2023, USD Million
  • TABLE 6 North America Large Enterprises Market by Region, 2024 - 2031, USD Million
  • TABLE 7 North America Small & Medium Enterprises (SMEs) Market by Region, 2020 - 2023, USD Million
  • TABLE 8 North America Small & Medium Enterprises (SMEs) Market by Region, 2024 - 2031, USD Million
  • TABLE 9 North America Claims Management Market by Deployment Mode, 2020 - 2023, USD Million
  • TABLE 10 North America Claims Management Market by Deployment Mode, 2024 - 2031, USD Million
  • TABLE 11 North America Cloud Market by Region, 2020 - 2023, USD Million
  • TABLE 12 North America Cloud Market by Region, 2024 - 2031, USD Million
  • TABLE 13 North America On-premise Market by Region, 2020 - 2023, USD Million
  • TABLE 14 North America On-premise Market by Region, 2024 - 2031, USD Million
  • TABLE 15 North America Claims Management Market by Technology, 2020 - 2023, USD Million
  • TABLE 16 North America Claims Management Market by Technology, 2024 - 2031, USD Million
  • TABLE 17 North America Internet of Things (IoT) Market by Country, 2020 - 2023, USD Million
  • TABLE 18 North America Internet of Things (IoT) Market by Country, 2024 - 2031, USD Million
  • TABLE 19 North America Blockchain Market by Country, 2020 - 2023, USD Million
  • TABLE 20 North America Blockchain Market by Country, 2024 - 2031, USD Million
  • TABLE 21 North America Robotic Process Automation (RPA) Market by Country, 2020 - 2023, USD Million
  • TABLE 22 North America Robotic Process Automation (RPA) Market by Country, 2024 - 2031, USD Million
  • TABLE 23 North America AI & ML & Other Technologies Market by Country, 2020 - 2023, USD Million
  • TABLE 24 North America AI & ML & Other Technologies Market by Country, 2024 - 2031, USD Million
  • TABLE 25 North America Claims Management Market by End-user, 2020 - 2023, USD Million
  • TABLE 26 North America Claims Management Market by End-user, 2024 - 2031, USD Million
  • TABLE 27 North America Insurance Companies Market by Country, 2020 - 2023, USD Million
  • TABLE 28 North America Insurance Companies Market by Country, 2024 - 2031, USD Million
  • TABLE 29 North America Healthcare Providers Market by Country, 2020 - 2023, USD Million
  • TABLE 30 North America Healthcare Providers Market by Country, 2024 - 2031, USD Million
  • TABLE 31 North America Third-party Administrators (TPAs) Market by Country, 2020 - 2023, USD Million
  • TABLE 32 North America Third-party Administrators (TPAs) Market by Country, 2024 - 2031, USD Million
  • TABLE 33 North America Government Agencies Market by Country, 2020 - 2023, USD Million
  • TABLE 34 North America Government Agencies Market by Country, 2024 - 2031, USD Million
  • TABLE 35 North America Other End-users Market by Country, 2020 - 2023, USD Million
  • TABLE 36 North America Other End-users Market by Country, 2024 - 2031, USD Million
  • TABLE 37 North America Claims Management Market by Type, 2020 - 2023, USD Million
  • TABLE 38 North America Claims Management Market by Type, 2024 - 2031, USD Million
  • TABLE 39 North America Life Insurance Claims Market by Country, 2020 - 2023, USD Million
  • TABLE 40 North America Life Insurance Claims Market by Country, 2024 - 2031, USD Million
  • TABLE 41 North America Property & Casualty Insurance Claims Market by Country, 2020 - 2023, USD Million
  • TABLE 42 North America Property & Casualty Insurance Claims Market by Country, 2024 - 2031, USD Million
  • TABLE 43 North America Health Insurance Claims Market by Country, 2020 - 2023, USD Million
  • TABLE 44 North America Health Insurance Claims Market by Country, 2024 - 2031, USD Million
  • TABLE 45 North America Worker's Compensation Claims Market by Country, 2020 - 2023, USD Million
  • TABLE 46 North America Worker's Compensation Claims Market by Country, 2024 - 2031, USD Million
  • TABLE 47 North America Disability Insurance Claims Market by Country, 2020 - 2023, USD Million
  • TABLE 48 North America Disability Insurance Claims Market by Country, 2024 - 2031, USD Million
  • TABLE 49 North America Other Types Market by Country, 2020 - 2023, USD Million
  • TABLE 50 North America Other Types Market by Country, 2024 - 2031, USD Million
  • TABLE 51 North America Claims Management Market by Country, 2020 - 2023, USD Million
  • TABLE 52 North America Claims Management Market by Country, 2024 - 2031, USD Million
  • TABLE 53 US Claims Management Market, 2020 - 2023, USD Million
  • TABLE 54 US Claims Management Market, 2024 - 2031, USD Million
  • TABLE 55 US Claims Management Market by Enterprise Type, 2020 - 2023, USD Million
  • TABLE 56 US Claims Management Market by Enterprise Type, 2024 - 2031, USD Million
  • TABLE 57 US Claims Management Market by Deployment Mode, 2020 - 2023, USD Million
  • TABLE 58 US Claims Management Market by Deployment Mode, 2024 - 2031, USD Million
  • TABLE 59 US Claims Management Market by Technology, 2020 - 2023, USD Million
  • TABLE 60 US Claims Management Market by Technology, 2024 - 2031, USD Million
  • TABLE 61 US Claims Management Market by End-user, 2020 - 2023, USD Million
  • TABLE 62 US Claims Management Market by End-user, 2024 - 2031, USD Million
  • TABLE 63 US Claims Management Market by Type, 2020 - 2023, USD Million
  • TABLE 64 US Claims Management Market by Type, 2024 - 2031, USD Million
  • TABLE 65 Canada Claims Management Market, 2020 - 2023, USD Million
  • TABLE 66 Canada Claims Management Market, 2024 - 2031, USD Million
  • TABLE 67 Canada Claims Management Market by Enterprise Type, 2020 - 2023, USD Million
  • TABLE 68 Canada Claims Management Market by Enterprise Type, 2024 - 2031, USD Million
  • TABLE 69 Canada Claims Management Market by Deployment Mode, 2020 - 2023, USD Million
  • TABLE 70 Canada Claims Management Market by Deployment Mode, 2024 - 2031, USD Million
  • TABLE 71 Canada Claims Management Market by Technology, 2020 - 2023, USD Million
  • TABLE 72 Canada Claims Management Market by Technology, 2024 - 2031, USD Million
  • TABLE 73 Canada Claims Management Market by End-user, 2020 - 2023, USD Million
  • TABLE 74 Canada Claims Management Market by End-user, 2024 - 2031, USD Million
  • TABLE 75 Canada Claims Management Market by Type, 2020 - 2023, USD Million
  • TABLE 76 Canada Claims Management Market by Type, 2024 - 2031, USD Million
  • TABLE 77 Mexico Claims Management Market, 2020 - 2023, USD Million
  • TABLE 78 Mexico Claims Management Market, 2024 - 2031, USD Million
  • TABLE 79 Mexico Claims Management Market by Enterprise Type, 2020 - 2023, USD Million
  • TABLE 80 Mexico Claims Management Market by Enterprise Type, 2024 - 2031, USD Million
  • TABLE 81 Mexico Claims Management Market by Deployment Mode, 2020 - 2023, USD Million
  • TABLE 82 Mexico Claims Management Market by Deployment Mode, 2024 - 2031, USD Million
  • TABLE 83 Mexico Claims Management Market by Technology, 2020 - 2023, USD Million
  • TABLE 84 Mexico Claims Management Market by Technology, 2024 - 2031, USD Million
  • TABLE 85 Mexico Claims Management Market by End-user, 2020 - 2023, USD Million
  • TABLE 86 Mexico Claims Management Market by End-user, 2024 - 2031, USD Million
  • TABLE 87 Mexico Claims Management Market by Type, 2020 - 2023, USD Million
  • TABLE 88 Mexico Claims Management Market by Type, 2024 - 2031, USD Million
  • TABLE 89 Rest of North America Claims Management Market, 2020 - 2023, USD Million
  • TABLE 90 Rest of North America Claims Management Market, 2024 - 2031, USD Million
  • TABLE 91 Rest of North America Claims Management Market by Enterprise Type, 2020 - 2023, USD Million
  • TABLE 92 Rest of North America Claims Management Market by Enterprise Type, 2024 - 2031, USD Million
  • TABLE 93 Rest of North America Claims Management Market by Deployment Mode, 2020 - 2023, USD Million
  • TABLE 94 Rest of North America Claims Management Market by Deployment Mode, 2024 - 2031, USD Million
  • TABLE 95 Rest of North America Claims Management Market by Technology, 2020 - 2023, USD Million
  • TABLE 96 Rest of North America Claims Management Market by Technology, 2024 - 2031, USD Million
  • TABLE 97 Rest of North America Claims Management Market by End-user, 2020 - 2023, USD Million
  • TABLE 98 Rest of North America Claims Management Market by End-user, 2024 - 2031, USD Million
  • TABLE 99 Rest of North America Claims Management Market by Type, 2020 - 2023, USD Million
  • TABLE 100 Rest of North America Claims Management Market by Type, 2024 - 2031, USD Million
  • TABLE 101 Key Information - Salesforce, Inc.
  • TABLE 102 Key Information -Conduent, Incorporated
  • TABLE 103 Key Information - Aclaimant, Inc.
  • TABLE 104 Key Information - UnitedHealth Group, Inc.
  • TABLE 105 Key Information - Accenture PLC
  • TABLE 106 Key Information - IBM Corporation
  • TABLE 107 Key Information - PLEXIS Healthcare Systems, Inc.
  • TABLE 108 Key Information - Oracle Corporation
  • TABLE 109 Key Information - McKesson Corporation
  • TABLE 110 key information - DXC Technology Company
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