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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

Published Date : 12-Dec-2024

Pages: 130

Formats: PDF

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).

North America Claims Management Market

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.

Free Valuable Insights: The Claims Management Market is Predict to reach USD 11.48 Billion by 2031, at a CAGR of 13.1%

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
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
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

List of Figures
FIG 1 Methodology for the research
FIG 2 North America Claims Management Market, 2020 - 2031, USD Million
FIG 3 Key Factors Impacting Claims Management Market
FIG 4 Porter’s Five Forces Analysis – Claims Management Market
FIG 5 North America Claims Management Market share by Enterprise Type, 2023
FIG 6 North America Claims Management Market share by Enterprise Type, 2031
FIG 7 North America Claims Management Market by Enterprise Type, 2020 - 2031, USD Million
FIG 8 North America Claims Management Market share by Deployment Mode, 2023
FIG 9 North America Claims Management Market share by Deployment Mode, 2031
FIG 10 North America Claims Management Market by Deployment Mode, 2020 - 2031, USD Million
FIG 11 North America Claims Management Market share by Technology, 2023
FIG 12 North America Claims Management Market share by Technology, 2031
FIG 13 North America Claims Management Market by Technology, 2020 - 2031, USD Million
FIG 14 North America Claims Management Market share by End-user, 2023
FIG 15 North America Claims Management Market share by End-user, 2031
FIG 16 North America Claims Management Market by End-user, 2020 - 2031, USD Million
FIG 17 North America Claims Management Market share by Type, 2023
FIG 18 North America Claims Management Market share by Type, 2031
FIG 19 North America Claims Management Market by Type, 2020 - 2031, USD Million
FIG 20 North America Claims Management Market share by Country, 2023
FIG 21 North America Claims Management Market share by Country, 2031
FIG 22 North America Claims Management Market by Country, 2020 - 2031, USD Million
FIG 23 SWOT Analysis: Salesforce, Inc.
FIG 24 SWOT Analysis: Accenture PLC
FIG 25 SWOT Analysis: IBM Corporation
FIG 26 SWOT Analysis: Oracle Corporation
FIG 27 SWOT Analysis: McKesson Corporation
FIG 28 SWOT Analysis: DXC Technology Company

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