Claims Processing Software Market Size, Share, and Trends 2026 to 2035

Claims Processing Software Market (By Deployment Mode: Cloud-based/ SaaS claims software, On-premise claims software; By Enterprise Size: Large Enterprises, Medium & Small Enterprises (SMEs); By Claims Type: Health Insurance Claims, Auto Insurance Claims, Property & Casualty (P&C) Claims, Life Insurance Claims, Other Claims (Travel, Specialty lines); By Technology/Feature: AI & Machine Learning Enabled Automation, Rules & Business Logic Engines, Robotic Process Automation (RPA), Predictive Analytics & Fraud Detection, Other Embedded Technologies; By End-User: Insurance Carriers / Insurers, Third-Party Administrators (TPAs), Brokers & Agents, Government & Public Sector Programs) - Global Industry Analysis, Size, Trends, Leading Companies, Regional Outlook, and Forecast 2026 to 2035

Last Updated : 16 Feb 2026  |  Report Code : 7711  |  Category : ICT   |  Format : PDF / PPT / Excel

Claims Processing Software Market

Chapter 1. Introduction

1.1. Research Objective

1.2. Scope of the Study

1.3. Definition

Chapter 2. Research Methodology  

2.1. Research Approach

2.2. Data Sources

2.3. Assumptions & Limitations

Chapter 3. Executive Summary

3.1. Market Snapshot

Chapter 4. Market Variables and Scope 

4.1. Introduction

4.2. Market Classification and Scope

4.3. Industry Value Chain Analysis

4.3.1. Raw Material Procurement Analysis 

4.3.2. Sales and Distribution Channel Analysis

4.3.3. Downstream Buyer Analysis

Chapter 5. COVID 19 Impact on Claims Processing Software Market 

5.1. COVID-19 Landscape: Claims Processing Software Industry Impact

5.2. COVID 19 - Impact Assessment for the Industry

5.3. COVID 19 Impact: Global Major Government Policy

5.4. Market Trends and Opportunities in the COVID-19 Landscape

6.1. Market Dynamics

6.1.1. Market Drivers

6.1.2. Market Restraints

6.1.3. Market Opportunities

6.2. Porter’s Five Forces Analysis

6.2.1. Bargaining power of suppliers

6.2.2. Bargaining power of buyers

6.2.3. Threat of substitute

6.2.4. Threat of new entrants

6.2.5. Degree of competition

Chapter 7. Competitive Landscape

7.1.1. Company Market Share/Positioning Analysis

7.1.2. Key Strategies Adopted by Players

7.1.3. Vendor Landscape

7.1.3.1. List of Suppliers

7.1.3.2. List of Buyers

Chapter 8. Global Claims Processing Software Market, By Deployment Mode

8.1. Claims Processing Software Market Revenue and Volume, by Deployment Mode

8.1.1. Cloud-based/ SaaS claims software 

8.1.1.1. Market Revenue and Volume Forecast

8.1.2. On-premise claims software 

8.1.2.1. Market Revenue and Volume Forecast

Chapter 9. Global Claims Processing Software Market, By Enterprise Size

9.1. Claims Processing Software Market Revenue and Volume, by Enterprise Size

9.1.1. Large Enterprises 

9.1.1.1. Market Revenue and Volume Forecast

9.1.2. Medium & Small Enterprises (SMEs)

9.1.2.1. Market Revenue and Volume Forecast

Chapter 10. Global Claims Processing Software Market, By Claims Type 

10.1. Claims Processing Software Market Revenue and Volume, by Claims Type

10.1.1. Health Insurance Claims 

10.1.1.1. Market Revenue and Volume Forecast

10.1.2. Auto Insurance Claims 

10.1.2.1. Market Revenue and Volume Forecast

10.1.3. Property & Casualty (P&C) Claims 

10.1.3.1. Market Revenue and Volume Forecast

10.1.4. Life Insurance Claims 

10.1.4.1. Market Revenue and Volume Forecast

10.1.5. Other Claims (Travel, Specialty lines)  

10.1.5.1. Market Revenue and Volume Forecast

Chapter 11. Global Claims Processing Software Market, By Technology/Feature

11.1. Claims Processing Software Market Revenue and Volume, by Technology/Feature

11.1.1. AI & Machine Learning Enabled Automation 

11.1.1.1. Market Revenue and Volume Forecast

11.1.2. Rules & Business Logic Engines   

11.1.2.1. Market Revenue and Volume Forecast

11.1.3. Robotic Process Automation (RPA) 

11.1.3.1. Market Revenue and Volume Forecast

11.1.4. Predictive Analytics & Fraud Detection 

11.1.4.1. Market Revenue and Volume Forecast

11.1.5. Other Embedded Technologies

11.1.5.1. Market Revenue and Volume Forecast

Chapter 12. Global Claims Processing Software Market, By End-User

12.1. Claims Processing Software Market Revenue and Volume, by End-User

12.1.1. Insurance Carriers / Insurers 

12.1.1.1. Market Revenue and Volume Forecast

12.1.2. Third-Party Administrators (TPAs) 

12.1.2.1. Market Revenue and Volume Forecast

12.1.3. Brokers & Agents 

12.1.3.1. Market Revenue and Volume Forecast

12.1.4. Government & Public Sector Programs  

12.1.4.1. Market Revenue and Volume Forecast

12.1.5. Others

12.1.5.1. Market Revenue and Volume Forecast

Chapter 13. Global Claims Processing Software Market, Regional Estimates and Trend Forecast

13.1. North America

13.1.1. Market Revenue and Volume Forecast, by Deployment Mode

13.1.2. Market Revenue and Volume Forecast, by Enterprise Size

13.1.3. Market Revenue and Volume Forecast, by Claims Type

13.1.4. Market Revenue and Volume Forecast, by Technology/Feature

13.1.5. Market Revenue and Volume Forecast, by End-User

13.1.6. U.S.

13.1.6.1. Market Revenue and Volume Forecast, by Deployment Mode

13.1.6.2. Market Revenue and Volume Forecast, by Enterprise Size

13.1.6.3. Market Revenue and Volume Forecast, by Claims Type

13.1.6.4. Market Revenue and Volume Forecast, by Technology/Feature

13.1.6.5. Market Revenue and Volume Forecast, by End-User  

13.1.7. Rest of North America

13.1.7.1. Market Revenue and Volume Forecast, by Deployment Mode

13.1.7.2. Market Revenue and Volume Forecast, by Enterprise Size

13.1.7.3. Market Revenue and Volume Forecast, by Claims Type

13.1.7.4. Market Revenue and Volume Forecast, by Technology/Feature

13.1.7.5. Market Revenue and Volume Forecast, by End-User

13.2. Europe

13.2.1. Market Revenue and Volume Forecast, by Deployment Mode

13.2.2. Market Revenue and Volume Forecast, by Enterprise Size

13.2.3. Market Revenue and Volume Forecast, by Claims Type

13.2.4. Market Revenue and Volume Forecast, by Technology/Feature  

13.2.5. Market Revenue and Volume Forecast, by End-User  

13.2.6. UK

13.2.6.1. Market Revenue and Volume Forecast, by Deployment Mode

13.2.6.2. Market Revenue and Volume Forecast, by Enterprise Size

13.2.6.3. Market Revenue and Volume Forecast, by Claims Type

13.2.7. Market Revenue and Volume Forecast, by Technology/Feature  

13.2.8. Market Revenue and Volume Forecast, by End-User  

13.2.9. Germany

13.2.9.1. Market Revenue and Volume Forecast, by Deployment Mode

13.2.9.2. Market Revenue and Volume Forecast, by Enterprise Size

13.2.9.3. Market Revenue and Volume Forecast, by Claims Type

13.2.10. Market Revenue and Volume Forecast, by Technology/Feature

13.2.11. Market Revenue and Volume Forecast, by End-User

13.2.12. France

13.2.12.1. Market Revenue and Volume Forecast, by Deployment Mode

13.2.12.2. Market Revenue and Volume Forecast, by Enterprise Size

13.2.12.3. Market Revenue and Volume Forecast, by Claims Type

13.2.12.4. Market Revenue and Volume Forecast, by Technology/Feature

13.2.13. Market Revenue and Volume Forecast, by End-User

13.2.14. Rest of Europe

13.2.14.1. Market Revenue and Volume Forecast, by Deployment Mode

13.2.14.2. Market Revenue and Volume Forecast, by Enterprise Size

13.2.14.3. Market Revenue and Volume Forecast, by Claims Type

13.2.14.4. Market Revenue and Volume Forecast, by Technology/Feature

13.2.15. Market Revenue and Volume Forecast, by End-User

13.3. APAC

13.3.1. Market Revenue and Volume Forecast, by Deployment Mode

13.3.2. Market Revenue and Volume Forecast, by Enterprise Size

13.3.3. Market Revenue and Volume Forecast, by Claims Type

13.3.4. Market Revenue and Volume Forecast, by Technology/Feature

13.3.5. Market Revenue and Volume Forecast, by End-User

13.3.6. India

13.3.6.1. Market Revenue and Volume Forecast, by Deployment Mode

13.3.6.2. Market Revenue and Volume Forecast, by Enterprise Size

13.3.6.3. Market Revenue and Volume Forecast, by Claims Type

13.3.6.4. Market Revenue and Volume Forecast, by Technology/Feature

13.3.7. Market Revenue and Volume Forecast, by End-User

13.3.8. China

13.3.8.1. Market Revenue and Volume Forecast, by Deployment Mode

13.3.8.2. Market Revenue and Volume Forecast, by Enterprise Size

13.3.8.3. Market Revenue and Volume Forecast, by Claims Type

13.3.8.4. Market Revenue and Volume Forecast, by Technology/Feature

13.3.9. Market Revenue and Volume Forecast, by End-User

13.3.10. Japan

13.3.10.1. Market Revenue and Volume Forecast, by Deployment Mode

13.3.10.2. Market Revenue and Volume Forecast, by Enterprise Size

13.3.10.3. Market Revenue and Volume Forecast, by Claims Type

13.3.10.4. Market Revenue and Volume Forecast, by Technology/Feature

13.3.10.5. Market Revenue and Volume Forecast, by End-User

13.3.11. Rest of APAC

13.3.11.1. Market Revenue and Volume Forecast, by Deployment Mode

13.3.11.2. Market Revenue and Volume Forecast, by Enterprise Size

13.3.11.3. Market Revenue and Volume Forecast, by Claims Type

13.3.11.4. Market Revenue and Volume Forecast, by Technology/Feature

13.3.11.5. Market Revenue and Volume Forecast, by End-User

13.4. MEA

13.4.1. Market Revenue and Volume Forecast, by Deployment Mode

13.4.2. Market Revenue and Volume Forecast, by Enterprise Size

13.4.3. Market Revenue and Volume Forecast, by Claims Type

13.4.4. Market Revenue and Volume Forecast, by Technology/Feature

13.4.5. Market Revenue and Volume Forecast, by End-User

13.4.6. GCC

13.4.6.1. Market Revenue and Volume Forecast, by Deployment Mode

13.4.6.2. Market Revenue and Volume Forecast, by Enterprise Size

13.4.6.3. Market Revenue and Volume Forecast, by Claims Type

13.4.6.4. Market Revenue and Volume Forecast, by Technology/Feature

13.4.7. Market Revenue and Volume Forecast, by End-User

13.4.8. North Africa

13.4.8.1. Market Revenue and Volume Forecast, by Deployment Mode

13.4.8.2. Market Revenue and Volume Forecast, by Enterprise Size

13.4.8.3. Market Revenue and Volume Forecast, by Claims Type

13.4.8.4. Market Revenue and Volume Forecast, by Technology/Feature

13.4.9. Market Revenue and Volume Forecast, by End-User

13.4.10. South Africa

13.4.10.1. Market Revenue and Volume Forecast, by Deployment Mode

13.4.10.2. Market Revenue and Volume Forecast, by Enterprise Size

13.4.10.3. Market Revenue and Volume Forecast, by Claims Type

13.4.10.4. Market Revenue and Volume Forecast, by Technology/Feature

13.4.10.5. Market Revenue and Volume Forecast, by End-User

13.4.11. Rest of MEA

13.4.11.1. Market Revenue and Volume Forecast, by Deployment Mode

13.4.11.2. Market Revenue and Volume Forecast, by Enterprise Size

13.4.11.3. Market Revenue and Volume Forecast, by Claims Type

13.4.11.4. Market Revenue and Volume Forecast, by Technology/Feature

13.4.11.5. Market Revenue and Volume Forecast, by End-User

13.5. Latin America

13.5.1. Market Revenue and Volume Forecast, by Deployment Mode

13.5.2. Market Revenue and Volume Forecast, by Enterprise Size

13.5.3. Market Revenue and Volume Forecast, by Claims Type

13.5.4. Market Revenue and Volume Forecast, by Technology/Feature

13.5.5. Market Revenue and Volume Forecast, by End-User

13.5.6. Brazil

13.5.6.1. Market Revenue and Volume Forecast, by Deployment Mode

13.5.6.2. Market Revenue and Volume Forecast, by Enterprise Size

13.5.6.3. Market Revenue and Volume Forecast, by Claims Type

13.5.6.4. Market Revenue and Volume Forecast, by Technology/Feature

13.5.7. Market Revenue and Volume Forecast, by End-User

13.5.8. Rest of LATAM

13.5.8.1. Market Revenue and Volume Forecast, by Deployment Mode

13.5.8.2. Market Revenue and Volume Forecast, by Enterprise Size

13.5.8.3. Market Revenue and Volume Forecast, by Claims Type

13.5.8.4. Market Revenue and Volume Forecast, by Technology/Feature

13.5.8.5. Market Revenue and Volume Forecast, by End-User

Chapter 14. Company Profiles

14.1. Cognizant

14.1.1. Company Overview

14.1.2. Product Offerings

14.1.3. Financial Performance

14.1.4. Recent Initiatives

14.2. Oracle

14.2.1. Company Overview

14.2.2. Product Offerings

14.2.3. Financial Performance

14.2.4. Recent Initiatives

14.3. SAP

14.3.1. Company Overview

14.3.2. Product Offerings

14.3.3. Financial Performance

14.3.4. Recent Initiatives

14.4. Mediware Information Systems

14.4.1. Company Overview

14.4.2. Product Offerings

14.4.3. Financial Performance

14.4.4. Recent Initiatives

14.5. Verisk Analytics

14.5.1. Company Overview

14.5.2. Product Offerings

14.5.3. Financial Performance

14.5.4. Recent Initiatives

14.6. Xactware Solution

14.6.1. Company Overview

14.6.2. Product Offerings

14.6.3. Financial Performance

14.6.4. Recent Initiatives

14.7. Guidewire Software

14.7.1. Company Overview

14.7.2. Product Offerings

14.7.3. Financial Performance

14.7.4. Recent Initiatives

14.8. ClaimVantage

14.8.1. Company Overview

14.8.2. Product Offerings

14.8.3. Financial Performance

14.8.4. Recent Initiatives

Chapter 15. Research Methodology

15.1. Primary Research

15.2. Secondary Research

15.3. Assumptions

Chapter 16. Appendix

16.1. About Us

16.2. Glossary of Terms

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Frequently Asked Questions

Answer : The claims processing software market size is expected to increase from USD 47.63 billion in 2025 to USD 108.09 billion by 2035.

Answer : The claims processing software market is expected to grow at a compound annual growth rate (CAGR) of around 8.54% from 2026 to 2035.

Answer : The driving factors of the claims processing software market are the driven by the growing adoption of claim processing software from governmental organizations, along with the rapid investment by software companies in developing advanced software solutions to enhance claim processing capabilities. 

Answer : North America region will lead the global claims processing software market during the forecast period 2026 to 2035.

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