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Insurance Claims Processing Software in the US - Market Research Report (2015-2030)

Seth Lee Seth Lee New York, United States Last Updated: September 2025 NAICS OD4793

Revenue

$16.5bn

2025

$16.5bn

Past 5-Year Growth

Profit

$X.Xbn

Employees

29,994

Businesses

483

Wages

$X.Xbn

Insurance Claims Processing Software in the US industry analysis

The industry has seen steady demand, with recurring demands for claims handling providing consistent support throughout the period. As expectations surrounding efficiency have risen, providers have prioritized investment in solutions to address individual cases more effectively, meeting growing client demand for speedy claims—especially in response to the uptick in weather-related and other extreme events. To serve this demand, insurers have expanded their payment system capabilities, contributing to a broader consumer base and leading to additional outlays that elevated operational costs. This combination of increased claims volumes and the need for faster payouts has put added pressure on expenses, as businesses attempt to keep pace with what customers expect from modern claims management platforms.

Trends and Insights

  • Automation and AI are transforming industry standards, especially for accuracy and client satisfaction in claims handling. Companies investing in real-time fraud detection and error-proof interfaces get ahead, though they face ongoing costs for technology upgrades and upskilling staff for new digital workflows.
  • New services like AI-driven fraud analytics and policy management platforms are making waves, helping insurers handle risk and streamline customer service. Automated tech support is bundled into cloud products, cutting the need for standalone help desks as companies lean on self-serve and AI-powered tools.
  • Wherever insurance is needed, insurance software companies will not locate too far away. The spread of insurance software writers blankets the country with little variability outside population concentration.
  • Like other software companies, low barriers to entry enable small teams to develop highly effective software packages. However, the legal complications of insurance put up more of a fight than in consumer software.
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Industry Statistics and Trends

Market size and recent performance (2015-2030)

Industry revenue has grown at a CAGR of 2.4 % over the past five years, to reach an estimated $16.5bn in 2025.

Trends and Insights

Faster payouts and digital tools elevate expectations for insurance software performance

  • Insurance processing software is under pressure to shorten its payment fulfillment times, largely because of heightened weather-related disaster activity and shifting consumer preferences. In a 2025 Insurity survey, 51.0% of respondents said rapid response and quick payouts guide their decisions when filing a severe weather insurance claim. As policyholders seek providers that can deliver on speed and reliability, the market has pushed for technological upgrades, prioritizing fast, seamless service.
  • Additional trends and insights available with purchase
Insurance Claims Processing Software in the US
Revenue (2015-2030)
IBISWorld Logo Source: IBISWorld

Industry outlook (2025-2030)

Market size is projected to grow over the next five years.

Trends and Insights

Climate risks and technology shifts raises outlook

  • Escalating climate events, identified by the World Economic Forum as the leading long-term environmental risk for the next decade, are driving greater demand for insurance coverage—especially in flood-prone and high-risk areas. As traditional insurers limit exposure and exit at-risk markets, government coverage is increasingly data-driven and more costly, leaving some households with fewer options and potential gaps in claims servicing. This shift could shrink the client pool and dampen industry growth as more properties go uncovered in the hardest-hit regions.

Biggest companies in the Insurance Claims Processing Software in the US

Company
Market Share (%)
2025
Revenue ($m)
2025
Profit ($m)
2025
Profit Margin (%)
2025
Accenture Plc
1,732.8
258.6
14.9
Dxc Technology Co
605.7
44.7
7.4

To view the market share and analysis for all 2 top companies in this industry, view purchase options.

Products & Services Segmentation

Insurance Claims Processing Software in the US
Products & Services
IBISWorld Logo Source: IBISWorld

Industry revenue is measured across several distinct product and services lines, including Subscription, Support and License . Subscription is the largest segment of the Insurance Claims Processing Software in the US.

Trends and Insights

Cloud-based subscription platforms dominate market performance

  • Subscription products in the industry are cloud-based systems featuring automated workflows, real-time claims tracking, fraud detection and customer self-service. Enterprises use pay-as-you-go or tiered pricing models, giving insurers predictable costs and flexible features. These platforms speed up claims management, boost compliance and digitize the process, which aligns with sector demand for scalable and reliable solutions.
  • More insights available in the full report

Table of Contents

About this industry

Industry definition

This industry develops software for managing insurance claims, policies and billing. It also provides tools that assist consumers with inquiries and requests, supported by dedicated teams that help address these questions.

What's included in this industry?

Products and services covered in the Insurance Claims Processing Software industry in the United States include Providing insurance policy management software and systems solutions, Providing insurance claims software and systems solutions and Providing automated billing solutions.

Companies

Companies covered in the Insurance Claims Processing Software industry in the United States include Accenture Plc and Dxc Technology Co.

Purchase this report to view all 2 major companies in this industry.

Related Terms

Related terms covered in the Insurance Claims Processing Software industry in the United States include insurance, underwriting, cloud computing, software as a service (saas), infrastructure as a service (iaas) and platform as a service (paas).

Industry Code

NAICS 2017

NAICS 511210 - Insurance Claims Processing Software in the US

Performance

Get an indication of the industry's health through historical, current and forward-looking trends in the performance indicators that make or break businesses.

Analyst insights

Automation and AI are transforming industry standards, especially for accuracy and client satisfaction in claims handling. Companies investing in real-time fraud detection an...

In this chapter (4)

  • Current Performance
  • Outlook
  • Volatility
  • Life Cycle

Key metrics

  • Annual Revenue, Recent Growth, Forecast, Revenue Volatility
  • Number of Employees, Recent Growth, Forecast, Employees per Business, Revenue per Employee
  • Number of Businesses, Recent Growth, Forecast, Employees per Business, Revenue per Business
  • Total Profit, Profit Margin, Profit per Business

Charts

  • Revenue, including historical (2015-2024) and forecast (2025-2030)
  • Employees, including historical (2015-2024) and forecast (2025-2030)
  • Businesses, including historical (2015-2024) and forecast (2025-2030)
  • Profit, including historical (2015-2025)
  • Industry Volatility vs. Revenue Growth
  • Industry Life Cycle

Detailed analysis

  • Trends in supply, demand and current events that are driving current industry performance
  • Expected trends, economic factors and ongoing events that drive the industry's outlook
  • Key success factors for businesses to overcome volatility
  • How contribution to GDP, industry saturation, innovation, consolidation, and technology and systems influence the industry's life cycle phase.

Products and Markets

Learn about an industry's products and services, markets and trends in international trade.

Analyst insight

New services like AI-driven fraud analytics and policy management platforms are making waves, helping insurers handle risk and streamline customer service. Automated tech sup...

In this chapter

  • Products & Services
  • Major Markets

Key metrics

  • Largest market segment and value in 2025
  • Product innovation level

Charts

  • Products & services segmentation in 2025
  • Major market segmentation in 2025

Detailed analysis

  • Trends impacting the recent performance of the industry's various segments
  • Innovations in the industry's product or service offering, specialization or delivery method
  • Key factors that successful businesses consider in their offerings
  • Buying segments and key trends influencing demand for industry products and services

Geographic Breakdown

Discover where business activity is most concentrated in an industry and the factors driving these trends to find opportunities and conduct regional benchmarking.

Analyst insights

Wherever insurance is needed, insurance software companies will not locate too far away. The spread of insurance software writers blankets the country with little variability...

In this chapter (1)

  • Business Locations

Charts

  • Share of revenue, establishment, wages and employment in each state
  • Share of population compared to establishments in each region in 2025

Tables

  • Number and share of establishments in each state in 2025
  • Number and share of revenue each state accounts for in 2025
  • Number and share of wages each state accounts for in 2025
  • Number and share of employees in each state in 2025

Detailed analysis

  • Geographic spread of the industry across North America, and trends associated with changes in the business landscape
  • Key success factors for businesses to use location to their advantage

Competitive Forces

Get data and insights on what's driving competition in an industry and the challenges industry operators and new entrants may face, with analysis built around Porter's Five Forces framework.

Analyst insights

Like other software companies, low barriers to entry enable small teams to develop highly effective software packages. However, the legal complications of insurance put up mo...

In this chapter (4)

  • Concentration
  • Barriers to Entry
  • Substitutes
  • Buyer & Supplier Analysis

Key metrics

  • Industry concentration level
  • Industry competition level and trend
  • Barriers to entry level and trend
  • Substitutes level and trend
  • Buyer power level and trend
  • Supplier power level and trend

Charts

  • Market share concentration among the top 4 suppliers from 2020-2025
  • Supply chain including upstream supplying industries and downstream buying industries, flow chart

Detailed analysis

  • Factors impacting the industry’s level of concentration, such as business distribution, new entrants, or merger and acquisition activity.
  • Key success factors for businesses to manage the competitive environment of the industry.
  • Challenges that potential industry entrants face such as legal, start-up costs, differentiation, labor/capital intensity and capital expenses.
  • Key success factors for potential entrants to overcome barriers to entry.
  • Competitive threats from potential substitutes for the industry’s own products and services.
  • Key success factors for how successful businesses can compete with substitutes.
  • Advantages that buyers have to keep favorable purchasing conditions.
  • Advantages that suppliers have to maintain favorable selling conditions.
  • Key success factors for how businesses can navigate buyer and supplier power.

Companies

Learn about the performance of the top companies in the industry.

Analyst insights

Purchases are happening in this industry. Companies are buying various businesses as such decisions reflect their interest in boosting their operations during the period.

In this chapter

  • Market Share Concentration
  • Companies
  • Company Spotlights

Charts

  • Industry market share by company in 2021 through 2025
  • Major companies in the industry, including market share, revenue, profit and profit margin in 2025
  • Overview of Accenture Plc's performance by revenue, market share and profit margin from 2019 through 2025
  • Overview of Dxc Technology Co's performance by revenue, market share and profit margin from 2019 through 2025

Detailed analysis

  • Description and key data for Accenture Plc, and factors influencing its performance in the industry
  • Description and key data for Dxc Technology Co, and factors influencing its performance in the industry

External Environment

Understand the demographic, economic and regulatory factors that shape how businesses in an industry perform.   

Analyst insights

Following laws like the Sarbanes-Oxley Act and state regulations are essential. Not following these laws will lead to punishments and hits to their reputation.

In this chapter

  • External Drivers
  • Regulation & Policy
  • Assistance

Key metrics

  • Regulation & policy level and trend
  • Assistance level and trend

Charts

  • Regulation & Policy historical data and forecast (2015-2030) 
  • Assistance historical data and forecast (2015-2030) 

Detailed analysis

  • Demographic and macroeconomic factors influencing the industry, including Regulation & Policy and Assistance
  • Major types of regulations, regulatory bodies, industry standards or specific regulations impacting requirements for industry operators
  • Key governmental and non-governmental groups or policies that may provide some relief for industry operators.

Financial Benchmarks

View average costs for industry operators and compare financial data against an industry's financial benchmarks over time. 

Analyst insights

Profit isn't rising as quickly as revenue because companies spend big on tech upgrades and cybersecurity. These investments help defend against data threats but add new opera...

In this chapter

  • Cost Structure
  • Financial Ratios
  • Key Ratios

Key metrics

  • Profit margin, and how it compares to the sector-wide margin
  • Average wages, and how it compares to the sector-wide average wage
  • Largest cost component as a percentage of revenue
  • Industry average ratios for days' receivables, industry coverage and debt-to-net-worth ratio

Charts

  • Average industry operating costs as a share of revenue, including purchases, wages, depreciation, utilities, rent, other costs and profit in 2025
  • Average sector operating costs as a share of revenue, including purchases, wages, depreciation, utilities, rent, other costs and profit in 2025
  • Investment vs. share of economy

Data tables

  • Industry Multiples (2018-2023)
  • Industry Tax Structure (2018-2023)
  • Income Statement (2018-2023)
  • Balance Sheet (2018-2023)
  • Liquidity Ratios (2018-2023)
  • Coverage Ratios (2018-2023)
  • Leverage Ratios  (2018-2023)
  • Operating Ratios (2018-2023)
  • Cash Flow & Debt Service Ratios (2015-2030)
  • Revenue per Employee (2015-2030)
  • Revenue per Enterprise (2015-2030)
  • Employees per Establishment (2015-2030)
  • Employees per Enterprise (2015-2030)
  • Average Wage (2015-2030)
  • Wages/Revenue (2015-2030)
  • Establishments per Enterprise (2015-2030)
  • IVA/Revenue (2015-2030)
  • Imports/Demand (2015-2030)
  • Exports/Revenue (2015-2030)

Detailed analysis

  • Trends in the cost component for industry operators and their impact on industry costs and profitability 

Key Statistics

Industry Data

Data Tables

Including values and annual change:

  • Revenue (2015-2030)
  • IVA (2015-2030)
  • Establishments (2015-2030)
  • Enterprises (2015-2030)
  • Employment (2015-2030)
  • Exports (2015-2030)
  • Imports (2015-2030)
  • Wages (2015-2030)

Top Questions Answered

Unlock comprehensive answers and precise data upon purchase. View purchase options.

What is the market size of the Insurance Claims Processing Software industry in the United States in 2025?

The market size of the Insurance Claims Processing Software industry in the United States is $16.5bn in 2025.

How many businesses are there in the Insurance Claims Processing Software industry in the United States in 2025?

There are 483 businesses in the Insurance Claims Processing Software industry in the United States, which has grown at a CAGR of 3.9 % between 2020 and 2025.

How may import tariffs affect the Insurance Claims Processing Software industry in the United States?

The Insurance Claims Processing Software industry in the United States is unlikely to be materially impacted by import tariffs with imports accounting for a low share of industry revenue.

How may export tariffs affect the Insurance Claims Processing Software industry in the United States?

The Insurance Claims Processing Software industry in the United States is unlikely to be materially impacted by export tariffs with exports accounting for a low share of industry revenue.

Has the Insurance Claims Processing Software industry in the United States grown or declined over the past 5 years?

The market size of the Insurance Claims Processing Software industry in the United States has been growing at a CAGR of 2.4 % between 2020 and 2025.

What is the forecast growth of the Insurance Claims Processing Software industry in the United States over the next 5 years?

Over the next five years, the Insurance Claims Processing Software industry in the United States is expected to grow.

What are the biggest companies in the Insurance Claims Processing Software industry in the United States?

The biggest companies operating in the Insurance Claims Processing Software industry in the United States are Accenture Plc and Dxc Technology Co

What does the Insurance Claims Processing Software industry in the United States include?

Providing insurance policy management software and systems solutions and Providing insurance claims software and systems solutions are part of the Insurance Claims Processing Software industry in the United States.

Which companies have the highest market share in the Insurance Claims Processing Software industry in the United States?

The company holding the most market share in the Insurance Claims Processing Software industry in the United States is Accenture Plc.

How competitive is the Insurance Claims Processing Software industry in the United States?

The level of competition is high and steady in the Insurance Claims Processing Software industry in the United States.

Methodology

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Our analysts start with official, verified and publicly available sources of data to build the most accurate picture of each industry. Analysts then leverage their expertise and knowledge of the local markets to synthesize trends into digestible content for IBISWorld readers. Finally, each report is reviewed by one of IBISWorld’s editors, who provide quality assurance to ensure accuracy and readability.

IBISWorld relies on human-verified data and human-written analysis to compile each standard industry report. We do not use generative AI tools to write insights, although members can choose to leverage AI-based tools within the platform to generate additional analysis formats.

What data sources do IBISWorld analysts use?

Each industry report incorporates data and research from government databases, industry-specific sources, industry contacts, and our own proprietary database of statistics and analysis to provide balanced, independent and accurate insights.

Key data sources in the US include: 

  • US Census Bureau
  • US Bureau of Labor Statistics
  • US International Trade Commission

Analysts also use industry specific sources to complement catch-all sources, although their perspective may focus on a particular organization or representative body, rather than a clear overview of all industry operations. However, when balanced against other perspectives, industry-specific sources provide insights into industry trends.

These sources include:

  • Industry and trade associations
  • Industry federations or regulators
  • Major industry players annual or quarterly filings

Finally, IBISWorld’s global data scientists maintain a proprietary database of macroeconomic and demand drivers, which our analysts use to help inform industry data and trends. They also maintain a database of statistics and analysis on thousands of industries, which has been built over our more than 50-year history and offers comprehensive insights into long-term trends.

How does IBISWorld forecast its data?

IBISWorld’s analysts and data scientists use the sources above to create forecasts for our proprietary datasets and industry statistics. Depending on the dataset, they may use regression analysis, multivariate analysis, time-series analysis or exponential smoothing techniques to project future data for the industry or driver. Additionally, analysts will leverage their local knowledge of industry operating and regulatory conditions to impart their best judgment on the forecast model.

IBISWorld prides itself on being a trusted, independent source of data, with over 50 years of experience building and maintaining rich datasets and forecasting tools. We are proud to be the keystone source of industry information for thousands of companies across the world.

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