Traditionally, claim processing was slow, complicated, and full of errors. Then technology happened and claim processing software entered the market. They made things faster, smoother, and way more efficient. Third-party claims administrators and insurers quickly adopted these tools to streamline their work, reduce paperwork, and improve accuracy.
But now, things are changing again. With AI and machine learning, claims processing is getting even smarter. In 2025 and beyond, businesses are focusing on efficiency, automation, and customer satisfaction. Insurers have simple ways to achieve this—faster payouts, fraud detection, and smooth workflows. So naturally these are new buzzwords and are the norm. With so many options out there, finding the right software can be tricky.
To help you out, we’ve listed some of the best claims management software for 2025. These platforms are designed to speed up claims processing, improve accuracy, and enhance overall workflow management.
Duck Creek Claims offers smart claims processing software powered by artificial intelligence and machine learning, designed to make the claims process faster, more accurate, and streamlined. It allows insurers to set up customized workflows to suit their organizations, allowing them to operate smoothly.
One of its standout features is real-time analytics, which offers insight for better decision-making. The user interface is also very straightforward, which allows adjusters to manage their claims easily. Duck Creek Claims helps businesses to reduce errors, while increasing effectiveness and speed, all while utilizing automation and their unique technology.
Datagenix offers ClaimScape, a powerful claims-processing software designed for third party claims administrators. It simplifies claim handling with a user-friendly interface, making it easy to navigate without a steep learning curve.
One of its key benefits is real-time web access, allowing insured individuals and providers to stay updated on claim statuses and benefit details. This ensures transparency and smoother communication. The software also offers comprehensive reporting, enabling users to generate custom reports for tracking performance and making better decisions.
ClaimScape is a cloud-based solution, which means users can access it anytime, from anywhere, without worrying about system maintenance. Automating many processes, it also helps reduce manual work and operational costs, making claims processing faster and more efficient.
Creatio Claims Management
Creatio Claims Management is a user-friendly, no-code platform that combines CRM tools with full claims automation. This means businesses can customize their claims process without needing technical skills. The platform assists in improving workflows, minimizing errors, and enhancing overall efficiency.
The capabilities of automation help speed up approvals of the claim and help in proper processing. The system helps with customer experience too so that insurers can send messages to clients about claim processing, approvals, etc. With its user-friendly interface and flexibility, Creatio is an ideal solution for businesses that want to simplify claims management.
Insurity’s SIMS Claims is easy to use and has excellent data analytics capabilities. The SIMS Claims software allows insurers and TPAs (third-party administrators) to efficiently manage claims with automation that speeds up approvals and payments. Companies can effectively monitor claims information as well as optimize their system through use of the customizable reporting tools. Insurers looking for an adaptive claims processing solution will find SIMS Claims to be a good fit, as it can work with other insurance management tools thanks to its flexible integration options.
MedNeXt is a claims processor for healthcare providers that makes health insurance claims easier. It helps healthcare professionals deal with all aspects of health insurance claims making the process easy with compliance management and case tracking features.
The software also allows electronic claims processing, which reduces paperwork and time consumption of approvals. It’s cloud-based which means you can use it anytime, from anywhere. MedNeXt helps healthcare providers streamline their work, minimize mistakes, and speed up claim processing.
We’ve covered some of the top claims management software for 2025, breaking down what makes each one stand out. While they all have great features, the best choice depends on your business needs. Whether you’re looking for automation, fraud detection, or flexibility, there’s a solution out there.
If you are getting started and need a simple, reliable way to manage claims, Datagenix can help you. Reach out to Datagenix today to see how we can help streamline your claims process!