Top 10 Insurance Claims Processing Software in 2025

Paul Stone, Product Evangelist By Paul Stone, Product Evangelist Insurance 5 Min Read
Top 10 Best Insurance Claims Processing Software in 2025
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Insurance companies are under pressure to modernise their claims management software. Customer satisfaction expectations are rising, and the need to comply with regulatory requirements is greater than ever. 

At the same time, businesses are focused on cutting operational costs. The right insurance claims management system enables insurers to effectively manage claims, enhance data accuracy, and expedite processing times while minimizing human error.

The following article will explore the best claims processing software in 2025, including a detailed breakdown of FlowForma’s capabilities for insurance applications.

What Is Claims Management Software?

Image shown: Claims Management Software Cycle

The 7 Steps in the cycle of Claims Management Software

Claims management software automates and streamlines the entire claims process. From claims intake to final settlement, these tools centralise the claims management process and replace manual processes. 

Claims software typically includes document management, task assignment, case tracking, fraud detection, and real-time data access. 

The software integrates with other tools, such as policy administration systems and CRMs, ensuring the entire system operates seamlessly.

With claims management software, insurance teams can process claims more efficiently, reduce delays, and improve customer satisfaction.

For a deeper dive into insurance automation software, you can read more about insurance automation tools here.

Key Features to Look For in Claims Management Software

7 Key Features to look for in insurance claims processing software

A list of key features needed in a claims management software 

When looking for claims software, keep an eye out for these features:

  • No-code automation: Insurance workflow automation enables teams to create and adjust workflows easily without requiring IT involvement. For example, a claims team could automate the process of verifying policy details and approving a claim without writing a single line of code.
  • Document generation: Automatically creates claims documents, saving time and reducing human error. Imagine a claims agent submits claim details, and the system generates a detailed claims report, ready for final settlement.
  • AI-powered insights: Detects fraud and highlights potential issues. For instance, the system might flag a claim for fraud detection if it detects duplicate policy administration numbers across multiple claims.
  • Audit trails: Tracks every action in the claims management process, ensuring regulatory compliance. For example, if a claim is disputed, the audit trail can show who approved each step and when it was approved.
  • System integration: Ensures seamless data flow between claims software, policy administration systems, and ERP systems. Imagine a claim moving automatically from intake to settlement without any manual data entry.
  • Customizable workflows: Adapt workflows to meet unique business needs. For example, one insurance carrier could create a claims management process specifically for property claims, while another could focus on auto claims.
  • Mobile access: Allows agents to submit and track claims on the go using intuitive mobile forms. A field agent can submit claims directly from a customer’s site and update the claim status in real-time.

These features will enhance operational efficiency and help teams minimize errors in the claims process, ultimately improving overall customer service.

Watch this masterclass to understand how insurers are using FlowForma to streamline their work:

 

Masterclass on using FlowForma for insurance use cases

Best Insurance Claims Processing Software in 2025

 

Software

No-Code

AI Features

Native MS 365 Integration

Best For

FlowForma

Yes

Yes

Yes

Mid-large insurers, regulated sectors

Appian

Limited

Yes

No

Enterprise insurers

Pega Claims

No

Yes

No

Complex claims workflows

Guidewire

No

Yes

No

Core system replacement

BriteClaims

Limited

Limited

No

Smaller carriers using BriteCore

Creatio

Yes

Limited

No

CRM-centric insurers

Claimable

Yes

No

No

Digital-first startups

Snapsheet

Limited

Yes

No

Auto and property claims

Scootra

No

No

No

Cloud-native core replacement

Origami Risk

No

Limited

No

Risk and compliance-led insurers

Top Insurance Claims Processing Software in 2025

Choosing the right claims management software is crucial for insurers to stay competitive. With numerous options available, it's critical to examine features that genuinely make a difference in enhancing claims management.

1. FlowForma

Image shown: A screenshot of FlowForma’s homepage

FlowForma’s homepage

FlowForma is a no-code claims management software that allows business teams to design and automate their claims workflows efficiently. It’s intuitive, easy to set up, and helps reduce manual work while ensuring compliance.

FlowForma's Key Features

  • No-code workflow builder for automating key processes in the insurance claims lifecycle
  • AI Copilot for natural language-based claims automation
  • Agentic AI for assisting insurance agents and claims teams in real time
  • Built-in audit trails and compliance controls for fraud detection and regulatory compliance
  • Document management for generating and storing claims documents
  • Seamless integration with Microsoft 365, SharePoint, and Teams
  • Real-time reporting for better decision-making

FlowForma's Pros

  • Fast setup, no IT required
  • Business users can automate claims without developers
  • 10x faster claims processing than other tools
  • Clear, predictable pricing

FlowForma's Cons

  • Best suited for Microsoft environments

FlowForma's Pricing

FlowForma uses process-based pricing. All features, including AI, are available from the base tier, so you know exactly what you're paying for.

For more on automating insurance workflows, check out this guide to automating insurance policy renewal.

Try FlowForma Demo

2. Appian

Image shown: A screenshot of Appian’s homepage

Appian’s homepage

Appian is a low-code automation platform designed for large insurance companies to manage complex claims workflows. It's best suited for insurers with dedicated IT teams and long-term digital transformation goals.

Appian's Features

  • Low-code platform with business process management (BPM) capabilities
  • AI features for claims routing
  • Case management tools for tracking claims from intake to settlement

Appian's Pros

  • Customisable for large-scale claims management
  • Suitable for handling complex claims processes

Appian's Cons

  • Requires IT and developer support for implementation
  • Not ideal for non-technical teams

3. Pega Claims Management

Image shown: A screenshot of Pega Claim’s homepage

Pega Claim’s homepage

Pega Claims Management offers a powerful automation engine for high-volume claims. It’s built for insurers with complex needs.

Pega's Features

  • Claims automation engine to speed up processing
  • Business rules and decision-making for fraud detection and compliance
  • Workflow orchestration for improving claims process efficiency

Pega's Pros

  • Excellent for high-volume claims processing
  • Strong compliance and fraud detection features

Pega's Cons

  • High cost of ownership
  • Steep learning curve for claims teams

4. Guidewire ClaimCenter

Image shown: A screenshot of Guidewire’s homepage

Homepage of Guidewire’s claimcenter 

Guidewire ClaimCenter is an end-to-end solution designed for large insurers. It tracks the entire claims lifecycle.

Guidewire's Features

  • End-to-end claims management system
  • Claims lifecycle tracking for claims organization

Guidewire's Pros

  • Comprehensive and tailored for large insurance carriers

Guidewire's Cons

  • Expensive setup
  • Requires heavy IT involvement

5. BriteClaims (BriteCore)

Image shown:  A screenshot of BriteCore’s homepage

BriteCore’s homepage

BriteClaims is part of the BriteCore platform, designed for small and mid-sized insurance carriers.

BriteClaims' Features

  • Integrated claims management with BriteCore's policy administration system

BriteClaims' Pros

  • Ideal for smaller carriers already using BriteCore

BriteClaims' Cons

  • Limited flexibility for larger, complex insurers

6. Creatio

Image shown: A screenshot of Creatio’s homepage

Creatio’s homepage

Creatio combines CRM and process automation to help insurers improve customer service while managing claims.

Creatio's Features

  • CRM and process automation suite for insurance

Creatio's Pros

  • Great for integrating claims management with customer service

Creatio's Cons

  • Not purpose-built for claims management

7. Claimable

Image shown: Screenshot of Claimable’s homepage

Claimable’s homepage

Claimable is a cloud-native claims management software designed for digital-first insurers and startups. While its UX design is strong, it lacks advanced automation features.

Claimable's Features

  • Customisable cloud-based interface for claims submission

Claimable's Pros

  • Strong UX for smaller teams

Claimable's Cons

  • Lacks the depth of automation and reporting required by larger insurers

8. Snapsheet

Image shown: Screenshot of Snapsheet’s homepage

Snapsheet’s homepage

Snapsheet provides a virtual claims management platform for auto and property insurers, excelling in claims intake and digital payment processing.

Snapsheet's Features

  • Virtual appraisals for auto insurance claims
  • Digital payment solutions for fast claims settlement

Snapsheet's Pros

  • Fast and efficient claims intake

Snapsheet's Cons

  • Lacks back-office functionality

9. Socotra

Image shown: Screenshot of Socotra’s homepage

Socotra’s homepage 

Socotra is a flexible, API-first insurance platform that allows insurers to integrate claims management and other insurance solutions quickly.

Socotra's Features

  • API-first core system architecture for custom solutions

Socotra's Pros

  • Highly flexible for insurers with unique business needs

Socotra's Cons

  • Not designed for end-to-end claims management

10. Origami Risk

image shown: Screenshot of Origami Risk’s homepage

Origami Risk’s homepage

Origami Risk is focused on risk management and compliance. Its claims management functionality is proper but secondary.

Origami Risk's Features

  • Risk and compliance management modules

Origami Risk's Pros

  • Strong reporting capabilities

Origami Risk's Cons

  • Less suited for complete claims lifecycle management

Why FlowForma Is the Best Insurance Claims Processing Software in 2025

When it comes to improving your claims management process, FlowForma stands out as the ideal solution. It combines speed, ease of use, and cost predictability, making it the go-to choice for insurers managing complex claims workflows. 

Unlike traditional claims software that requires IT-heavy setups, FlowForma empowers business teams to take control with its no-code builder, enabling rapid process improvements without any technical expertise.

FlowForma’s AI Copilot takes automation to the next level, instantly creating workflows based on natural language input. The Agentic AI further streamlines the claims process by assisting users in real-time, guiding them through decision-making steps. 

Furthermore, with built-in audit trails, seamless Microsoft 365 integration, and robust compliance support, insurers can efficiently manage claims while ensuring complete transparency and regulatory compliance, without the need for costly add-ons or additional IT services.

If you’re looking to enhance your claims management software and reduce manual processes, FlowForma is the wise choice. 

Ready to see it in action? 

Register for a demo today to experience how FlowForma can revolutionise your claims processing.

Paul Stone, Product Evangelist

With almost 30 years’ experience in the IT industry Paul is a highly accomplished digital leader who is the go-to product expert from both a business and technical perspective. Paul works closely with FlowForma’s global clients supporting them in the delivery of FlowForma’s Process Automation tool.

Paul Stone, Product Evangelist

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