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U.S. Insurance Third-party Administrator Market by Service Type, End User, and Enterprise Size: Opportunity Analysis and Industry Forecast, 2021-2030

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    Report

  • 102 Pages
  • November 2021
  • Region: United States
  • Allied Market Research
  • ID: 5533802
A third-party administrator is a company that provides operational services such as claims processing and employee benefits management under contract to another company. Insurance companies and self-insured companies often outsource their claims processing to third-party administrator. Furthermore, third-party administrator services are commonly used by health insurance providers & employee management firms to outsource their administrative functions such as claims administration, premium billing, customer enrollment, and other day-to-day operations.

Adoption of third party administrator services by the health insurance companies and need for effective management of claims by insurance companies are some of the factors propelling the market growth. However, concern regarding security and privacy from third parties is a major factor limiting the U.S. insurance third party administrator market analysis. On the contrary, use of technology by TPAs to handle claims and other processes ensures highly efficient insurance services & provides outstanding service and reduces operational cost. Technologies, such as Internet of things (IoT), artificial intelligence, and machine learning, have led to the growth of the industry. For instance, Exela Technologies, Inc., a global business process automation (BPA) leader, expanded the PCH Global platform deployment to accelerate the digital transformation efforts for a major U.S. health insurance company’s TPA division. This expansion of deployment has digitally connected members, providers, and insurance companies for better claim process, payment transparency, and digital appeals. Thus, the demand for insurance third party administration is expected to grow tremendously in the coming years.

The U.S. insurance third party administrator market share is segmented on the basis of service type, end user, enterprise size, and region. By service type, it is divided into claims management, policy management, commissions management, and others. By end user, it is bifurcated into life & health insurance and property & casualty (P&C) insurance. By enterprise size, it is divided into large enterprises and small & medium-sized enterprises.

The report analyzes the profiles of key players operating in the U.S. insurance third party administrator market forecast such as Charles Taylor, CORVEL, CRAWFORD & COMPANY, ESIS, ExlService Holdings, Inc., GALLAGHER BASSETT SERVICES, INC., Helmsman Management Services LLC, Meritain Health, SEDGWICK, and United HealthCare Services, Inc. These players have adopted various strategies to increase their market penetration and strengthen their position in the U.S. insurance third party administrator market outlook.

KEY BENEFITS FOR STAKEHOLDERS

  • The study provides in-depth analysis of the U.S. insurance third party administrator market growth along with the current & future trends to illustrate the imminent investment pockets.
  • Information about key drivers, restrains, & opportunities and their impact analysis on the U.S. insurance third party administrator market size are provided in the report.
  • Porter’s five forces analysis illustrates the potency of buyers and suppliers operating in the industry.
  • The quantitative analysis of the U.S. insurance third party administrator market trends from 2021 to 2030 is provided to determine the market potential.

KEY MARKET SEGMENTS


By Service Type

  • Claims Management
  • Policy Management
  • Commissions Management
  • Others

By End User

  • Life & Health Insurance
  • Property & Casualty (P&C) Insurance

By Enterprise Size

  • Large Enterprises
  • Small & Medium-sized Enterprises

Key Market Players

  • Charles Taylor
  • CORVEL
  • CRAWFORD & COMPANY
  • ESIS
  • ExlService Holdings, Inc.
  • GALLAGHER BASSETT SERVICES, INC.
  • Helmsman Management Services LLC
  • Meritain Health
  • SEDGWICK
  • United HealthCare Services, Inc.

Table of Contents

CHAPTER 1: INTRODUCTION
1.1. Report description
1.2. Key benefits for stakeholders
1.3. Key market segments
1.4. Research methodology
1.4.1. Secondary research
1.4.2. Primary research
1.4.3. Analyst tools and models
CHAPTER 2: EXECUTIVE SUMMARY
2.1. Key findings
2.1.1. Top impacting factors
2.1.2. Top investment pockets
2.2. CXO perspective
CHAPTER 3: MARKET OVERVIEW
3.1. Market definition and scope
3.2. Key forces shaping U.S. insurance third-party administrator market
3.3. Industry evolution/industry roadmap
3.4. Market dynamics
3.4.1. Drivers
3.4.1.1. Surge in adoption of third-party administration services in the health insurance industry
3.4.1.2. Rise in need for operational efficiency & transparency in insurance business process
3.4.2. Restraint
3.4.2.1. Security issues and privacy concerns
3.4.3. Opportunity
3.4.3.1. Advancements in third-party administrator services
3.5. COVID-19 impact analysis on U.S. insurance third-party administrator market
3.5.1. Impact on U.S. insurance third-party administrator market size
3.5.2. Change in consumer trends, preferences, and budget impact due to COVID-19
3.5.3. Framework for market challenges faced by insurance third-party administrator providers
3.5.4. Economic impact on U.S. insurance third-party administrator providers
3.5.5. Key player strategies to tackle negative impact on the industry
3.5.6. Opportunity analysis for insurance third-party administrator
CHAPTER 4: U.S. INSURANCE THIRD-PARTY ADMINISTRATOR MARKET, BY ENTERPRISE SIZE
4.1. Overview
4.2. Large enterprises
4.2.1. Key market trends, growth factors, and opportunities
4.2.2. Market size and forecast
4.3. Small- & medium-sized enterprises (SMEs)
4.3.1. Key market trends, growth factors, and opportunities
4.3.2. Market size and forecast
CHAPTER 5: U.S. INSURANCE THIRD-PARTY ADMINISTRATOR MARKET, BY END USER
5.1. Overview
5.2. Life & health insurance
5.2.1. Key market trends, growth factors, and opportunities
5.2.2. Market size and forecast
5.3. P&C insurance
5.3.1. Key market trends, growth factors, and opportunities
5.3.2. Market size and forecast
CHAPTER 6: U.S. INSURANCE THIRD-PARTY ADMINISTRATOR MARKET, BY SERVICE TYPE
6.1. Overview
6.2. Claims management
6.2.1. Key market trends, growth factors, and opportunities
6.2.2. Market size and forecast
6.3. Policy management
6.3.1. Key market trends, growth factors, and opportunities
6.3.2. Market size and forecast
6.4. Commission management
6.4.1. Key market trends, growth factors, and opportunities
6.4.2. Market size and forecast
6.5. Others
6.5.1. Key market trends, growth factors, and opportunities
6.5.2. Market size and forecast
CHAPTER 7: COMPETITIVE LANDSCAPE
7.1. Introduction
7.1.1. Market player positioning, 2020
7.1.2. Top winning strategies
CHAPTER 8: COMPANY PROFILES
8.1. CHARLES TAYLOR
8.1.1. Company overview
8.1.2. Company snapshot
8.1.3. Product portfolio
8.1.4. Key strategic moves and developments
8.2. CORVEL
8.2.1. Company overview
8.2.2. Company snapshot
8.2.3. Product portfolio
8.2.4. Business performance
8.2.5. Key strategic moves and developments
8.3. CRAWFORD & COMPANY
8.3.1. Company overview
8.3.2. Company snapshot
8.3.3. Product portfolio
8.3.4. Key strategic moves and developments
8.4. ESIS
8.4.1. Company overview
8.4.2. Company snapshot
8.4.3. Product portfolio
8.4.4. Key strategic moves and developments
8.5. EXLSERVICE HOLDINGS, INC.
8.5.1. Company overview
8.5.2. Company snapshot
8.5.3. Operating business segments
8.5.4. Product portfolio
8.5.5. Business performance
8.5.6. Key strategic moves and developments
8.6. GALLAGHER BASSETT SERVICES, INC.
8.6.1. Company overview
8.6.2. Company snapshot
8.6.3. Product portfolio
8.6.4. Key strategic moves and developments
8.7. HELMSMAN MANAGEMENT SERVICES LLC
8.7.1. Company overview
8.7.2. Company snapshot
8.7.3. Product portfolio
8.7.4. Key strategic moves and developments
8.8. MERITAIN HEALTH
8.8.1. Company overview
8.8.2. Company snapshot
8.8.3. Product portfolio
8.9. SEDGWICK
8.9.1. Company overview
8.9.2. Company snapshot
8.9.3. Product portfolio
8.10. UNITED HEALTHCARE SERVICES, INC.
8.10.1. Company overview
8.10.2. Company snapshot
8.10.3. Product portfolio
8.10.4. Business performance
List of Tables
TABLE 01. U.S. INSURANCE THIRD-PARTY ADMINISTRATOR MARKET REVENUE, BY ENTERPRISE SIZE, 2020-2030 ($MILLION)
TABLE 02. U.S. INSURANCE THIRD-PARTY ADMINISTRATOR MARKET REVENUE FOR LARGE ENTERPRISES, 2020–2030 ($MILLION)
TABLE 03. U.S. INSURANCE THIRD-PARTY ADMINISTRATOR MARKET REVENUE FOR SMALL- & MEDIUM-SIZED ENTERPRISES (SMES), 2020–2030 ($MILLION)
TABLE 04. U.S. INSURANCE THIRD-PARTY ADMINISTRATOR MARKET REVENUE, BY END USER, 2020-2030 ($MILLION)
TABLE 05. U.S. INSURANCE THIRD-PARTY ADMINISTRATOR MARKET REVENUE FOR LIFE & HEALTH INSURANCE, 2020–2030 ($MILLION)
TABLE 06. U.S. INSURANCE THIRD-PARTY ADMINISTRATOR MARKET REVENUE FOR PROPERTY & CASUALTY (P&C) INSURANCE, 2020–2030 ($MILLION)
TABLE 07. U.S. INSURANCE THIRD-PARTY ADMINISTRATOR MARKET, BY SERVICE TYPE, 2020-2030 ($MILLION)
TABLE 08. U.S. INSURANCE THIRD-PARTY ADMINISTRATOR MARKET REVENUE FOR CLAIMS MANAGEMENT, 2020–2030 ($MILLION)
TABLE 09. U.S. INSURANCE THIRD-PARTY ADMINISTRATOR MARKET REVENUE FOR POLICY MANAGEMENT, 2020–2030 ($MILLION)
TABLE 10. U.S. INSURANCE THIRD-PARTY ADMINISTRATOR MARKET REVENUE FOR COMMISSION MANAGEMENT, 2020–2030 ($MILLION)
TABLE 11. U.S. INSURANCE THIRD-PARTY ADMINISTRATOR MARKET REVENUE FOR OTHERS, 2020–2030 ($MILLION)
TABLE 12. CHARLES TAYLOR: COMPANY SNAPSHOT
TABLE 13. CHARLES TAYLOR: PRODUCT PORTFOLIO
TABLE 14. CORVEL: COMPANY SNAPSHOT
TABLE 15. CORVEL: PRODUCT PORTFOLIO
TABLE 16. CRAWFORD & COMPANY: COMPANY SNAPSHOT
TABLE 17. CRAWFORD & COMPANY: PRODUCT PORTFOLIO
TABLE 18. ESIS: COMPANY SNAPSHOT
TABLE 19. ESIS: PRODUCT PORTFOLIO
TABLE 20. EXLSERVICE HOLDINGS, INC.: COMPANY SNAPSHOT
TABLE 21. EXLSERVICE HOLDINGS, INC.: OPERATING SEGMENTS
TABLE 22. EXLSERVICE HOLDINGS, INC.: PRODUCT PORTFOLIO
TABLE 23. GALLAGHER BASSETT SERVICES, INC.: COMPANY SNAPSHOT
TABLE 24. GALLAGHER BASSETT SERVICES, INC.: PRODUCT PORTFOLIO
TABLE 25. HELMSMAN MANAGEMENT SERVICES LLC: COMPANY SNAPSHOT
TABLE 26. HELMSMAN MANAGEMENT SERVICES LLC: PRODUCT PORTFOLIO
TABLE 27. MERITAIN HEALTH: COMPANY SNAPSHOT
TABLE 28. MERITAIN HEALTH: PRODUCT PORTFOLIO
TABLE 29. SEDGWICK: COMPANY SNAPSHOT
TABLE 30. SEDGWICK: PRODUCT PORTFOLIO
TABLE 31. UNITED HEALTHCARE SERVICES, INC.: COMPANY SNAPSHOT
TABLE 32. UNITED HEALTHCARE SERVICES, INC.: PRODUCT PORTFOLIO
List of Figures
FIGURE 01. KEY MARKET SEGMENTS
FIGURE 02. U.S. INSURANCE THIRD-PARTY ADMINISTRATOR MARKET, 2020–2030
FIGURE 03. TOP IMPACTING FACTORS
FIGURE 04. TOP INVESTMENT POCKETS
FIGURE 05. MODERATE-TO-HIGH BARGAINING POWER OF SUPPLIERS
FIGURE 06. MODERATE BARGAINING POWER OF BUYER
FIGURE 07. LOW-TO-MODERATE THREAT OF SUBSTITUTES
FIGURE 08. HIGH THREAT OF NEW ENTRANTS
FIGURE 09. MODERATE COMPETITIVE RIVALRY
FIGURE 10. MARKET EVOLUTION/INDUSTRY ROADMAP
FIGURE 11. U.S. INSURANCE THIRD-PARTY ADMINISTRATOR MARKET, BY ENTERPRISE SIZE, 2020-2030
FIGURE 12. U.S. INSURANCE THIRD-PARTY ADMINISTRATOR MARKET, BY END USER, 2020-2030
FIGURE 13. U.S. INSURANCE THIRD-PARTY ADMINISTRATOR MARKET, BY SERVICE TYPE, 2020-2030
FIGURE 14. MARKET PLAYER POSITIONING, 2020
FIGURE 15. TOP WINNING STRATEGIES, BY YEAR, 2019–2021
FIGURE 16. TOP WINNING STRATEGIES, BY DEVELOPMENT, 2019–2021
FIGURE 17. TOP WINNING STRATEGIES, BY COMPANY, 2019–2021
FIGURE 18. CORVEL: NET SALES, 2018–2020 ($MILLION)
FIGURE 19. EXLSERVICE HOLDINGS, INC.: REVENUE, 2018–2020 ($MILLION)
FIGURE 20. EXLSERVICE HOLDINGS, INC.: REVENUE SHARE, BY SEGMENT, 2020 (%)
FIGURE 21. UNITED HEALTHCARE SERVICES, INC.: NET REVENUE, 2018–2020 ($MILLION)

Companies Mentioned

  • Charles Taylor
  • CORVEL
  • CRAWFORD & COMPANY
  • ESIS
  • ExlService Holdings Inc.
  • GALLAGHER BASSETT SERVICES INC.
  • Helmsman Management Services LLC
  • Meritain Health
  • SEDGWICK
  • United HealthCare Services Inc

Methodology

The analyst offers exhaustive research and analysis based on a wide variety of factual inputs, which largely include interviews with industry participants, reliable statistics, and regional intelligence. The in-house industry experts play an instrumental role in designing analytic tools and models, tailored to the requirements of a particular industry segment. The primary research efforts include reaching out participants through mail, tele-conversations, referrals, professional networks, and face-to-face interactions.

They are also in professional corporate relations with various companies that allow them greater flexibility for reaching out to industry participants and commentators for interviews and discussions.

They also refer to a broad array of industry sources for their secondary research, which typically include; however, not limited to:

  • Company SEC filings, annual reports, company websites, broker & financial reports, and investor presentations for competitive scenario and shape of the industry
  • Scientific and technical writings for product information and related preemptions
  • Regional government and statistical databases for macro analysis
  • Authentic news articles and other related releases for market evaluation
  • Internal and external proprietary databases, key market indicators, and relevant press releases for market estimates and forecast

Furthermore, the accuracy of the data will be analyzed and validated by conducting additional primaries with various industry experts and KOLs. They also provide robust post-sales support to clients.

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