North America Insurance Third-Party Administrator Market Forecast to 2031 - Regional Analysis - by Insurance Type (Healthcare, Retirement Plans, Commercial General Liability Insurers, and Other Insurance Types) and End User (Large Enterprises and SMEs)

Description

List of Tables

The North America insurance third-party administrator market was valued at US$ 1,22,016.25 million in 2023 and is expected to reach US$ 2,82,490.88 million by 2031; it is estimated to record a CAGR of 11.1% from 2023 to 2031.

Increase in Preference for Administrators in Health Insurance Fuels North America Insurance Third-Party Administrator Market

Third-party administrators serve as mediators between insurance companies and policyholders. They oversee specific services, such as processing claims, providing customer support, and managing payment transactions on behalf of health insurance companies. These service providers play a pivotal role in handling different facets of health insurance. They maintain policyholders' important records in a dedicated database and provide smooth back-end assistance. Third-party administrators also ensure the correct processing of policyholders' claims. They guarantee that the hospitals they manage meet the standards of network membership, allowing for hassle-free claim settlement. Various value-added services provided by several third-party administrators include specialized consultations, ambulance services, medical supplies, wellness programs, lifestyle management, 24-hour toll-free helplines, and health facilities. Due to these benefits, various renowned insurers opt for third-party administrators. Thus, a broad application of third-party administrators in healthcare insurance drives the growth of the market.

North America Insurance Third-Party Administrator Market Overview

The US, Canada, and Mexico are among the major economies in North America. This region accounts for a significant share of the global insurance third-party administrator market. These administrators handle claims operations and various other services for the insurance companies. North America is a highly advanced region. Businesses in this region widely adopt advanced solutions to simplify their business workflow and operations. Continuous digitalization in the insurance industry is one of the factors fueling the insurance third-party administrator market growth in North America. For example, in October 2023, LIDP partnered with Sutherland, a global digital-first business-process-as-a-service (BPaaS) provider, to introduce innovative, comprehensive solutions. Digital tools and AI drive middle-office and back-office digitization and customer experience (CX), along with providing more precise insights into the insurance carrier business and growth.

North America Insurance Third-Party Administrator Market Revenue and Forecast to 2031 (US$ Million)

North America Insurance Third-Party Administrator Market Segmentation

The North America insurance third-party administrator market is segmented based on insurance type, end users, and country. Based on insurance type, the North America insurance third-party administrator market is segmented into healthcare, retirement plans, commercial general liability insurers, and other insurance types. The healthcare segment held the largest market share in 2023.

In terms of end users, the North America insurance third-party administrator market is bifurcated into large enterprises and SMEs. The large enterprises segment held a larger market share in 2023.

Based on country, the North America insurance third-party administrator market is segmented into the US, Canada, and Mexico. The US dominated the North America insurance third-party administrator market share in 2023.

Sedgwick; Crawford and Company; CorVel Corp; UnitedHealth Group Inc; Liberty Mutual Insurance Company; Charles Taylor Limited; ExlService Holdings, Inc; Arthur J Gallagher & Co; Meritain Health; and Chubb Ltd are some of the leading players operating in the North America insurance third-party administrator market.

Product Code: BMIRE00031552

1. Introduction

1.1 The Insight Partners Research Report Guidance
1.2 Market Segmentation

2. Executive Summary

2.1 Key Insights
2.2 Market Attractiveness

3. Research Methodology

3.1 Secondary Research
3.2 Primary Research
- 3.2.1 Hypothesis formulation:
- 3.2.2 Macro-economic factor analysis:
- 3.2.3 Developing base number:
- 3.2.4 Data Triangulation:
- 3.2.5 Country level data:

4. North America Insurance Third-Party Administrator Market Landscape

4.1 Overview
4.2 Ecosystem Analysis
- 4.2.1 List of Vendors in the Value Chain

5. North America Insurance Third-Party Administrator Market - Key Market Dynamics

5.1 Insurance Third-Party Administrator Market - Key Market Dynamics
5.2 Market Drivers
- 5.2.1 Increase in Preference for Administrators in Health Insurance
- 5.2.2 Growing Complexity of Insurance Claims
5.3 Market Restraints
- 5.3.1 Data Privacy and Security Concerns
5.4 Market Opportunities
- 5.4.1 Proliferation of Insurance Industry
5.5 Market Trends
- 5.5.1 Digital Third-Party Administrators
5.6 Impact of Drivers and Restraints:

6. Insurance Third-Party Administrator Market - North America Market Analysis

6.1 Overview
6.2 Insurance Third-Party Administrator Market Revenue (US$ Million), 2021-2031
6.3 Insurance Third-Party Administrator Market Forecast Analysis

7. North America Insurance Third-Party Administrator Market Analysis - by Insurance Type

7.1 Healthcare
- 7.1.1 Overview
- 7.1.2 Healthcare: Insurance Third-Party Administrator Market - Revenue and Forecast to 2031 (US$ Million)
7.2 Retirement Plans
- 7.2.1 Overview
- 7.2.2 Retirement Plans: Insurance Third-Party Administrator Market - Revenue and Forecast to 2031 (US$ Million)
7.3 Commercial General Liability Insurers
- 7.3.1 Overview
- 7.3.2 Commercial General Liability Insurers: Insurance Third-Party Administrator Market - Revenue and Forecast to 2031 (US$ Million)
7.4 Other Insurance Types
- 7.4.1 Overview
- 7.4.2 Other Insurance Types: Insurance Third-Party Administrator Market - Revenue and Forecast to 2031 (US$ Million)

8. North America Insurance Third-Party Administrator Market Analysis - by End Users

8.1 Large Enterprises
- 8.1.1 Overview
- 8.1.2 Large Enterprises: Insurance Third-Party Administrator Market - Revenue and Forecast to 2031 (US$ Million)
8.2 SMEs
- 8.2.1 Overview
- 8.2.2 SMEs: Insurance Third-Party Administrator Market - Revenue and Forecast to 2031 (US$ Million)

9. North America Insurance Third-Party Administrator Market - Country Analysis

9.1 North America
- 9.1.1 North America Insurance Third-Party Administrator Market Overview
- 9.1.2 North America: Insurance Third-Party Administrator Market - Revenue and Forecast Analysis - by Country
  - 9.1.2.1 North America: Insurance Third-Party Administrator Market - Revenue and Forecast Analysis - by Country
  - 9.1.2.2 United States: Insurance Third-Party Administrator Market - Revenue and Forecast to 2031 (US$ Million)
    - 9.1.2.2.1 United States: Insurance Third-Party Administrator Market Breakdown, by Insurance Type
    - 9.1.2.2.2 United States: Insurance Third-Party Administrator Market Breakdown, by End Users
  - 9.1.2.3 Canada: Insurance Third-Party Administrator Market - Revenue and Forecast to 2031 (US$ Million)
    - 9.1.2.3.1 Canada: Insurance Third-Party Administrator Market Breakdown, by Insurance Type
    - 9.1.2.3.2 Canada: Insurance Third-Party Administrator Market Breakdown, by End Users
  - 9.1.2.4 Mexico: Insurance Third-Party Administrator Market - Revenue and Forecast to 2031 (US$ Million)
    - 9.1.2.4.1 Mexico: Insurance Third-Party Administrator Market Breakdown, by Insurance Type
    - 9.1.2.4.2 Mexico: Insurance Third-Party Administrator Market Breakdown, by End Users

10. Competitive Landscape

10.1 Company Positioning & Concentration
10.2 Heat Map Analysis by Key Players

11. Industry Landscape

11.1 Overview
11.2 Market Initiative
11.3 Merger and Acquisition
11.4 Product Development

12. Company Profiles

12.1 Sedgwick
- 12.1.1 Key Facts
- 12.1.2 Business Description
- 12.1.3 Products and Services
- 12.1.4 Financial Overview
- 12.1.5 SWOT Analysis
- 12.1.6 Key Developments
12.2 Crawford and Company
- 12.2.1 Key Facts
- 12.2.2 Business Description
- 12.2.3 Products and Services
- 12.2.4 Financial Overview
- 12.2.5 SWOT Analysis
- 12.2.6 Key Developments
12.3 CorVel Corp
- 12.3.1 Key Facts
- 12.3.2 Business Description
- 12.3.3 Products and Services
- 12.3.4 Financial Overview
- 12.3.5 SWOT Analysis
- 12.3.6 Key Developments
12.4 UnitedHealth Group Inc
- 12.4.1 Key Facts
- 12.4.2 Business Description
- 12.4.3 Products and Services
- 12.4.4 Financial Overview
- 12.4.5 SWOT Analysis
- 12.4.6 Key Developments
12.5 Liberty Mutual Insurance Company
- 12.5.1 Key Facts
- 12.5.2 Business Description
- 12.5.3 Products and Services
- 12.5.4 Financial Overview
- 12.5.5 SWOT Analysis
- 12.5.6 Key Developments
12.6 Charles Taylor Limited
- 12.6.1 Key Facts
- 12.6.2 Business Description
- 12.6.3 Products and Services
- 12.6.4 Financial Overview
- 12.6.5 SWOT Analysis
- 12.6.6 Key Developments
12.7 ExlService Holdings, Inc.
- 12.7.1 Key Facts
- 12.7.2 Business Description
- 12.7.3 Products and Services
- 12.7.4 Financial Overview
- 12.7.5 SWOT Analysis
- 12.7.6 Key Developments
12.8 Arthur J Gallagher & Co
- 12.8.1 Key Facts
- 12.8.2 Business Description
- 12.8.3 Products and Services
- 12.8.4 Financial Overview
- 12.8.5 SWOT Analysis
- 12.8.6 Key Developments
12.9 Meritain Health
- 12.9.1 Key Facts
- 12.9.2 Business Description
- 12.9.3 Products and Services
- 12.9.4 Financial Overview
- 12.9.5 SWOT Analysis
- 12.9.6 Key Developments
12.10 Chubb Ltd
- 12.10.1 Key Facts
- 12.10.2 Business Description
- 12.10.3 Products and Services
- 12.10.4 Financial Overview
- 12.10.5 SWOT Analysis
- 12.10.6 Key Developments

13. Appendix

13.1 Word Index
13.2 About The Insight Partners