Third-party administrator (TPA) is a licensed third-party entity, which provides administrative solutions to health insurance companies, employment firms, and other entities. It acts as an intermediary between the insurance company and the policyholder to ensure cashless claims and reimbursement claims are settled effectively. Furthermore, the increase in health insurance customers has accelerated the quantity of work and led to a decrease in the quality of services. Therefore, TPAs are established to assist insurers in arranging for cashless treatments for customers demanding seamless claim settlements. In addition, TPAs also scrutinize hospital bills and documents for their accuracy and help in the processing of the claim.
The rise in the adoption of third-party administrators in the health insurance industry and the rise in the need for operational efficiency & transparency in the insurance business are driving the growth of the market. However, security issues and privacy concerns, along with limited understanding or awareness of insurance third-party administrator services limit the growth of this market. Conversely, technological advancements in third-party administrator services are anticipated to provide numerous opportunities for the expansion of the market during the forecast period.
The insurance third-party administrator market is segmented on the basis of service type, end user, enterprise size, and region. By service type, it is segmented into claims management, policy management, commission management, and others. By end user, it is bifurcated into life & health insurance and property & casualty (P&C) insurance. The life & health insurance type segment is further bifurcated into life insurance and health insurance. The health insurance is divided into disease insurance and medical insurance. Further, disease insurance is segmented into senior citizens, adults, and minors. By enterprise size, the market is divided into large enterprises and small & medium-sized enterprises. Region-wise, it is analyzed across North America, Europe, Asia-Pacific, and LAMEA.
The global insurance third-party administrator market is dominated by key players 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 industry.
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KEY MARKET SEGMENTS
By Service Type
- Claims Management
- Policy Management
- Commission Management
- Others

By End Users
- Life and Health Insurance
- Life and Health Insurance Type
- Life Insurance
- Health Insurance
? Health Insurance Type
- Property and Casualty Insurance
- P and C Service Type
- Claims Management
- Policy Management
- Commission Management
- Others
- P and C Insurance Type
- Property Insurance
- Professional Liability Insurance
- Product Liability Insurance
- Directors and Officers (D AND O) Liability Insurance
- Others
By Enterprise Size
- Large Enterprises
- Small and Medium-Sized Enterprises

By Region
- North America
- U.S.
- Canada
- Europe
- UK
- Germany
- France
- Italy
- Spain
- Netherlands
- Switzerland
- Rest of Europe
- Asia-Pacific
- China
- India
- Japan
- Australia
- South Korea
- Rest of Asia-Pacific
- LAMEA
- Latin America
- Middle East
- Africa
- Key Market Players
- Helmsman Management Services, LLC
- Crawford & Company
- ESIS
- CorVel
- Gallagher Bassett Services LLC
- ExlService Holdings, Inc.
- Meritain Health, Inc.
- Sedgwick
- Charles Taylor
- United Healthcare Services, Inc.