Global Claims Processing Services Category - Procurement Market Intelligence Report

Procurement insights to identify the key category growth drivers, pricing models, and supplier negotiation strategies are available in this procurement report on claims processing category.

  • Published: May 2018
  • Pages: 105
  • SKU: IRCMSTR12532
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Introduction

An analysis of the supply market for claims processing category shows that the spend momentum is expected to accelerate during the forecast period. According to this procurement report, the category suppliers are investing in technological tools to enhance their service capabilities. In addition, the growth of technologies such as IoT, AI, big data analytics, and fraud detection will drive the spend momentum in the category. The procurement report on claims processing market also offers detailed insights into the current supply market and the sustainability practices to help the buyers identify cost-saving opportunities.

Why should you buy the report?

This procurement report on the claims processing category offers a comprehensive analysis of the global and regional spend dynamics and its impact on the overall pricing. In this procurement report, the category spend is analyzed from the perspective of the buyers and the suppliers. It also offers detailed information on the current market, category pricing, and top suppliers in the category. Information offered in this procurement report will help the buyers:

  • Understand the spend potential within the claims processing market
  • Compare pricing models
  • Identify the cost and the volume drivers impacting pricing
  • Assess the global and regional category risks
  • Understand the supply chain margins

Understand the global category spend        

The claims processing category is anticipated to witness an increase in the global category spend until 2022. Key factors, such as the increasing demand for claims related to insurance and workplace benefits, will influence the category spend in the next couple of years. This procurement report, which is an integral part of SpendEdge’s financial services considers the shift towards the implementation of efficient litigation management services to be one of the key factors boosting the overall spend momentum in the market. Additional insights offered in this procurement report include an analysis of:

  • Global spend on claims processing for the period of 2017-2022
  • Global and regional category spend growth
  • Supplier cost structure
  • Key sustainability practices

Optimize category spend

In the claims processing market, the buyers prefer to outsource claims processing services based on suppliers level of expertise in the line of business. Also, the buyers should develop a claims business plan with the suppliers to address the basic aspects of claims processing. The buyers in the market also prefer engaging with the suppliers who train their staff on litigation management and related cost-reduction measures. To optimize the category spend, this procurement report on the claims processing category also offers detailed information on:

  • Procurement best practices
  • Impact of regional trends
  • Category maturity by regions

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Understand the supply landscape

According to this procurement report, the buyers should evaluate the suppliers based on their ability to complete the claim investigation. In addition, the buyers in the market should also evaluate the CSI to implement performance improvement measures. To better understand the supply landscape, this procurement report offers an analysis on:

  • Supplier selection strategy
  • Incumbent supplier evaluation
  • Supplier positioning

Build effective category management strategies

A major category requirement for the buyers is to collaborate with the suppliers who ensure reduction in the TCO. In addition, the suppliers in the market should also provide adherence to regulatory nuances. This will help safeguard the buyers from financial obligations caused by legal issues. The major areas covered in this procurement report will help the buyers analyze:

  • Global and regional spend segmentation
  • Category growth drivers
  • Global and regional category risks

An analysis of the top suppliers and the best procurement practices is offered in this procurement report on the claims processing market.

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PART 01: Executive Summary

PART 02: Market Insights

  • Global category spend
  • Category spend growth
  • Spend segmentation by region
  • Regional spend dynamics
  • Regional influence on global spend
  • Regional spend opportunity for suppliers

PART 03: Category Pricing Insights

  • Pricing outlook
  • Supplier cost structure
  • Outlook for input costs
  • Total cost of ownership analysis
  • Overview of pricing models
  • Comparison of pricing models
  • Supply chain margins
  • Cost drivers impacting pricing
  • Volume drivers impacting pricing

PART 04: Cost-Saving Opportunities

  • Supplier side levers
  • Buyer side levers
  • Quantifying cost-saving opportunities
  • Quantifying cost savings by negotiation strategies

PART 05: Best Practices

  • Innovation and success stories
  • Procurement excellence best practices
  • Procurement best practices
  • Sustainability practices

PART 06: Category Ecosystem

  • Market favorability index for suppliers
  • Competitiveness index for suppliers
  • Buyer power
  • Supplier power
  • Threat of new entrants
  • Threat of substitutes
  • Buyer ecosystem
  • Supplier ecosystem

PART 07: Category Management Strategy

  • Category management objectives
  • Supplier and buyer KPIs
  • Outsourcing category management activities
  • Risk management

PART 08: Category Management Enablers

  • Procurement organization
  • Category enablers

PART 09: Suppliers Selection

  • RFx essentials
  • Supplier selection criteria
  • Service level agreement
  • Incumbent supplier evaluation metrics

PART 10: Suppliers Under Coverage

  • Overview
  • Supplier positioning
  • Profile: Kohlberg Kravis Roberts
  • Profile: Crawford
  • Profile: York Risk Services
  • Profile: Gallagher Bassett Services
  • Profile: Aetna
  • Profile: Chubb

PART 11: US Market Insights

  • Category spend in US
  • Price outlook
  • Supplier cost structure in US
  • Margins of suppliers in US
  • Category cost drivers
  • Category volume drivers
  • Overview of best practices in US
  • Procurement best practices in US
  • US supply market overview
  • Supplier positioning for US
  • Regional category risks

PART 12: Category Definition

  • Category hierarchy
  • Category scope
  • Category map

PART 13: Appendix

  • List of abbreviations
  • Key Notes
  • Global category spend (2017-2022)
  • Category spend growth (2017-2022)
  • Regional spend dynamics
  • Regional spend dynamics
  • Comparison of category maturity across regions
  • Regional spend opportunity for suppliers (2017-2022)
  • Category pricing dynamics
  • Supplier cost breakup
  • Input cost dynamics
  • Total cost of ownership model
  • Benefit comparison of pricing models
  • Pricing models – Comparison matrix
  • Supplier margin analysis
  • Margin analysis across supply chain
  • Cost drivers
  • Volume drivers
  • Cost-saving opportunities: Supply side levers
  • Cost-saving opportunities: Demand side levers
  • Cost-saving opportunity matrix
  • Negotiation grid
  • Innovation and success stories
  • Procurement excellence summary: Impact on category
  • Supplier relationship management metrics
  • Strategic sourcing and category management metrics
  • Technology-facilitated procurement metrics
  • Procurement best practices dashboard
  • Sustainability practices: Impact on category
  • Sustainability best practices
  • Market environment score
  • Market competitiveness score
  • Buyer power score
  • Supplier power score
  • Ease of market entry score
  • Ease of substitution score
  • Buyer ecosystem: Outlook
  • Supplier ecosystem: Outlook
  • Ecosystem disruption threats
  • Key category management objectives
  • Supplier KPI dashboard: Importance for category
  • Buyer KPI dashboard: Importance for category
  • Category management enablers
  • Risk management matrix
  • Category enablers: Organization
  • Category enablers: Technology
  • RFx questions
  • Phase I RFI considerations
  • SLA terms
  • Supplier performance benchmarking criteria
  • Supplier operational capability matrix
  • Supplier positioning matrix
  • Kohlberg Kravis Roberts – Key information dashboard
  • Crawford – Key information dashboard
  • York Risk Services – Key information dashboard
  • Gallagher Bassett Services – Key information dashboard
  • Aetna – Key information dashboard
  • Chubb – Key information dashboard
  • US category spend (2017-2022)
  • Category pricing dynamics
  • Supplier cost breakup
  • Supplier margin analysis
  • Margin analysis across supply chain
  • Cost drivers
  • Volume drivers
  • Procurement excellence summary: Impact on category
  • Supplier relationship management
  • Strategic sourcing and category management
  • Technology-facilitated procurement
  • Procurement best practices dashboard
  • Supplier operational capability matrix
  • Supplier positioning matrix
  • Risk management matrix
  • Category definition
  • Category nuances
  • Importance of category relative to other categories

Research Framework

SpendEdge presents a detailed picture of the market by way of study, synthesis, and summation of data from multiple sources. The analysts have presented the various facets of the market with a particular focus on identifying the key category influencers. The data thus presented is comprehensive, reliable, and the result of extensive research, both primary and secondary.

INFORMATION SOURCES

Primary research

  • Procurement heads
  • Category managers
  • Sourcing consortium professionals
  • Industry experts and thought leaders
  • Procurement managers
  • Category heads of suppliers
  • Client account heads/managers
  • Client and industry consultants

Secondary research

  • Industry journals and reports
  • Periodicals and new articles
  • Category webinars
  • Internal categiry playbooks
  • Industry and government websites on regulations and compliance
  • Internal databases
  • Industry blogs/thought leader briefings

DATA ANALYSIS

SpendEdge INSIGHTS

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