保险第三方管理公司市场规模预计将从2024年的4.135亿美元增至2031年的6.8116亿美元。预计2025年至2031年期间,该市场的复合年增长率将达到7.6 %。数字化第三方管理公司很可能在未来几年为市场带来新的趋势。
保险第三方管理人市场分析
第三方管理人负责处理与保险计划相关的行政和运营任务。行政职责包括处理索赔、招收消费者和收取保费,同时遵守联邦法规。第三方管理人不制定健康保险计划的政策,但协助确保其实施。单个第三方管理人可能与多家保险公司合作,而第三方管理人通常与健康保险相关;他们受雇于保险行业的其他广泛领域。商业责任保险公司和退休计划管理人经常聘请第三方管理人担任理赔员或客户服务代表。第三方管理公司可以是大型跨国公司,而拥有第三方管理人认证的个人也可以作为独立承包商工作。
保险第三方管理市场概览
保险理赔流程可能复杂耗时。在这种情况下,第三方管理机构可以帮助投保人理赔。管理机构会指导投保人完成整个理赔流程,并代表他们提交理赔申请。理赔提交后,第三方管理机构会进行调查和验证。此外,保险公司可以根据自身需求与第三方管理机构定制协议。这些服务还提供健康福利报告和分析、理赔裁定、计划成员客户服务、医疗服务提供商网络访问、详细的医疗费用报告,以及与经纪人和健康保险顾问的合作。
您可以免费定制任何报告,包括本报告的部分内容、国家级分析、Excel 数据包,以及为初创企业和大学提供优惠和折扣
保险第三方管理市场:

- 获取此报告的顶级关键市场趋势。此免费样品将包括数据分析,从市场趋势到估计和预测。
保险第三方管理市场驱动因素和机遇
保险索赔日益复杂
保险理赔管理是指处理和解决投保人提出的保险索赔的系统过程。索赔开始、评估、调整和最终结算是理赔流程的典型阶段。每个阶段都至关重要,需要精确的记录并与保险公司进行沟通。这涉及从最初的索赔申请到赔付或拒赔的整个过程。保险理赔的结算是为了确保投保人获得其应得的赔偿和其他福利。由于拥有多份保单,企业主在保险索赔谈判中举步维艰。此外,许多个人在理赔过程中遭遇延误、争议和拒赔。调查员受雇评估涉及巨额损失或涉嫌欺诈的复杂索赔。理赔过程可能非常困难,因为它需要大量的文件记录、与保险理赔员的沟通以及遵守特定的日期。详尽的索赔记录包括收集证据、证人陈述和其他相关细节。
保险业的蓬勃发展
随着可支配收入的增加,人寿、健康和财产保险等保险产品的价值也在增长。人们越来越意识到疾病、事故或自然灾害等不可预见的情况可能会造成财务损失。因此,个人、企业和其他实体寻求保险单来保护自己免受影响,这推动了对能够帮助管理这些风险的保险解决方案的需求。根据联邦保险局 (FIO) 的数据,2022 年美国有 667 家持牌人寿和健康保险公司、2,656 家财产和意外伤害保险公司和 1,355 家健康保险公司。根据印度品牌资产基金会 (IBEF) 的数据,保险业是印度扩张显著的高端细分市场之一。保险业的这种上升趋势可以归因于收入的增长和人们对该行业的认识的提高。印度是新兴经济体中第六大人寿保险市场,每年增长率为 32-34%。该行业经历了竞争对手之间的激烈竞争。此外,保险业面临诸多制约因素,包括高度动态的监管复杂性,这给保险机构的财务和运营稳定性带来了巨大威胁。因此,保险业的持续发展为未来几年保险第三方管理市场的增长创造了机遇。
保险第三方管理市场报告细分分析
有助于得出保险第三方管理员市场分析的关键部分是保险类型和最终用户。
- 根据类型,市场细分为医疗保健、退休计划、商业综合责任保险和其他。医疗保健领域在2024年保险第三方管理市场中占据最大份额。
- 就最终用户而言,市场分为大型企业和中小型企业。2024年,大型企业在保险第三方管理市场中占据较大份额。
保险第三方管理人市场份额(按地区)分析
保险第三方管理市场报告的地理范围分为五个地区:北美、亚太、欧洲、中东和非洲以及南美和中美。
2024 年,欧洲占据了相当大的市场份额。欧洲的第三方保险管理市场分为德国、法国、英国、意大利、俄罗斯和欧洲其他地区。全球宏观经济的不确定性以及英国和欧盟保险公司面临的成本压力,导致欧洲经济状况不佳。因此,保险公司专注于削减可自由支配的开支以节省成本。然而,他们倾向于采用数字化转型和外包实践来获得长期利益。根据 Everest Group Life and Annuities Insurance BPS 和 PEAK Matrix 评估 2023,选择外包任务的保险公司为在欧洲运营的第三方保险管理公司创造了巨大的机会。此外,保险公司正在广泛采用端到端解决方案来满足不断变化的客户偏好和满意度。
2021年1月,快速发展的保险科技公司bolttech在欧洲推出其首个移动设备保险计划Direkt-Schutz后,与Drei Austria合作,为其提供设备保护服务。此前,bolttech已在意大利、奥地利和爱尔兰成功推出其创新的设备保护开关解决方案。Direkt-Schutz的推出,得益于bolttech被任命为全球领先保险公司AIG的认证第三方管理人。这一里程碑为bolttech不断发展的业务奠定了坚实的基础,使其能够在整个欧洲提供类似的保险服务。
保险第三方管理市场区域洞察
Insight Partners 的分析师已详尽阐述了预测期内影响保险第三方管理市场的区域趋势和因素。本节还讨论了北美、欧洲、亚太地区、中东和非洲以及南美和中美洲的保险第三方管理市场细分和地域分布。
保险第三方管理市场报告范围
报告属性 | 细节 |
---|---|
2024年的市场规模 | 4.135亿美元 |
2031年的市场规模 | 6.8116亿美元 |
全球复合年增长率(2025-2031) | 7.6% |
史料 | 2021-2023 |
预测期 | 2025-2031 |
涵盖的领域 | 按保险类型
|
覆盖地区和国家 | 北美
|
市场领导者和主要公司简介 |
|
保险第三方管理市场参与者密度:了解其对业务动态的影响
保险第三方管理市场正在快速增长,这得益于终端用户需求的不断增长,而这些需求的驱动因素包括消费者偏好的演变、技术进步以及对产品优势的认知度的提升。随着需求的增长,企业正在扩展其产品线,不断创新以满足消费者需求,并抓住新兴趋势,从而进一步推动市场增长。

- 获取保险第三方管理市场顶级关键参与者概述
保险第三方管理人市场新闻及最新发展
保险第三方管理人市场评估是通过收集一手和二手资料后进行的定性和定量数据进行评估的,这些数据包括重要的公司出版物、协会数据和数据库。以下列出了保险第三方管理人市场的一些发展情况:
- Sedgwick 宣布获得 Altas Partners 的战略投资。现有投资者,包括全球投资公司凯雷集团 (Carlyle, NASDAQ: CG) 和 Stone Point Capital LLC 管理的基金,将继续作为投资者,并继续对该业务进行重大新投资。凯雷集团将与投资者集团和 Sedgwick 管理团队合作,保持其控制权。(来源:Sedgwick,新闻稿,2024 年 9 月)
- ExlService Holdings, Inc. 宣布与保险公司建立联盟,为保险公司提供财产和意外险理赔及数字化第三方代理 (TPA) 服务,包括增强的现代化理赔服务体验。该联盟使美国市场的 EXL 客户能够享受数字化优先的理赔 TPA 服务,并拥有 Xceedance 的持证理赔员团队,从而提升保单持有人服务体验。(来源:ExlService Holdings, Inc.,新闻稿,2024 年 7 月)
保险第三方管理市场报告覆盖范围及交付成果
《保险第三方管理市场规模和预测(2021-2031)》报告对以下领域进行了详细的市场分析:
- 保险第三方管理市场规模以及涵盖范围内所有关键细分市场的全球、区域和国家层面的预测
- 保险第三方管理市场趋势,以及驱动因素、限制因素和关键机遇等市场动态
- 详细的 PEST 和 SWOT 分析
- 保险第三方管理市场分析涵盖主要市场趋势、全球和区域框架、主要参与者、法规和最新市场发展
- 行业格局和竞争分析,涵盖市场集中度、热图分析、知名参与者以及保险第三方管理市场的最新发展
- 详细的公司简介
- 历史分析(2 年)、基准年、预测(7 年)及复合年增长率
- PEST 和 SWOT 分析
- 市场规模价值/数量 - 全球、区域、国家
- 行业和竞争格局
- Excel 数据集


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Report Coverage
Revenue forecast, Company Analysis, Industry landscape, Growth factors, and Trends

Segment Covered
This text is related
to segments covered.

Regional Scope
North America, Europe, Asia Pacific, Middle East & Africa, South & Central America

Country Scope
This text is related
to country scope.
常见问题
Large enterprises held ~64–65% market share in 2024
The market was valued around US$413.50 million in 2024, projected to reach US$681.16million by 2031, with a CAGR of 7.6%
1. Health plan administration is projected to reach US$10 billion by 2030
2. Worker compensation continues steady growth (~4.6–10% CAGR)
3. Travel and SME insurance are rising in emerging markets .
Leading firms include:
Sedgwick, Crawford and Company, CorVel Corp., United Healthcare Services LLC, Helmsman Management Services, LLC, Charles Tayler, ExlService Holdings, Inc., Gallagher Bassett Services LLC, and Meritain Health, Inc., and many region-specific specialists
The Healthcare segment leads, capturing over 52–55% of the market in 2024.
1. Operational outsourcing to reduce costs and improve efficiency
2. Fraud detection demand, using AI/ML analytics
3. Digital transformation, including cloud, AI, and automation
4. Growing insurance penetration and rising healthcare costs
1. Rising healthcare and administrative costs .
2. Tightening regulatory compliance, like GDPR and health privacy laws
3. Fee pressures necessitating adoption of AI and automation
1. Cloud-based platforms now account for ~50% of deployments .
2. AI/ML-powered analytics—fastest-growing tech segment (~12.3% CAGR) .
3. Emerging blockchain pilots for secure, automated claims
1. North America leads with ~48.2% share (~US$199.36 million in 2024)
2. Asia-Pacific growing rapidly (~7–7.2% CAGR)
3. Europe, South America, and MEA also show steady growth
The List of Companies - Insurance Third-Party Administrator Market
- 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
- Chubb Ltd
The Insight Partners performs research in 4 major stages: Data Collection & Secondary Research, Primary Research, Data Analysis and Data Triangulation & Final Review.
- Data Collection and Secondary Research:
As a market research and consulting firm operating from a decade, we have published and advised several client across the globe. First step for any study will start with an assessment of currently available data and insights from existing reports. Further, historical and current market information is collected from Investor Presentations, Annual Reports, SEC Filings, etc., and other information related to company’s performance and market positioning are gathered from Paid Databases (Factiva, Hoovers, and Reuters) and various other publications available in public domain.
Several associations trade associates, technical forums, institutes, societies and organization are accessed to gain technical as well as market related insights through their publications such as research papers, blogs and press releases related to the studies are referred to get cues about the market. Further, white papers, journals, magazines, and other news articles published in last 3 years are scrutinized and analyzed to understand the current market trends.
- Primary Research:
The primarily interview analysis comprise of data obtained from industry participants interview and answers to survey questions gathered by in-house primary team.
For primary research, interviews are conducted with industry experts/CEOs/Marketing Managers/VPs/Subject Matter Experts from both demand and supply side to get a 360-degree view of the market. The primary team conducts several interviews based on the complexity of the markets to understand the various market trends and dynamics which makes research more credible and precise.
A typical research interview fulfils the following functions:
- Provides first-hand information on the market size, market trends, growth trends, competitive landscape, and outlook
- Validates and strengthens in-house secondary research findings
- Develops the analysis team’s expertise and market understanding
Primary research involves email interactions and telephone interviews for each market, category, segment, and sub-segment across geographies. The participants who typically take part in such a process include, but are not limited to:
- Industry participants: VPs, business development managers, market intelligence managers and national sales managers
- Outside experts: Valuation experts, research analysts and key opinion leaders specializing in the electronics and semiconductor industry.
Below is the breakup of our primary respondents by company, designation, and region:
Once we receive the confirmation from primary research sources or primary respondents, we finalize the base year market estimation and forecast the data as per the macroeconomic and microeconomic factors assessed during data collection.
- Data Analysis:
Once data is validated through both secondary as well as primary respondents, we finalize the market estimations by hypothesis formulation and factor analysis at regional and country level.
- Macro-Economic Factor Analysis:
We analyse macroeconomic indicators such the gross domestic product (GDP), increase in the demand for goods and services across industries, technological advancement, regional economic growth, governmental policies, the influence of COVID-19, PEST analysis, and other aspects. This analysis aids in setting benchmarks for various nations/regions and approximating market splits. Additionally, the general trend of the aforementioned components aid in determining the market's development possibilities.
- Country Level Data:
Various factors that are especially aligned to the country are taken into account to determine the market size for a certain area and country, including the presence of vendors, such as headquarters and offices, the country's GDP, demand patterns, and industry growth. To comprehend the market dynamics for the nation, a number of growth variables, inhibitors, application areas, and current market trends are researched. The aforementioned elements aid in determining the country's overall market's growth potential.
- Company Profile:
The “Table of Contents” is formulated by listing and analyzing more than 25 - 30 companies operating in the market ecosystem across geographies. However, we profile only 10 companies as a standard practice in our syndicate reports. These 10 companies comprise leading, emerging, and regional players. Nonetheless, our analysis is not restricted to the 10 listed companies, we also analyze other companies present in the market to develop a holistic view and understand the prevailing trends. The “Company Profiles” section in the report covers key facts, business description, products & services, financial information, SWOT analysis, and key developments. The financial information presented is extracted from the annual reports and official documents of the publicly listed companies. Upon collecting the information for the sections of respective companies, we verify them via various primary sources and then compile the data in respective company profiles. The company level information helps us in deriving the base number as well as in forecasting the market size.
- Developing Base Number:
Aggregation of sales statistics (2020-2022) and macro-economic factor, and other secondary and primary research insights are utilized to arrive at base number and related market shares for 2022. The data gaps are identified in this step and relevant market data is analyzed, collected from paid primary interviews or databases. On finalizing the base year market size, forecasts are developed on the basis of macro-economic, industry and market growth factors and company level analysis.
- Data Triangulation and Final Review:
The market findings and base year market size calculations are validated from supply as well as demand side. Demand side validations are based on macro-economic factor analysis and benchmarks for respective regions and countries. In case of supply side validations, revenues of major companies are estimated (in case not available) based on industry benchmark, approximate number of employees, product portfolio, and primary interviews revenues are gathered. Further revenue from target product/service segment is assessed to avoid overshooting of market statistics. In case of heavy deviations between supply and demand side values, all thes steps are repeated to achieve synchronization.
We follow an iterative model, wherein we share our research findings with Subject Matter Experts (SME’s) and Key Opinion Leaders (KOLs) until consensus view of the market is not formulated – this model negates any drastic deviation in the opinions of experts. Only validated and universally acceptable research findings are quoted in our reports.
We have important check points that we use to validate our research findings – which we call – data triangulation, where we validate the information, we generate from secondary sources with primary interviews and then we re-validate with our internal data bases and Subject matter experts. This comprehensive model enables us to deliver high quality, reliable data in shortest possible time.