For Third-Party Administrators (TPAs), fraud is more than a compliance issue—it’s a profitability and reputation challenge. Detecting fraudulent activity early can mean the difference between minimal loss and significant claims leakage. In today’s competitive market, TPAs can’t afford to rely solely on manual processes or outdated tools to manage fraud risk. That’s why many are […]
“Skinny” Claims Systems: The TPA Blueprint for Smarter, Scalable Claims Management
Third-Party Administrators (TPAs) success hinges on agility, transparency, and the ability to serve diverse clients without unnecessary tech bloat. The concept of a “skinny” platform—lean, focused, and flexible—resonates deeply with claims operations that want to stay competitive and cost-effective. That’s the essence of a “skinny” claims system. A recent article from industry analysts Datos Insights, […]
Meeting Public Entity Needs: How TPAs Can Differentiate Through Technology
For Third-Party Administrators (TPAs), serving public entities like municipalities, school districts, and special districts presents both a challenge and a major opportunity. These organizations demand transparency, compliance, and cost efficiency—yet too many TPAs are stuck trying to deliver modern service with outdated tools. Enter the new generation of technology-enabled TPAs. Equipped with modern Claims Management […]
Elevating Subrogation Performance with AI and Automation
For Third-Party Administrators (TPAs), subrogation isn’t just an afterthought—it’s a high-impact opportunity to recover funds, reduce net loss, and demonstrate value to clients. But traditional subrogation processes are often slow, inconsistent, and difficult to scale. Fortunately, that’s changing. Today’s leading Claims Management Software platforms are embedding Artificial Intelligence for Insurance and Claims Automation Software directly […]
Data-Driven Decision Making for TPAs: Using Real-Time Dashboards and Reporting
For today’s Third-Party Administrators (TPAs), claims management is no longer just about processing paperwork—it’s about delivering value through insight. Clients expect more than status updates; they want clarity, foresight, and confidence that their risk is being managed proactively. To meet those expectations, TPAs need Claims Management Software that delivers real-time analytics, customizable reports, and actionable […]
Integrated Communication Tools: Keeping Clients and Claimants in the Loop
In today’s complex insurance landscape, Third-Party Administrators (TPAs) must do more than just process claims—they must deliver seamless, transparent, and responsive service to both clients and claimants. With rising expectations around visibility and responsiveness, communication can no longer be an afterthought. That’s why integrated communication tools are now a must-have within any modern Claims Management […]
Automating Claims Workflows Without Developers
In a rapidly changing insurance market, TPAs are expected to drive efficiency, transparency, and results—despite leaner teams and tighter timelines. Clients demand faster turnaround times, real-time visibility, and airtight compliance. But traditional claims handling processes, dependent on manual steps and IT intervention, can’t keep up. That’s where modern TPA Claims Management Software steps in—delivering automation […]
TPA Software with Multi-Client Configuration: Essential for Scalable Claims Management
In today’s competitive and compliance-driven environment, Third-Party Administrators (TPAs) must operate with increasing agility, precision, and transparency. As explored in our previous post, The Oversight Imperative: Why Public Entities Demand More Visibility Into Claims, public agencies and self-insured groups are demanding deeper insight into claims activity. But behind the scenes, a more foundational capability is […]
The ROI of Modernizing TPA Claims Infrastructure
Third-Party Administrators (TPAs) are under increasing pressure to deliver faster, more accurate, and more cost-effective claims handling services to their insurer, self-insured, and public entity clients. However, many TPAs are still operating on aging claims management solutions – Third-Party Administrator Software that limits their efficiency, inflates costs, and exposes them to operational risks like claims […]
Why More Organizations Are Implementing Their Own Claims Management Systems – Even When Using a TPA
Outsourcing claims administration to a Third-Party Administrator (TPA) has long been a practical strategy for Public Entities & Risk Pools looking to reduce operational overhead. But as expectations for transparency, speed, and cost control increase, highlighting the need for better claims management oversight, more risk managers and claims leaders are rethinking the technology behind those […]