With low margins and scarce opportunities for organic growth, TPA marketplace has started to adopt requisite measures for becoming more profitable. While some are building specialist, high margin capabilities such as medical and care management and risk management, others are investing in technology both in-house and through acquisition of InsurTechs. Additionally, some of the larger TPAs have started to expand aggressively in some of the more untapped markets such as Asia Pacific and Latin America.

Regardless of each TPA’s strategy to drive profitability, underlying judgment-intensive capabilities, domain expertise, and localized presence continue to remain relevant for the market. In this hyper competitive and extremely fragmented market, especially in the US, an optimized combination of relevant talent and technology is now more important than ever.

Scope and Methodology

In this research, we analyze the global non-life insurance TPA landscape. We focus on:

• Relative positioning of 16 TPAs on Everest Group’s PEAK Matrix for non-life insurance TPA services
• Non-life insurance TPAs’ market success
• Non-life insurance TPAs’ capability assessment across key dimensions
• Key strengths and areas of improvement for non-life insurance TPAs

Content

This report examines the global non-life insurance TPA market and its service provider landscape. It provides detailed analysis of the capabilities and market impact of non-life insurance TPAs and their relative position on the Everest Group PEAK Matrix. It will assist key stakeholders (insurers, TPAs, and technology providers) understand the current state of the non-life insurance TPA landscape.

• Non-life insurance TPA PEAK Matrix 2019 positioning is as follows:
• Leaders: Charles Taylor, Crawford, Gallagher Basset, and Sedgwick
• Major Contenders: Capgemini, Cognizant, CoreSource, DXC Technology, Genpact, HealthSmart, PMA companies, WNS, and Zenith American
• Aspirants: Acclamation Insurance Management Services (AIMS), AdminSure, and Athens Administrators are Aspirants on the PEAK Matrix for non-life insurance TPA services
• Market share assessment of 16 TPAs by
• Revenue
• Geography (signing region)
• Lines of businesses (P&C insurance, workers’ compensation, and health insurance)
• Network & care management and claims processing
• Everest Group’s assessment and remarks for 16 non-life insurance TPAs

Membership (s)

Insurance - Business Process Outsourcing (BPO)