ISO Claims Partners
ISO Claims Partners provides Medicare compliance and claims resolution services to US property/casualty insurance carriers, operating as a Verisk Analytics subsidiary specializing in MSP compliance and Section 111 reporting workflows.
- Company typePrivate
- Founded1971
- HeadquartersNorth Reading, United States
- Headcount51–100
- GTM typeB2B
- OfferingServices
What ISO Claims Partners does
ISO Claims Partners provides Medicare compliance and claims resolution services to property/casualty (P&C) insurance companies. The firm addresses the regulatory and operational complexity P&C carriers face when Medicare beneficiaries are involved in insurance claims — encompassing Medicare Secondary Payer (MSP) compliance, Section 111 reporting, and ongoing claim portfolio resolution. Its customer base is concentrated in US P&C insurers, and its work is structurally tied to CMS-mandated obligations and long-tail claim settlement timelines, which produce a recurring services workflow rather than a transactional product sale.
Founded in 1971 and headquartered in North Reading, Massachusetts, ISO Claims Partners is a subsidiary within the Verisk Analytics ecosystem, with its web presence delivered through the Verisk brands domain (verisk.com/insurance/brands/iso-claims-partners/). The firm operates with 51-100 employees, indicating a focused, specialist services unit rather than a large-scale platform. Senior leadership includes John M. Williams as Senior Vice President. The firm's business model is B2B professional services sold to carrier claim departments; specific pricing structures, contract terms, and revenue figures are not publicly disclosed. Its core technology, products, and service packaging are not detailed in the source data beyond the functional compliance/claims-resolution service line.
ISO Claims Partners firmographics
Firmographics- Name
- ISO Claims Partners
- Legal name
- ISO Claims Partners
- Website
- https://verisk.com
- Company type
- Private
- Founded year
- 1971
- Operating status
- Operating
- Headcount range
- 51–100 employees
- Short description
- ISO Claims Partners provides Medicare compliance and claims resolution services to US property/casualty insurance carriers, operating as a Verisk Analytics subsidiary specializing in MSP compliance and Section 111 reporting workflows.
- Ownership category
- akta.pro rank
ISO Claims Partners industry classification
Industry- Product category
- Insurance Claims Services — Medicare Compliance
- NAICS
- Claims Adjusting (524291), Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)
- SIC
- Hospital & Medical Service Plans (6324), Insurance Agents, Brokers & Service (6411)
- akta.pro primary industry
- Medicare Plan Administration & Third-Party Services (TPA/BPO, Enrollment, Billing) (FSAIAGAI)
Keywords
Where ISO Claims Partners is headquartered
LocationHeadquarters
- HQ city
- North Reading
- HQ country
- United States
- HQ region
- North America
Markets served
ISO Claims Partners business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales
ISO Claims Partners product offering
Product offeringCore offering
ISO Claims Partners provides Medicare compliance and claims resolution services to property/casualty insurance companies. The firm helps P&C carriers satisfy Medicare Secondary Payer (MSP) obligations, including Section 111 reporting, ongoing Medicare entitlement monitoring, and resolution of claims involving Medicare beneficiaries. Services are delivered as outsourced specialty support rather than as licensable software.
Differentiator
Problem solved
Functional benefit
Products and services
- Medicare Compliance and Claims Resolution Services for P&C Insurers Outsourced Medicare Secondary Payer (MSP) compliance and claims resolution services delivered to property/casualty insurance carriers. Covers Section 111 reporting to CMS, ongoing Medicare entitlement monitoring for injured claimants, and resolution of conditional-payment matters arising in injury settlements. Intended for P&C claims, compliance, and vendor-procurement teams that lack in-house capacity to manage MSP obligations at scale.
Companies that use ISO Claims Partners
Customer profileIdeal customer profiles1 record
ISO Claims Partners technology and API
TechnologyAPI detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
ISO Claims Partners partnerships and signals
Strategic signalRecent moves3 records
Expansion highlights2 records
ISO Claims Partners competitors and assessment
Company assessmentBroad incumbents
- The Hartford (Claims & TPA Operations): The Hartford's claims operations handle workers' comp and P&C claims including Medicare coordination, and at times outsource or partner with TPA specialists. It is a broad incumbent buyer and adjacent operator comparable to ISO Claims Partners' carrier customer base.
- WTW (Willis Towers Watson): WTW provides risk management, insurance brokerage, and Medicare-related advisory services to large employers and insurers. As a broader consulting-driven incumbent, it overlaps with ISO Claims Partners in Medicare compliance and secondary payer advisory work for P&C buyers.
- Optum (UnitedHealth Group): Optum operates a broad healthcare analytics and compliance services portfolio that includes Medicare-related risk adjustment, secondary payer coordination, and claims services. It is a broad incumbent that intersects with ISO Claims Partners' Medicare compliance work from a much larger healthcare-data scale.
Direct peers
- Allsup: Allsup provides Medicare compliance, MSA, and disability advocacy services to insurers and employers, directly competing in the same Medicare Secondary Payer compliance niche as ISO Claims Partners. Its service mix and buyer base (P&C carriers, employers, claimants) closely mirror those of ISO Claims Partners.
- Sedgwick: Sedgwick is a major third-party claims administrator for P&C and workers' comp insurers that also operates Medicare compliance and MSA services. It competes directly with ISO Claims Partners for the same carrier compliance mandates and uses scale to offer integrated claims handling plus Medicare coordination.
- Gallagher Bassett: Gallagher Bassett is a large third-party claims administrator for P&C insurers offering integrated claims and Medicare/workers' comp compliance support. It competes with ISO Claims Partners for outsourced claims management and Medicare coordination mandates from carriers.
- Crawford & Company: Crawford & Company is a global claims management firm serving P&C insurers with end-to-end claims handling and a dedicated Medicare compliance/ MSA practice (through its Broadspire and specialty units). It is directly comparable to ISO Claims Partners in providing Medicare resolution services to P&C carriers.
- Broadspire: Broadspire, a Crawford company, provides third-party claims administration and Medicare compliance/case management services to P&C and workers' comp insurers. It is a direct competitor to ISO Claims Partners in delivering outsourced Medicare resolution services.
Emerging players
- MedRisk: MedRisk specializes in managed care services for workers' compensation including Medicare compliance coordination. It overlaps with ISO Claims Partners in workers' comp Medicare-related claim handling but focuses more narrowly on physical medicine and ancillary services within that framework.
- Zelis Healthcare: Zelis provides healthcare claims cost management, provider network, and Medicare-related payment integrity services to insurers. It intersects with ISO Claims Partners in serving P&C and workers' comp insurers with secondary payer and compliance-related workflows.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat4 records
Key risks5 records
Key highlights5 records
Customer concentration
ISO Claims Partners social profiles
Digital presenceISO Claims Partners financial estimates
Financial estimateRevenue estimate
Valuation estimate
ISO Claims Partners leadership team
Management profileNumber of profiles
Profiles1 record
ISO Claims Partners funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
ISO Claims Partners M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about ISO Claims Partners
What does ISO Claims Partners do?
ISO Claims Partners provides Medicare compliance and claims resolution services to property/casualty insurance companies. The firm helps P&C carriers satisfy Medicare Secondary Payer (MSP) obligations, including Section 111 reporting, ongoing Medicare entitlement monitoring, and resolution of claims involving Medicare beneficiaries. Services are delivered as outsourced specialty support rather than as licensable software.
Is ISO Claims Partners a public or private company?
ISO Claims Partners is a private company. It is classified as corporate owned and is currently operating.
When was ISO Claims Partners founded?
ISO Claims Partners was founded in 1971. It employs 51 to 100 people.
Where is ISO Claims Partners based?
ISO Claims Partners is headquartered in North Reading, United States, in the North America region.
Who are ISO Claims Partners's main competitors?
Broad incumbents on record are The Hartford (Claims & TPA Operations), WTW (Willis Towers Watson) and Optum (UnitedHealth Group). Direct peers are Allsup, Sedgwick, Gallagher Bassett, Crawford & Company and Broadspire. Emerging players are MedRisk and Zelis Healthcare.
Does ISO Claims Partners have an API?
No public API is recorded for ISO Claims Partners.
What industry is ISO Claims Partners in?
ISO Claims Partners's product category is Insurance Claims Services — Medicare Compliance. Its primary akta.pro industry code is FSAIAGAI, Medicare Plan Administration & Third-Party Services (TPA/BPO, Enrollment, Billing). Its NAICS code is 524291 and its SIC code is 6324.