ClaimTECH
ClaimTECH is a privately held US-based intermediary that resolves accident-related medical bills between liability insurance carriers and medical providers via its advance payment platform. It serves nearly 100 leading US auto carriers and thousands of providers across motor vehicle, workplace injury, and commercial liability claims.
- Company typePrivate
- Founded-
- HeadquartersDallas, United States
- Headcount11–50
- GTM typeB2B
- OfferingServices
What ClaimTECH does
ClaimTECH is a privately held US-based company that operates as an intermediary between liability insurance carriers and medical providers to resolve accident-related medical bills. The company is headquartered in Dallas, Texas with additional offices in Plano (TX), Austin (TX), and Atlanta (GA), and operates with 11–50 employees. Its core product, the ClaimTECH Advance Payment Solution, addresses medical bill resolution across motor vehicle accidents, workplace injuries, and personal and commercial liability claims. The platform accounts for hospital lien provisions, statutory caps, subrogation rules, and collateral source rules when processing bills, and handles provider outreach, settlement documentation, prior payment verification, and W9 collection on behalf of insurance adjusters.
The company's primary customer segments are liability insurance carriers (notably auto insurers), medical providers, and injured claimants. ClaimTECH states that nearly 100 leading US auto insurance carriers, including six of the top 10, trust the platform, and that thousands of medical providers participate in each state. The company's business model centers on guaranteed advance payments that extinguish further financial liability for patients, providers, and carriers, with the model having received uniform judicial approval as a "laudable" approach to medical bill resolution. Pricing is not publicly disclosed, and the company has not announced any external funding rounds, suggesting a self-funded or privately backed operating model.
The platform serves as a workflow and communications layer that reduces adjuster workload, accelerates provider recoveries, and protects patients from collections and credit risk. The company is led by CEO Kent McRee and President Joseph Mader, with additional leadership in business development (Griff Jacobsen, SVP) and operations (Ty Morrill, Director). No AI/ML capabilities, patents, external partnerships, or M&A activity are disclosed in the available source material.
ClaimTECH firmographics
Firmographics- Name
- ClaimTECH
- Legal name
- ClaimTECH
- Website
- https://claimtech.com
- Company type
- Private
- Operating status
- Operating
- Headcount range
- 11–50 employees
- Short description
- ClaimTECH is a privately held US-based intermediary that resolves accident-related medical bills between liability insurance carriers and medical providers via its advance payment platform. It serves nearly 100 leading US auto carriers and thousands of providers across motor vehicle, workplace injury, and commercial liability claims.
- Ownership category
- akta.pro rank
ClaimTECH industry classification
Industry- Product category
- Medical Bill Resolution Services
- NAICS
- Claims Adjusting (524291), Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292)
- SIC
- Fire, Marine & Casualty Insurance (6331), Accident & Health Insurance (6321)
- akta.pro primary industry
- Claims Management & Digital FNOL Platforms (FSAGAGAC)
- akta.pro secondary industries
- Claims Administration & Payment Integrity (Medical/Dental/Vision) (HLAEALAD), Eligibility, Coverage Verification & Policy Administration Support (BPAAAFAC), Product Liability (FSAJADAC)
Keywords
Where ClaimTECH is headquartered
LocationHeadquarters
- HQ city
- Dallas
- HQ country
- United States
- HQ region
- North America
Offices3 records
Markets served
ClaimTECH business model
Business model- GTM type
- B2B
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure
Distribution channels1 record
ClaimTECH product offering
Product offeringCore offering
ClaimTECH operates an advance payment intermediary platform that resolves accident-related medical bills for liability insurance carriers, medical providers, and patients. The solution accounts for hospital lien provisions, statutory caps, subrogation rules, and collateral source rules, while managing provider outreach, bill verification, prior-payment checks, settlement documentation, and W9 collection on behalf of insurance adjusters.
Product overview
ClaimTECH offers a single unified platform—the ClaimTECH Advance Payment Solution—that functions as a medical bill resolution intermediary for liability insurance carriers. The solution addresses accident-related medical bills across motor vehicle accidents, workplace injuries, and personal/commercial liability claims. It serves three key stakeholder groups: patients receive fast resolution without collection risk; providers get timely payment for fair charges without recovery fees; and carriers benefit from reduced adjuster workload and streamlined claims settlement. The platform accounts for hospital lien provisions, statutory caps, subrogation rules, and collateral source rules while handling bill verification, prior payment checks, settlement documentation, and W9 collection.
Differentiator
Problem solved
Functional benefit
Products and services
- ClaimTECH Advance Payment Solution An intermediary advance payment platform for liability insurance carriers and medical providers that resolves accident-related medical bills across motor vehicle accidents, workplace injuries, and personal/commercial liability claims. The solution accounts for hospital lien provisions, statutory caps, subrogation rules, and collateral source rules, and handles bill verification, prior payment checks, settlement documentation, W9 collection, and full provider outreach on behalf of insurance adjusters.
Companies that use ClaimTECH
Customer profileNamed customers2 records
Segments3 records
Ideal customer profiles2 records
ClaimTECH technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Feature2 records
ClaimTECH partnerships and signals
Strategic signalScale indicators2 records
Recent moves4 records
Expansion highlights4 records
ClaimTECH competitors and assessment
Company assessmentDirect peers
- Cotiviti: Payment integrity and claims accuracy platform serving health plans and payers. Comparable in applying rules-based and analytical approaches to medical bill resolution, though more focused on health insurance.
- Snapsheet: Auto insurance claims management platform offering appraisal and claims workflow tools to carriers. Comparable to ClaimTECH in serving auto insurance carrier operations, though more focused on appraisal and total loss workflows.
- Mitchell International: Provides claims management and medical bill review solutions for auto insurance carriers and providers. Highly comparable to ClaimTECH in serving the same carrier-provider intermediary workflow for casualty claims.
- MultiPlan: Provides medical cost management, bill review, and provider network services to payers including property & casualty insurers. Directly comparable in medical bill review and payment optimization for liability claims.
- Zelis: Healthcare payments and cost management platform connecting payers, providers, and consumers. Comparable to ClaimTECH in bridging payer-provider payment workflows with guaranteed settlement capabilities.
Broad incumbents
- CCC Intelligent Solutions: Operates a broad auto insurance claims and ecosystem platform used by most major US auto carriers. Overlaps with ClaimTECH in medical bill resolution but offers a much wider product portfolio.
- Guidewire Software: Core systems platform for property & casualty insurers including claims management. While not a direct competitor in medical bill resolution, its claims platform could absorb or integrate similar functionality.
- Sedgwick: Large third-party administrator handling claims management across workers' comp, auto, and liability lines. Comparable in administering liability claims and managing medical bill workflows on behalf of carriers.
- Equian (Optum): Acquired by Optum/UnitedHealth, provides payment integrity and medical bill review for property & casualty and workers' comp. Closest large-scale incumbent to ClaimTECH's liability-medical bill resolution model.
Emerging players
- One Inc: Digital payments platform for the insurance industry, enabling premium and claims disbursements. Adjacent to ClaimTECH in modernizing insurance payment infrastructure, particularly claims-side payouts.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat4 records
Key risks6 records
Key highlights6 records
Customer concentration
ClaimTECH social profiles
Digital presenceClaimTECH financial estimates
Financial estimateRevenue estimate
Valuation estimate
ClaimTECH leadership team
Management profileNumber of profiles
Profiles6 records
ClaimTECH funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
ClaimTECH 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 ClaimTECH
What does ClaimTECH do?
ClaimTECH operates an advance payment intermediary platform that resolves accident-related medical bills for liability insurance carriers, medical providers, and patients. The solution accounts for hospital lien provisions, statutory caps, subrogation rules, and collateral source rules, while managing provider outreach, bill verification, prior-payment checks, settlement documentation, and W9 collection on behalf of insurance adjusters.
Is ClaimTECH a public or private company?
ClaimTECH is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was ClaimTECH founded?
ClaimTECH was founded in -1. It employs 11 to 50 people.
Where is ClaimTECH based?
ClaimTECH is headquartered in Dallas, United States, in the North America region.
Who are ClaimTECH's main competitors?
Direct peers on record are Cotiviti, Snapsheet, Mitchell International, MultiPlan and Zelis. Broad incumbents are CCC Intelligent Solutions, Guidewire Software, Sedgwick and Equian (Optum). One Inc is listed as an emerging player.
Does ClaimTECH have an API?
No public API is recorded for ClaimTECH.
What industry is ClaimTECH in?
ClaimTECH's product category is Medical Bill Resolution Services. Its primary akta.pro industry code is FSAGAGAC, Claims Management & Digital FNOL Platforms, with a secondary code of HLAEALAD, Claims Administration & Payment Integrity (Medical/Dental/Vision). Its NAICS code is 524291 and its SIC code is 6331.