eClaims Workflow

Name

eClaims Workflow

Legal name

eClaims Workflow Inc.

Website

https://eclaimsworkflow.com

Company type

Private

Founded year

2004

Operating status

Operating

Headcount range

11–50 employees

Ownership category

akta.pro rank

Product category

Insurance Claims Management Software

NAICS

Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (5182), Computer Systems Design Services (541512)

SIC

Services-Computer Integrated Systems Design (7373)

akta.pro primary industry

eSignature, Forms & Digital Workflow Platforms (HDAEAHAJ)

akta.pro secondary industries

Managed File Transfer (MFT) & B2B/EDI Integration (HDAEACAG), Content Governance, Compliance, Retention & eDiscovery (HDAEAGAJ)

Keywords

• Claims management software
• Insurance workflow platform
• Vendor management system
• Secure document exchange
• Medical referral management

Headquarters

HQ city

Toronto

HQ country

Canada

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Software

Cost components

Technology or R&D, Personnel, Infrastructure, Operations, Marketing or Sales

Revenue model

1. Vendor Transaction Fees: Standard billing policy bills VENDORS for the referrals they accept and complete. Under this model, insurers pay nothing - no monthly charge, no licensing cost, no implementation charges, no maintenance or support fee, and no charge for training.
2. Non-Member File Processing: IME Logix included free with all member Insurer referrals. Non-member referrals can be purchased at $3.95 per file regardless of single/multiple assessments, tasks, or SSPs.

Pricing tiers

Go-to-market motion2 records

Distribution channels4 records

Marketing channels3 records

Core offering

eClaims Workflow develops and operates a completely web-based multi-vendor claims management platform that automates claims processing, vendor assignment, expense and performance tracking, and integrated secure communication for insurance companies and independent medical examination (IME)/rehabilitation vendors. The platform combines AI-assisted claims dashboards, automated forms and invoice processing, secure document and messaging exchange, and HCAI/QuickBooks integrations in a single solution with separate Canada and USA deployments. Modular offerings include eClaims for Insurers, eClaims for IME/Rehab, IME Logix, eMsg Secure Messaging, and SecureDocs, all backed by SOC 2 and ISO 27001:2013 certified data centres with 99.999% uptime.

Product overview

eClaims Workflow is a multi-vendor claims management platform that operates as a single unified solution with multiple integrated modules. The core platform (eClaims Workflow Platform) provides centralized claims automation, expense tracking, and performance management. It connects to specialized modules: eClaims for Insurers for carrier-side claims automation, eClaims for IME/Rehab for medical assessment coordination, and IME Logix for IME/Rehab vendor operations. Supporting products include eMsg Secure Messaging and SecureDocs for compliant document delivery. Regional variants exist for Canada (eClaims Canada) and USA (eClaims USA) with region-specific compliance support.

Differentiator

Problem solved

Functional benefit

Brands

• IME Logix: An extension of eClaims Workflow offering a management suite for IME Vendors and Rehab Vendors. Hosted in private data centre, available 24x7x365 with 99.999% uptime for over 10 years.
• eMsg Secure Messaging
• SecureDocs

Products and services

• eClaims Workflow Platform Multi-vendor claims management platform providing complete visibility from office or mobile, combining automated claims processing, expense tracking, performance reporting, and secure communication in a single web-based portal for insurers, IME/rehab vendors, and medical/legal service providers.
• eClaims for Insurers Claims automation module for assigning vendors and managing communication, documentation, and performance for insurance carriers. Includes automated forms processing, document transfers, invoice management, and real-time performance tracking against guidelines for files handled internally or externally.
• eClaims for IME/Rehab Cloud-based referral management software for medical assessors and rehabilitation vendors accepting referrals from insurers, employers, and WSIB. Includes integrated claims assistant for document generation and task management, manager interface for monitoring cases, admin interface for cost and expense tracking, and integration with eMsg, SecureDocs, HCAI, and Quickbooks.
• IME Logix Management suite extension for IME vendors and rehab vendors offering automated intake, scheduling, assignment, and provisioning of third parties (provider schedules, transport, translation, SSPs). Includes assessor portal, billing and expense management with HCAI integration, and seven-year storage. Included free with all member insurer referrals; non-member referrals can be purchased at $3.95 per file.
• eMsg Secure Messaging Secure courier service with compliance at its core, providing complete control over inbound and outbound communication among multiple parties. Features drag-and-drop interface, large content handling up to 2GB in standard edition, smart processing for messages, forms, documents, and video, and deep auditing with complex compliance rulesets.
• SecureDocs Electronic courier service for Canada created to assist medical professionals remain PIPEDA and PHIPA compliant. Handles thousands of secure deliveries daily, is free for many users, and provides a simple interface with fast speeds and live technical support.
• eClaims Canada Regional deployment of the eClaims Workflow platform serving Canadian insurers, IME/rehab vendors, and medical/legal service providers with PHIPA and PIPEDA compliance support and French language availability.
• eClaims USA Regional deployment of the eClaims Workflow platform serving US-based insurers, IME/rehab vendors, and medical/legal service providers with HIPAA compliance support in a 2048-bit secured environment.

Quantifiable outcome

• 99.999% uptime for over 10 years (IME Logix)
• +3 more outcomes

Named customers5 records

Segments3 records

Ideal customer profiles2 records

Technology focussed Yes

API detail

Has API

Yes

API docs

API detail

Core technology

AI maturity

App detail

Integration4 records

AI capability5 records

Feature8 records

Scale indicators6 records

Recent moves3 records

Expansion highlights5 records

Broad incumbents

• Guidewire Software: Guidewire is a leading core systems provider for P&C insurers, offering claims, underwriting, and policy administration platforms at a much larger scale than eClaims Workflow. Comparable as the dominant incumbent in insurance software that insurance buyers also evaluate.
• Duck Creek Technologies: Duck Creek provides a cloud-based core system suite for P&C insurers covering claims, billing, and policy administration. Overlaps with eClaims Workflow in claims automation for insurers but addresses a much broader workflow scope.
• Mitratech: Mitratech provides enterprise legal and compliance software including matter management, policy administration, and claims-adjacent workflows. Comparable as a workflow and document governance vendor serving regulated industries, though broader in scope than insurance.
• Hyland (OnBase): Hyland's OnBase is an enterprise content management and workflow automation platform widely used in insurance for document management, compliance, and claims processing. Comparable to eClaims Workflow's document, compliance, and workflow capabilities.

Emerging players

• Origami Risk: Origami Risk provides a configurable claims, risk, and insurance management platform for insurers, TPAs, and self-insureds. Targets a similar multi-vendor claims management niche as eClaims Workflow but with a broader risk-management umbrella.
• Jopari Solutions: Jopari provides medical bill review, payment, and electronic data interchange solutions for workers' comp and auto insurance markets. Comparable to eClaims Workflow's IME/rehab and secure document exchange capabilities for insurance vendors.
• ClaimVantage: ClaimVantage provides claims management and analytics software to life, health, and disability insurers. Comparable as a focused claims workflow platform, though oriented more toward life and group benefits than the P&C/IME focus of eClaims Workflow.

Direct peers

• Snapsheet: Snapsheet offers a claims management and appraisal platform for insurance carriers, focusing on virtual inspections, automated workflows, and vendor management — closely aligned with eClaims Workflow's claims automation and vendor assignment capabilities.
• Mitchell International: Mitchell provides claims management, medical bill review, and pharmacy solutions for the P&C insurance industry, with deep integration into insurer workflows — directly comparable to eClaims Workflow's multi-vendor claims management platform for insurers and IME/rehab vendors.

Others

• M-Files: M-Files provides intelligent document and information management with strong metadata-driven workflow capabilities. Comparable to eClaims Workflow's document handling and compliance features, though serving many industries beyond insurance.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/eclaims-workflow-inc-

Compliance6 records

Revenue estimate

Valuation estimate

Number of profiles

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about eClaims Workflow