Claims Resolution Corporation

What Claims Resolution Corporation does

Claims Resolution Corporation, Inc. (CRC) is a privately held Third Party Administrator (TPA) headquartered in Galloway, New Jersey, providing multi-line claims management services to employers, insurers, and government entities. The company's core services span Claims Administration (Workers' Compensation, General Liability, Auto Liability, Errors and Omissions, Public Officials, Law Enforcement Liability, EPLI, Professional, and Property), Managed Care (delivered through affiliated Matrix Review Services, covering PPO network development, nurse case management, and medical cost benchmarking), and Risk Management Consulting (claim audits, risk assessments, vendor analysis, and stewardship reviews). Practice group emphasis is on government/public sector, healthcare, and transportation clients, with additional exposure to financial services, energy, business services, and consumer products verticals.

The business is built on a proprietary web-based claims management technology platform that delivers 24/7 client access, HIPAA-compliant security with granular access controls, real-time data analytics, user-defined dashboards, integrated document imaging, MMSEA compliance data exports, OSHA/PEOSHA reporting, litigation management, and a First Report of Injury intake module. Dedicated account managers serve as single points of contact coordinating adjusters, providers, and counsel across the client base, and the company operates branch offices in New Jersey, Pennsylvania, New York, and Florida to support regional service delivery.

CRC generates revenue through contractual fee arrangements for ongoing claims administration, managed care, and consulting services priced on a custom basis per client program. Go-to-market is enterprise field sales targeting mid-to-large organizations and government entities via direct outreach, RFP responses, and client referrals; a web-based client portal supports post-sale self-service and reporting. The company is privately held with 11-50 employees, and its only listed funding event is a 2021 transaction involving First Capital Partners, with no public revenue disclosures.

Name

Claims Resolution Corporation

Legal name

Claims Resolution Corporation, Inc.

Website

https://crctpa.com

Company type

Private

Founded year

2013

Operating status

Operating

Headcount range

11–50 employees

Short description

Claims Resolution Corporation is a privately held, multi-line Third Party Administrator providing claims administration, managed care, and risk management consulting to government, healthcare, transportation, and other enterprise clients across the Northeast and Southeast US via a proprietary web-based claims platform.

Ownership category

akta.pro rank

Product category

Third Party Administration / Claims Management Services

NAICS

Pharmacy Benefit Management and Other Third Party Administration of Insurance and Pension Funds (524292), Claims Adjusting (524291)

SIC

Insurance Agents, Brokers & Service (6411)

akta.pro industry

PRIMARYHLAEALAL

Workers’ Compensation & Occupational Health TPA

Healthcare & Life Sciences/Health Insurance & Managed Care/Third-Party Administration (TPA) & Administrative Services Only (ASO)

SECONDARYHLAEALAJ

Compliance, Reporting & Regulatory Administration (ERISA/ACA/No Surprises)

Healthcare & Life Sciences/Health Insurance & Managed Care/Third-Party Administration (TPA) & Administrative Services Only (ASO)

SECONDARYTLABANAH

Claims Administration & TPA Services (FNOL, Subrogation, Litigation Mgmt)

Transportation & Logistics/Fleet Leasing, Rental & Management/Fleet Insurance, Risk & Accident Management (Claims, Loss Control)

Keywords

• Third party administration
• Claims management services
• Workers compensation administration
• Managed care services
• Risk management consulting

Headquarters

HQ city

Galloway

HQ country

United States

HQ region

North America

Offices5 records

Markets served

GTM type

B2B

Offering type

Services

Cost components

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

Revenue model

1. Claims Administration Services: CRC operates as a Third Party Administrator (TPA) providing multi-line claims management services on a contractual basis. The company designs fully integrated, customized claims administration programs for clients, charging fees for professional claims handling, managed care services, and risk management consulting. Revenue is generated through contractual agreements with employers, insurers, and government entities for ongoing claims administration services.

Go-to-market motion1 record

Distribution channels3 records

Marketing channels6 records

Core offering

Claims Resolution Corporation operates as a multi-line Third Party Administrator (TPA) providing claims administration, managed care, and risk management consulting services. The company manages Workers' Compensation, General Liability, Auto Liability, Errors and Omissions, Public Officials, Law Enforcement Liability, EPLI, Professional, and Property claims for employers, insurers, and government entities through dedicated account teams, customized program design, and a proprietary web-based claims management platform.

Product overview

Claims Resolution Corporation is a multi-line Third Party Administrator (TPA) offering an integrated suite of claims management services. The core portfolio comprises four interconnected offerings: Claims Administration (handling Workers' Compensation, General Liability, Auto Liability, Professional, Property, and specialty lines such as EPLI and Public Officials coverage), Managed Care (via affiliate Matrix Review Services for PPO networks and medical cost containment), Risk Management Consulting (covering risk assessment, audits, and benchmarking), and the proprietary CRC Technology Platform (providing web-based claims tracking, reporting, and HIPAA-compliant data management). Clients receive access to a Client Portal for real-time claims monitoring and integrated ancillary services, all coordinated through dedicated account teams.

Differentiator

Problem solved

Functional benefit

Products and services

• Claims Administration

Quantifiable outcome

• Dramatic reductions in medical and indemnity experience for clients
• +2 more outcomes

Named customers3 records

Segments7 records

Ideal customer profiles4 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature11 records

Partnerships

One partnership is on record.

• Matrix Review ServicescoreStrategic or Co-development PartnerClaims Resolution Corporation works through its affiliate Matrix Review Services to deliver cost-efficient, outcome-based managed care solutions. Matrix Review Services complements CRC's claims administration capabilities by providing medical cost management and benchmarking services that help clients understand if their managed care programs are achieving optimal financial results compared to industry alternatives.

Scale indicators2 records

Recent moves6 records

Expansion highlights5 records

Direct peers

• ESIS Inc. ESIS (a Chubb company) provides multi-line claims management, managed care, and risk management services to large corporate and public-sector clients, directly competing with CRC in casualty and workers' comp administration.
• CorVel Corporation: CorVel provides workers' compensation claims administration, managed care, and risk management solutions to employers, insurers, and government agencies — closely overlapping with CRC's core offering and bundled managed care model.
• Sedgwick: Sedgwick is one of the largest multi-line TPAs in North America, administering workers' compensation, liability, property, and disability claims. It directly competes with CRC in serving mid-to-large employers and government entities with integrated claims and managed care offerings.
• Broadspire: Broadspire provides workers' compensation, liability, and disability claims management plus managed care services, directly comparable to CRC's bundled claims and medical management offering.
• Gallagher Bassett: Gallagher Bassett is a major TPA providing multi-line claims management, managed care, and risk management consulting. It competes with CRC across workers' compensation, auto, and general liability lines for enterprise and public-sector clients.
• Cannon Cochran Management Services (CCMSI): CCMSI is a mid-sized TPA providing multi-line claims administration, managed care, and risk management services to employers and municipalities — comparable to CRC in scale, vertical mix, and service model.
• PMA Management Corp: PMA Management Corp is a TPA focused on workers' compensation and integrated disability management for employers and public entities, comparable to CRC in size, customer profile, and service mix.
• TRISTAR Insurance Group: TRISTAR is a TPA specializing in workers' compensation, auto, and property claims administration for public entities and private employers, closely comparable to CRC's mid-market government and enterprise focus.

Emerging players

• Matrix Review Services: Matrix Review Services is CRC's affiliated managed care organization providing medical cost containment and benchmarking — adjacent rather than competitive, but materially comparable in scope of managed care services bundled into workers' comp programs.

Broad incumbents

• Helmsman Management Services: Helmsman (a Liberty Mutual business) is a TPA providing workers' compensation and integrated disability management to employers, comparable to CRC's workers' comp focus but operating at significantly greater scale as part of a major carrier.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/claims-resolution-corporation-inc

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Subsidiaries1 record

Funding overview

Funding rounds1 record

Investors1 record

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 Claims Resolution Corporation