claims processing SERVICES

Strengthen and grow your customer base with full-suite claims management solutions for insurers.


365 Operating Services


Processing languages


Experienced employees


Data security &
Quality Assurance

Enjoy fast, hassle-free, and accurate insurance claims processing with a high success rate

Claims processing is the series of steps that an insurance company takes to determine whether it will pay for a claim. This process involves reviewing the claim, investigating the circumstances of the claim, and determining whether the policy covers the loss or damage. If the claim is approved, the insurer will typically pay the policyholder according to the terms of the policy.

Many businesses are finding that outsourcing non-core processes can improve efficiency. Insurance claim processing is one such process that has become increasingly outsourced by insurance providers.

The claims processing process is responsible for resolving outstanding payments in various industries, including healthcare, insurance, finance, and accounting. Generally, each company has a separate claims division dedicated to managing workflow for each claim once a formal request is submitted.

Outsourcing claims processing services allows you to focus on your core competencies while accessing competent services from specialized providers. It can accelerate growth by improving sales performance, streamlining sales and service.

Trusted by more than +200 clients from home & Abroad

Claims processing services

We provide accurate and cost-effective industry-optimized claims processing services to streamline your business processes. Our experienced and professional staff ensures high-quality and accurate data. Here’s a brief overview of our professional services:

Claims data entry service

Outsourcing claims data entry can boost productivity and accuracy. We create a customized template for capturing information, complete with fields for validation, provider lists, and medical codes. The layout of the output file is clearly defined, and data entry begins once claim forms are received. Our expert team is experienced in processing various claim types.

Medical claims processing service

We offer a comprehensive service package to check, approve, and pay for the medical services that clients receive from healthcare providers. Our medical claims processing service helps insurance companies manage their costs and ensure that customers get the benefits they are entitled to.

Insurance claims processing service

If your insurance firm is receiving many commission statements, claim requests, and other documents, we can quickly and accurately organize the data from different sources. We utilize intelligent automation and BI to perform various tasks such as data entry, application processing, insurance claims examination, and clearing backlogs with OCR to reduce processing time.

Hospital discharge document processing

Our services support the hospital procedure that involves preparing, sending, and receiving the documents that contain the information about a patient’s hospital stay and follow-up care. The documents may include a discharge summary, a discharge plan, a medication list, a follow-up appointment schedule, and instructions for self-care. DIGI-TEXX makes sure the patient and all healthcare providers involved in their care have an accurate and clear record of the patient’s condition, treatment, and needs after they leave the hospital.

You’re gonna love dIGI-TEXX

Managers from many kinds of businesses turn to DIGI-TEXX to optimize their administrative costs.

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Our Deployment Models

How does our claims processing methodology work?

Partnering with our insurance BPO company that has a digital mindset can help you transition claims processing to a more nimble, technologically-driven environment. Here are the optimized steps:



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Your Industry will benefit the most form our services

DIGI-TEXX implements automation claims processing tools and models to provide solutions for various industries. By combining technology with human analysts, we can efficiently analyze large amounts of data, resulting in cost savings and improved performance. There are several use cases across many industries:


Our professional claim processing services employ experienced specialists to help process claims faster with a high accuracy rate, supporting to detect and prevent fraudulent claims. This can help reduce losses due to fraudulent claims and protect the bank’s reputation.


We streamline the claims handling process, reducing the time and costs associated with maintaining an in-house claims processing department of insurance institutions.


DIGI-TEXX helps healthcare providers receive reimbursement more quickly for the services they provide, reduce the administrative burden on healthcare providers, freeing up staff to focus on patient care.

You don’t see your industry here? Contact us

What makes us an ideal claims processing service provider for you?

Our company offers claims processing services to clients worldwide, delivering high-quality results. Outsourcing your claims needs to us provides a range of benefits, including:

Flexible pricing model

We offer flexible pricing models based on the hour/transaction/volume and dedicated resources/packages. Clients can select the right model which best fits their purpose.

Round-the-clock support

Our operation is 24/7/365 as the client’s business continuity is always our top priority.

Data security

Confidential information will remain secure and be restricted from outside exposure with a reliable information security management system (ISMS) based on the ISO 27001 standard with GDPR compliance.

Data accuracy

At DIGI-TEXX, we understand that data accuracy is the first and critical component/standard of the data quality framework. We combine AI technologies and our specialists to ensure the highest accuracy rate.

Cost optimization

Outsourcing transforms fixed costs into variable costs and allows our clients to prevent large expenditures for business in the early stages and long-term run.

Scalability and flexibility

Our service can adapt quickly to fluctuating volumes without compromising productivity and processing quality.

Let us answer your questions

Our team of experts is here to answer any questions you may have and provide you with a free consultation. If you don’t see an answer for you below, feel free to send us a message.

Claims processing outsourcing is a process that allows insurance companies or businesses to outsource the handling and verification of their insurance claims.

This method was first introduced by the International Association of Insurance Supervisors (IAIS) as a way to ease the burden on companies with high volumes of claims due to limited human and technological resources.

Companies can offload some of their workload onto an outsourced provider, allowing them to more efficiently manage their workloads.

Outsourcing claims processing services gives businesses many advantages. Aside from making the process more efficient, it also positively affects the efficiency of the business’s other in-house services:

  • Reduce Costs: Insurance claims need a lot of time and resources to be fully processed. Our company already has insurance claim teams at their disposal. With our assistance, you can avoid hiring additional in-house staff to finish the task.
  • Improves customer experience: As a client-facing business, you have a lot to handle. Customers expect prompt and top-notch services, along with attentive and empathetic support. Fortunately, claims processing outsourcing teams can provide that human touch and enhance the quality of your customer services.
  • High success rate: We combine human expertise with technologies such as RPA in insurance claims processing. Our robotic process automation can standardize processes with 99% accuracy. We also integrate industry-leading technologies without requiring changes to your current technology stack.
  • Improve Business Planning: You can make intelligent data-backed business decisions through insightful business reports.
  • Better Cash Management: We help you streamline bank account management and forecasting to ensure you have the cash flow to achieve your goals.

Insurance claims processing tasks that can be outsourced include, but are not limited to:

  • Reviewing claim submissions
  • Obtaining and verifying information
  • Corresponding with insurance agents and beneficiaries
  • Preparing claim forms
  • Managing and maintaining records of insurance policies and claims in database systems
  • Determining policy coverage and claim payout amounts.

These tasks are generally repetitive and compliance-based, requiring a high level of attention to detail, which makes them well-suited for outsourcing.

Wondering if we can help you?

Our outsourced claims processing company adds value to any-sized businesses around the world. Let’s take a look at success stories from our clients.

Building a cross-platform app to be used worldwide

Conor Kenney

Director of Professional Services

Leading a digital transformation

Conor Kenney

Director of Professional Services

Straight-Through Process for Customer Onboarding


Intelligent Document Processing

Automated Insurance Claims


Intelligent Document Processing

Digital Inspection System

Government & NGOs

Inspection System

Do you want to process claims faster, reduce your operating costs and drive efficiency? Let’s get in touch!

We are a trusted provider of claims processing services, with over 200 happy customers worldwide. If you are looking to outsource, we can help. Share your business goals with our experts, and we will respond promptly.

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