保険サードパーティアドミニストレーターの市場規模、シェア、成長分析、タイプ別、サービス別、企業規模別、用途別、地域別 - 産業予測 2025～2032年

保険サードパーティアドミニストレーターの世界市場規模は、2023年に3,560億9,000万米ドルと評価され、2024年の3,902億8,000万米ドルから2032年には8,125億6,000万米ドルに成長し、予測期間中（2025年～2032年）のCAGRは9.6％で成長する見通しです。

保険業界は、効率的な管理サービスに対する需要の高まりによって力強い成長を遂げています。主要企業はコスト削減と業務効率化に注力しており、保険金請求処理、保険引受サポート、顧客サービスを外部パートナーに求めています。医療保険商品の複雑さと規制上の要求が、アウトソーシングへの動向をさらに後押ししています。さらに、慢性疾患の増加により保険会社の業務負担が増大し、効率的なヘルスケア管理の必要性が高まっています。AI分析や請求処理の自動化といったデジタル技術の革新は、サードパーティ機関の魅力を高めています。しかし、データセキュリティーへの懸念、規制への対応、顧客とのやり取りをコントロールできなくなることへの懸念といった課題が、特にニッチな企業における採用率の妨げとなり、利害関係者の関与を鈍らせる可能性があります。

目次

イントロダクション

• 調査の目的
• 調査範囲
• 定義

調査手法

• 情報調達
• 二次と一次データの方法
• 市場規模予測
• 市場の前提条件と制限

エグゼクティブサマリー

• 世界市場の見通し
• 供給と需要の動向分析
• セグメント別機会分析

市場力学と見通し

• 市場概要
• 市場規模
• 市場力学
  • 促進要因と機会
  • 抑制要因と課題
• ポーターの分析

主な市場の考察

• 重要成功要因
• 競合の程度
• 主な投資機会
• 市場エコシステム
• 市場の魅力指数（2024年）
• PESTEL分析
• バリューチェーン分析
• 価格分析
• マクロ経済指標
• ケーススタディ
• 規制情勢
• 顧客と購買基準の分析

保険サードパーティアドミニストレーター市場規模：タイプ別& CAGR（2025-2032）

• 市場概要
• ヘルスケア保険
• 退職プラン
• 商業一般賠償責任保険
• その他

保険サードパーティアドミニストレーター市場規模：サービス別& CAGR（2025-2032）

• 市場概要
• クレーム管理
• ポリシー管理
• コミッション管理
• その他

保険サードパーティアドミニストレーター市場規模：企業規模別& CAGR（2025-2032）

• 市場概要
• 大企業
• 中小企業

保険サードパーティアドミニストレーター市場規模：用途別& CAGR（2025-2032）

• 市場概要
• ヘルスケア
• 建設
• 不動産とホスピタリティ
• 輸送機関
• 人材配置

保険サードパーティアドミニストレーター市場規模：地域別& CAGR（2025-2032）

• 北米
  • 米国
  • カナダ
• 欧州
  • ドイツ
  • スペイン
  • フランス
  • 英国
  • イタリア
  • その他欧州地域
• アジア太平洋地域
  • 中国
  • インド
  • 日本
  • 韓国
  • その他アジア太平洋地域
• ラテンアメリカ
  • ブラジル
  • その他ラテンアメリカ地域
• 中東・アフリカ
  • GCC諸国
  • 南アフリカ
  • その他中東・アフリカ

競合情報

• 上位5社の比較
• 主要企業の市場ポジショニング（2024年）
• 主な市場企業が採用した戦略
• 最近の市場動向
• 企業の市場シェア分析（2024年）
• 主要企業の企業プロファイル
  • 企業の詳細
  • 製品ポートフォリオ分析
  • 企業のセグメント別シェア分析
  • 収益の前年比比較（2022-2024年）

主要企業プロファイル

• Gallagher Bassett Services LLC
• Sedgwick
• ESIS Inc
• CorVel Corporation
• Crawford & Company
• Helmsman Management Services, LLC
• Charles Taylor
• UMR
• Healthscope Benefits
• Trustmark Health Benefits Inc
• Anthem Inc（Elevance Health）
• CVS Health Company
• Cigna Corporation
• Humana Inc
• DXC Technology Company
• The Hartford Financial Services Group, Inc
• United Healthcare Services Inc.
• ExlService Holdings, Inc.
• Meritain Health, Inc.
• Kaiser Permanente

結論と提言

Global Insurance Third Party Administrators Market size was valued at USD 356.09 Billion in 2023 and is poised to grow from USD 390.28 Billion in 2024 to USD 812.56 Billion by 2032, growing at a CAGR of 9.6% during the forecast period (2025-2032).

The insurance industry is experiencing robust growth driven by the increasing demand for efficient management services. Companies are focusing on cost reduction and operational efficiency, leading them to seek external partners for claims handling, underwriting support, and customer service. The complexity of health insurance products and regulatory demands further encourages this trend toward outsourcing. Additionally, the rise in chronic diseases is heightening the workload on insurers, prompting a greater need for effective healthcare administration. Digital innovations such as AI analytics and automated claims processing enhance the appeal of third-party administrators. However, challenges like data security concerns, compliance with regulations, and fear of losing control over customer interactions may hinder adoption rates, particularly among niche players, and slow stakeholder engagement.

Top-down and bottom-up approaches were used to estimate and validate the size of the Global Insurance Third Party Administrators market and to estimate the size of various other dependent submarkets. The research methodology used to estimate the market size includes the following details: The key players in the market were identified through secondary research, and their market shares in the respective regions were determined through primary and secondary research. This entire procedure includes the study of the annual and financial reports of the top market players and extensive interviews for key insights from industry leaders such as CEOs, VPs, directors, and marketing executives. All percentage shares split, and breakdowns were determined using secondary sources and verified through Primary sources. All possible parameters that affect the markets covered in this research study have been accounted for, viewed in extensive detail, verified through primary research, and analyzed to get the final quantitative and qualitative data.

Global Insurance Third Party Administrators Market Segments Analysis

The global insurance third party administrators' market is segmented on the basis of type, service, enterprise size, application and region. By type, the market is segmented into healthcare insurance, retirement plans, commercial general liability insurance, and others. By service, the market is segmented into claims management, policy management, commission management, and others. Based on enterprise size, the market is segmented into large enterprises, and small and medium-sized enterprises. Based on application, the market is segmented into healthcare, construction, real estate and hospitality, transportation, and staffing. By region, the market is segmented into North America, Europe, Asia Pacific, the Middle East and Africa, and Latin America.

Driver of the Global Insurance Third Party Administrators Market

The global market for Insurance Third-Party Administrators (TPAs) is experiencing swift growth, driven by escalating healthcare expenditures and a surge in insurance uptake. Nations such as the U.S. and Taiwan showcase significant insurance penetration, highlighting the demanding nature of their systems that necessitate efficient administrative solutions. Furthermore, governmental efforts to improve healthcare accessibility and insurance provisions accentuate the escalating requirement for TPAs. These entities play a crucial role in managing the increasing volume of claims while optimizing policy administration within progressively advanced healthcare environments, ensuring streamlined operations that meet the complexities of modern insurance needs.

Restraints in the Global Insurance Third Party Administrators Market

The global Insurance Third Party Administrators (TPA) market faces significant challenges due to increasing incidents of data breaches and stricter regulatory environments. A notable example occurred in India with the 2024 data breach at Star Health & Allied Insurance, where sensitive information for 31 million customers was reportedly compromised, prompting the Insurance Regulatory and Development Authority of India (IRDAI) to mandate comprehensive IT audits for affected insurers. Furthermore, the IBM Cost of a Data Breach Report highlighted that the average cost of such breaches in India surged to ₹195 million in 2024, marking a 39% rise since 2020. These incidents underscore the urgent necessity for TPAs to enhance cybersecurity measures and adhere to evolving data protection regulations to maintain both stakeholder trust and operational resilience.

Market Trends of the Global Insurance Third Party Administrators Market

The global insurance third-party administrators market is witnessing a significant trend towards enhanced fraud detection mechanisms, driven by the pressing need for organizations to strengthen their reputations, minimize fraud-related losses, and enhance overall security measures. By harnessing advanced data analytics and insights, these administrators are increasingly adept at recognizing anomalous behavior, leading to a marked decrease in fraudulent claims. This heightened emphasis on fraud prevention is expected to propel market growth, with projections estimating the sector's value to reach USD 501.93 billion by 2028, underscoring the critical role of innovation and vigilance in shaping the future of insurance management services.

Table of Contents

Introduction

• Objectives of the Study
• Scope of the Report
• Definitions

Research Methodology

• Information Procurement
• Secondary & Primary Data Methods
• Market Size Estimation
• Market Assumptions & Limitations

Executive Summary

• Global Market Outlook
• Supply & Demand Trend Analysis
• Segmental Opportunity Analysis

Market Dynamics & Outlook

• Market Overview
• Market Size
• Market Dynamics
  • Drivers & Opportunities
  • Restraints & Challenges
• Porters Analysis
  • Competitive rivalry
  • Threat of substitute
  • Bargaining power of buyers
  • Threat of new entrants
  • Bargaining power of suppliers

Key Market Insights

• Key Success Factors
• Degree of Competition
• Top Investment Pockets
• Market Ecosystem
• Market Attractiveness Index, 2024
• PESTEL Analysis
• Value Chain Analysis
• Pricing Analysis
• Macro-Economic Indicators
• Case Studies
• Regulatory Landscape
• Customer & Buying Criteria Analysis

Global Insurance Third Party Administrators Market Size by Type & CAGR (2025-2032)

• Market Overview
• Healthcare Insurance
• Retirement Plans
• Commercial General Liability Insurance
• Others

Global Insurance Third Party Administrators Market Size by Service & CAGR (2025-2032)

• Market Overview
• Claims Management
• Policy Management
• Commission Management
• Others

Global Insurance Third Party Administrators Market Size by Enterprise Size & CAGR (2025-2032)

• Market Overview
• Large Enterprises
• Small and Medium-Sized Enterprises

Global Insurance Third Party Administrators Market Size by Application & CAGR (2025-2032)

• Market Overview
• Healthcare
• Construction
• Real Estate and Hospitality
• Transportation
• Staffing

Global Insurance Third Party Administrators Market Size & CAGR (2025-2032)

• North America (Type, Service, Enterprise Size, Application)
  • US
  • Canada
• Europe (Type, Service, Enterprise Size, Application)
  • Germany
  • Spain
  • France
  • UK
  • Italy
  • Rest of Europe
• Asia Pacific (Type, Service, Enterprise Size, Application)
  • China
  • India
  • Japan
  • South Korea
  • Rest of Asia-Pacific
• Latin America (Type, Service, Enterprise Size, Application)
  • Brazil
  • Rest of Latin America
• Middle East & Africa (Type, Service, Enterprise Size, Application)
  • GCC Countries
  • South Africa
  • Rest of Middle East & Africa

Competitive Intelligence

• Top 5 Player Comparison
• Market Positioning of Key Players, 2024
• Strategies Adopted by Key Market Players
• Recent Developments in the Market
• Company Market Share Analysis, 2024
• Company Profiles of All Key Players
  • Company Details
  • Product Portfolio Analysis
  • Company's Segmental Share Analysis
  • Revenue Y-O-Y Comparison (2022-2024)

Key Company Profiles

• Gallagher Bassett Services LLC
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• Sedgwick
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• ESIS Inc
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• CorVel Corporation
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• Crawford & Company
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• Helmsman Management Services, LLC
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• Charles Taylor
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• UMR
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• Healthscope Benefits
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• Trustmark Health Benefits Inc
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• Anthem Inc (Elevance Health)
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• CVS Health Company
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• Cigna Corporation
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• Humana Inc
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• DXC Technology Company
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• The Hartford Financial Services Group, Inc
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• United Healthcare Services Inc.
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• ExlService Holdings, Inc.
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• Meritain Health, Inc.
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments
• Kaiser Permanente
  • Company Overview
  • Business Segment Overview
  • Financial Updates
  • Key Developments

Conclusion & Recommendations