We empower fiduciaries by delivering full visibility into plan spend—identifying high-cost members, suspect providers, and systemic issues within claims. Our real-time analytics, expert oversight, and dynamic dashboards offer unmatched transparency and control. By surfacing risks early, we help mitigate financial leakage, enforce compliance, and preserve the integrity of self-funded plans.

Our Solutions
Our solutions meet the critical requirements of the Consolidated Appropriations Act, offering 100% claim data analysis and continuous monitoring. With over $16 billion in analyzed claim value, ClaimInformatics provides actionable, real-time insights that have helped identify an average of $82.37 per member per year in improper payments — supporting fiduciaries in achieving compliance and financial stewardship.

Our Mission
Founded in 2017 and headquartered in Bloomfield, CT, ClaimInformatics is dedicated to transforming payment integrity. We move beyond reactive recovery to deliver a proactive, continuous improvement system that protects plan assets, enhances compliance, and reduces fiduciary risk.