Company lists · Data refreshed September 2026

Top 25 Insurance outsourcing companies based in the United States

RevenueBase identified 1,008 insurance outsourcing companies headquartered in the United States as of September 2026 and tracks 40,990 professional contacts across them, including 11,257 with verified work emails. New York is the largest hub.

This list covers insurance outsourcing companies headquartered in the United States, matched on what each company actually does as described in its own words. Ranked by team size, largest first. Every row shows the company's own description, its RevenueBase Smart Search rating, and when it was last checked. Data refreshed September 21, 2026.

Published by RevenueBase, a B2B data infrastructure company. This list was built with RevenueBase Smart Search, the natural-language company search RevenueBase customers use to build their own targeted lists and unlock verified emails and direct dials at the companies on them. How these lists are built and judged.

How to read this list HQ checked on every row RevenueBase Smart Search rating on every row Refreshed Sep 21, 2026 86% judged on-target in blind review
1,008Companies
40,990Contacts tracked
11,257Verified emails
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The 25 largest insurance outsourcing companies based in the United States

Ranked by team size
Top 25 of 1,008 insurance outsourcing companies based in the United States, ranked by team size, largest first. Data refreshed Sep 21, 2026. RevenueBase Smart Search rates how each company's information relates to insurance outsourcing companies: strong evidence (its own description names it), partial (names part of it), indirect (matched on the rest of its profile rather than the description shown). Click a contact count to view that company's people.
#CompanyRevenueBase Smart SearchHeadquartersEmployeesContacts
1Partial evidencePeachtree Corners, GA, United StatesHQ checked Sep 21, 202610001+6,474 contacts →

Partial evidence

“Based in Atlanta, GA Crawford & is the world's largest publicly listed independent provider of claims management and outsourcing solutions to carriers, brokers and corporates…”

Source: RevenueBase Database · checked Sep 21, 2026
2Partial evidenceBoston, MA, United StatesHQ checked Sep 21, 20261,001-5,0004,344 contacts →

Partial evidence

“Xceedance provides strategic operations support, technology, and data services to drive efficiencies for insurance organizations worldwide.”

Source: RevenueBase Database · checked Sep 21, 2026
3Strong evidenceEl Dorado Hills, CA, United StatesHQ checked Sep 21, 20265,001-10,0003,410 contacts →

Strong evidence

“Patra is a leading provider of technology-enabled insurance outsourcing services and AI-powered software solutions.”

Source: RevenueBase Database · checked Sep 21, 2026
4Partial evidenceNew York, NY, United StatesHQ checked Sep 21, 202610001+3,219 contacts →

Partial evidence

“Focused exclusively on the insurance industry, ReSource Pro is the trusted partner insurance organizations rely on to optimize performance, streamline operations and process…”

Source: RevenueBase Database · checked Sep 21, 2026
5Partial evidenceDubuque, IA, United StatesHQ checked Sep 21, 20261,001-5,000955 contacts →

Partial evidence

“Cottingham & Butler is the 3rd largest privately and independently held insurance broker in the U.S.”

Source: RevenueBase Database · checked Sep 21, 2026
6Partial evidenceWoodbury, MN, United StatesHQ checked Sep 21, 20261,001-5,000788 contacts →

Partial evidence

“illumifin is a true partner to the insurance industry, delivering tech-enabled business processing services and essential software solutions to help transform insurers for…”

Source: RevenueBase Database · checked Sep 21, 2026
7Partial evidenceLakewood Ranch, FL, United StatesHQ checked Sep 21, 20265,001-10,000757 contacts →

Partial evidence

“Davies is a specialist professional services and technology firm delivering comprehensive insurance and risk solutions to clients across the globe.”

Source: RevenueBase Database · checked Sep 21, 2026
8Indirect evidenceLakewood, CO, United StatesHQ checked Sep 21, 2026201-500734 contacts →

Indirect evidence

“Eberl is a people-centric organization - powered by technology and driven by compassion for others.”

Source: RevenueBase Database · checked Sep 21, 2026
9Indirect evidenceFrederick, MD, United StatesHQ checked Sep 21, 2026n/a652 contacts →

Indirect evidence

“ESIC Corporation is a company based out of 38 S Market St, Frederick, MD, United States.”

Source: RevenueBase Database · checked Sep 21, 2026
10Partial evidenceSan Antonio, TX, United StatesHQ checked Sep 21, 2026501-1,000651 contacts →

Partial evidence

“A member of the Claim Assist Solutions Family of Brands, Allcat’s mission is to be the provider of choice for all insurance adjusting needs with a complete set of tech-enabled…”

Source: RevenueBase Database · checked Sep 21, 2026
11Partial evidenceCamden, NJ, United StatesHQ checked Sep 21, 2026501-1,000612 contacts →

Partial evidence

“As one of America’s largest and most admired insurance brokerage and consulting firms, our mission is to provide innovative solutions to businesses facing complex risks and…”

Source: RevenueBase Database · checked Sep 21, 2026
12Partial evidenceBaltimore, United StatesHQ checked Sep 21, 20261,001-5,000575 contacts →

Partial evidence

“Global expertise in providing technology-driven business management services & solutions to health insurance payers, TPAs, and Health Plans.”

Source: RevenueBase Database · checked Sep 21, 2026
13Strong evidenceEden Prairie, MN, United StatesHQ checked Sep 21, 20261,001-5,000551 contacts →

Strong evidence

“LTCG is a leading provider of business process outsourcing for the insurance industry.”

Source: RevenueBase Database · checked Sep 21, 2026
14Indirect evidenceBirmingham, AL, United StatesHQ checked Sep 21, 202610001+539 contacts →

Indirect evidence

“RENFROE is the largest privately-held, full-service claims management firm in the U.S.”

Source: RevenueBase Database · checked Sep 21, 2026
15Partial evidencePrinceton, NJ, United StatesHQ checked Sep 21, 2026501-1,000527 contacts →

Partial evidence

“QWay Technologies QWay is a global business outsourcing provider with a strong background of Revenue Cycle Management and providing customer support.”

Source: RevenueBase Database · checked Sep 21, 2026
16Indirect evidenceAltamonte Springs, FL, United StatesHQ checked Sep 21, 2026501-1,000472 contacts →

Indirect evidence

“North American Risk Services, Inc.(NARS) is a premier third party claims administrator that is dedicated to producing the best possible results for our clients.”

Source: RevenueBase Database · checked Sep 21, 2026
17Partial evidencePittsburgh, PA, United StatesHQ checked Sep 21, 2026201-500360 contacts →

Partial evidence

“HM Insurance Group (HM) works to protect businesses from the financial risk associated with health care costs.”

Source: RevenueBase Database · checked Sep 21, 2026
18Indirect evidenceTampa, FL, United StatesHQ checked Sep 21, 20261,001-5,000287 contacts →

Indirect evidence

“RYZE Claim Solutions is a national claims services company where People Matter, Reputations Matter, and Results Matter!”

Source: RevenueBase Database · checked Sep 21, 2026
19Indirect evidencePhoenix, AZ, United StatesHQ checked Sep 21, 2026201-500279 contacts →

Indirect evidence

Source: RevenueBase Database · checked Sep 21, 2026
20Indirect evidenceDallas, TX, United StatesHQ checked Sep 21, 202651-200239 contacts →

Indirect evidence

“Bestow is the life and annuity platform built for what's next.”

Source: RevenueBase Database · checked Sep 21, 2026
21Partial evidenceKing Of Prussia, PA, United StatesHQ checked Sep 21, 2026501-1,000239 contacts →

Partial evidence

“Mahathi Infotech helps insurance and healthcare organizations improve critical operations.”

Source: RevenueBase Database · checked Sep 21, 2026
22Indirect evidenceBoston, MA, United StatesHQ checked Sep 21, 2026201-500232 contacts →

Indirect evidence

“Say hello to Dyad.”

Source: RevenueBase Database · checked Sep 21, 2026
23Partial evidenceCovington, LA, United StatesHQ checked Sep 21, 202651-200224 contacts →

Partial evidence

“For more than half a century, Gilsbar has offered insurance service solutions and support for businesses and their employees.”

Source: RevenueBase Database · checked Sep 21, 2026
24Indirect evidenceLancaster, PA, United StatesHQ checked Sep 21, 202651-200211 contacts →

Indirect evidence

“At EHD, we’re proud of our history and heritage, and equally proud of continuing to operate as a privately held and independent company, as we have since 1896.”

Source: RevenueBase Database · checked Sep 21, 2026
25Partial evidenceRockville Centre, NY, United StatesHQ checked Sep 21, 2026201-500209 contacts →

Partial evidence

“InsBOSS (Insurance Back Office Solution Systems) is an insurance industry focused back-office company.”

Source: RevenueBase Database · checked Sep 21, 2026

Showing 25 of 1,008 insurance outsourcing companies based in the United States

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Insurance outsourcing companies based in the United States at a glance

As of Sep 21, 2026
27.5%Verified-email coverage
40.7Average contacts per company
11-50Median size (employees)
2.0%Largest-city concentration · New York
Sep 21, 2026Page data refreshed

Companies by employee count

1-10
482
11-50
290
51-200
144
201-500
46
501-1,000
13
1,001-5,000
20
5,001-10,000
4
10001+
7

Email recency for this list is measured worldwide rather than for United States, so it is reported there. Company counts and contact totals on this page are exact for United States, over 1,008 companies.

How this list was built

Company categories are rarely black and white. RevenueBase reads each company's own description of its business to decide whether it belongs among insurance outsourcing companies, so some rows will be adjacent to the category rather than pure plays. The description and RevenueBase Smart Search rating on every row are there so you can check each match yourself.

Source
The RevenueBase company graph: 60 million companies and 398.9 million professional contacts resolved from primary sources, queried with RevenueBase Smart Search, the natural-language company search available to every RevenueBase user.
What qualifies
Companies headquartered in the United States whose own description of what they do matches “insurance outsourcing companies”. Matching reads each company's description, not its industry code or its name.
RevenueBase Smart Search
RevenueBase Smart Search is how this list is assembled and how each row is rated. RevenueBase's data engine and AI assess a company's LinkedIn profile, information supplied directly by the company, its website and other publicly available information, then relate it to a category defined in a user's own words. Each row is rated strong evidence (its own description names insurance outsourcing companies), partial evidence (it names part of the category) or indirect evidence (the description shown names none of it and the match rests on the rest of the company's profile). The description supporting each rating is quoted on the row.
What we exclude
Companies whose own description does not clearly place them among insurance outsourcing companies, and records with no verified work email. Companies headquartered outside United States are excluded even when they keep an office there.
Match quality
In blind human judging of this matching method, 86% of matched companies were on target. Expect roughly 1 in 7 rows to be adjacent to the category rather than a pure play. Every row shows the company's own description and its RevenueBase Smart Search rating so you can judge each match yourself. Read the full methodology: how the lists are built, how the judging worked, and what the figure means.
Ranking
Team size, largest first: companies are ordered by the number of professionals RevenueBase tracks at each one. Employee ranges shown are reported bands, for context.
Verification
Every listed company carries at least one verified work email, 11,257 across the full list. Contacts re-verify on a rolling cadence, and each contact's own verification date is shown inside RevenueBase.
Refresh
This page's figures were pulled from the company graph on September 21, 2026. Lists refresh periodically as the graph is re-checked.
Corrections
Wrong category, wrong headquarters, or a company that has closed? Use “Report an issue” on any row. Reports go to the RevenueBase Data Team and feed back into the company graph.

Frequently asked

What is RevenueBase Smart Search?

RevenueBase Smart Search is how RevenueBase decides which companies belong on this list and how strongly each one fits. Its data engine and AI assess a company's LinkedIn profile, information supplied directly by the company, its website and other publicly available information, then relate it to the category the list is about. Each row is rated strong evidence when the company's own description names insurance outsourcing companies, partial evidence when it names part of the category, and indirect evidence when the description shown names none of it and the match rests on the rest of the company's profile.

How many insurance outsourcing companies are there based in the United States?

RevenueBase identified 1,008 insurance outsourcing companies headquartered in the United States as of September 2026, matched on each company's own description of what it does rather than its industry code.

What is the largest company on this list?

Crawford & Company, headquartered in Peachtree Corners, tops this list with the largest team on record.

Which city has the most insurance outsourcing companies?

New York leads with 20 headquartered companies, followed by Dallas (15) and Los Angeles (15).

How do I get contact information for these companies?

A free RevenueBase account lets you run this exact search and work the top results, verified emails and direct dials included. Upgrading unlocks all 11,257 verified decision-maker contacts tracked across these 1,008 companies.

How current is this list?

The list refreshes periodically as the company graph is re-checked. This page's figures were pulled on September 21, 2026.

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About this data

RevenueBase is a B2B data infrastructure company. Its company graph covers 60 million companies and 398.9 million professional contacts, with emails verified on a rolling cadence rather than scraped once and left to decay. These company lists are generated directly from that graph with RevenueBase Smart Search, the same natural-language company search every RevenueBase user has: describe a market in plain words, get the companies that match, and add verified emails and direct dials for the people at them. It is the same data that powers RevenueBase's B2B data products, and a free account includes 500 credits to start. How these lists are built and judged.