TPA Analysis

Independent TPA Analysis to Improve Claims Performance and Control Costs

Procurato’s TPA Analysis provides an independent review of outsourced claims operations. It benchmarks current performance against market standards, identifies gaps, and delivers actionable insight to improve quality, efficiency, and cost control.

Why is TPA Analysis important?

TPA (Third-Party Administrator) Analysis is a critical offering within the Claims Performance Improvement suite. This service is crucial for organisations who rely on outsourced claims handling and need to ensure effective oversight, particularly in managing complex or highly transactional claims portfolios. The primary purpose of TPA Analysis is to granularly analyse claims expenditure and performance data to identify specific improvement opportunities. For businesses concerned about good governance and maintaining acceptable service quality, this analysis provides independent benchmarking to confirm that costs and service performance remain within the established agreements.

Organisations across all segments face challenges related to significant claims cost inflation and the concurrent need to get the expenditure under control. TPA Analysis addresses this by reviewing existing data and performance provided by the current TPA, assessing it against expected performance both as-is and factoring in future growth of the business.

Procurato is expert in managing claims data capture and reporting across TPAs, recognising that data for insurance companies is often complex, dispensed over different systems, or sitting outside the insurance company with third-party partners. By successfully managing this complexity, the analysis guides clients to the most fruitful opportunities in minimal time.

How it helps your business

Our Approach to TPA analysis

How it works

Procurato’s TPA Analysis, delivered through a Claims Cost and Performance Audit, is designed to handle the complexity of insurance data, which is often fragmented across multiple systems or held externally by the TPA. Using advanced analytics, we assess claims spend and performance, monitoring key KPIs, depending on a project and its main goals.

Our approach combines data-driven analysis with expert validation. We begin by establishing the current baseline, reviewing the data and performance provided by the TPA, and comparing this against expected standards and market benchmarks. The results are presented in an interactive dashboard that highlights performance variations and their underlying drivers.

We then identify specific improvement actions to enhance quality, efficiency, and cost control across TPA operations. The audit involves direct engagement with the TPA, review of all available data, acquisition of any missing information, and expert interviews to validate insights and ensure objectivity.

This structured review delivers independent, evidence-based insight and actionable recommendations to strengthen TPA performance and optimise claims outcomes.

Find out

Our Deliverables

Full Claims Cost and Performance Audit Report

A detailed review of the TPA’s performance, highlighting gaps and quantified improvement opportunities.

Benchmarking Report and Claims Spend Analysis

Compares key metrics against market data and visualises performance gaps through an interactive dashboard.

Recommendations for TPA Improvement


Targeted actions to enhance TPA quality, efficiency, and cost control.

Expert Insight and Analysis

Independent, expert-driven insights gained through in-depth data review and validation.

Why Procurato

We combine real industry expertise with technology that adds value. We speak the same language as your teams, avoiding consultancy complexity, and deliver insights in a clear, practical way.

Agile and adaptable, we stay aligned with your agenda even when challenges arise, always focused on delivering what we promise and leaving behind solutions that last.

Our client's stories

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