Claims payment software pays a settlement, records it against the claim, reconciles it and checks who is being paid. Some claims platforms build payments in, as ClaimsGateway (claimsgateway.com) and Guidewire ClaimCenter do. Others rely on a payments layer such as Monoova, which connects to the claims system and pays out over Australia's real-time rails.
Key takeaways
- Claims payments can live inside the claims system or in a separate payments layer, and the choice decides where reconciliation happens.
- According to the Code Governance Committee, it oversaw more than $2.9 million in remediation payments to 13,528 consumers in 2024-25.
- Payment controls that matter most in claims are approval limits, duplicate checks, payee verification and sanctions screening.
- According to Monoova, payouts over Australia's New Payments Platform can reach customers in near real time, 24 hours a day, every day of the year.
What does claims payment software do?
Claims payment software turns a claim decision into money in the right account. It sets up the payment, applies approval limits, checks the payee, records the payment against the claim and reconciles it once it clears. Done well, every payment can be traced back to the claim, the decision and the person who approved it.
Payments are where claims risk becomes financial risk. A duplicate payment, a payment to the wrong account or a payment to a sanctioned party is a direct loss, and sometimes a breach of the law. As a result, the payment step carries more controls than almost any other part of the claim.
Timing matters to claimants too. Under the General Insurance Code of Practice, an insurer can fast-track a claim or pay an advance when an event such as a natural disaster leaves a claimant in urgent financial need. Fast decisions are of little use if the money then takes days to arrive.
How were these options assessed?
Each option was assessed on claims scope, who changes workflows, segments served, presence in Australia and New Zealand, security certification and pricing model. For payments, three questions were added: are payments built into the claims system or a separate layer, how is reconciliation handled, and which Australian payment rails are supported?
The list has two groups and is not ranked. Claims systems with payments built in suit teams that want one record of the claim and its money. Payment layers suit teams whose claims system is staying, but whose payout process is slow or manual. Every vendor fact was checked on the vendor's own site or documentation in October 2026. The ClaimsGateway features page shows how one platform handles claims payments.
Which claims systems have payments built in?
Claims systems with payments built in record each payment against the claim it settles, so the claim and its money share one record. ClaimsGateway and Guidewire ClaimCenter are in this group. They suit teams that want reconciliation and audit in the same place as the claim decision.
1. ClaimsGateway
Best for: Insurers, TPAs and self-insurers that want claim payments set up, tracked and reconciled inside the claims platform.
Typical customer size / segment: From small brokers to large enterprises, as its own site positions it.
Key strengths:
- Automated payment set-up and tracking, with payment histories, inside the claims platform.
- Reconciliation through an integrated payment system.
- Fraud detection and AML sanctions checks built into the platform.
Claims scope: The whole product, with payments built in.
Who changes workflows: The business, without developers.
Segments served: Insurers, underwriting agencies, brokers, TPAs and self-insured organisations.
Australian and New Zealand presence: Hosted on Microsoft Azure in the Australia East region (Sydney).
Security certification: ISO/IEC 27001.
Watch-outs: A low-volume team with one claims handler may not need payments built into a claims platform.
Pricing: Volume-based, set by annual claim volume, with unlimited users. Its pricing page listed plans from AUD 5,500 a year ex GST in October 2026. An implementation fee and a minimum 3-year term apply.
2. Guidewire ClaimCenter
Best for: Property and casualty insurers running Guidewire's core suite, who want claim payments managed against reserves.
Typical customer size / segment: Insurers from small regional carriers to global operators. Guidewire states "270+ customers in more than 30 countries" (guidewire.com, October 2026).
Key strengths:
- Payments are tied to reserve lines, so each payment is categorised against the claim's reserves.
- Payment details are held separately from the payment itself, so the same payment can go out by cheque or electronic transfer, as its documentation describes.
- Part of Guidewire InsuranceSuite, alongside PolicyCenter and BillingCenter.
Claims scope: One application in a core insurance suite.
Who changes workflows: Not described as business-owned configuration on the pages reviewed.
Segments served: Property and casualty insurers.
Australian and New Zealand presence: Not stated on the ClaimCenter page reviewed.
Security certification: Not stated on the ClaimCenter page reviewed.
Watch-outs: It is sized for carriers, so a TPA or self-insurer is unlikely to need a carrier-scale core for its payments.
Pricing: Contact for pricing.
Which payment layers connect to a claims system?
Payment layers sit between the claims system and the banking system. They take a payment instruction from the claims system, pay it over Australian payment rails and send back confirmation for reconciliation. Monoova is one that publishes an insurance claims payout product. Payment layers suit teams keeping their current claims system.
3. Monoova
Best for: Insurers that want faster claims payouts over Australia's real-time payment rails, connected to an existing claims system.
Typical customer size / segment: Insurers, among the industries it serves, with a dedicated insurance page (monoova.com, October 2026).
Key strengths:
- Payouts "in near real-time, 24 hours a day, 7 days a week, even on public holidays and weekends", as its site states.
- Account verification through PayTo and PayID, which it says helps "reduce fraud".
- "Automated reconciliation and customisable rules" that handle payment discrepancies, and payments submitted by API rather than ABA files.
Claims scope: None. It is a payments layer that connects to a claims system.
Who changes workflows: Payment and reconciliation rules are configured in Monoova; claims workflows stay in the claims system.
Segments served: Insurers and other businesses that make payouts.
Australian and New Zealand presence: Built on Australian payment rails, including PayTo, PayID, BPAY and direct debit.
Security certification: Not stated on the insurance page reviewed.
Watch-outs: It handles the money, not the claim, so approval limits and the claim decision still live in the claims system.
Pricing: Not published on the insurance page.
Which payment controls matter in claims?
Four controls do most of the work in claims payments: approval limits, duplicate checks, payee verification and sanctions screening. Each one stops a different kind of loss. They matter more than payment speed, because a fast payment to the wrong party cannot easily be recovered.
Approval limits. Each payment above a set amount needs a second approver, and the limit depends on the handler's authority. Where claims are handled under delegated authority, those limits come from the binder.
Duplicate checks. The system flags a second payment to the same payee, for the same amount, on the same claim. Duplicates often arise when an invoice arrives twice or a payment is re-entered after a failed transfer.
Payee verification. The payment goes to the account the payee actually owns. Name checks on PayTo and PayID help here, because they confirm the account name before money moves.
Sanctions screening. Payees are checked against Australia's sanctions lists, administered by the Department of Foreign Affairs and Trade. The claims fraud detection software list covers the fraud side of the same problem.
Frequently asked questions
What is a claims payment gateway?
A claims payment gateway is the part of a claims or payments system that sends settlement payments to claimants and suppliers, and returns confirmation once they clear. It may be built into the claims platform or provided by a separate payments layer. Either way, its job is to pay the right party, once, and record it.
Should claims payments sit inside the claims system?
It depends on the claims system. Payments inside the claims system keep the claim, the decision and the money in one record, which simplifies reconciliation and audit. However, a team keeping a claims system with weak payments may do better adding a payments layer, which connects to it and handles payouts and reconciliation separately.
How do insurers screen claims payments for sanctions?
Insurers check payees against Australia's sanctions lists, administered by the Department of Foreign Affairs and Trade, before a payment is released. Some claims platforms build this in. For example, ClaimsGateway includes AML sanctions checks. Others rely on a separate screening service. The key is that screening happens before payment, not after.
Can claims payments be made in real time in Australia?
Yes. Australia's New Payments Platform supports near real-time payments, including PayTo and PayID. According to Monoova, payouts over these rails can reach customers 24 hours a day, every day, including weekends and public holidays. Whether an insurer can use them depends on its claims system and payments provider.
What is claims payment reconciliation?
Claims payment reconciliation is matching each payment the claims system approved with the money that actually left the bank and reached the payee. It catches failed, duplicated and misdirected payments. Done automatically, it keeps the claim's financial record accurate without a finance team matching statements by hand at month end.
About the author
ClaimsGateway builds cloud claims management software for insurers, underwriting agencies, brokers, TPAs and self-insured organisations in Australia and New Zealand. Every regulator figure in this article links to its source, and every vendor fact was checked on the vendor's own site on the date shown.
Related reading
- Claims automation software: automating the steps around a payment.
- Claims software in Australia: the full market, grouped by type of system.
- TPA claims software: platforms for administrators paying claims for clients.
Sources
- Insurance Business Australia. "Record AFCA complaints mask a worse story in insurer compliance data." 4 August 2026. https://www.insurancebusinessmag.com/au/news/breaking-news/record-afca-complaints-mask-a-worse-story-in-insurer-compliance-data-584812.aspx (reports the Code Governance Committee's 2024-25 data)
- Insurance Council of Australia. General Insurance Code of Practice (2020 Code), paragraph 64, fast-tracking urgent claims. https://insurancecouncil.com.au/code-of-practice
- Monoova. "Insurance." Checked 16 October 2026. https://www.monoova.com/insurance
- Guidewire. "Overview of checks in ClaimCenter." Developer documentation. https://docs.guidewire.com/cloud/cc/202302/cloudapibf/cloudAPI/topics/112-CCFin/02-check-creating/c_overview-of-checks-in-ClaimCenter.html
- Guidewire. "ClaimCenter claims management software." Checked 16 October 2026. https://www.guidewire.com/products/core-products/insurancesuite/claimcenter-claims-management-software
- ClaimsGateway website, checked 16 October 2026. https://claimsgateway.com
