Five Sigma - AI Claims Management

Our Automation First vision is becoming a reality. Today, Five Sigma unveiled Adjuster’s Cockpit and Clive Claim Conductor, two major new capabilities that move claims from AI-assisted toward AI-led operations. Together, they allow AI to keep claims moving within insurer-defined guardrails, while adjusters oversee the operation and step in when human judgment is needed. As our CPO, Gil Nechushtai, puts it: “The real transformation isn’t adding AI to existing claims workflows. It’s redesigning claims operations so AI takes the lead within defined guardrails, while adjusters supervise and step in when human judgment is needed.” The goal: no-touch where possible, low-touch where needed, and human expertise focused where it matters most. See it live at ITC Vegas, booth #3244. Read the full announcement: https://lnkd.in/eVuDJK_A/?utm_campaign=Awareness%2526Engagement&utm_source=linkedin&utm_medium=paid&utm_id=622360213&hsa_acc=509273784&hsa_cam=622360213&hsa_grp=479493563&hsa_ad=1637600926&hsa_net=linkedin&hsa_ver=3

We’re proud to share that Five Sigma has been named to the InsurTech100 for the third year in a row! 🏆 FinTech Global’s annual list recognizes 100 companies shaping insurance through technology, selected as companies industry leaders need to know about. As @FinTech Global CEO Richard Sachar puts it: “The InsurTech100 reflects how quickly the role of technology in insurance is evolving.” Five Sigma brings an automation-first approach to claims processing technology, combining an AI-native claims management platform with Clive™, our multi-agent AI claims expert. Together, they automate repetitive work and move claims forward across the lifecycle, within each organization’s rules and workflows. Adjusters stay in control and step in when their judgment and decisions are needed. A big thank-you to our team, customers, and partners who help shape what we build. And congratulations to the other companies recognized! See the full 2026 list: https://lnkd.in/eKijbwTW

Where should AI take the lead, and where adjuster expertise take over? This practical guide helps claims leaders redesign work around the strengths of both.

AI won’t improve claims performance if the operating model stays the same. Get a practical 6-step framework for deciding what AI owns, where adjusters step in, and how the two work together.

An estimated $15 billion in subrogation recovery opportunities is missed every year. And often, the evidence was sitting in the claim file all along. An insurer pays a claim even though a third party may be responsible for the loss. A police report, contractor's invoice, or adjuster's note contains the clue, but it never gets flagged for recovery. By the time someone reviews the claim at closure, critical evidence may be gone, deadlines are approaching, and the opportunity to recover some of that payout is slipping away. Modern agentic AI offers the solution. It can identify subrogation potential the moment new evidence arrives and prepare the referral for the adjuster to review. The benefit? More opportunities to recover money before it's too late. Insurers can preserve critical evidence earlier and start pursue recoveries while claim handling and payments continue as usual. Our latest article explores how AI can make this possible, and what it takes to put it into practice. Read the full article → https://lnkd.in/ePE5fM7w/?utm_campaign=Awareness%2526Engagement&utm_source=linkedin&utm_medium=paid&utm_id=622360213&hsa_acc=509273784&hsa_cam=622360213&hsa_grp=479493563&hsa_ad=1594952043&hsa_net=linkedin&hsa_ver=3

Put AI where it adds the most value. Improve the accuracy, speed, and efficiency of your claims operations. See ROI in months. Get the practical guide.