Product Updates & Innovations, April 2025: Clive™ AI Assesses Claim Complexity

At Five Sigma, we’re constantly evolving to make our customers’ claims management experience better and exceptional. We’re thrilled to share the newest enhancements to our platform and Clive™, the AI Claims Adjuster – all designed to streamline claims operations and harness the power of automation and AI-native technology.

With Clive, AI claims management is now available to any insurer, MGA or TPA looking to add AI and automation to their existing claims system. 

As a cloud-based SaaS – the platform and Clive are always up to date with the latest enhancements, for the benefit of all customers.

 🤖Clive AI Continuously Assesses Claim Complexity

Clive provides real-time visibility into claim complexity, allowing effective triage and resource allocation. Clive automatically analyzes key data points like liability, severity, legal involvement, and regulatory factors, assigning each claim a dynamic complexity rating – Low, Medium, or High.

Clive continuously evaluates claim data throughout the claim lifecycle. As new information arrives, Clive automatically updates the complexity rating, providing claims teams with ongoing, real-time insights.

Clive Assesses Claim Complexity

 🤖 Clive AI Translates Claim Documents to Any Language

Five Sigma supports insurers around the globe and Clive makes cross-regional communications a lot easier! Clive can translate claim documents, emails, and notes instantly, right from within the Clive interface. No switching tools, no copy-pasting.

Every translation appears side-by-side with the original, helping adjusters verify accuracy, stay in context, and reduce misunderstandings.

Clive Claim Doc Translate

📝 Configurable Document Types 

Instead of a hardcoded list, document types are now fully configurable through a new Document Types tab in the internal admin panel.

The new interface allows organizations to enable, disable, and create their own document types, while maintaining a set of required standard types.

This change provides greater flexibility to tailor document management to each organization’s specific needs.

Document Type - Five Sigma

📧 Customizable Email Titles and Signatures

A new Email Configuration tab allows full customization of default email titles and signatures.

Organizations can define a required default title and signature at the organizational level, with the option to set overrides for specific sub-organizations.

When an email is not tied to a claim, the organization-level configuration will apply.
This update improves brand consistency across communications and reduces reliance on support for changes.

Five Sigma - AI-Native Claims Management

Five Sigma offers an AI-native claims management platform (CMS) and Clive, our AI Claims Adjuster, which streamline every step of claims handling. 

Clive™, the insurance industry’s first AI Claims Adjuster, offers unparalleled automation and insights on top of any CMS! Clive adds AI capabilities to any existing system to automate routine tasks, dynamically plan claim handling, and advance the claim automatically according to the insurer’s operating procedure (SOP). Clive drives artificial intelligence, efficiency, and accuracy in claims handling. Adjusters are freed to focus on complex decision-making and better customer service.

Five Sigma’s CMS platform empowers adjusters to excel, speeding up claims handling and improving customer satisfaction with 360° claim visibility, advanced automation, a user-friendly interface, and useful insights.

For insurers, MGAs, and TPAs, Five Sigma is a risk-free solution that unlocks unprecedented benefits quickly. Insurers gain unparalleled visibility into their claims and operations, resulting in a significant reduction in Loss Adjustment Expenses. Five Sigma is a future-proof platform that is always up to date for the benefit of all its customers and gives insurers the agility to handle any claim faster, add new Lines of Business in less than a day, and accommodate new business models easily.

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