7 MINUTE READ
At Insurtech Insights New York conference, Five Sigma unveiled a breakthrough in claims automation: Clive™, the insurance industry’s first AI Claims Adjuster.
In a live demo led by Five Sigma’s Co-founder and CEO Oded Barak, and VP of Global Business Development & Partnerships, Raymond Charrier, we showed how Clive actively handles claims from FNOL to payment, automating every step along the way:
- Extracts structured data from emails, photos, reports, and PDFs to create claims instantly.
- Identifies coverage issues and recommends actions based on your Standard Operating Procedure (SOP).
- Analyzes and determines claim complexity for efficient triage.
- Sets reserves, opens exposures, assigns adjusters, and sends compliant communications.
- Flags inconsistencies between FNOL and claim documents (like mismatched injury claims or suspicious loss locations).
- Reads and breaks down injury demands, surfacing key liability and medical insights.
- Continuously builds and updates action plans, keeping every claim moving forward.
Clive works on top of any CMS, bringing AI and automations capabilities to your existing claims operation. Clive frees adjusters from manual and administrative tasks, providing data-based recommendations for a faster, more accurate claim process. Adjusters are free to focus on decision-making and customer service.
From the positive feedback, excitement, and curiosity we received after the demo, it’s clear: the appetite for real AI and automation in claims management is stronger than ever. Insurers are looking for reliable, proven AI tools like Clive to reduce costs, cut cycle times, and modernize their claims operations without lengthy or costly implementation processes.
Watch the full demo to see Clive in action 👇
