Five Sigma’s AI Claims Technology Featured by HFS Research

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HFS Research, a global research and analysis company, recently published a highlight report about Five Sigma’s AI-native claims technology and its impact on modern claims management, introducing Clive™, the AI Claims Adjuster, as a key differentiator.  

The highlight, authored by Hridika Biswas and Reetika Fleming, explores how Five Sigma is transforming claims management by embedding artificial intelligence, automation, and data-driven decision-making into the core of claims operations, freeing adjusters to focus on what truly matters: decision-making and better customer service.

Insurance claims handling is evolving fast. Five Sigma’s AI-native Claims Management System (CMS) and Clive are leading the shift from manual-heavy processes to automation-first operations, helping insurers, MGAs and TPAs overcome legacy barriers and speed up claims cycles.

Unlike traditional solutions that bolt AI onto outdated workflows, Five Sigma’s claims management products are designed from the ground up for AI and automation. Clive automates FNOL, triage, fraud detection, and documentation processing—cutting cycle times and reducing claims processing costs. Best of all, Clive can integrate into any existing CMS infrastructure with minimal disruption, accelerating modernization without costly overhauls.

Success in AI claims handling demands more than automation alone. Five Sigma’s approach blends automation, data-driven insights, and human expertise to ensure compliance, fairness, and outstanding customer experiences.

About HFS Research

HFS Research is a leading global research and advisory firm, helping Fortune 500 and Global 2000 companies navigate IT and business transformation. Known for bold insights and actionable strategies, HFS empowers organizations to make decisive technology and service choices, backed by fearless research and expert analysis.

Learn more about HFS here: https://www.hfsresearch.com/

Five Sigma - AI Claims Management Technology

Five Sigma offers AI and automation technology for claims handling. Clive™, the industry’s first Multi-Agent AI Claims Expert, working on top of any existing claims management system (CMS), and Five Sigma’s AI-native Claims Management Platform

For P&C carriers, MGAs, TPAs, and reinsurers, Five Sigma delivers tangible results through claims technology: cost savings, productivity boost, cycle time reduction, improved accuracy, and better policyholder service.

Clive™, our award-winning Multi-Agent AI Claims Expert, adds AI and automation 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 manages multiple AI agents that handle and automate different tasks and claim handling stages, including: intake, triage, liability assessment, coverage, communications, fraud detection, compliance, settlement, and more. 

Our customers can deploy Clive AI quickly, one agent at a time, and expand as they go. Adjusters are freed to focus on complex decision-making and better customer service. 

Five Sigma’s Claims Management Platform is an AI-native CMS, with Clive built-in. Our platform includes 360° claim visibility, an omnichannel communication hub, and easily configurable workflows — offering unmatched efficiency and cost savings.

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