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Google just released an in-depth case study about Clive™, Five Sigma’s revolutionary AI Insurance Claims Adjuster, showcasing how our strategic partnership with Google Cloud and LangChain is providing a solid foundation to innovate with cloud software and bring the future of claims management to insurance providers.
Utilizing Google’s secure Vertex AI and LangChain’s advanced natural language processing and orchestration capabilities, Clive is able to handle claims like never before!
- Adds advanced AI capabilities to any existing Claims Management System (CMS)
- Analyzes claims data from various sources and different formats (text, voice, images, and more)
- Creates a detailed claim plan and adapts it dynamically based on new information
- Automates claim processing and executes tasks according to the insurer’s unique operating procedure (SOP)
- Flags potential discrepancies and risks
- Provides AI-driven recommendations and next steps to human adjusters
Together, we’re leveraging cutting-edge AI and advanced NLP to transform how insurers manage claims, enabling faster, more accurate claims handling that results in increased customer satisfaction.
Read Gooogle's Case Study about Clive AI
Five Sigma recently introduced Clive™ - the insurance industry’s first AI Claims Adjuster. This impressive demonstration of GenAI in the insurance industry is powered by LangChain and Google Cloud Platform’s Vertex AI.
Meet Clive™, Five Sigma’s AI Claims Adjuster
Five Sigma is a leading Insurance Technology startup that has been at the forefront of artificial intelligence innovation for over 7 years. Built even before the ChatGPT and GenAI revolution, Five Sigma offers an AI-native claims management platform (CMS) to streamline every step of insurance claims handling for insurance companies, Managing General Agents (MGA), and Third-Party Administrator (TPA).
In July 2024, Five Sigma introduced Clive™, the insurance industry’s first AI Claims Adjuster. Clive offers insurers advanced AI capabilities and automation on top of whatever claims management system they’re already using – so insurance providers can keep working with legacy or existing claims systems while also experiencing faster and more accurate claims handling.
Clive frees up human claims handlers to focus on areas where a human touch is valuable – like complex decision-making and empathic customer service.
- AI Training (Insurer’s SOP)
- Expedited Claim Intake (FNOL)
- Automatic AI Analysis
- AI Recommendations
- Human Adjuster Decision
Clive is equipped with comprehensive knowledge about insurance workflows, as well as Five Sigma’s proprietary data on claims handling with policyholders and other stakeholders (lawyers, repair shops, and other departments within the insurance company), and effective paths for claim resolution. On top of this, Five Sigma adds customers’ unique Standard Operating Procedures (SOP) that define the guidelines for handling claims at a specific company across various lines of business.
As a result, Clive can analyze, handle, and even execute any individual claim by itself. And wherever human intervention is needed, Clive assists adjusters with AI-powered recommendations, like document analysis, next steps, personalized communication, transcribing and summarizing interactions, and more.
Through its advanced AI engine, Clive gives meaningful insights on coverage, flags potential discrepancies for risk management and leakage prevention, and guides adjusters throughout the claims process to reach faster, fairer settlement decisions.
Clive Behind the Scenes
Clive’s tech stack lets it perform like the most experienced insurance claims agent – with intelligence, data protection, and scalability.
GCP & Vertex AI – Clive’s Brain
Five Sigma leverages Vertex AI’s high availability, scalability, and data protection.
Five Sigma uses Vertex AI and its Gemini models along with its proprietary knowhow in order to understand both structured and unstructured claims data, in new ways that were not possible just a few months back. The multi-modality of Gemini allows Clive to understand text, images, voice, and video data, and to quickly incorporate it all in its claim analysis and insights.
LangChain – Clive’s Human Reasoning
Clive deals with vast amounts of data and human users – including insurance
company’s leaders, claims adjusters, and even policyholders. To orchestrate its operations and turn data into insights, the Five Sigma team used LangChain.
LangChain helps users build context-aware reasoning applications, providing a standard model interface that enables Clive to interact with its users in an intuitive way. Through Five Sigma’s integration with LangChain, users can communicate with Clive in a simple chat interface. LangChain allows Clive to understand and respond to questions and requests intelligently, making interactions with the AI claims adjuster intuitive and natural.
LangChain’s seamless integration with Google Cloud offers developers a comprehensive toolkit for building advanced agentic AI applications, leveraging powerful vector stores and utilizing both first- and third-party models.
Five Sigma is ensuring Clive evolves continuously
Five Sigma also relied on Langsmith, an all-in-one observability platform built by the LangChain team, to curate datasets and run customizable, out-of-the-box evaluators. LangSmith helped Five Sigma automate their testing processes and make continuous improvements to Clive’s response quality. All of this is done within Google Cloud, so training data is protected.
Just the beginning
Looking ahead, Five Sigma is working on exciting developments for future enhancements of Clive. Among other endeavors, the company is testing a controllable agent orchestration framework, to create reliable agentic workflows using multiple AI agents.
With the strong partnerships forged with Google Cloud and LangChain, Five Sigma is well-positioned to continue innovating at a rapid pace and accomplish its vision of transforming the insurance industry in the AI era.
