10 MINUTE READ
The insurance industry is undergoing a significant transformation, driven by the adoption of artificial intelligence (AI) and automation. Recently, Info-Tech Research Group, a leading global research and advisory firm, interviewed Oded Israeli, Chief Marketing Officer (CMO) at Five Sigma, to explore how AI is reshaping claims management and enhancing operational efficiency.
Impressed by Five Sigma’s forward-thinking AI technology, Info-Tech asked to gain insights into how AI is reshaping claims management. Boris Lam, research analyst at Info-Tech, led the conversation with our CMO to discuss how Five Sigma harnesses the latest technological advancement in AI and automation to elevate claims management operations.
Q: Who is Five Sigma and what are its core offerings?
Oded: Five Sigma is an AI-native claims management technology company offering two core AI products:
- Five Sigma Claims Management Platform (CMS): A cloud-based platform that handles claims end-to-end using AI and automation.
- Clive™ – the insurance industry’s first AI Claims Adjuster: Clive acts just like a human adjuster with advanced AI capabilities. Clive works on top of any claims management system (CMS) and enhances it with automation and AI-driven insights.
These products are built on deep insurance knowledge and advanced technology, empowering insurers to process claims faster and better.
Q: What was Five Sigma’s journey and what it means to be an “AI-native” platform?
Oded: Five Sigma was founded in 2017. What makes us unique is that we’ve been AI-native since day one—long before the recent surge in generative AI. Our claims management platform was designed from the ground up with AI and machine learning at its core.
Back then, AI wasn’t the buzzword it is today, but we recognized its potential early on. Our platform was among the first cloud-based, SaaS claims management systems, hosted on Google Cloud. Over the years, we’ve continuously enhanced it with AI-driven features that allow adjusters to process claims more efficiently.
With the recent advancements in generative AI, including tools like ChatGPT, we’ve taken it a step further by integrating Google Vertex AI into our platform and into Clive™, which acts as an AI adjuster on top of any claims system.
Q: Explain what makes Clive special compared to other AI solutions in the market?
Oded: What makes Clive unique is that it’s an AI-powered claims adjuster that works with any existing claims management system—not just ours.
For insurers, replacing an entire claims management system can be daunting. Clive eliminates that need. He integrates seamlessly with an insurer’s current system and enhances it with automation and AI insights. It’s like having an experienced adjuster who’s always available, analyzing data, suggesting next steps, and even automating routine tasks.
Whether it’s processing the First Notice of Loss (FNOL), assigning reserves, or summarizing communication history, Clive helps adjusters stay efficient and focused on high-value tasks.
Q:Claims handling can be complex and stressful. What are some of the biggest challenges adjusters face, and how does Five Sigma help?
Oded: Claims handling is a tough job. Adjusters deal with a high volume of claims, often working under pressure while interacting with claimants during difficult times. They have to juggle multiple systems to gather information and ensure compliance with company policies—all while providing good customer service.
The problem is that claimants expect fast, accurate responses, but adjusters are often overwhelmed with repetitive administrative work, which slows things down.
At Five Sigma, we solve this by automating everything that can be automated—from initial claim intake to settlement. Adjusters get a single 360-degree view of each claim, with all the necessary data and next steps readily available, reducing workload, improving accuracy, and speeding up claim resolution.
Q: Walk us through an example of how Five Sigma automates claims processing?
Oded: Take the First Notice of Loss (FNOL) process, for example. Normally, when a claimant submits a claim via email, call, or form, an adjuster manually inputs the details into the system—things like claimant information, vehicle details, or property damage.
With Five Sigma, this process is fully automated. Whether the claim comes in via email or phone call, our system uses AI to extract and populate all relevant fields automatically. We analyze the content, categorize the claim, and file it correctly—all within seconds.
This automation significantly reduces the time spent on manual data entry, minimizes errors, and allows adjusters to focus on more complex cases that require human judgment.
Q: Who are Five Sigma’s primary customers, and how do they benefit from your products?
Oded: We focus exclusively on the insurance industry, serving three main types of customers:
- Carriers – Large insurers handling high volumes of claims.
- MGAs (Managing General Agents) – Managing policies and claims in specific regions.
- TPAs (Third-Party Administrators) – Managing claims on behalf of carriers.
We help claims teams at these organizations by providing real-time analytics, process automation, and AI-driven insights that improve productivity and reduce costs.
Q: With AI handling sensitive insurance data, how does Five Sigma ensure data privacy and compliance?
Oded: Data security is critical in insurance. We take it very seriously by leveraging Google Cloud’s enterprise-grade security for hosting and data storage.
All customer data is protected with role-based access controls, encryption, and compliance with regulations like GDPR and CCPA. We also ensure that AI models used within each insurer’s environment are completely isolated—meaning one insurer’s data is never shared or used to train another’s AI model.
Q: How accessible is Five Sigma for insurers of different sizes, in terms of pricing?
Oded: Our pricing is based on an annual licensing model, which depends on the insurer’s claim volume. As a SaaS solution, it’s flexible and scalable, making it accessible to insurers of all sizes.
Customers typically see an immediate return on investment through reduced Loss Adjustment Expenses (LAE), shorter claim cycles, and improved efficiency. We’re confident that our solutions pay for themselves quickly through operational cost savings.
Q: What’s next for Five Sigma?
Oded: We continuously update our platform with new features every two weeks, with a focus on:
- Expanding automation capabilities to streamline even more aspects of claims handling.
- Advancing AI capabilities, such as analyzing voice and images for better insights.
- Adding more integrations with insurance software to provide a seamless experience for adjusters.
Q: Where can insurers learn more about Five Sigma?
Oded: They can visit our website at fivesigmalabs.com to explore our products and technology, view customer testimonials, and schedule a demo.
Q: Any final thoughts?
Oded: AI and automation are the future of claims management. Insurers who adopt these technologies will gain a competitive edge by improving efficiency, reducing costs, and delivering better service. The future is already here and available, the time to act is now.

About Info-Tech Research Group
Info-Tech Research Group provides in-depth research, analysis, and strategic insights to IT professionals worldwide, empowering organizations to make informed technology decisions. Covering a wide range of industries, including insurance, Info-Tech evaluates and recommends best-in-class solutions to address industry challenges. To learn more about info-Tech, visit their website: https://www.infotech.com