At Five Sigma, we’re constantly evolving to make your claims management experience better and exceptional. We’re thrilled to share the newest enhancements to our platform, all designed to streamline your operations and harness the power of automation and AI-native technology.
Remember, as a cloud-based SaaS platform, it is always up to date with the latest enhancements for the benefit of all customers.
Let’s explore how our new updates can propel your claims processing into the future.
🤖 Meet Clive™, The First AI Claims Adjuster
Clive is the first AI insurance claims adjuster, working on top of any claims management system (CMS) and accelerating claims processing to unprecedented levels. Clive’s revolutionary capabilities leverage the power of artificial intelligence and automation to redefine how claims are handled by insurers, MGAs, and TPAs, setting new benchmarks in efficiency, accuracy, and cost reduction.
Clive is a Team Player and an Adjuster’s Best Friend!
Clive can do a lot on its own, including managing an entire claim from FNOL to Settlement. However, at its core, Clive is designed to help adjusters handle claims better, by automating various steps of the claim process, and providing data driven recommendations. Adjusters who own the claims handled primarily by Clive are therefore able to demonstrate superb processing results and enjoy more meaningful work, focusing on customer care and complex decision making.
📈 Self-Service Reports and Dashboards
We’ve created an embedded Tableau-based tool that allows you to design your own reports and dashboards. You can create customized reports and dashboards unique to your organization’s changing needs.
With this new feature, you can:
- Quickly build your own reports and dashboards utilizing many data sets
- Easily analyze and cross-reference your claims data
- Create permission-only access to your reports and dashboards
🖼️ Template Builder – Notes, SMS, and Email
Introducing the new Template Builder feature, designed to streamline and enhance your communication processes. With this new tool, you can create, personalize, and manage templates for emails, notes, and SMS messages, tailoring communications to clients, vendors, or any other claim stakeholder.
With this new feature, you can:
- Create new templates
- Edit existing templates
- Enable or disable templates
- Duplicate templates
- Generate template examples with actual claim data
💰 General Recoveries Documentation
We’ve added a new feature that allows you to post a general recovery to a claim in order to track incoming funds. With this new feature, you can easily monitor the financial status of your claim.
🔔 Payment Limit Warnings
We’ve introduced a new cohesive presentation of payment limits and deductibles in the “set payment” and “approve payment” screens, displaying a warning if you happen to enter sums that are above the approved policy limit.
The new warning banner includes all possible limits related to the payment:
- Coverage limit per claim
- Coverage limit per exposure (person)
- Shared coverage limit
- Policy limit
- Lifetime limit
- Claim limit
- Policy limit per entity
