Most AI initiatives focus on automating claims tasks. The bigger opportunity is redesigning how adjusters and AI work together. Explore a practical framework for task ownership, handoffs, workflows, and performance....
STP rate only counts claims that needed zero human touch, so it caps near 10% of all claims volume. AI Automation happens task by task, and most claims hold routine work STP never records. (Part 1 of 2)...
Deepfake fraud is now a top-five fraud type, and legacy SIU tools were never built to catch AI-generated photos, video, or documents. Learn what modern AI fraud detection in insurance must do instead....
Agentic AI in claims is moving from pilot to production, but autonomy only works with clear guardrails and human-in-the-loop oversight. Learn how to grant AI more decision-making power without losing control....
The shift from AI-assisted to agentic AI changes the operating model, and with it the adjuster's role. Here is where the work goes and what an automation-first claims team looks like....
Accuracy alone won't transform your claims operation. Here's why adjuster trust and AI explainability determine whether AI-driven automation actually sticks....
Most claims automation transformations stall after the pilot. Here's what separates the ones that scale and where most initiatives quietly fall apart....
Thanksgiving is about being grateful for the things that make our lives great: family, friends, and advanced AI technology that improves our day-to-day work. For P&C claims teams, AI tools can automate routine and administrative tasks, reduce delays, and free...
In this episode of Policy in Wonderland podcast interview, Five Sigma co-founder and CTO Michael Krikheli shares the journey of building a modern claims platform from the ground up. He discusses the challenges of bringing AI into insurance before it...
An MIT Project NANDA study reveals enterprises spend $30–40 billion on GenAI, with ~95% of initiatives failing to deliver measurable value. This blog, written by Gil Nechushtai, CPO of Five Sigma, highlights why GenAI projects fail (integration gaps, limited adaptability,...
FNOL is evolving from a simple notice into the launch point for automated claims settlements. Learn how claims AI agents and modern claims management systems validate coverage, assign adjusters, and initiate vendor engagement in seconds — often before the claimant...
Claims handling is no longer just about people and systems. A third actor, the AI agent, has entered the process, changing how work is distributed. In this blog, Gil Nechushtai, Chief Product Officer at Five Sigma, explores the job-to-be-done for...
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