Frequently Asked Questions

Why buy a cloud-based SaaS solution?

Implementing a SaaS solution provides the insurer with out-of-the-box functionality that can be quickly deployed, a flexible pricing model (OPEX), the opportunity to expand gradually without investing in advance or dependence on IT – so you can focus on your core business.

We believe that data is the heart of the insurance business and that all the relevant data should be stored in one database for your use. Therefore, we developed a system that imports, collects, stores, and updates all data, including the claims-related communication in one database. All this data is queryable and can be used for operation, monitoring, and management.

Claims intelligence is using all the historical data we have on the customer and the data we collect during the claim process to create personalized and contextual recommendations to facilitate a better claims journey. In addition, we add this data into our data model, to empower management with strategic insights they can use to perfect their operations, sales processes, and more.

We support the following lines of business:

  • Home
  • Auto
  • Commercial auto
  • Travel
  • Pet
  • Bike
  • General liability
  • Workers’ compensation

We’ve integrated an omni-channel communication platform into our claims management solution that allows adjusters to communicate with customers, peers, managers , and third-party vendors (basically, with anyone who’s involved with the claim). We support all communication methods: SMS, WhatsApp, email, voice calls and video calls. The best part? All the communication is automatically captured and indexed.

We’ve built a modern API-based platform that can easily integrate with any system, core or specialized application. 

Replacing an entire core system is a long and expensive process. Today, insurers can benefit from a ‘best-of-breed’ approach. They can implement a dedicated SaaS claims platform, and gradually upgrade their core system. A dedicated SaaS claims platform provides insurers with the flexibility and modernization they need, such as easily adding new LOBs or digitizing claims processes, that can quickly improve claims cycle time and increase customer satisfaction.

Yes, all data from Five Sigma’s Claims Management Solution (CMS) can be easily exported to your data warehouse.

We designed our solution to be truly SaaS, allowing our customers to operate it with minimal dependence on Five Sigma. After a short launch period , most configurations can be done by the insurer admin. We are continuously investing in this area to provide you with more agility and quicker time-to-market.

Being a true SaaS solution, there is no claims limit per customer and no limit in the number of adjusters per insurer.

Anyone with permission can connect to our browser-based SaaS claims platform from anywhere! Your adjusters can work from home or the office with the same tools. All they need is an internet connection and headphones.

Our goal is to provide you with the tools to run your business without relying on us. As part of this process, we train your top users and give you all the collateral (presentations, recordings, and more) to run the training process on your own.

We are committed to the highest regulation and standard of security (SOC2 type 2) and follow the public cloud recommendations. In addition, the public cloud invests heavily in state-of-the-art security.

Yes. Our product complies with GDPR regulations and we have multiple European customers.

FNOL is commonly opened during a phone call or by using the insurer’s digital application. We support all kinds of FNOL information capturing and embed it into the insurer’s specific workflow. Our FNOL process is configurable and we use the information to automate correspondence, triage, and adjuster assignments.

Five Sigma guarantees robust data security, regulatory compliance, and bias prevention through the following measures:

  • Secure Data Handling: All customer data is encrypted both in transit and at rest within Google Cloud Platform (GCP), ensuring enterprise-grade security.
  • Regulatory Compliance: The platform adheres to GDPR, SOC 2 Type 2, and other industry-leading regulatory standards for secure and private data management.
  • Data Residency: Customer data is stored and processed exclusively within designated geographic regions, ensuring compliance with local regulations and data sovereignty requirements.
  • Bias and Training Prevention in AI: Clive leverages GCP’s Vertex AI and Gemini models, which are configured to ensure data privacy and prevent model training on customer data. Inputs and outputs are screened to avoid biases in claims processing, safeguarding equitable decision-making.
  • Content and Prompt Screening: Clive actively filters for inappropriate or non-claims-related content while maintaining fair and unbiased claim evaluations