Clive adds AI and automation to any existing system to automate routine tasks, dynamically plan claim handling, and advance the claim automatically according to the insurer’s operating procedure (SOP).
Clive manages multiple AI agents that handle and automate different tasks and claim stages, including intake, triage, liability assessment, coverage, communications, fraud detection, compliance, settlement, and more.
Insurance carriers, TPAs, MGAs, and reinsurers can easily use Clive on top of their existing systems, and benefit from a single AI agent service (or more) and expand as they go. Clive’s architecture allows for rapid integration and immediate benefits.
For users of Five Sigma’s Claims Management Platform, Clive is already built in, delivering AI capabilities, with full automation and insight woven into every step of the claims journey.
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Savings in Experts and Litigation Costs
An expert in any P&C claim-related matter, Clive is trained on a decade of adjuster best practices and insurance workflows across all P&C lines of business, supporting insurance carriers, MGAs, TPAs, and reinsurers.
Each AI agent managed by Clive is focused on a specific stage, task, or function, and can be deployed either independently or as part of a suite of AI agents. This modular architecture enables fast and flexible deployment — giving you full control over the pace and budget of your AI journey.
Clive orchestrates a suite of AI agents that handle different stages and tasks along claims’ lifecycle. Start with the AI Agent you need most, and advance as you go, one agent at a time.
Streamlines your FNOL process and improves accuracy upon data entry.
Rapidly assesses claim severity and routes tasks efficiently.
Automates coverage validation to accelerate decisions.
Determines liability through AI-driven analysis and contextual reasoning.
Streamlines the processing of emails, attachments, and other documents.
Provides proactive recommendations for next steps in the claims process.
Provides context and SOP-aware actionable insights.
A know-it-all claim companion. Instantly fetches details, summarizes content, and flags issues for faster, better decisions.
Detects fraud, anomalies, discrepancies within documents and images, and authenticity issues, marking them for proactive intervention.
Automates and scales your quality compliance and audits. Inspects closed or in-flights files according to SOP and applicable regulation.
Automatically summarizes and classifies incoming emails and calls, associate them with the right claim, and drafts responses automatically.
In addition to Clive’s AI Agents developed by Five Sigma, Clive can manage and orchestrate any external AI solution.
Each Clive agent requires different integrations to your existing systems. We’ll help you determine the best mix of Clive agents to expedite deployment and realize operational efficiencies and financial gains. You can add additional agents at any time!
Clive’s advanced AI and automation technology is available, out of the box, in several modular deployment modes. Each mode requires a different level of integrations with existing systems:
Clive can be deployed on top of your existing Claims Management System (CMS) or built-in into Five Sigma’s AI-native Claims Management Platform – if you’re looking to modernize your CMS concurrently with Clive’s deployment.
You can start small (and fast) with a single Clive agent, and expand, one AI agent at a time, as you grow confidence in the technology and realize immediate financial and operational benefits.
Clive is live at many insurers around the world and fully configurable to your SOP and workflows using no-code settings.
Five Sigma provides end-to-end support for every module integration, including calibration, accuracy testing, and maintenance. Clive and its AI agents are always up to date in their latest version, for the benefit of all customers, so organizations get all the benefits of new innovation with none of the upkeep hassle.
We’ll work with your Service Integrators, or offer our delivery services, to get Clive up and running as part of your claims operations within months!
Clive is a knowledgeable, always-available partner for every adjuster. At every step of the claim, Clive offers guidance, executes routine tasks, and brings the right data into view, so adjusters can make faster, better decisions.
By handling the heavy lifting behind the scenes, Clive frees adjusters to focus on what really matters: delivering excellent service to customers, resolving complex cases, and making confident decisions with clarity and speed.
* Clive’s abilities depend on the AI Agent mix you choose.
Browse our blog posts for the latest insights and trends in claims management.
