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What is Five Sigma?

Five Sigma has set out on a mission to enable claims organizations to adopt innovative solutions. Their array of claims management tools and unique platform provides insurers with the resources needed to adjust their claims processes in a rapidly changing landscape. With a comprehensive selection of Claims-First Cloud-Native and User-Centric products, Five Sigma empowers adjusters to handle claims with greater efficiency and speed. By automating repetitive administrative tasks, adjusters are able to focus on making well-informed decisions, while the system adeptly takes care of the remaining operations. The introduction of Clive™ by Five Sigma marks a significant advancement in the industry, as it is the first AI-driven claims adjuster designed to transform how insurers, MGAs, and TPAs process claims. Utilizing advanced AI and automation technology, Clive enhances the entire claims lifecycle, starting from the First Notice of Loss (FNOL) right through to the final settlement. This intelligent agent not only increases the efficiency of claims management but also enhances precision and minimizes expenses by automating a range of tasks, ultimately creating a more seamless and effective process for all parties involved. Furthermore, Five Sigma’s commitment to innovation is paving the way for a new era in claims management that promises to benefit the entire industry.

What is ClaimVision?

ClaimVision is AI claims intelligence for US property insurers. It reads the whole claim file and policy and cites every finding to clause and page. Before an adjuster opens a file, ClaimVision has read every page of it: the adjuster and inspection reports, the estimate down to its last line, the policy and every endorsement, the correspondence, and the photos. It checks coverage on every claim and ties each finding to the clause and page it came from, with its dollar impact. It flags missing items and subrogation opportunities, and keeps figures consistent from the estimate to the decision letter. Claims teams can question any claim in plain English, including documents that haven't been processed yet, and every answer points to its source. ClaimVision is an intelligence layer, not a replacement claims system. It works alongside Guidewire ClaimCenter, Duck Creek, Sapiens or an in-house core system, which stays the system of record. Every recommendation and every human override is kept in an append-only audit trail. The reading goes to the machine. The judgement stays with your people. On a real large-loss claim, ClaimVision did a full day's reconciliation work, exactly, in under a minute. ClaimVision runs on Microsoft Azure. It is built to SOC 2 principles and is working towards SOC 2 Type 2. ClaimVision is a product of Decision Agency.

Media

Media

Integrations Supported

Integrations Supported

Duck Creek Claims
Guidewire ClaimCenter
Sapiens ClaimsPro

API Availability

Has API

API Availability

Pricing Information

Pricing not provided

Pricing Information

Pricing is based on claim volume and scope, with terms determined for each pilot.

Supported Platforms

SaaS

Supported Platforms

SaaS

Customer Service / Support

Web-Based Support

Customer Service / Support

Web-Based Support

Training Options

Online Training

Training Options

Not specified

Company Facts

Organization Name

Five Sigma

Company Location

United States

Company Website

www.fivesigmalabs.com

Company Facts

Organization Name

Decision Agency OÜ

Date Founded

2025

Company Location

Estonia

Company Website

claimvision.ai

Categories and Features

Categories and Features

Insurance Claims Management

Document management
Reporting

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