Claims AI Unplugged | Five Sigma

Five Sigma

A podcast for P&C claims leaders who want more than surface-level AI coverage. Exploring the people, technology, and ideas transforming insurance claims.

  1. 6d ago

    AI Claims Automation - The 10 Workflows to Start With

    In this episode, we discuss 10 claims workflows insurers can automate first with agentic AI, why routine tasks make practical starting points, and how to expand automation as accuracy holds. We also cover where adjusters stay involved and how to keep human judgment at the right decision points.

  2. Oct 28

    The Hidden Cost of Missed Subrogation

    In this episode, we explore why insurers miss valuable subrogation recovery opportunities and how agentic AI can help. We cover how AI detects third-party liability, preserves critical evidence, and helps adjusters initiate recoveries earlier, reducing missed opportunities and improving recovery outcomes.

  3. Oct 22

    From AI Pilot to Production: What It Takes to Scale Agentic AI in Insurance

    Why do so many AI pilots in insurance show promising results, yet so few make it into production? According to Capgemini's 2026 research, only 10% of P&C insurers have successfully scaled AI. In this episode, we explore what it takes to move agentic AI beyond isolated use cases and into everyday claims operations. From configuring workflows across lines of business and jurisdictions to setting authority limits, managing exceptions, and measuring real operational impact, we discuss the challenges claims leaders need to address before expanding AI automation. We also look at Five Sigma's automation-first approach and how claims organizations can build a practical path toward greater AI autonomy while keeping adjusters in control of decisions that require human judgment.

  4. Oct 13

    Beyond task automation: AI-led claims orchestration

    What changes when AI can move a claim forward? We discuss how Five Sigma’s new Clive™ Claim Conductor and Adjuster Cockpit support claims progressing within insurer-defined rules, with adjusters in control, and what that means for claims leaders, adjusters, and policyholders.

  5. Oct 6

    Blueprint Two Sunset: London Market Claims Strategy

    Blueprint Two changed direction, but the need to modernize London Market claims did not. This episode looks at what carriers should do next, where agentic AI fits, and why claims transformation is increasingly becoming a carrier-level decision. Learn how to build a more modern, AI-enabled claims operation around your own role and decision model inside London Market worflows.

  6. Sep 27

    Five Sigma introduces AI Claims Automation for No-Touch and Low-Touch Claims

    In this episode, we explore how Five Sigma's new capabilities Adjuster’s Cockpit and Clive Claim Conductor are changing the claims operating model by helping insurers move toward no-touch and low-touch claims. We discuss how AI can keep claims moving within defined guardrails, when adjusters need to step in, and what this shift means for the future of claims operations.

  7. Sep 17

    Navigating AI Governance and Compliance in InSurance Claims

    AI governance in insurance is quickly becoming a practical claims requirement, with some rules already in force and more deadlines approaching. In this episode, we break down what that means for claims leaders: what regulators may ask for, what an exam-ready decision record should contain, and how to assess whether your claims operation can reconstruct an AI-influenced decision when it matters.

  8. Sep 10

    Scaling MGA Claims Operations with Agentic AI

    How can MGAs handle growing claims volume without growing claims teams at the same rate? This episode looks at where agentic AI can create capacity across claims operations, what stays with the handler, how automation supports delegated-authority oversight, and how to phase it in in real claims operations. A practical guide for MGA claims leaders looking to scale while keeping human judgment where it matters.

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A podcast for P&C claims leaders who want more than surface-level AI coverage. Exploring the people, technology, and ideas transforming insurance claims.

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