Phidea
ai-native · claims-admin · insurance

Five Sigma

AI-native claims management platform for P&C insurers, MGAs, TPAs, and self-insurers. Ships Clive™, an AI claims adjuster that sits on top of any CMS; Five Sigma's own cloud CMS is available as the underlying rails.

fivesigmalabs.com

Score

10/20
50%
Traction (named carrier deployments)
2 carrier deployment(s) with public source.
1/5
Maturity (years since founding)
9 years since founding (2017).
3/5
Coverage (insurance lines supported)
4 line(s) supported: auto, home, commercial, workers-comp.
4/5
Analyst recognition (Celent / Gartner / Forrester / Everest / ISG)
2 mention(s).
2/5

What it does

Five Sigma is an AI-native claims management platform founded 2017, serving P&C insurers, MGAs, third-party administrators, and self-insured employers. $46M raised cumulatively. The product ships in two layers: Clive™, an AI claims adjuster that augments whichever claims-admin system the customer runs; and Five Sigma's own cloud CMS for customers who want the whole rails.

Public deployments. Fast Cover (Australian travel insurer) deployed the AI-native claims platform and Clive in 2024; L+M Development Partners selected Five Sigma for self-insured claims management. The vendor cites "leading insurance carriers, insurtechs, TPAs, and self-insured companies" in aggregate.

Where it sits in old → new → AI. The legacy claims workflow is a combination of carrier call centre, in-house BPO, and paper file. The modern rung is Guidewire ClaimCenter or Duck Creek Claims. Five Sigma is AI-native and positions Clive as a layer above either — the AI adjuster works on top of existing modern stacks, which lowers the switching cost for carriers who do not want to rip-and-replace.

Named deployments

  • Fast Cover (travel insurer) (AU)Coverager
  • L+M Development Partners (self-insured claims) (US)Coverager

Covers which actions

Last verified 2026-04-21.