Five Sigma

7 min read Claims and InsurTech organizations have spent the last few years putting AI to work on individual steps: reading documents, summarizing files, suggesting reserves. Each step got faster. The claim often didn't, because moving it to the next stag

Blueprint Two promised to fix the market's data before it reached you. Agentic AI lets carriers work with that data as it actually arrives through the Electronic Claims File (ECF), and write back a better record than the one they received. 11 min read For

7 min read Most claims AI makes part of the adjuster's job faster.A document gets read faster. An estimate gets reviewed faster. A recommendation gets generated faster.But then the claim often waits for a person to decide what happens next.That is the lim

The record an examiner will ask for, the four regimes that set the deadline, and what belongs on the claim file before the exam. 13 min read Twenty-nine US jurisdictions now set AI governance expectations for insurers, and the NAIC's evaluation instrument

Where agentic AI takes work off the claims desk, what the handler keeps, and how to phase it in few weeks. 11 min read US MGA direct premium written reached $102.6 billion in 2025, up 12% on the prior year, while the broader P&C market grew about 5%. The

How to set decision boundaries, package context, and hand the claim back to automation after the adjuster decides. 8 min read Ask a claims leader how their automation program is going and you'll usually get an automation rate. Ask what happens at the mome

The criteria that separate purpose-built claims infrastructure from a legacy CMS with AI attached and from a single-task AI tool. 9 min read "AI-native" has quickly become one of the most widely used terms in claims technology.Core system vendors use it.

The metrics that show what a combined AI and human claims operation is actually producing, and the ones that hide it. 6 min read Claims leaders can tell you what a large loss costs to handle. Far fewer can tell you what it costs to classify a document, ch

6 min read Most claims leaders now have an AI plan. Far fewer have an answer to a smaller question: what does the adjuster do differently on the Monday after it goes live?That question decides most of the return. AI can lift the routine work off a claim,

6 min read Every wave of automation in claims sparks the same worry: that the adjuster's job disappears. What actually happens is the job moves up, into the work that needs real expertise.Go back before AI. Much of the adjuster's day went to work that had