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AI claims platform comes to Australia 

Five Sigma is installing its AI-driven claims management platform for Sydney specialist medical malpractice underwriter Tego Insurance.

The platform gives full visibility of a claim, plus advanced automation and data-driven insights.

“We are excited to partner with Tego – our first customer in Australia – and support its vision of delivering superior medical malpractice insurance solutions,” Israel-based Five Sigma’s co-founder and CEO Oded Barak said.

“Our AI-native platform is designed to empower insurers and underwriters like Tego to streamline their operations and deliver exceptional customer experiences.”

Tego says an advanced claims management system is required to handle the growing volume and complexity of claims, and increase efficiency.

Five Sigma’s system automates routine tasks, reducing human error and accelerating resolution times. It integrates with Tego’s existing policy administration systems and payment solutions, and offers dashboards for compliance and operational transparency, and real-time insights into claims operations to aid decision-making.

Implementation at Tego, which covers private hospitals, specialist suites, medical practices, residential aged care facilities and complex care providers, will take eight weeks.

“The platform’s flexibility, automation capabilities, and user-centric design will significantly enhance our efficiency and service quality,” Tego CEO Eric Lowenstein said.