Tego, a specialist medical malpractice underwriter serving the Australian healthcare industry, has chosen Five Sigma’s AI-native claims management platform to modernise and streamline its claims management processes.
Five Sigma is a leading provider of AI-driven claims management solutions, offering advanced automation features and seamless integration capabilities.
The partnership between Tego and Five Sigma aims to address the limitations of Tego’s old claims handling processes.
With the growing volume and complexity of claims in the AUD 30bn Australian medical malpractice insurance market, Tego required a robust and scalable solution to enhance customer service and manage their claims more effectively. Five Sigma’s platform was selected after a thorough market review for its advanced features, including streamlined claims processing, comprehensive integration, enhanced reporting, user-friendly interface, and real-time visibility.
Five Sigma’s claims management platform offers several benefits for Tego. It automates routine tasks, reducing human error and accelerating claim resolution times. The platform’s advanced API framework allows seamless integration with Tego’s existing policy administration systems and payment solutions. Additionally, Five Sigma provides robust reporting tools and near real-time dashboards, crucial for compliance and operational transparency. The user-friendly interface requires minimal training for claims adjusters, and real-time insights into claims operations help Tego’s management make data-driven decisions quickly.
The implementation of Five Sigma at Tego will take only eight weeks, thanks to Five Sigma’s cloud architecture on the Google Cloud Platform. This architecture ensures high availability in Australia and allows Tego to begin with a disconnected deployment, ensuring immediate operational improvements. The thorough integrated solution will follow, integrating with Tego’s Policy Administration System (PAS) and payment systems.
Eric Lowenstein, CEO of Tego, said, “Selecting Five Sigma’s CMS was a strategic decision to future-proof our claims operations. Their platform’s flexibility, automation capabilities, and user-centric design will significantly enhance our efficiency and service quality.”
Oded Barak, Co-founder and CEO of Five Sigma, added, “We are excited to partner with Tego – our first customer in Australia – and support their vision of delivering superior medical malpractice insurance solutions. Our AI-native platform is designed to empower insurers and underwriters like Tego to streamline their operations and deliver exceptional customer experiences.”
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