https://www.spreaker.com/podcast/ai-claims-signal-deep-dive--7125203
The claims conversations your team actually has behind closed doors. Deep Dive brings together P&C carriers, MGAs, and TPAs to work through what's changing in claims: AI adoption, operational bottlenecks, cycle time, and what's actually working. No vendor pitches. Just the industry talking to itself.]]>enTechnologyCopyright Nina Mikryukovahttps://d3wo5wojvuv7l.cloudfront.net/t_rss_itunes_square_1400/images.spreaker.com/original/e2300189e439abdd8a764c05ec372bd4.jpghttps://www.spreaker.com/podcast/ai-claims-signal-deep-dive--7125203Thu, 17 Sep 2026 12:37:39 +0000Nina MikryukovaNina Mikryukovacontact@fivesigmalabs.comA podcast for P&C claims leaders who want more than surface-level AI coverage. The claims conversations your team actually has behind closed doors. Deep Dive brings together P&C carriers, MGAs, and TPAs to work through what's changing in...
The claims conversations your team actually has behind closed doors. Deep Dive brings together P&C carriers, MGAs, and TPAs to work through what's changing in claims: AI adoption, operational bottlenecks, cycle time, and what's actually working. No vendor pitches. Just the industry talking to itself.]]>false01806476-24d5-5a74-823b-952a080f918cepisodichttps://www.spreaker.com/episode/navigating-ai-governance-and-compliance-in-insurance-claims--75185616
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. 
]]>https://api.spreaker.com/episode/75185616Thu, 17 Sep 2026 12:36:51 +0000Nina MikryukovaAI 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...
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. 
]]>1089false112fullhttps://www.spreaker.com/episode/scaling-mga-claims-operations-with-agentic-ai--75042486
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.









]]>https://api.spreaker.com/episode/75042486Thu, 10 Sep 2026 06:52:33 +0000Nina MikryukovaHow 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...
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.









]]>1051false111fullhttps://www.spreaker.com/episode/mastering-the-ai-to-human-handoff-in-claims-automat--74813417
We look at where automation should pause, what a decision-ready handoff should include, and how AI can resume the claim once human judgment is applied. The discussion also covers governance, traceability, and the controls insurers need to scale agentic AI safely while protecting adjuster productivity.











]]>https://api.spreaker.com/episode/74813417Wed, 02 Sep 2026 14:41:25 +0000Nina MikryukovaThis episode explores the critical design of the AI-to-human handoff that keep claims moving without creating extra work for adjusters within the context of agentic AI for insurance claims.  We look at where automation should pause, what a...
We look at where automation should pause, what a decision-ready handoff should include, and how AI can resume the claim once human judgment is applied. The discussion also covers governance, traceability, and the controls insurers need to scale agentic AI safely while protecting adjuster productivity.











]]>1105ai_claims_automation,claims_aifalse110fullhttps://www.spreaker.com/episode/how-to-spot-an-ai-native-claims-technology-that-delivers-real-operational-value--74644116
In this episode, we break down what defines a true AI-native claims platform, how to evaluate vendors beyond the “AI-native” label, and what separates systems that can analyze and recommend from those built to take action and keep claims moving. We’ll cover the key questions claims leaders should ask when evaluating Claims AI, from operational rails and governance to workflow ownership and production readiness.
]]>https://api.spreaker.com/episode/74644116Mon, 24 Aug 2026 14:05:20 +0000Nina MikryukovaHow can claims leaders tell whether an AI vendor can deliver real operational value? In this episode, we break down what defines a true AI-native claims platform, how to evaluate vendors beyond the “AI-native” label, and what separates systems that...
In this episode, we break down what defines a true AI-native claims platform, how to evaluate vendors beyond the “AI-native” label, and what separates systems that can analyze and recommend from those built to take action and keep claims moving. We’ll cover the key questions claims leaders should ask when evaluating Claims AI, from operational rails and governance to workflow ownership and production readiness.
]]>958false19fullhttps://www.spreaker.com/episode/measuring-agentic-ai-and-human-claims-team-performance--74120728https://api.spreaker.com/episode/74120728Sun, 16 Aug 2026 12:33:26 +0000Nina MikryukovaIn this episode, we explore how claims executives can measure the real ROI of AI automation alongside human adjuster performance. Learn why traditional claims metrics miss much of AI’s impact—and how task-level measurement, quality metrics, and...744false18fullhttps://www.spreaker.com/episode/claims-ai-adoption-starts-with-your-adjusters-readiness--73752496https://api.spreaker.com/episode/73752496Mon, 10 Aug 2026 10:36:51 +0000Nina MikryukovaAI claims automation delivers real value only when the operation around it is ready. In this episode, we explore why claims AI programs stall after successful pilots, what adjuster readiness actually means, and the workflow decisions that turn...1068false17fullhttps://www.spreaker.com/episode/agentic-ai-changes-the-claims-operating-model--73253088https://api.spreaker.com/episode/73253088Thu, 30 Jul 2026 06:50:51 +0000Nina MikryukovaAgentic AI is changing more than just claims automation—it's changing how claims organizations operate. In this episode, we discuss why insurers need to redesign roles, workflows, governance, and decision-making as AI takes over routine tasks, while...919false16fullhttps://www.spreaker.com/episode/automating-claims-beyond-stp-with-agentic-ai--73123836
Michael Krikheli, Co-Founder & CTO of Five Sigma, unpacks the three levels of task-level automation—assist, recommend, and execute—and shares how Qover reduced claim costs by 35% by automating work within complex claims instead of chasing a higher touchless-claim rate.





]]>https://api.spreaker.com/episode/73123836Thu, 23 Jul 2026 12:05:19 +0000Nina MikryukovaIn this episode, we explore why straight-through processing STP), the industry's go-to automation benchmark has become a trap. STP only counts claims that run fully touchless from FNOL to payment and that excludes the 88% of claims that still require...
Michael Krikheli, Co-Founder & CTO of Five Sigma, unpacks the three levels of task-level automation—assist, recommend, and execute—and shares how Qover reduced claim costs by 35% by automating work within complex claims instead of chasing a higher touchless-claim rate.





]]>1071false15fullhttps://www.spreaker.com/episode/ai-overlays-vs-legacy-claims-system-replacement--73015289
We cover how to run agentic AI on top of the system you already have, prove value on live claims first, and let the core migration happen gradually, on your own timeline, instead of as a high-risk, all-at-once cutover.







]]>https://api.spreaker.com/episode/73015289Thu, 16 Jul 2026 14:32:24 +0000Nina MikryukovaIn this episode, we break down the strategy of modernizing your core claims platform the smart way — without gambling operations on a 12–24 month, $5–20M+ core replacement. We cover how to run agentic AI on top of the system you already have, prove...
We cover how to run agentic AI on top of the system you already have, prove value on live claims first, and let the core migration happen gradually, on your own timeline, instead of as a high-risk, all-at-once cutover.







]]>970false14fullhttps://www.spreaker.com/episode/detecting-ai-generated-fraud-in-insurance-claims--72850193https://api.spreaker.com/episode/72850193Tue, 07 Jul 2026 06:56:04 +0000Nina MikryukovaIn this epsode we break down how AI-generated evidence beats behavior-based legacy fraud detection, the signs of a synthetic claim, and what an evidence-first approach looks like in practice.1113false13fullhttps://www.spreaker.com/episode/governing-agentic-ai-in-insurance-claims--72753659https://api.spreaker.com/episode/72753659Tue, 30 Jun 2026 07:36:55 +0000Nina MikryukovaIn this deep dive episode, we trace the shift from AI-assisted tools to fully autonomous agentic AI claims workflows, and why more autonomy doesn't have to mean less control. We cover why traditional model governance falls short on risks like...1247ai_guardrails,automated_insurance_claims,claims_ai_automation,claims_iafalse12fullhttps://www.spreaker.com/episode/shift-of-claims-adjusters-role-in-agenticai-era--72651434https://api.spreaker.com/episode/72651434Tue, 23 Jun 2026 14:52:28 +0000Nina MikryukovaEvery wave of automation in claims sparks the same worry: that the adjuster's job disappears. The honest answer is that it moves up. In this episode, we trace the shift from AI-assisted to agentic AI claims, what changes operationally, and where...829automated_insurance_claims,claims,claims_aifalse11full