Australian TPA Quartz Claims builds claims operation on AI-native infrastructure
Quartz Claims, a third-party administrator serving insurers and program managers across Australia and New Zealand, has partnered with Five Sigma to build its entire claims operation on AI-native technology. The TPA will use Five Sigma's Claims Management Platform and Clive, an AI system that handles routine adjuster tasks, as its core infrastructure.
Quartz was founded to move beyond the traditional TPA model. Instead of adding AI to legacy systems, the company is building workflows, data foundations, and operating procedures around AI from the start. The goal is faster claims resolution, transparent operations, and the ability to onboard new clients and business lines in weeks rather than quarters.
What the partnership covers
Five Sigma's platform will handle claims from first notice of loss through settlement across all of Quartz's general insurance work. Clive will automate routine tasks, plan next steps in claims handling, and surface recommendations to adjusters in real time.
The system operates according to standard operating procedures that Quartz configures for each client program. This means insurers maintain control over how claims are handled while the AI handles consistency and speed.
Why this matters for operations teams
For operations managers, the partnership signals a shift in how TPAs can scale. Building on AI infrastructure rather than bolting it onto existing systems reduces complexity when adding new programs or lines of business. Quartz can configure new work for clients faster because the underlying system is designed for that flexibility.
The approach also addresses a persistent operations challenge: maintaining consistency across claims handling while reducing cycle time. When procedures are built into the system rather than enforced through training and oversight, compliance becomes structural rather than procedural.
Market context
The partnership reflects growing demand from TPAs for claims software that can improve cycle times and reduce operational overhead. Five Sigma says the deal strengthens its presence in Australia and New Zealand and signals broader interest in the Asia-Pacific region for AI-native claims platforms.
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