Service

Claims leakage review

Find overpayments, missed recoveries, and silent concessions that sit inside otherwise closed applications.

  • Who it is forClaims managers and internal audit
  • Typical lengthTypically 3–8 weeks
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Leakage is rarely one dramatic error. It is a pattern of small concessions: an excess waived without authority, a betterment skipped, a subrogation file never opened, an ex gratia payment coded as contractual.

We read closed and near-closed applications against the insurer’s own authority matrix and recovery procedures. The aim is a measured leakage estimate, not a headline percentage.

Where recoveries are still open, we separate what can still be pursued from what is already time-barred or commercially spent.

On the engagement

  • Authority-matrix test on waivers and ex gratia amounts
  • Salvage, contribution, and subrogation completeness check
  • Quantified exception schedule by cause, not by anecdote
  • Short briefing for the claims manager on repeat causes