Claims Leakage (CL) — dollars lost through claims management inefficiencies that ultimately result
from failures in existing processes (manual and automated). In other words,
it's the difference between what you did spend and what you should have
spent on a claim. The cause can be procedural, such as from inefficient claim
processing or improper/errant payments, or from human error, such as poor
decision-making, customer service, or even fraud. CL is often discovered
through an audit of closed claim files.