Every year, carriers lose 5–10% of total claims spend to claim leakage — more than $29 billion in preventable losses across the U.S. market. It rarely comes from one catastrophic miss. Instead, it’s a slow drip: subjective assessments, incomplete notes, process gaps, and the everyday inconsistencies that quietly compound into massive financial impact.
Why Claims Leakage Keeps Happening
Most carriers still rely on manual judgment and fragmented systems. Adjusters manage overwhelming caseloads, data lives in silos, and reviews occur only after losses hit the books. By the time leakage is identified, the money is already out the door.
For example, a carrier processing $500 million a year with a 5% leakage rate loses $25 million in preventable expense. These losses stem from inconsistent evaluations, missed recovery opportunities, and human error baked into daily workflows.
How Predictive Models Solve Claim Leakage Before it Occurs
Predictive intelligence flips the process. Instead of chasing mistakes retroactively, it flags risk in real time.
Here’s how:
- Canotera detects anomalies in real time by continuously analyzing claim behavior and identifying outliers in settlement amounts, timelines, and outcomes.
- Benchmark against historical patterns – compare every claim to thousands of similar outcomes.
- Through automated alerts and case-level insights, Canotera enables adjusters to correct errors and prevent leakage before funds are disbursed.
Carriers using predictive monitoring have seen:
- 20% faster cycle times
- 30% reduction in leakage
- 25% improvement in reserve accuracy
Through automated alerts and case-level insights, Canotera enables adjusters to correct errors and prevent leakage before funds are disbursed.
What This Means for Claims Leaders
For claims leaders, this shift is no longer theoretical; it’s already underway.
Predictive systems don’t replace experience. They amplify it, giving your experts the visibility, consistency, and confidence they’ve always needed.
The question isn’t if your organization will move to predictive claims intelligence; it’s when and how quickly you’ll capture the advantage.
