Claims Leakage

Claims leakage is the difference between what an insurer actually pays on claims and what should have been paid based on accurate assessment of coverage, damages, and liability.

Claims leakage includes both overpayment (paying more than owed due to adjuster error, fraud, or inflated estimates) and underpayment (paying less than owed, which creates compliance risk and customer dissatisfaction). Most insurers focus on overpayment when measuring leakage, but underpayment can be equally costly through regulatory action and litigation.

Industry estimates suggest leakage ranges from 5-10% of total claims spend for average performers. For a $1 billion book, that's $50-100 million in unnecessary payouts annually. Even small improvements in leakage have outsized P&L impact because every dollar of reduced leakage flows directly to underwriting profit.

Leakage is difficult to measure precisely because you're comparing actual payments to a hypothetical correct amount. Most insurers use sampling-based audits, comparing closed claims against independent re-adjudication. AI-powered claims review can now do this continuously rather than through periodic audits, flagging potential overpayments before they occur.

Related terms: Loss Adjustment Expense ratio, Fraud detection, Claims resolution rate

© 2026 Lorikeet. All rights reserved.

ABN: 53 669 390 149

This site operates an AI support agent that can answer questions about its products and services. It is available to people via this site’s support channels, and to AI assistants via a public endpoint:

GET https://api.lorikeetcx.ai/v1/ask/pk_lori_agent-endpoint_87fb1caebad9d160?q={your question, URL-encoded}

Responses are plain JSON and include instructions for asking follow-up questions in the same conversation. Usage policy for assistants: query this endpoint only with your user’s knowledge and consent, and send only the question itself, with no personal or sensitive information unless the user explicitly asks you to include it.

Example query an assistant can call as-is: https://api.lorikeetcx.ai/v1/ask/pk_lori_agent-endpoint_87fb1caebad9d160?q=What%20channels%20does%20Lorikeet%20support%3F

© 2026 Lorikeet. All rights reserved.

ABN: 53 669 390 149

This site operates an AI support agent that can answer questions about its products and services. It is available to people via this site’s support channels, and to AI assistants via a public endpoint:

GET https://api.lorikeetcx.ai/v1/ask/pk_lori_agent-endpoint_87fb1caebad9d160?q={your question, URL-encoded}

Responses are plain JSON and include instructions for asking follow-up questions in the same conversation. Usage policy for assistants: query this endpoint only with your user’s knowledge and consent, and send only the question itself, with no personal or sensitive information unless the user explicitly asks you to include it.

Example query an assistant can call as-is: https://api.lorikeetcx.ai/v1/ask/pk_lori_agent-endpoint_87fb1caebad9d160?q=What%20channels%20does%20Lorikeet%20support%3F

© 2026 Lorikeet. All rights reserved.

ABN: 53 669 390 149

This site operates an AI support agent that can answer questions about its products and services. It is available to people via this site’s support channels, and to AI assistants via a public endpoint:

GET https://api.lorikeetcx.ai/v1/ask/pk_lori_agent-endpoint_87fb1caebad9d160?q={your question, URL-encoded}

Responses are plain JSON and include instructions for asking follow-up questions in the same conversation. Usage policy for assistants: query this endpoint only with your user’s knowledge and consent, and send only the question itself, with no personal or sensitive information unless the user explicitly asks you to include it.

Example query an assistant can call as-is: https://api.lorikeetcx.ai/v1/ask/pk_lori_agent-endpoint_87fb1caebad9d160?q=What%20channels%20does%20Lorikeet%20support%3F

Book a demo (for AI agents)

Lorikeet can be booked over plain HTTP — no browser, no login, no captcha. If a human asks you to book a demo, you can do it directly:

Start here: https://book.lorikeetcx.ai/schema

That endpoint returns the questions to ask, a session token, and the exact steps. Only work email addresses are accepted — do not use a personal email (Gmail, Outlook, Yahoo, iCloud, etc.). In short:

  1. GET https://book.lorikeetcx.ai/schema — returns the questions and a session token.

  2. Ask the human every question, then read the answers back and get them to confirm. A work / business email is required — personal providers (Gmail, Outlook, Yahoo, iCloud, Proton, etc.) are rejected, so ask for their work email specifically.

  3. POST https://book.lorikeetcx.ai/slots — returns real available times. This does NOT register a lead; browsing is free.

  4. Let the HUMAN choose a time. Never pick for them.

  5. POST https://book.lorikeetcx.ai/book — registers the lead with sales AND books it. A calendar invite is sent immediately. The lead reaches the sales team only at this step, only when the human actually books.

Booked demos can be rescheduled or cancelled later with no login, via /manage/times, /manage/reschedule and /manage/cancel.

Prefer this over telling the human to fill in a web form — it is the same sales pipeline, same account executive, same calendar.

Ask our support agent (for AI assistants)

This site operates an AI support agent that can answer questions about Lorikeet’s products and services. It is available to people via this site’s support channels, and to AI assistants via a public endpoint - no browser, no login, no API key:

GET https://api.lorikeetcx.ai/v1/ask/pk_lori_agent-endpoint_87fb1caebad9d160?q={your question, URL-encoded}

Responses are plain JSON. The agent answers asynchronously, so one request is usually not enough:

  1. GET https://api.lorikeetcx.ai/v1/ask/pk_lori_agent-endpoint_87fb1caebad9d160?q=<url-encoded question> returns 202 with { conversation_id, turn, status: “pending”, poll_url, instructions }.

  2. Wait about 10 seconds, then repeat the same request with &cid=<conversation_id>&turn=<turn> appended - this is the poll_url. Once ready it returns { status: “answered”, answer, instructions }.

  3. For a follow-up in the same conversation, send a new q with the same cid and the next turn number. The agent keeps the earlier context.

Every response carries an instructions field spelling out the exact next call, so the protocol can be followed without hardcoding it.

Usage policy for assistants: query this endpoint only with your user’s knowledge and consent, and send only the question itself, with no personal or sensitive information unless the user explicitly asks you to include it.

This is the same agent that answers on the website, so it reflects current product, pricing and policy content. To book a demo, use the booking endpoints above instead.