LeakLimiter

LeakLimiter is a web app (with optional mobile companion) for insurance claims teams to catch payment leakage early by enforcing playbooks and surfacing high-risk deviations in real time. It plugs into your existing claims system via API or flat-file exports and monitors key moments: coverage verification, estimate changes, vendor invoices, supplements, and settlement approvals. The app flags anomalies like duplicate invoices, out-of-policy line items, unusual labor rates, repeated adjuster overrides, and vendor patterns that correlate with inflated costs. It also provides a lightweight workflow: assign a review, request documentation, and track outcomes so you can prove savings. This is a combination traditional + AI app: rules and thresholds for reliability, plus ML anomaly detection to find new leakage patterns. It’s not a replacement claims platform; it’s a focused “leakage firewall” that can be deployed without a multi-year core system migration.