Fraud – Benefits Canada.com

Police warn of email scam using benefits, compensation messaging

mschmit — Fri, 08 Nov 2019 11:00:56 +0000

Police in Kingston, Ont. are warning the public about a new email phishing scam that uses employee benefits enrolments and annual pay raises as bait. Posing as representatives from company human resources departments, the scammers are sending emails about topics such as employee benefits surveys and salary increases. The emails include dangerous attachments or links that bring […]

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Awareness key in benefits fraud detection and prevention

mschmit — Fri, 26 Apr 2019 05:20:43 +0000

As benefits fraud schemes become more sophisticated, group insurers must continuously evolve their strategies to keep up to date, according to Shelley Frohlich, director of fraud risk management at Sun Life Financial Inc. A group insurer’s role is to help protect the integrity of the benefits plan by reducing the financial and reputational risks to an […]

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Learn about benefits fraud at the 2019 Benefits and Pension Summit

mschmit — Fri, 12 Apr 2019 05:15:47 +0000

Benefits fraud is a top concern among plan sponsors and insurance carriers, as it makes the cost of providing benefits plans more expensive, leading to higher insurance premiums. At Benefits Canada’s 2019 Benefits and Pension Summit in Toronto on April 17, Shelley Frohlich, director of fraud risk management in Sun Life Financial Inc.’s group benefits division, will […]

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Green Shield launches fraud detection, prevention strategy based on AI

mschmit — Fri, 08 Mar 2019 04:20:23 +0000

Green Shield Canada is partnering with HBM+’s health benefits management solutions provider division to introduce an artificial intelligence-based fraud detection strategy. Under the new Claim Watch banner, the new platform finds and compiles data, identifying patterns to unearth suspicious activity. “We’re very proud of what GSC and HBM+ do in the fraud detection and prevention […]

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Dubious chiropractic claims show need for more scrutiny on paramedical expenses

mschmit — Wed, 30 Jan 2019 05:00:57 +0000

Not all chiropractors practice according to the same philosophy. This is leading some in the benefits industry to believe more scrutiny is necessary when it comes to paramedical expenses and determining whether they’re being used for evidence-based treatments. A recent article in the Globe and Mail highlighted a divide within the chiropractic profession between those who practice evidence-based treatments and those […]

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Woman charged with taking deceased parents’ pension benefits

mschmit — Tue, 29 Jan 2019 05:00:19 +0000

The Royal Canadian Mounted Police is charging a 60-year-old London, Ont., woman after an investigation revealed she benefited from her parents’ pension payments long after they passed away. Gladys O’Brien is facing three counts of fraud over $5,000, two counts of theft over $5,000 and possession of proceeds of crime. The RCMP began investigating O’Brien in October 2017 when it received […]

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CLHIA’s CEO lays out some of the big industry topics for 2019

mschmit — Fri, 21 Dec 2018 04:56:00 +0000

As 2018 draws to a close, and the benefits and pension industry looks ahead, what’s next for the year’s biggest topics? Stephen Frank, president and chief executive officer of the Canadian Life and Health Insurance Association, is expecting a shift from Canadian and global regulators in the way they govern how customers are treated: an […]

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Health costs to rise 11.8% in 2018, survey predicts

mschmit — Fri, 25 May 2018 11:45:31 +0000

Insurance companies expect health costs to rise by 11.8 per cent this year, according to an annual survey by Accompass Inc. The survey determines the anticipated year-over-year cost increase or decrease — or health trend factor — by asking insurers to examine their businesses and take various factors into account, including legislation, claims utilization, inflation, fee increases […]

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Have your say: Is benefits fraud a widespread problem?

mschmit — Mon, 26 Mar 2018 17:30:30 +0000

With fraud prevention month underway, just how big of a problem is the issue for plan sponsors? “As an industry, we estimate that benefits fraud is costing . . . hundreds of millions in terms of the impact, so certainly not a small problem,” says Karen Voin, vice-president of group benefits and anti-fraud at the Canadian Life […]

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