Green Shield launches fraud detection, prevention strategy based on AI

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 space,” said Brent Allen, Green Shield Canada’s vice-president of service operations, in a press release. “In the past, preventing and detecting fraud involved manual processes; essentially, the focus was on following a paper trail. We were trying to find a needle in a haystack.

Read: Four tips to help employers curb benefits fraud

“Whether we are identifying pure fraud or benefits misuse, GSC is focused on protecting our plan sponsors’ benefits plans and helping them extract the maximum value from their benefits spend,” added Allen. “And HBM+ brings value to its carrier and claim-paying TPA partners by staying at the front of the parade when it comes to technology, innovation and fraud management.”