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Keyword: Fraud

33 results found
Police warn of email scam using benefits, compensation messaging

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 […]

  • By: Staff
  • November 8, 2019 November 12, 2020
  • 15:00
Awareness key in benefits fraud detection and prevention

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 […]

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 […]

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 […]

  • By: Staff
  • March 8, 2019 September 13, 2019
  • 08:20
Dubious chiropractic claims show need for more scrutiny on paramedical expenses

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 […]

  • By: Jann Lee
  • January 30, 2019 September 13, 2019
  • 09:00
Woman charged with taking deceased parents’ pension benefits

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 […]

  • By: Jann Lee
  • January 29, 2019 September 13, 2019
  • 09:00
Top 10 health and benefits stories of 2018

Trends, benefits fraud and drug coverage led the top health and benefits stories in 2018.  Benefits Canada rounds up the industry’s favourite health and benefits stories of the year: 1. Seven benefits trends to watch in 2018 2. Ontario unveils new drug, dental coverage for people without workplace benefits 3. TTC fraud update: More than 220 employees fired or have resigned, retired […]

  • By: Staff
  • December 27, 2018 September 13, 2019
  • 09:00
CLHIA’s CEO lays out some of the big industry topics for 2019

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 […]

  • By: Ryan Murphy
  • December 21, 2018 September 13, 2019
  • 08:56
Health costs to rise 11.8% in 2018, survey predicts

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 […]

  • By: Staff
  • May 25, 2018 September 13, 2019
  • 15:45
Have your say: Is benefits fraud a widespread problem?

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 […]