Benefits Fraud Management – Proactive Investigations and Plan Design

June 21, 2018 11:30 AM to 1:30 PMFairmont Palliser, Calgary, Alberta
Area of Interest: Pensions, Benefits, Investments, Networking Format: In Person
  

Please join us for lunch on Thursday June 21, 2018 at the Fairmont Palliser Hotel, 133 – 9 Ave. SW Calgary.


Cancellation Policy
 

 This session will be presented by:

 

Steve Richardson
Green Shield Canada  

Steve Richardson is theSupervisor – Benefits Management & Investigation Services at Green Shield Canada (GSC). In this position, he oversees the Benefits Management & Investigation Services (BMIS) unit, a team focused on the detection and prevention of fraud and abuse.

Steve brings unique and valuable investigative experience to the benefits fraud prevention industry from his key roles in policing and international affairs. Prior to joining GSC in 2017, Steve spent 25 years with the RCMP in various positions, from uniformed policing to running a major crimes unit. His work with the RCMP earned him the RCMP long-service medal. Steve’s investigative past also includes work as a war crimes investigator for the Commission for International Justice and Accountability in Turkey, and for the Chief Special Investigations Unit for the United Nations mission in the Central African Republic. In 2010, Steve was awarded the South West Asia Service medal for his service in Afghanistan as part of the Canadian Civilian Police Contingent.


 

Fraud is constantly evolving. In the past, preventing and detecting benefits fraud involved manual processes – essentially following a paper trail. Today, fraud management is more complex as benefits administration moves from paper to digital. An increasingly more sophisticated approach that includes rigorous “checks and balances” is critical to establishing comprehensive fraud management programs.

 

Plan sponsors and benefits providers know it’s more prudent and cost-effective to prevent fraud before it happens rather than try to recover funds after the fact. Plan sponsors can work with their benefits provider to build fraud protections into the plan structure. For example, implementing maximums on benefits may reduce the risk of abuse, misuse, or over-use of health benefits.

 

To support plan design initiatives that limit misuse and abuse of benefits, many benefit providers are turning to artificial intelligence (AI) and machine learning to conduct proactive investigations. Certain types of AI technologies are able to not only find and compile masses of data like never before, but also find patterns at both the individual and aggregate levels beyond human capabilities.

 

These two proactive approaches, along with other techniques, are designed to tackle fraud and abuse head on – before it happens, and if fraud does occur, mitigate its impact and continually investigate incidents to identify the root causes and establish preventive measures.

 

Join Steve Richardson, Supervisor – Benefits Management & Investigation Services at Green Shield Canada, as he shares innovative ways to obtain and analyze benefits fraud information, the role of AI in proactively seeking fraud and abuse in the industry, and how people, such as field operations staff, impact fraud investigations. Steve will also share fraud investigation stories, discuss trends in the industry, and offer suggestions for plan design to limit fraud.

 


 

Who Should Attend:

  • Financial executives
  • Human resource professionals
  • Pension plan sponsors
  • Service providers in the finance industry  

UPCOMING EVENTS

May 17, 2018- Pension 101 

June 21, 2018 - Benefits Fraud Management – Proactive Investigations and Plan Design

July 19, 2018 - 13th Annual Golf Tournament

In recognition of the continued support of our members, we will be showing our appreciation by drawing for a $50 gift card.  All members in attendance at program luncheons will be entered in the draw.

 

When

Thursday June 21, 2018          
11:30 am to Noon - Registration and Buffet Lunch                          
Noon to 1:30 pm - Presentation and Questions         

 

Where

Fairmont Palliser Hotel                          
133 9th Avenue SW                          
Oval Room

 

 

 

 

 

 

 

Registration Fee

CPBI Members: $ 69                           
Future Members: $ 129                           
Table of 8: $ 699                        
GST #106865330 RT0007

 

Information 

Krista Esau                          
Phone: (587) 435-2724                          
albertasouth@cpbi-icra.ca