BENEFITS FRAUD - a.k.a. STEALING!

February 20, 2020 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 February 20, 2020 at the Fairmont Palliser Hotel, 133 – 9 Ave. SW Calgary.

Group benefits do help attract and retain the best talent and are a form of compensation. Benefits fraud though is a real crime with real consequences, The numbers are staggering, according to the Canadian Health Care Anti-Fraud Association, fraudulent claims cost the industry between $1 to $6 billion every year. Yet sometimes it is seen as a victimless crime, affecting only insurance companies but the real truth is many in our industry are picking up the tab!!

 

Fraud detection is becoming increasingly complex and is rapidly changing from both the member and provider perspective. In this interactive session, our keynote speakers from industry leading organizations will explore this topic as it relates to employee benefit plans, including insight into the use of data, technology and analytics to elevate detection; audit and claims assurance methods; and various approaches plan sponsors and administrators can take to prevent benefit plan abuse.

Cancellation Policy
  

 This session will be presented by:

 

Gary Askin AVP

Fraud and Risk Management Sun Life Financial


As the Assistant Vice President Gary Askin provides strategic direction and day to day leadership to the Fraud Risk Management function across Canadian customer service processes, to develop detection, prevention and investigation capabilities.

The team within Operations works in partnership with internal business areas and external stakeholders such as clients, group plan members, plan sponsors, industry associations and police services to combat fraud.


Gary has been with Sun Life since September 2014 and has brought 33 years of experience from his former role as a Commander of Strategic and Tactical services with the Waterloo Regional Police Service-where he investigated and lead drug, organized crime, terrorism, intelligence and hate crime teams and investigations.

 
 

Jil Tanguay, B.Sc. (Spec.), CFI, CRMA

Claims Audit and Investigation Services, Alberta Blue Cross

Jil has spent the last 25 years in the fraud field focusing on the health benefits industry. The last 19, directing and managing the actives at Alberta Blue Cross. He is both a Certified Forensic Investigator and holds a Certification in Risk Management Assurance. His area has two separate focuses, they are,

• Outlier detection using advanced analytics, this focuses on identifying providers and/or members where there is a potential for fraud and/or plan abuse issues, and
• Audit / investigations, that focuses on the completion of investigations of claims submitted in the Pharmacy, Dental and Health lines of business as well as member submitted claims.
Jil also maintains membership with the Institute of Internal Auditors.

He has also completed presentations on fraud, advanced analytics and risk management at National conferences over the last 15 years. He is Alberta Blue Cross’ key contributor to all Canadian Life and Health Insurance Association committees on topics of fraud and advanced analytics.



 

When

Thursday February 20, 2020     
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 Frayn                         
Phone: (403) 888-3185           
albertasouth@cpbi-icra.ca

 


                  

Who Should Attend:

  • Plan Sponsors
  • Human Resource Professionals
  • Retirement and Benefits Professionals
  • Consultants and Brokers
  • Insurers and Plan Providers

 

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.


CE Certificate of Attendance can be provided upon request.

AIC CE Credits Pending.


 


Kim Duxbury

Gary Askin AVP

Fraud and Risk Management Sun Life Financial


BIO coming soon