In the world of group benefits fraud the stakes are higher due to the sophistication and scope of ever evolving schemes. Loss to private healthcare benefits fraud in Canada is estimated at more than 2.5 billion dollars a year.
Innovation in fraud detection methods and technology can make a real difference. Add awareness of the active roles we all need to play in fraud prevention, and it moves us in a positive direction for cost containment and better plan protection now and in the future.
This presentation will:
• Provide a realistic view of the benefits fraud environment
• See how an intelligence-led approach can help to identify criminal patterns and ties
• Learn about the value of a skilled fraud team and how they get results
• Discover how you and your plan members can play active roles in fraud protection
Gary Askin
| Gary Askin is the Assistant Vice President of Fraud and Risk Management at Sun Life Financial Canada. He 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 service as a Commander of Strategic and tactical services with the Waterloo Regional Police Department. |
Shelley Frohlich
| Shelley Frohlich is the Director of the Investigative Services Unit in Fraud Risk Management at Sun Life Financial. In her role, Shelley oversees the Investigative Services Unit responsible for investigation, fraud detection and prevention through strategic direction and fraud risk management within Group Benefits. Under her leadership and through intelligence led anti-fraud strategies, there is a focus on plan member investigations as well as the profiling of medical and dental providers and facilities. Shelley has been with Sun Life for five years and has worked in the investigation field within the insurance industry for the last fourteen years, including participating in court and regulatory hearings. |
Schedule Registration: 11:30 am, Lunch: 11:45 am, Presentation: 12:15 pm – 1:15 pm
Location Delta Regina Hotel, 1919 Saskatchewan Drive, Regina SK - Note change in venue!
CE Credit This session qualifies for 1 Continuing Education credit for the Insurance Council of Saskatchewan (one credit per hour).