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Keeping plans safe and sustainable
Sun Life leads the industry in both the size and capabilities of our Fraud Risk Management team. We take a firm and unwavering approach to reducing and deterring benefits fraud. This commitment has resulted in saving plan sponsors millions of dollars that might otherwise have been spent in fraudulent claims and plan abuse.
Our dedicated team focuses on identifying and mitigating fraud risk using data analytics and artificial intelligence (AI). This results in intelligence-led strategies that focus on prevention, preparedness, response, and recovery.
Plan sponsor toolkit
You rely on benefits plans to keep your workforce healthy, productive, and engaged.
To help ensure plan sustainability, we all must work together to fight the risk of benefits fraud and abuse.
Group benefits fraud email to share with your employees
Save some time and use this email template to share fraud resources with your plan members.
Plan member resources
It’s important to be aware of group benefits fraud, what it looks like, and how it can be avoided.
Here are some resources you can share with your employees to help protect them against benefits fraud and abuse.
Canadian Life and Health Insurance Association
To learn more about group benefits fraud and how to protect yourself, visit fraudisfraud.ca.
We've invested heavily in fraud risk management in three key areas:
People
- Our fraud risk management team is supported by data science, finance, risk management and health care professionals.
- The team includes trained fraud risk management investigators and analysts, with backgrounds in insurance, healthcare, data analysis, finance, policing, and investigations.
Technology
- Industry-leading AI that can quickly detect changes in claiming patterns.
- Sophisticated research and analysis software.
- Comprehensive screening programs.
Education
- Plan sponsor and plan member resources and materials.
- In-depth client engagement.
- Informative presentations and awareness training materials.
Email clues@sunlife.com or call the toll-free Sun Life fraud tip line:
1-888-882-2221.
