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.

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.