Benefit & Disability Fraud

Benefit & Disability Fraud

October 26, 2023 12:00 PM to 4:15 PMTerminal City Club, Vancouver, British Columbia
Area of Interest: Pensions, Benefits, Investments, Networking Format: In Person

An in person session hosted by CPBI Pacific

Cancellation Policy

This presentation explores the types, causes and impacts of benefits fraud, as well as the best practices to prevent, detect and report it. We will share some real-life case studies recently reported in the media, a fascinating disability investigation and the extent and impact of collusion on a plan.  The presentation aims to raise awareness and educate all stakeholders on the importance of fighting benefits fraud and maintaining the integrity of the benefits plan. 

Fraud and Abuse Costs Everyone 

In the face of this challenge where is the industry focus?

Facilitate             Advocate             Collaborate         Educate     

Learning objectives:

  1. What is benefit fraud and abuse?
  2. Cost of Fraud
  3. What the industry is doing
  4. And an understanding this is a serious issue.          

A learning session to gain an understanding of how dental fraud happens; who commits it, how to report it and how to prevent it.  Attendees will take away valuable knowledge that will span from personal claim monitoring to empowering plan members/others to be vigilant and to ask questions to gain dental claim confidence.  The session will include reviews of case studies that will provide additional learnings using real examples of dental fraud and will dive into how big data and analytics is taking a leading role in processes to detect and prevent fraud and abuse. 

Emerging technologies, such as Artificial Intelligence, have the potential to revolutionize the way we live, work, and interact with each other. Insurers from across the group benefits industry are using a variety of these technologies to detect and control benefits fraud. 

While AI and other technologies can be used for the protection of the industry and our clients, they can also be leveraged for nefarious purposes, including benefits fraud. What exposures does this risk present? What new threats may emerge in the future? What can our industry be doing to prepare and mitigate these risks? 

This presentation will discuss some of the technologies that are becoming commonplace today and explore the potential for their use and misuse in the future. It will also examine what group insurers can do to harness these technologies while minimizing the risks associated with their misuse.


Gary Askin
AVP, Fraud and Risk Management
Sun Life Financial Canada

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, gangs, intelligence, and hate crime teams and investigations.

As the Assistant Vice President Gary Askin provides strategic direction and day to day leadership to the Fraud Risk Management team.

Currently leading a team of 100 Sun Life fraud investigators and analysts using a dynamic and fluid intelligence led approach based on leading technology, experienced staff and innovative investigative techniques to prevent benefits fraud.

He is an expert in internal affairs, interviewing, drug and criminal investigations, hate crimes and terrorism, workplace harassment and violence investigations.

He was trained in Israel, Belgium, Germany, Italy and Canada in criminal organizations, terrorism, major events, protests, natural disaster and emergency management planning.

He is a published author and social media award winner.


Shannon DeLenardo
Director Anit-Fraud
Canadian Life and Health Insurance Association

Shannon DeLenardo is the Director, Anti-Fraud with the Canadian Life and Health Association (CLHIA),In her role, Shannon is responsible to build consensus on concerns important to member companies and for leading industry committees, working groups and projects related to the mitigation of benefits fraud. 

Shannon has held positions in Compliance, Regulatory Affairs, and Privacy with CAA Club Group and Orion Travel Insurance.  Prior to this she held roles at 

Assurant Solutions including Director of Compliance and Director of Human Resources.

Shannon graduated from the University of Guelph with a BA, Seneca College with the Human Resources Professional designation and has a Certificate in Regulatory Compliance & Legal Risk Management for Financial Institutions.


Melissa Haig
Manager, Fraud Risk Management
Sun Life

As the Manager in Fraud Risk Management in Sun Life’s Group Benefits division, Melissa is responsible for investigating, detecting and preventing fraud through strategic direction and fraud risk management. Under her leadership, the team uses 

intelligence-led anti-fraud strategies to focus on the profiling of medical and dental providers and facilities, including the investigation into large collusion schemes and organized crime.

Melissa has been with Sun Life since 2001 and has worked in the investigation field within the insurance industry for the last 16 years, including participating in court and regulatory hearings pertaining to fraud.

Jon Sider, MBA
Director, Group Health and Dental Claims
Equitable Life of Canada

Jon is the Director of Group Health and Dental Claims at Equitable Life of Canada. He has been with Equitable Life for 20 years, gaining experience in a variety of roles across group benefits in areas such as life & disability, underwriting, product development, technology, benefits administration, health and dental claims, and fraud investigations. Each stop on Jon’s career journey has provided new learnings and the opportunity to work through challenges that have broadened his perspective on the group benefits industry.

Jon graduated from the University of Waterloo with a degree in Kinesiology, and later completed his Masters of Business Administration degree from Dalhousie University, specializing in Financial Services.



- Define benefits fraud and identify its common types and indicators

- Understand the implications of benefits fraud for plan sponsors, members and providers

- Recognize the role and responsibility of all stakeholders in combating benefits fraud

- Apply the tools and resources available to help you protect your plan from benefits fraud

- How dental fraud happens (who’s and why’s)

- Understanding dental claims and codes

- What role does data analytics play in the dental fraud prevention and detection landscape

- Dental Fraud Risk Management – what you can do as a member OR as a plan sponsor

- Increase understanding of current technologies like artificial intelligence and their current commercial applications

- Build awareness of how these technologies are currently being used in the group benefits industry.

- Explore the potential risks these technologies may expose in the future.

- Provide insights into what the group benefits industry should be doing to prepare for these threats.



Thursday October 26, 2023
12:00 pm - 12:15 pm PT Registration  
12:15 pm - 1:00 pm PT Opening Speaker (Gary)
1:00 pm - 1:30 pm PT Lunch
1:30 pm - 3:00 pm Speakers (Shannon & Melissa)
3:00 pm - 3:15 pm Break
3:15 pm - 4:00 pm Speaker (Jon)
4:00 pm - 4:15 pm Panel Q+A



Terminal City Club
837 W Hastings St,
Vancouver, BC V6C 1B6


Registration Fee

CPBI Members: $99
Non-Members: $149
CPBI Members Table of 8: $400 
Non-Members Table of 8: $600
Sponsorship Credits: 3

CPBI Members: $129
Future Members: $199
CPBI Members Table of 8: $520 
Non-Members Table of 8: $780

*Early bird ends October 2, 2023


Who Should Attend:

The target audience for this presentation are benefits plan advisors and administrators, human resources professionals, managers and staff who are involved in designing, implementing, and monitoring benefits plans for their employees.

Plan sponsors, advisors, HR, service representatives, account executives, etc.  Please let me know if this is accurate?

Group benefits advisors, plan sponsors, human resources professionals, and staff responsible for selecting and monitoring benefit plans for their employees.


CE Credit

Certificates of Attendance confirming education hours will be offered, with which attendees may seek corresponding accreditation via their preferred regulatory body.



Krista Frayn
Phone: (403) 888-3185
[email protected]



Kim Duxbury

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