Our Incredible Experience at Harvard Business School, and Protecting Your Business From Fraud

 

 

 

President Gisela Carere, MBA had the incredible opportunity to join 70 trailblazing women, from around the world, who were accepted into the Harvard Business School program: Leading Business and Personal Transitions.       

The insights provided by academia were phenomenal, with valuable tools to leverage, both in business and personal growth. We are grateful to the Women Presidents Organization and Wells Fargo for sponsoring us, as we continue to carry on with curiosity and determination.

Perhaps the best way to describe this experience, as Professor Lynda Applegate so pointedly stated is: “Entrepreneurship is the relentless pursuit of opportunity without regard to resources currently controlled” Source: Stevenson H. 

And so, she returns home excited to continue to learn and always think outside of the box.

READ MORE ON GISELA’S EXPERIENCE HERE

 

According to the Canadian Life and Health Insurance Association (CLHIA), benefits fraud costs insurers and plan sponsors millions of dollars each year, which can lead to increased premium costs.

HOW WE’RE FIGHTING BENEFITS FRAUD
The Investigative Claims Unit (ICU), within all the major insurers, works to detect and eliminate benefits fraud. Using a variety of investigative techniques, including CLHIA-led industry tools, and suspicious claims are flagged for further investigation.
  • Joint Provider Fraud Investigation Program: A robust program that allows insurers to collaborate on fraud investigations that affect multiple insurers;
  • Data Pooling Program: An initiative that pools data between insurers and uses advanced artificial intelligence to further identify and reduce benefits fraud; and
  • Provider Alert Registry: A registry that allows insurers to view the results of other insurers’ anti-fraud investigations into specific practitioners.
RESOURCES FOR BUSINESSES
Both plan administrators and plan members play a role in preventing benefits abuse. The following are some resources to help plan administrators understand benefits fraud, and how to prevent it.
Plan sponsors and administrators are encouraged to educate their plan members about the potential consequences of benefits fraud. These can include loss of benefits, employment, or criminal charges.
Contact our team of experts for assistance today!
Phone: 416 270 5398
Email: [email protected]
GET STARTED WITH US TODAY!

 

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