Earlier this week, HR Daily published an article outlining some of the issues surrounding benefits fraud. According to Joel Alleyne, Executive Director of the Canadian Health Care Anti-Fraud Association, 2–10 per cent of all health benefits claims are fraudulent.
The article discusses the various types of benefits fraud, including:
- An unusual increase in a particular type of claim or an increase in claims from a particular service provider
- Altered bills: bills with white-out or eraser marks
- Vague or few details relating to a workplace injury report or reluctance by the employee to have a workplace injury assessed
Karen Taylor Smith, Accounts Manager at The Benefits Trust, is quoted in the article, warning that benefits fraud can fall into a number of categories. She recommends companies implement policies now to protect themselves from any fraudulent cases in the future.
For more information about protecting your company against benefits fraud, please read our previous blog post written by Benefits Trust President, Robert Crowder.