Photo: Sun Life

The hidden cost of benefits fraud: How AI and data science are fighting back

by Todd Humber March 12, 2026

written by Todd Humber March 12, 2026

When a dental clinic began quietly changing procedure codes on previously rejected claims, altering dates of service and billing for treatments patients never received, it was data — not a tip — that caught it. Sun Life’s in-house analytics platform flagged the suspicious billing pattern. Investigat...

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Benefits Fraud Sun Life

Todd Humber

Todd Humber is an award-winning workplace journalist who has been covering the HR, employment law, and workplace safety beats for 25 years. He is the publisher and editor-in-chief at HR News Canada, published by North Wall Media.

The hidden cost of benefits fraud: How AI and data science are fighting back

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