| Wednesday, June 10, 2026 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7:30 AM - 4:30 PM | Registration and information desk open Check in and pick up your badge. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 8:00 AM - 10:00 AM | Pre-conference Networking Activity – Guided Walking Tour Connect with fellow attendees on a guided walking tour of Upper Old Quebec. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 10:30 AM - 12:30 PM | Opening General Session Welcome to Quebec City and the CLHIA Claims and Anti-Fraud Conference! Join us at our opening general session hosted by our Conference Chair, William Chartrand from MunichRe. Speaker: Speakers: Speaker: | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 12:30 PM - 2:30 PM | Lunch – Opening of Exhibit Hall Help us kick off the conference at lunch with the opening of the Exhibit Hall. Enjoy extended time to connect with nearly 50 companies and associations offering expertise across healthcare consulting, technology, audit, investigations, and more. Be sure to collect points with each exhibitor for the Conference Challenge and enter booth draws with participating companies. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 12:45 PM - 2:05 PM | Spotlight Sessions: Live from the Exhibit Hall Join these 20 minute exhibitor talks in a casual, open theatre setting next to the Exhibit Hall, with headsets provided and seating available on a first come basis.
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| 2:30 PM - 3:30 PM | Breakouts 1A - Organized Crime, Fraud and the Risks Facing Insurers Track: Anti-Fraud The presentation will highlight both new and emerging fraud trends alongside more traditional fraud schemes. The overarching goal is to provide attendees with a deeper understanding of how organized crime groups leverage compromised or fraudulently obtained identities to facilitate a wide range of offences, exploit system vulnerabilities and evade established security controls. | Breakouts 1B - Rethinking Risk: Using Behavioral Economics to Transform Customer Experience Track: Critical Illness/Life Ready to challenge traditional customer experience design? In this session, we’ll explore how behavioral economics and the psychology of uncertainty shape consumer perceptions of risk and decision making. From cognitive biases to emotional drivers, we’ll reveal the hidden forces behind customer behavior—and how these insights can reshape the insurance journey. By deepening our understanding of how people interpret risk, we can build more accurate, fair, and innovative assessments while better supporting the choices consumers make when considering our products. | Breakouts 1C - A century of care: The evolution of disability claims management in group insurance Track: Disability This interactive workshop traces the 100-year evolution of disability claims management in Canada, from its early reactive roots to today’s structured, member-centered approach. Participants will explore how claims handling has shifted from basic benefit payment to proactive case management focused on rehabilitation, return-to-work, and holistic member support. Using storytelling, timelines, and “then vs. now” scenarios, the session highlights key milestones—including the emergence of group disability insurance, standardized processes, case management, mental health integration, and the use of data and analytics. Participants will reflect on how lessons from the past shape modern best practices and their day-to-day decision-making. By the end of the workshop, attendees will better understand the value of their role within a century-long legacy of progress and how today’s tools and approaches continue to improve outcomes for the members they serve. | Breakouts 1D - Health & Dental Claims Roundtable Discussion (CLHIA members only) Track: Health & Dental | Breakouts 1E - Disability Litigation Roundtable Discussion (CLHIA members only) Track: Disability | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 3:30 PM - 3:45 PM | Transition Break | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 3:45 PM - 4:45 PM | Inside Project Inverness: How Collaboration Is Disrupting a Sophisticated Provider Fraud Scheme Track: Anti-Fraud Provider fraud continues to evolve in scale and sophistication, requiring insurers to move faster—and together—to stay ahead. This session offers an inside look at Project Inverness, a complex provider fraud scheme that escalated rapidly and ultimately brought the Joint Provider Fraud Investigation Program (JPFIP) for consideration. Manulife will walk participants through how the scheme was first identified, highlighting the key fraud indicators involved, including fake clinics, false policies, and coordinated activity that grew exponentially over time. Attendees will gain insight into how early red flags developed into a large‑scale investigation and the decision points that led to broader industry collaboration. Leila Campbell from CLHIA will then share how leveraging the JPFIP framework proved critical in disrupting the scheme, enabling participating insurers to get ahead of the fraudsters through information sharing, coordination, and collective action. The session will conclude with insights from insurers who participated in the joint investigation, offering practical perspectives on collaboration, challenges encountered, and lessons learned that can be applied to future provider fraud threats. Speakers: | Breakouts 2B - Roundtable Discussion (CLHIA members only) Track: Critical Illness | Breakouts 2C - Why do we lie? The psychology of lying and how to use it to promote honesty in insurance Track: Disability | Breakouts 2D - Vaccines Track: Health & Dental | Breakouts 2E - Reinventing claims in the age of AI: From automation to intelligent decision-making Track: Health & Dental | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 4:45 PM - 6:30 PM | Welcome Reception in Exhibit Hall Join us for the Welcome Reception in the Exhibit Hall—an important opportunity to reconnect with colleagues and continue conversations with exhibitors. Be sure to collect points for the Conference Challenge and enter booth draws with participating companies. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 5:00 PM - 6:20 PM | Spotlight Sessions: Live in the Exhibit Hall Continue to hear from more exhibitors as they share insights in focused 20 minute sessions in the Exhibit Hall Spotlight Theatre. Exhibitor Spotlight #4 5:00pm-5:20pm
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| 6:30 PM | Enjoy your evening in Quebec City Please make your own reservation. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Thursday, June 11, 2026 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 8:00 AM - 9:00 AM | Breakfast Enjoy breakfast while attending a Sunrise Talk. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 8:30 AM - 9:00 AM | Sunrise Talks A - Introduction to AI & Machine Learning in Fraud detection Fraudsters are using sophisticated tools, organized networks, and stolen data at scale—so how can insurers keep up? In this fast-paced introduction to AI and machine learning, Dan McKenzie breaks down how modern analytics can uncover fraud that traditional rules miss. Using a real-world case study of abnormal doctor billing behavior, this session shows how machine learning can detect hidden patterns, prioritize investigations, and quantify risk—even with limited data. Designed for business leaders and practitioners alike, this practical session cuts through the hype and explains what AI can actually do today. Grab a coffee and start your day with a fresh perspective on fraud detection. Speaker: | Sunrise Talks B - Beyond Wellness: Rethinking Women’s Health, Menopause, and MSK in the Workplace This session explores the broader landscape of women’s health in the workforce, with a focused lens on menopause and musculoskeletal (MSK) conditions and their impact on employee wellbeing, productivity, and business performance. It highlights how various life stages present health challenges, alongside other gender-specific health needs, which can contribute to absenteeism, presenteeism, and rising healthcare costs. Attendees will gain actionable insights into helping employers design inclusive, data-driven plans that address women’s health more holistically, improve health outcomes, reduce long-term claims risk, and support retention and engagement across a diverse workforce throughout their life stages. Speaker: | Sunrise Talks C - A New Dawn for Claims: From Fragmented Processes to Decision-Ready Intelligence As claims complexity continues to rise, traditional workflows are no longer enough. In this Sunrise Talk presented by Carl Capato, FastTrack’s SVP of Strategic Automation Solutions, we’ll explore how leading Life & Disability carriers are moving beyond fragmented processes toward a connected, intelligence-driven future. Speaker: | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 9:00 AM - 9:15 AM | Transition Break | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 9:15 AM - 10:15 AM | Breakouts 3A - Delisting and Legal Recourse: Are Insurers Prepared? Track: Anti-Fraud | Breakouts 3B - When Wires Get Crossed: Untangling Complex Brain Disorders Track: Critical Illness/Life | Breakouts 3C - Building Your Resilience During Challenging Times Track: General | Breakouts 3D - Drug Benefit Trends and Pharmaceutical Market Dynamics Track: Health & Dental | Breakouts 3E - Sobering standards: When new alcohol guidelines collide with disability adjudication Task: Disability The 2023 Canadian Clinical Guidelines for Alcohol Use Disorder quietly—but dramatically—redefine what constitutes “appropriate treatment.” In doing so, they disrupt long-standing clinical assumptions and introduce serious downstream consequences for disability adjudication, insurance decision-making, and claims management. Speakers: | Breakouts 3F - CPPD and QPPD Disability Benefits: Key Considerations for Disability Industry Stakeholders Task: Disability Disability industry stakeholders—including insurers, employers, case managers, rehabilitation professionals, and advocates—play an essential role in supporting individuals who rely on Canada’s disability benefit systems. Two of the most significant public programs are the Canada Pension Plan Disability Benefit (CPPD) and the Quebec Pension Plan Disability Benefit (QPPD). Speaker: | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 10:15 AM - 11:00 AM | Refreshment Break in Exhibit Hall During this 45-minute break, enjoy refreshments and connect with more Exhibitors. Remember to collect codes from exhibitor reps for the Conference Challenge! | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 10:30 AM - 10:50 AM | Spotlight Session: Live in the Exhibit Hall Continue to hear from more exhibitors as they share insights in focused 20 minute sessions in the Exhibit Hall Spotlight Theatre. Though there are stringent professional liability requirements for insurance coverage, including $5,000,000 for providers involving physical contact, these are administratively sufficient, but don't adequately represent educational or practice standards. Practically, what this looks like in osteopathy, is a proliferation of associations whose members can ostensibly meet the administrative requirements, without having to meet national or international professional education and practice standards. Those associations and members can then be accepted by companies who provide direct billing. Ultimately, when insurance companies have easily navigated administrative requirements and minimal knowledge of how the associations accept their members, the insurance company, the profession seeking regulation, and the patient seeking care are all disadvantaged. Speaker: | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 11:00 AM - 12:00 PM | Breakouts 4A - Deepfakes, Dark Web and Fraud Track: Anti-Fraud | Breakouts 4B - A year at a glance Track: Critical Illness & Life | Breakouts 4C - From stagnation to acceleration: MBC and interventional psychiatry for depression Track: Disability This insightful session delves into the complexities of treatment-resistant depression (TRD) or difficult to treat depression. This presentation will explore underlying causes, contributing factors and the normalization of suboptimal recovery that impacts disability durations and economic outcomes. Understanding treatment-resistant depression and Measurement based care (MBC) breaks these patterns by systematically tracking symptom change and functioning, allowing the important identification of treatment resistance (TRD) early rather than after months of ineffective care. Once resistance is detected, plans can support evidence based second line interventions—including neuromodulation (rTMS, dTMS), ketamine based therapies, and other interventional psychiatric approaches—that offer faster, more durable improvement for individuals who do not respond to first line treatments. An overview of these second-line interventions will be provided including recent clinical studies on efficacy. By integrating MBC into benefit design and care pathways, insurers can reduce chronicity, shorten disability duration, and improve both clinical and economic outcomes. Don’t miss this opportunity to enhance your understanding and contribute to better mental health care. | Breakouts 4D - Reducing Physician Burden and Improving Patient Experience Track: Health & Dental This presentation will outline who Canadian Certified Pedorthists are, their national regulatory framework, and their scope of practice in determining medical need for custom foot orthoses. It will propose that insurers accept Pedorthists’ clinical impressions in lieu of physician prescriptions, aligning with existing insurer practices for comparable regulated professions. The presentation will conclude by highlighting the benefits to insurers, plan members, and the healthcare system, including reduced administrative burden, improved patient experience, alignment with emerging legislation, and maintained risk controls. Speaker: | Breakouts 4E - AI’s role in faster claims handling Track: Health & Dental AI offers a transformative point in handling claims. With AI, manual work can be largely eliminated, leaving employees to make decisions with more accurate and complete information at their fingertips. Speaker: | Breakouts 4F - Mental Health Claims: STD to LTD Conversion Should Be The Exception Not The Rule Track: Disability Are mental health claims getting the attention they deserve? Speakers: | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 12:00 PM - 1:15 PM | Lunch in Exhibit Hall Tour around the Exhibit Hall and enjoy lunch with colleagues! | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1:15 PM - 2:15 PM | General Session #2 - From Gaps to Opportunity: Rethinking Rehabilitation in Canada After lunch, join us for coffee and dessert for a special session featuring guest speaker. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2:15 PM - 2:30 PM | Transition Break | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2:30 PM - 3:30 PM | Breakouts 5A - Criminal Prosecution of Providers Engaged in Benefits Fraud: A Discussion Track: Anti-Fraud | Breakouts 5B - Mental health has no borders: supporting disability claims and return to work through empathetic, accessible, continuity-focused care Track: Disability | Breakouts 5C - New rules, new playbook: Civil procedure changes and what they mean for insurance claims Track: Disability | Breakouts 5D - The Next Frontier of Women’s Health Coverage: Menopause Care Track: Health & Dental | Breakouts 5E - From Red Flags to Resilience: Fraud, AI and the Future Claims Team Track: Life & CI Explore the challenges facing our industry – how fraud, AI, technology and the evolving role of the claims examiner is changing the face of any claims department. Presenters will share examples and insights through case studies and discussion of key management topics across various lines of business. Speakers: | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 3:30 PM - 4:45 PM | Exhibit Hall Closing Reception & Exhibitor Draw Showcase Don’t miss your last chance to connect with nearly 50 exhibitors before the Exhibit Hall wraps up! Many exhibitors are showing their appreciation by participating in this year’s Exhibitor Draw Showcase. Winners will be drawn around 4pm by Conference Chair, William Chartrand —remember, you must be present to win! Note: Exhibitors and sponsors are not eligible to participate in the draw.
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| 4:45 PM - 6:30 PM | Open Time Refresh, catch up on work, or chat with colleagues before the Special Event | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 6:30 PM - 10:00 PM | Special Event at Voltigeurs de Québec Armoury Step into a roaring ’20s celebration as we mark 100 years of the CLHIA Claims & Anti‑Fraud Conference—an unforgettable evening of Gatsby glamour, live music, and swing dancing in a historic setting. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Friday, June 12, 2026 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 8:00 AM - 9:00 AM | Breakfast | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 9:00 AM - 10:00 AM | Breakouts 6A - Anti-Fraud Roundtable Discussion (CLHIA members only) Track: Anti-Fraud | Breakouts 6B - New and emerging medicines Track: Health | Breakouts 6C - Disability Claims Roundtable Discussion (CLHIA members only) Track: Disability | Breakouts 6D - The Dental Landscape: trends in Canada Track: Health & Dental | Breakouts 6E - Life Claims Roundtable Discussion (CLHIA members only) Track: Life | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 10:00 AM - 10:15 AM | Transition Break | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 10:15 AM - 11:15 AM | General Session #3: The Silver Lining to a Cloud of Trauma An engaging and emotional presentation by a retired RCMP officer on how a routine call for service ended up changing his perspective on conducting investigative interviews. Learn from Bruce Pitt-Payne how his experience, both during the incident and subsequent investigation, led him to learn about the science of human memory and trauma and transform the way he spoke with witnesses and suspects. You will improve your communication skills without having to survive a traumatic experience. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 11:15 AM - 11:35 AM | CLHIA Update What’s Next for CAFC: CLHIA Priorities and Future Hot Topics | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 11:35 AM - 11:45 AM | Closing Remarks We will close the conference with a few special announcements from our Conference Chair, William Chartrand from MunichRe. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
