25.06.2007 14:21:00

Sun Life Financial Selects The Sentinel Group's Anti-Fraud Services For Stop-Loss Customers

Adding to its extensive array of cost-control features, the Employee Benefits Group division of Sun Life Financial U.S. (NYSE: SLF, TSX:SLF) announced it has selected The Sentinel Group to offer optional medical fraud and abuse detection services to its Stop-Loss insurance customers. Stop-loss insurance helps employers protect their self-funded healthcare plans from unexpectedly high claim costs. "After an extensive review process, we selected The Sentinel Group for their leadership in fraud detection and prevention,” said Christopher C. Brown, Vice President, Stop-Loss at Sun Life Financial. "With healthcare costs higher than ever, it’s become crucial for employers to do everything they can to avoid paying fraudulent and abusive claims. Reducing fraud keeps healthcare costs lower for everyone.” At least 3% of annual healthcare costs, or $60 billion, are lost to fraud.1 Effective immediately, Sun Life Financial’s Stop-Loss customers can access The Sentinel Group’s services, including: Data modeling: Claims data is used to build custom models, enabling suspicious invoicing and possible fraud tactics to be scored and uncovered. Claim Investigation: Should a claim warrant closer review, Sentinel’s investigators are available to provide direction on whether the claim should be paid, and will monitor the healthcare provider’s future invoices. The Sentinel Group has a large staff of investigative talent, with a broad array of experience, including clinical and criminal justice backgrounds. It boasts the most intelligence on healthcare providers in the industry, and utilizes state-of-the-art technology and data resources in its investigations. "At The Sentinel Group, we are committed to using the most advanced technology and employing a highly-skilled staff on behalf of our customers. We strive to generate unparalleled savings in the industry, minimize disruption and ensure that healthcare providers are paid what they are owed and not a penny more,” said Julie M. Malida, F.S.A., M.A.A.A. and President of The Sentinel Group. The Sentinel Group’s services are the latest additions to Sun Life’s SunResourcesSM program. SunResources targets employers’ biggest healthcare expense challenges, such as hospital bills, claims subrogation and invoicing. The program links employers to vendors and services that can address these challenges and help lower the total cost of employee health care. SunResources is available to Sun Life Financial’s stop-loss customers and their Third Party Administrators at no additional cost. 1 National Health Care Anti-Fraud Association, "The Problem of Health Care Fraud," June 15, 2007, http://www.nhcaa.org/eweb/dynamicPage.aspx?webcode=anti _fraud_resource_centr&wpscode=TheProblemOfHCFraud. (Due to its length, this URL may need to be copied/pasted into your Internet browser's address field. Remove the extra space if one exists.) About Sun Life Financial Sun Life Financial is a leading international financial services organization providing a diverse range of protection and wealth accumulation products and services to individuals and corporate customers. Chartered in 1865, Sun Life Financial and its partners today have operations in key markets worldwide, including Canada, the United States, the United Kingdom, Ireland, Hong Kong, the Philippines, Japan, Indonesia, India, China and Bermuda. As of March 31, 2007, the Sun Life Financial group of companies had total assets under management of US $386.6 billion. Sun Life Financial Inc. trades on the Toronto (TSX), New York (NYSE) and Philippine (PSE) stock exchanges under ticker symbol SLF. Visit Sun Life Financial’s website at www.sunlife-usa.com. About The Sentinel GroupTM The Sentinel Group, a division of Optimal Benefit Services, Inc., is a recognized health insurance anti-fraud services leader, supported by sophisticated, state-of-the-art technology and years of in-depth intelligence gathered on claims from healthcare providers. To prevent payment of erroneous, abusive or potentially fraudulent claims, The Sentinel Group uses the best technology available, the IBM Fraud and Abuse Management System (FAMS), in addition to various statistical tools and networking leads, and combines this technology with a large, experienced investigative and clinical staff. Healthcare is a big business, and even by conservative estimates, the U. S. healthcare system loses 3 to 10 percent of the $1.7 trillion dollars spent on healthcare to fraud and abuse every year. The Sentinel Group has been successfully fighting healthcare fraud and abuse for more than 17 years and is headquartered in Lake Forest, Illinois. Group insurance policies are underwritten by Sun Life Assurance Company of Canada (Wellesley Hills, MA) in all states, except New York. In New York, group insurance policies are underwritten by Sun Life Insurance and Annuity Company of New York (New York, NY). Group insurance policies are underwritten by Genworth Life and Health Insurance Company (Windsor, CT) in all states under Policy Form Numbers GP-A and GP-D (or appropriate state edition with respect to Stop-Loss policies). Genworth, Genworth Financial and the Genworth logo are registered service marks of Genworth Financial, Inc., and are used subject to a license agreement. As of June 1, 2007, Genworth Life and Health Insurance Company is a subsidiary of Sun Life Financial Inc. and is no longer affiliated with Genworth Financial, Inc. Product offerings may not be available in all states. ©2007 Sun Life Assurance Company of Canada. All rights reserved. Sun Life Financial and the globe symbol are registered trademarks of Sun Life Assurance Company of Canada. Visit us at www.sunlife-usa.com. SLPC #17570 06/07 (exp. 06/09)
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