Canada’s life and health insurers are fighting fraud using advanced artificial intelligence

(Toronto, May 26, 2025) The Canadian Life and Health Insurance Association (CLHIA) announced today that it is expanding its program to pool claims data and using artificial intelligence (AI) to identify fraud more quickly. This advanced technology is revolutionizing the insurance industry’s ability to combat fraud and ensure the long-term health of group benefits plans.

“Improved fraud detection benefits all Canadians,” said Stephen Frank, President and CEO of the CLHIA. “By strengthening the financial stability of the insurance industry, insurers can protect the affordability and accessibility of vital group benefits programs.”

Today’s announcement builds on the 2021 launch of the data pooling program which gave Canada’s life and health insurers access to analysis and insights derived from Shift Technology’s fraud detection solutions. Recognizing the benefits in identifying potential fraud sooner, CLHIA’s board has approved expanding the program to include additional providers and more data, demonstrating a sustained commitment to protecting the integrity of the insurance system.

Every insurer in Canada has their own internal analytics to detect suspicious claims within their book of business. CLHIA’s partnership with Shift Technology allows individual insurers to extend their fraud detection strategies. Alerts generated by analysis of industry-wide deidentified claims data delivered via advanced AI give insurers the edge they need to identify patterns and connect the dots across a huge pool of claims data over time.

“Using artificial intelligence to identify potential fraud has proven incredibly beneficial for individual insurers,” said Jeremy Jawish, CEO and co-founder of Shift Technology. “The work we are doing with the CLHIA builds on those individual efforts to provide a more comprehensive, industry-wide perspective on suspicious behavior, benefitting all member organizations in their fight against fraud.”

In 2023, insurers paid $36.6 billion in supplementary health claims, and it is estimated that fraud activities cost millions each year. CLHIA’s members’ commitment to combating fraud is evident in this strategic expansion.

About the CLHIA
The CLHIA is a voluntary association whose member companies account for 99 per cent of Canada’s life and health insurance business. These insurers provide a wide range of financial security products including life insurance, annuities (including TFSAs, RRSPs, RRIFs and pensions) and supplementary health insurance to nearly 30 million Canadians. They hold over $1 trillion in assets in Canada and employ almost 180,000 Canadians.

About Shift Technology
Shift Technology is the trusted AI partner to the world’s leading insurers. The company’s innovative and explainable AI solutions help insurers reduce fraud and risk, streamline claims processes, and enhance customer experiences. By combining deep insurance expertise with cutting-edge technology, Shift delivers significant business impact and ROI. Learn more at www.shift-technology.com.

For more information:

Karen Leiva
AVP, Strategic Communications & Public Affairs, CLHIA
media@clhia.ca

Rob Morton
Corporate Communications, Shift Technology
rob.morton@shift-technology.com