Third Annual Conference
September 26-27, 2002
"Working Together, Sharing Strategies"
Conference Speakers
Dr. Rick Beyers
Dr. Rick Beyers is a dental consultant to Manulife Financial and Clarica insurance companies.
He won the Canadian Dental Association Award of Merit in 1995 and served nine years as a member of the Royal College of Dental Surgeons in Ontario, including three as its president. A graduate of the University of Toronto with a DDS degree, Dr. Beyers maintains a practice in Kitchener, Ontario.
Back to top
Dr. Robert J. Borris
Dr. Robert J. Borris has a specialty practice in prosthodontics in Guelph, Ontario. He is a dental consultant for Equitable Life and has also consulted for Confederation Life, Manulife Financial, and at Toronto Western Hospital's dental department.
A member of the Ontario Dental Association, the Canadian Royal College of Dentists, the International College of Prosthodontics and the American Board of Prosthodontics, Dr. Borris has delivered presentations to provincial dental societies. He was an associate professor at the University of Toronto Faculty of Dentistry and was chief examiner for the Canadian Royal College of Dentists.
Dr. Borris holds a DDS degree from the University of Toronto and a M.Sc. degree from the Indianapolis School of Dentistry.
|
Michael I. Dixon
Mike Dixon, a Detective Sergeant with the Metropolitan Police in London England,
has more than 20 years of service and has just completed an assignment with
Interpol in London where he was in charge of the drugs and fraud desks. Mike
studied at the University of Exeter and attained a Master of Arts Degree in
Police and Criminal Justice Studies. His dissertation was on insurance fraud
and the effect of insurance on crime reporting. He has published work on insurance
fraud and white-collar crime. As well as promoting international mutual legal
assistance at Interpol, Mike has championed law enforcement liaison at worldwide
forums. In appreciation, Mike was made a Fellow of the Society for Advance
Legal Studies in London in 2001. He is a qualified financial investigator
and has promoted the use of modern technologies in assisting law enforcement.
Brent Fraser
Brent is a Pharmacist and Acting Associate Director, Pharmaceutical Coordination
Services, with the Drug Programs Branch of the Ontario Ministry of Health
and Long-Term Care. Brent is responsible for managing the unit
that inspects post-claim audits of the Ontario Drug Benefit Plan.
Adalsteinn D. Brown
Adalsteinn (Steini) D. Brown is the principal investigator for the Ontario Hospital Report project, responsible for developing balanced scorecards across the province.
He is an assistant professor in the department of health policy, management, and evaluation at the Faculty of Medicine, University of Toronto; and an adjunct scientist at the Ontario Institute for Clinical Evaluative Sciences. At the University of Western Ontario he is an honorary lecturer in the department of epidemiology and biostatistics, and an instructor in the Family Medicine Department. Dr. Brown holds an AB (Harvard, 1993) and a DPhil (Oxford, 2002) and is a Rhodes Scholar and a Harvard National Scholar.
His research interests include emerging technologies and the effective communication of performance information to consumers. He has worked with private sector clients in Canada, the U.S., and the Far East on strategy in health care financing, and quality data improvement.
|
David Coderre
With more than 20 years experience in the informatics field, David Coderre, president of CAATS (Computer Assisted Analysis Techniques and Solutions), has developed innovative digital analysis and data mining techniques to detect fraud. He has an MBA, with a major in management of information systems, from the University of Toronto.
An experienced auditor, he has investigated internal and external cases of fraud in the areas of finance, information management, contracting, telecommunications and human resources. Mr. Coderre has written three books on fraud and computer-assisted audit tools: CAATS and Other BEASTS for Auditors; Fraud Detection: Using Data Analysis Techniques to Detect Fraud; and Fraud Toolkit, a series of 36 ACL batches designed to detect fraud. He also contributes articles to international publications including the Internal Auditor, EDPACS, the UK Journal of Auditing, and the Fraud Report.
|
Hap Daley
Retired RCMP Federal Detachment Commander and Sergeant, Hap Daley has investigated homicide, sexual assault, fraud, stock market, bankruptcy, tax evasion, money laundering and drug offences for 22 years.
Sergeant Daley is now a member of the Worker Safety and Insurance Board (WSIB) investigating health care cases and representing the WSIB Criminal Intelligence Service of Ontario. He developed and implemented a call centre, services for surveillance and special adjudication and participated in the development of computer applications and a restructuring of the special investigations branch.
A director of the Canadian Health Care Anti-Fraud Association, Sergeant Daley has a Bachelor of Liberal Arts with a major in business from York university and a certificate in business administration from Newfoundland's Memorial University.
|
Pat Finnegan
Pat Finnegan is a Detective Sgt. with the Ontario Provincial Police Investigations Bureau - Anti-Rackets Section. He has worked for 15 years with the Ontario Provincial Police, the last nine years in criminal investigations.
He is currently assigned as Team Leader of Eastern Ontario Economic Crime Team, (specializing in Health Fraud Investigations. He has lectured on Major Case Management and Search & Seizure across Ontario for past four years and recently lectured in Turkey and Newfoundland on special request.
|
Donna Ford
Donna Ford, is a member of Allstate Insurance Company's special investigation unit where she specializes in disability claims resulting from motor vehicle accidents. She is considered an expert in the field of motor vehicle accident fraud rings. Ms. Ford began her career as a lawyer in private practice and later became a member of the Insurance Crime Prevention Bureau, the security service for the property and casualty insurance industry.
|
Sue Henry
Sue Henry is an Acting Manager and a Senior Investigator in the Special Investigations Branch of the Workplace Safety and Insurance Board (WSIB). She develops anti-fraud initiatives and specializes in examination of health care providers and suppliers including physiotherapists, chiropractors, pharmacists, physicians and medical equipment suppliers. As Vice-Chair of the Canadian Health Care Anti-Fraud Association (CHCAA) she is on the conference planning and marketing committees, and facilitated the creation of the Dr. Mazak Award for excellence in health care fraud journalism.
Ms. Henry began her career as a microbiologist for chemical manufacturer Diversey-Wyandotte. She then became a public health inspector and gained enforcement experience in Scarborough, Toronto and the Hamilton-Wentworth region. She then became an investigator and provincial offences officer at the Ministry of the Environment. At the Ministry of Health and Long Term Care, she was a Special Constable assisting in development of the newly created health care fraud investigation program.
Ms Henry has a B.Sc in Microbiology from the University of Guelph and a certificate in public health inspection from Ryerson Polytechnical University's environmental health program.
|
Shelley Ledger
Shelley Ledger has worked in the health regulation field for eight years. Since 2000 she has been the director of professional conduct for the Ontario College of Physiotherapists, managing investigations and discipline proceedings against members.
|
Donald C. Marshall
Donald C. Marshall is national director of F.A.S.T. (Fraud Abatement Services Team), the investigative support unit for GatesMcDonald & Company and Nationwide Insurance. He has 12 years experience as a police detective investigating white-collar crime. He has investigated credit card fraud for Citibank and has been a field fraud investigator for Progressive Insurance and California Casualty Insurance companies. Later, he became manager of investigations for Zenith Insurance and was vice president of investigations for CalFarm Property, Casualty and Health.
Mr. Marshall has lectured across the United States on insurance and medical provider fraud, and management of special investigation units. He has testified as an insurance fraud expert, staged accidents and provided collision analysis. He has also produced, directed and presented three training videos: Clinic Investigations, Breaking the Weak Link in Property Casualty and Workers' Compensation Fraud'; Plaintiff Attorney Tactics and When Money Isn't Worth a Cent - Financial Fraud.
A licensed private investigator, Mr. Marshal is a certified fraud examiner, a fraud claim law specialist, and is a former member of both the executive board of the National Health Care Anti-Fraud Association and of its Institute for Health Care Fraud Prevention. He has a B.Sc. degree in Criminal Justice Administration from California State University.
|
Daniel M. Martino
Supervisory Special Agent Daniel M. Martino has been employed with the FBI for 30 years. Previously supervisor of the financial institution fraud squad, he is now coordinator of the health care fraud squad. With extensive experience examining white-collar crimes using undercover and other sophisticated investigative techniques, he investigates personal injury, cosmetic surgery and laboratory fraud cases for public and private insurers in Southern California. The Durascam undercover investigation was initiated under his direction.
Special Agent Martino has a B.Sc. degree in business/accounting from California State University Northridge and served in the United States Marine Corps for three years prior to joining the FBI.
|
Cathy O'Connor
Detective Sergeant Cathy O'Connor is a 17-year veteran of the Ontario Provincial Police and a member of the health fraud investigation team, responsible for investigating all fraud against the Ontario Health Insurance Plan. Her expertise is in the area of provider and pharmacy fraud.
Experienced in the many aspects of law enforcement including traffic patrol and criminal investigation, Detective Sergeant O'Connor has also worked in the OPP corporate offices at General Headquarters in Orillia
|
Robert Pocica
Robert Pocica is a special agent with the FBI Internet Squad Reporting Centre. His investigative assignments have included: white collar crime, public corruption, financial crimes and drug cases, interstate Financial Crimes Section, Health Care Fraud Unit, Internet Fraud Complaint Center, Financial Crimes Section. In 2001, he received the Department of Justice, Attorney General Award for Excellence in Service.
Prior to joining the FBI, Mr. Pocica served two years in the United States Navy. Prior positions include a CPA firm, local police department, management services company and a life insurance company. He received a Bachelor of Business Administration with a major in Banking and Finance from Stetson University and a Masters of Public Administration from the University of Southern California.
He is a member of the National Health Care Anti-Fraud Association, International Association of Special Investigation Units, American Society for Public Administration, High Technology Crime Investigation Association International, American Society for Industrial Security, and is a Certified Fraud Examiner.
|
Wes Moore
Wes Moore is director of business integrity for Manulife Financial's Group Benefits Division, and is an executive member of the Canadian Health Care Anti-Fraud Association.
A certified fraud examiner, certified management accountant and certified information systems auditor, Mr. Moore has been responsible for risk assessment, fraud prevention, outsourcing management, data warehouse and business intelligence user programs since 1998. Prior to this, he worked in Manulife's corporate audit services department and in various international postings for 12 years.
|
Mary Lou Oakes
Mary Lou Oakes is director of investigative services at Sun Life Financial.
Employed by Sun Life Financial, Clarica, and Mutual Life of Canada for 31
years, she was previously director of pensions and director of
claims/infocentre. Ms. Oakes is passionately committed to preventing and
detecting fraud. She founded the investigative services department at
Clarica six years ago, emulating the property and casualty industry since
few Canadian models were available in the health care sector. Under her
direction Clarica became the first Canadian member of the National Health
Care Anti-Fraud Association.
|
|
Phillip Perlmutter
Phillip Perlmutter has prosecuted many cases of criminal offences, including more than 15 homicides, as an Assistant Crown Attorney based in Etobicoke. He is currently prosecuting the health fraud case Regina v. Pinto.
He is co-director of the Ontario Crown Attorneys' Association summer school drink/drive course, has taught homicide investigation at the Ontario Police College and delivered training sessions for the Law Society, Canadian Bar Association and for Judges of the Ontario Court of Justice.
|
David Porter
David Porter, a chartered insurance professional, has investigated insurance fraud for 15 years and now works for Canada Life in Toronto.
He was previously a member of the RCMP and was the Ontario Regional Manager for the Insurance Crime Prevention Bureau. He has contributed to Red Flags for Detecting Insurance Fraud, a publication of the Canadian Coalition Against Insurance Fraud, and is an instructor with the Insurance Institute of Canada
Back to top
John Sliter
Royal Canadian Mounted Police (RCMP) Inspector John Sliter, an officer with 24 years experience, is the policy and program manager of the economic crime branch. He is currently responsible for the development of the Reporting Economic Crime On-Line (RECOL) initiative, based in Ottawa.
Inspector Sliter investigated complex fraud cases in Vancouver, B.C. for ten years. He led investigations of international market manipulations involving boiler-room operations and telemarketing of penny stocks. In 1995 he became manager of the RCMP contingent to the Securities Fraud Office, a response by the B.C. government to the Vancouver Stock Exchange and Securities Regulation Commission ("the Matkin inquiry"). Later that year the B.C. Attorney General commended him for his contribution to securities fraud investigations throughout North America.
Inspector Sliter's work has received international media attention: as project manager for the 1998 KPMG external review of the RCMP economic crime program as well as for his Master's thesis, A Policy Review of the Role of the RCMP in Securities Fraud Enforcement. It included a candid summary of comments by Canadian investigators about the unique problems regulating and policing the securities industry.
Back to top
Jim Smith
Detective Jim Smith, a 26-year veteran of the Hamilton Police Service, is an investigator in the Provincial Proceeds of Crime Unit. He has performed duties in uniform as both an officer and a sergeant in the court documents branch assisting crown attorneys and the vice, drugs, and major fraud units.
Back to top
Dale Boulianne
Dale Boulianne is a Regional Insurance Consultant for Human Resources Development Canada.
He has investigated employment insurance fraud for seven years as an Investigation and Control Officer. Prior to that, he was an Immigration Officer at the refugee intake office for four years. He has been employed with the Federal government for 17 years.
Back to top
Bashir Rahemtulla
Bashir is the Managing Director of Intelysis Corp. and pioneered the use of on-line database research in the early '90s for investigative purposes, resulting in the delivery of cost-effective and efficient services. Since the Internet explosion, Bashir has been instrumental in sifting through sites that are useful for investigative research purposes.
Bashir has been involved in many significant investigations, particularly related to fraud and internal operations. His extensive experience includes extensive involvement with the Ontario Ministry of Health and Long Term Care, where he assessed the internal systems and controls to determine exposure to fraud and identify the most effective procedures to deter user and provider fraud. He has also been involved in working with the Ministry on a number of forensic accounting assignments.
Bashir has made numerous presentations at seminars and courses on background research and investigations. He has also taught accounting and auditing techniques to the insurance and brokerage industry and has been featured in an article in Human Resources Professional magazine on innovative methods for screening potential employees.
Bashir's knowledge of on-line database research around the world is virtually unmatched. Combined with his network of international contacts, this capability allows Intelysis to conduct global investigations with relative ease and expediency.
Back to top
William J. Mahon
William J. Mahon is Executive Director of the National Health Care Anti-Fraud Association (NHCAA), Washington, D.C.
With headquarters in Washington, the 16-year-old NHCAA is a non-profit membership organization comprising commercial health care insurers, Blue Cross and Blue Shield plans and other private-sector claims payers and federal and state law enforcement and health care officials-all dedicated to improving the detection, investigation, prosecution and prevention of fraud committed against the nation's private and public health care payment systems.
As NHCAA Executive Director, Mr. Mahon frequently testifies at Congressional and state legislative hearings on health care fraud and speaks on the subject to a wide variety of law-enforcement, insurance, healthcare, journalism, business and consumer audiences.
Mr. Mahon's career experience includes many years spent as a journalist in the financial and the health care industries and several years in professional political-management positions.
A native of Taunton, Massachusetts, Mr. Mahon holds a bachelor's degree in Politics from Fairfield University, Fairfield, Connecticut.
Back to top
Malcolm D. Chivers
Detective Inspector Malcolm D. Chivers is Deputy Director, Anti Rackets Section, Investigation Bureau, with Ontario Provincial Police, working out of General Headquarters in Orillia, Ontario.
The Anti Rackets Section is involved in the investigation of multi-jurisdictional enterprise crime offences throughout the Province of Ontario and internationally. It provides specialized investigative resources to OPP Regions, municipal police agencies and government ministries facing complex fraud investigations.
In 2001, he was promoted to the rank of Detective Inspector in the position of Deputy Director, Anti Rackets Section reporting to the Section Director, responsible for the direct supervision of 13 Detective Staff Sergeants and indirect supervision of 63 Detective Sergeants and 10 Detective Constables deployed to 8 locations throughout the Province.
Malcolm is a member of Steering Committee for the Joint Management team to oversee the administration of the Phonebusters National Call Centre used to combat cross-border telemarketing fraud
Involved in management of Project Shock, terrorist tips line set up to receive and disseminate intelligence information throughout Canada.
He has also served as a Case Manager, lead Investigator and supervisor in a joint agency investigation, involving the Federal Governments of Canada, The United States and Australia. Investigation has involved the illegal export of meat products from Australia through Canada and into the United States.
Investigation and co-ordination of fraudulent cheque and credit card occurrences throughout the Province. Involved co-ordination and liaison with other Police agencies and financial institutions.
Back to top
Irwin W. Fefergrad
Irwin W. Fefergrad is Registrar of the Royal College of Dental Surgeons of Ontario. As the registrar, he has the honour of being a member of a very small and select group -- since the founding of the College over 130 years ago, he is only the ninth person to serve in that capacity.
As the Registrar is the Chief Executive Officer of the regulator, he oversees the professional, statutory, legal, insurance and administrative activities of the College. He is not only responsible for policy development, but also for the day-to-day operations of the College. He is responsible for building and continuing strong, positive relationships with other organizations in the dental community here in Ontario and across the country, with other regulatory colleges and with government.
Mr. Fefergrad joined RCDSO in June 1997 as Director of Investigations and Hearings. Two years later, he took on the additional responsibility as Deputy Registrar. In January 1999 he was made Acting Registrar of the College, and then in June 2000 he was appointed Registrar by the governing council. In his various capacities, he has seen to the total reorganization, retooling and restructuring of the College, including by-law amendments, protocol changes, infrastructuring legislative proposals to strengthen the College's dual role of public interest protection and guiding the membership. He has met a strong commitment to streamline the processes, build staff morale, and communicate with the various stakeholders, including the members, government and the public.
Before joining the College, Mr. Fefergrad was senior partner with the law firm of Fefergrad, Dizgun in Toronto. He was called to the Bar in Ontario in 1973, where he initially practiced with the law firm, Shibley, Righton, McCutcheon until joining the College where he practised law in Toronto with an emphasis on commercial litigation and administrative tribunal cases. He has been certified by the Law Society of Upper Canada as a specialist in Civil Litigation since 1989.
He continues to be actively involved in the legal profession. He is a panel member on the Law Society Board to certify specialists in civil litigation, and a member of the Professional Conduct Guidelines Committee of the Canadian Bar Association and the Advocate Society Rules Committee.
Mr. Fefergrad is also frequently asked to lecture and lead seminars on self-regulation at universities, and for other regulatory colleges and professional associations, and at international legal seminars. In October 2001 he co-chaired a major national professional discipline and regulation symposium in Toronto with lawyer, Richard Steinecke, of Steinecke, Maciura, LaBlanc.
He is also Adjunct Professor at the University of Western Ontario, Faculty of Medicine and Dentistry, School of Dentistry. In August 2001, he accepted an appointment as Assistant Professor at the University of Toronto, Faculty of Dentistry. He has taught in the continuing education program and the Bar admission course of the Law Society of Upper Canada, and has written on a diverse range of topics with a focus on regulation and ethics in the health-care sector.
Back to top
Jim White
Detective Jim White has been a Toronto police officer for 23 years, and is currently a member of the fraud squad telemarketing section. He leads the tactical team for the Toronto Strategic Partnership, investigating deceptive international telemarketing and in the province of Ontario. The unit is a joint effort of the Ontario Provincial Police, York Regional Police, Competition Bureau, Ministry of Consumer and Business Services,
Federal Trade Commission and the United States Postal Inspection Service.
Back to top
Copyright ©2000 CHCAA.org
|