Date post: | 30-Dec-2015 |
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Effective Participation in the VEC’s Adjudication ProcessSam LupicaChief Operating Officer
Unemployment Insurance - Purpose To provide temporary assistance to those
who become separated from their employment through no fault of their own
2
OVERVIEW OF CLAIMS & ADJUDICATION PROCESSES
1. Manage Productivity
2. Prep for FFI
3. Conduct FFI
4. Render Decisions Based in Law
5. Communicate to All Parties
No
1. Weekly Claims Filed
2. No Issue: Payment Made
3. Eligibility Issues Detected
4. A&A Deputy Adjudication
5. Payment or Decision Made
Benefit Payments
Claims
Field Offices Call CenterInternet
PROCESSING
1. Monetary Eligibility
2. Liable Employer
3. Request Sep Report
4. Separation Eligibility
5. Non-Sep Eligibility
Deputies
Yes
Issues Detected?
Issues Detected?
Hierarchy of Adjudication
Deputy determination Appeals examiner (trial-type hearing as
of right) Special Examiner (on-the-record review
as of right) Circuit court Court of Appeals ?
4
To Receive Benefits
Monetarily eligible Qualified Meet eligibility requirements for each
week claimed
5
Qualification
Nature of the separation Voluntary leaving Discharge
Burden of Proof
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Voluntary leaving
To be qualified, claimant must prove “good cause”
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Discharge
To impose disqualification, employer must prove “misconduct”
8
Weekly eligibility
Claimant must establish able to work, available to work, and actively seeking but unable to obtain suitable work
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