Unemployment Insurance - Purpose

1
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
Claims
Field Offices
Call Center
Internet

• PROCESSING
• Monetary Eligibility
• Liable Employer
• Request Sep Report
• Separation Eligibility
• Non-Sep Eligibility

Issues Detected?
Issues Detected?
No
Yes
Deputies
Benefit Payments

1. Weekly Claims Filed
2. No Issue Payment Made
3. Eligibility Issues Detected
4. AA Deputy Adjudication
5. Payment or Decision Made

1. Manage Productivity
2. Prep for FFI
3. Conduct FFI
4. Render Decisions Based in Law
5. Communicate to All Parties

3
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

6
Voluntary leaving

• To be qualified, claimant must prove good cause

7
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