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Effective Participation in the VEC ’ s Adjudication Process

Effective Participation in the VEC ’ s Adjudication Process. Sam Lupica Chief Operating Officer. Unemployment Insurance - Purpose. To provide temporary assistance to those who become separated from their employment through no fault of their own. Claims. Internet. Call Center. Field Offices.

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Effective Participation in the VEC ’ s Adjudication Process

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  1. Effective Participation in the VEC’s Adjudication Process Sam Lupica Chief Operating Officer

  2. Unemployment Insurance - Purpose • To provide temporary assistance to those who become separated from their employment through no fault of their own

  3. Claims Internet Call Center Field Offices PROCESSING • Monetary Eligibility • Liable Employer • Request Sep Report • Separation Eligibility • Non-Sep Eligibility Issues Detected? Overview of Claims & Adjudication Processes Issues Detected? Yes No Deputies Benefit Payments • Weekly Claims Filed • No Issue: Payment Made • Eligibility Issues Detected • A&A Deputy Adjudication • Payment or Decision Made • Manage Productivity • Prep for FFI • Conduct FFI • Render Decisions Based in Law • Communicate to All Parties

  4. 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 • ?

  5. To Receive Benefits • Monetarily eligible • Qualified • Meet eligibility requirements for each week claimed

  6. Qualification • Nature of the separation • Voluntary leaving • Discharge • Burden of Proof

  7. Voluntary leaving • To be qualified, claimant must prove “good cause”

  8. Discharge • To impose disqualification, employer must prove “misconduct”

  9. Weekly eligibility • Claimant must establish able to work, available to work, and actively seeking but unable to obtain suitable work

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