effective participation in the vec ’ s adjudication process

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

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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 ?

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To Receive Benefits

Monetarily eligible Qualified Meet eligibility requirements for each

week claimed

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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”

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Weekly eligibility

Claimant must establish able to work, available to work, and actively seeking but unable to obtain suitable work

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