UI Integrity / Improper Payments
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UI Integrity / Improper Payments Joint Federal/State Task Force PowerPoint PPT Presentation


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UI Integrity / Improper Payments Joint Federal/State Task Force. State Presentation: Washington Draft Plan. October 14, 2011. Areas of National Focus:. Benefit Year Earnings (BYE): 2008 – 2011 Root Causes : BYE - 12% of total overpayments Claimant Causes:

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UI Integrity / Improper Payments Joint Federal/State Task Force

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Ui integrity improper payments joint federal state task force

UI Integrity / Improper PaymentsJoint Federal/State Task Force

State Presentation:

Washington Draft Plan

October 14,2011


Areas of national focus

Areas of National Focus:

  • Benefit Year Earnings (BYE): 2008 – 2011

    Root Causes : BYE - 12% of total overpayments

    • Claimant Causes:

      • Unreported Earnings 68%, Incorrect Earnings 23%

      • Fraud

      • Confusion on reporting requirements

      • Estimating past wages without documentation

    • Agency and Employer

      • All other causes 9%


Areas of national focus1

Areas of National Focus:

  • Benefit Year Earnings (BYE):

    Planned action(s) to address:

    • Expand State Directory of New Hires to include date of new hire and rehire if separation of more than 60 days

    • Communications Outreach

      Principal milestones:

    • Pass required legislation by March 2012

    • Complete required computer modification by June 2012

    • Execute employer education strategy by June 2012

3


Areas of national focus2

Areas of National Focus:

  • Separations (SEPs): 2008 – 2011

    Root Causes Identified: 8% of total overpayments

    Very complicated state law – all parties bear some responsibility, especially for voluntary quit issues

    • Claimant solely responsible 39% of the time

    • Agency and claimant share 23% responsibility

    • All three parties responsible in 12% of cases

    • Common factors include:

      • Complexity of adjudications

      • Duration of conditional payments as claims adjudicated

      • Untimely, incomplete responses to info requests

4


Areas of national focus3

Areas of National Focus:

  • Separations:

    • Planned action items:

      • User testing of exiting employer sep information

      • Employer education and outreach to help employers actively manage claims and prevent fraud

      • Possible reprioritization of conditional pays in work queues

      • Explore non-SIDES technology enhancements

    • Principal milestones:

      • Review work queue priorities before winter peak 2011

      • Complete user testing and launch web campaign by March 2012

      • Design timely response campaign by March 2012

      • Launch campaign by June 2012

      • Computer feasibility TBD

        • (resource challenges)

5


Areas of national focus4

Areas of National Focus:

  • Work Search Issues: 2008 - 2011

    Root Causes Identified: 65% of total overpayments

    • Agency Causes

      • State law very stringent

      • High standard for documentation

      • No warning for “first failure”

      • Insufficient time for claimants to respond to in-person interview requirements

    • Claimant Causes

      • Inattention to requests for information

      • Confusion about requirements

      • Misunderstanding serious consequences of failing job search requirements

6


Areas of national focus5

Areas of National Focus:

  • Work Search Issues :

    • Planned Action: Comprehensive Review and Overhaul of Job Search Review Program

      • Policy, data, operations, claimant messaging and outreach, and technology requirements reviews

      • Formal recommendations presented to senior agency leadership

      • Implementation as major project with project management and dedicated staffing

    • Principal milestones:

      • Agency project lead already identified

      • High level planning underway

      • Incremental changes as possible with full implementation by December 2012

7


State specific issues

State-Specific Issues

  • Data Integrity

    • Root causes

      • Data validation failures on ETA 227

        • Lack of consistent IT support due to competing priorities

        • Instability of aging GUIDE system

      • Possible inconsistent scoring by BAM reviewers

        • High supervisory and staff turnover

        • Lack of formal training systems

        • Few incentives for BAM staff to remain long-term

    • Planned action(s) to address issue

      • Trouble-shoot data validation issues

      • Audit BAM methodology

      • Review BAM staffing model

    • Principle milestones

      • Compete all data integrity tasks by December 2011


Everybody owns integrity

Everybody Owns Integrity

  • Strategies to Support Owning UI Integrity and Overall Integrity Communications:

    • No distinction among groups about the importance of integrity, only about which message to send

      • Pulling demographic information on overpayments by claimant, industry, occupation for targeting purposes

      • Awaiting DOL research results on what messages work among different target audiences

      • Trying to identify non-traditional ways to communicate:

        • (We know what doesn’t work, but not what does…)

      • Putting together a bare-bones budget that will actually move the needle


Summary and q a

Summary and Q&A

“Integrity: Own It!”

  • Questions?

  • State Contact for follow-up:

    Jill Will: [email protected]

    Phone: 360-902-9658


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