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Effective Participation in the VEC ’ s Adjudication Process

Learn about the process of adjudicating unemployment insurance claims, eligibility requirements, and the various stages involved. Understand how to effectively engage in the adjudication process to receive benefits promptly and efficiently.

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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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