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 2

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?

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 9