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Published byNickolas O’Neal’ Modified over 9 years ago
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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?
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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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