State Presentation: October 11, 2011 Benefit Year Earnings (BYE): Root Causes Identified: Agency Causes Failure to properly process New Hire Information Inadequate claimant education Claimant Causes Claiming UI Benefits after return to work Under reporting earnings (net vs. gross) Employer Causes Failure to report New Hire information timely Failure to respond to Wage Audit Notices 2 Benefit Year Earnings (BYE): Planned action(s) to address: Change SDNH to daily processing Flag weekly certifications for an in-person contact when New Hire hit detected Develop an application to assess non-compliance penalties for employers who do not report New Hires Develop educational activities for claimants to keep the focus on reporting earnings as required 3 Benefit Year Earnings (BYE): Principal milestones: December 31, 2011 – Have changes in place for weekly certifications with new hire hits March 31, 2012 – Changes with vendor for SDNH and NDNH in production March 31, 2012 – Full implementation of application to allow employers to submit wage and audit notice electronically. April 30, 2012 – Changes tested and implemented for Claimant educational activities 4 Separations (SEPs): Root Causes Identified: Agency Causes Misapplication of UC Law Failure to obtain all necessary information during the factfinding process Claimant Causes Failure to provide correct separating employer Employer Causes Information provided late or not provided Incomplete or inadequate information supplied 5 Separations: Planned action(s) to address: Provide on-going distance learning for adjudicators Complete and implement Single Line Adjudication Process (SLAP) Enhance the claims web application to provide additional searches for choosing the correct separating employer and utilize tax databases for cross-match. Purchase and install SIDES. Principal milestones: December 8, 2011 – attend orientation for SIDES March 1,2012 – SLAP fully implemented March 31, 2012 – Modifications to web claims application completed September 30, 2012 – Distance learning pilot finished. 6 Job Service Registration and Work Search Issues: Root Causes Identified: Agency Causes Alabama JobLink system inactivated claimants too early Incorrect information regarding job service registration provided to interstate claimants in closing statements Failure to timely review recall information for claimants exempted from work search Claimant Causes Incorrectly calculating or estimating recall to work date 7 Work Search/Job Service Registration Issues : Planned action(s) to address: Modifications to programming to ensure that claimants are not inactivated in Alabama Joblink until exhaustion of benefits or until claimant returns to work Additional information supplied to claimants who live out of state advising to register with the nearest Job Service office Changing new claims application to require a definite return to work date before work search exemption can be granted Principal milestones: September 30, 2011 – programming to ensure active JS reg October 31, 2011 – Closing statements changed December 31, 2011 – Recall verification process completed 8 Issue 1: Base Period Gross Misconduct Disq. Root cause(s) identified: Notice to base period employers are not mailed until benefits have been paid based on separating employer eligibility. Planned action(s) to address issue: Contract with imaging vendor to develop an electronic application for employers to submit separation information at the time the claimant quits or is discharged. Thus, information will be available at the time the claim is filed. either v Principle milestones: Release RFP by December 30, 2011 Select vendor and execute contract by January 31, 2012. 9 Strategies to Support Owning UI Integrity: Encourage every staff member …etc. Convene a Cross Functional Task Force to analyze causes for improper payments and develop a plan for improvement. Regularly publish articles in the departmental newsletter about the importance of integrity and ownership by all employees Provide issue specific training based on issues discovered during the BAM/BTQ reviews Develop processes ….etc. Draft Strategic Plan for addressing improper payments with deadlines specified Appoint UC Project Manager for preparing all computer support requests identified Taskforce will evaluate Plan progress at least quarterly 10 Strategies to Support Owning UI Integrity: Maintain management oversight…etc. BAM Supervisor will provide monthly reports to UC Assistant Administrators. BTQ Supervisor will provide quarterly reports to UC Assistant Administrators. UC Director will be invited to quarterly Taskforce meetings and receive copies of all documents submitted as part of the Strategic Plan as well as minutes of meetings. UC Director will take ownership of activities that require coordination among agency Divisions 11 Communications Strategies: To claimants (included in Benefit Year earnings tasks) Weekly certifications applications will be revised to clarify and strengthen claimants return to work obligations. A claimant messaging system will be installed to broadcast notices emphasizing penalties for failure to report earnings. Development of an online audio/visual presentation linked from the new claims application to stress reporting requirements and consequences of fraudulent acts. To employers Evaluate quality and accessibility of employer information on the DIR website. Form a committee to make recommendations for changes. Invite selected employers to participate in preview before implementation. 12 Communications Strategies, Continued: To state UI staff (included in Everyone Owns Integrity tasks) Coordinate with Human Resources and Internal Security to ensure that new employee orientation information address UC Integrity ownership to the highest degree possible. To the public Continue to publish news releases on the agency’s prosecutions for claimants committing fraudulent acts To state leaders (Governor, state legislature, etc.) Offer legislation to make fraud penalties more punitive since our previous Code amendments were not brought up for a vote in the last session. Continue to cooperate with OIG’s office in federal prosecutions. 13 Killer App: Description of Issue: Alabama does not address base period employer separations until after an eligibility decision is made on the separating employer. Any benefits paid will be overpaid if a subsequent disqualification for gross misconduct is assessed and base period wages are deleted. Description of Solution: Our current Administrative Rule allows for employers to protest charging at the time of separation by mailing in documentation of alleged gross misconduct. By allowing an electronic submission of such separation information at the time of discharge, employers will have timely information and the protest can be addressed prior to any payments being made. 14 Killer App: Anticipated results: (depending on employer participation) Timeliness and accuracy of decisions improved Improper payment reduction: estimated 10% after implementation for a minimum of one calendar year Cost / Benefit explanation: No quotes obtained yet on cost of vendor developed application 15 “Integrity: Own It!” Questions? State Contact for follow-up: Martha.Johnson@dir.alabama.gov Phone: (334) 242-8623 16