Adjudication is the process used to resolve unemployment questions and issues. A claim may need adjudication if there are questions regarding how a claimant left a job or other eligibility issues. In some cases the adjucator may be able to make a decision after a conversation with a claimant. In other cases, information from other sources, such as the employer, may be needed.
Identifies and Reviews Issues with Unemployment Claims
When an unemployment claim is filed, an issue may be identified that may affect eligibility. Some issues may be identified as a result of how the claimant left employment. Other issues may be caused by situations involving the willingness or ability of the claimant to seek and perform full-time work or the claimant's availability.The unemployment adjudicator examines claims on which such issues have been identified to determine whether or not the issue would make the claimant ineligible to receive unemployment benefits.
Investigates and Identifies Facts
In some instances, additional information is required before the adjudicator can make a decision regarding a claim. In these instances, the adjudicator gathers documentation, investigates and reviews the claimant's employment history, contacts employers, union officials and other state agencies to gather pertinent facts to assist in determining eligibility.
Explains Processes and Decisions to Unemployment Claimants
The adjudicator provides claimants with explanations regarding the disposition of their unemployment claims, their rights and the procedures for appeal in cases where the decision is unsatisfactory to the client or where benefits are being terminated.
Prepares Written Decisions and Opinions
When an adjudicator makes a substative decision regarding an unemployment claim, the decision is recorded in writing. Each issue is resolved with consideration of unemployment law, codes and procedures, as well as the circumstances of the individual case. It is the responsibility of the adjudicator to prepare a written statement that identifies the decision made and the basis for making the decision.
Performs Research Regarding Policies and Regulations and Serves as an Expert Witness
Adjudicators perform research to determine what policies and regulations guide decisions and may make appropriate recommendations for corrective action when errors are discovered. An adjudicator may also act as an expert witness at unemployment insurance hearings to testify and provide technical expertise regarding contested decisions.
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