SOLUTION BRIEF UNEMPLOYMENT INSURANCE INTEGRITY Protect your agency’s wallet and reputation by reducing improper UI payments. Improper unemployment insurance payments not only drain the government wallet, but also create huge reputational risk. Yet in spite of these risks, the US Department of Labor’s Improper UI Payments Heat Map reveals shocking loss figures due to this widespread problem. The Federal-State Unemployment Insurance program manages near $50B in disbursements and has a recorded improper payment rate hovering near 12% or $0.56B taxpayer dollars. Figure 1: Government-Wide Improper Payment Targets, Office Management of the Budget According to the National Association of State Workforce Agencies’ Unemployment Insurance Integrity Assessment Report, 32 percent of U.S. states/territories do not currently use fraud prevention or detection software. This leaves the door open for fraudulent activity and underperformance, resulting in inefficient spending of taxpayer dollars on improper payments. The challenge? Audits are lengthy, costly, and disruptive to operations, and public sector bodies remain challenged with not being able to produce enough evidence to reduce concerns. Only a small amount of claims are thoroughly reviewed—often due to fear of slowing down the payments process. And exception reports are retrospective, because traditionally that is all that has been available. While there is considerable complexity in the administration of the UI program—the program is funded federally but disbursements are made through the Department of Labor—technology can be applied to improve payment accuracy and provide better program integrity and oversight, to significantly reduce the complexity in ferreting out fraud, waste and abuse. 1 SOLUTION BRIEF 32% of states do not use software/data analytics for fraud prevention and detection* 57% of states have not had a BPC business process review in the last two years* States answered that the three most important UI integrity issues currently that need to be addressed at either the state or national level are*: Identify theft Staffing Resources THE ACL SOLUTION TO IMPROPER UI PAYMENTS A data-driven, GRC solution with easy-to-configure workflow for collaboration with other functional units and service agencies can help state departments better serve constituents by identifying and acting on any risk-related red flags in real-time. Get ahead of bad payments by reviewing before paying. Analyze all claims (100%) for appropriateness and fraud. Review only the exceptions and focus on anomalies. Reduce audit time and demonstrate to auditors that monitoring is in place. XXX-XX-XXXX XXX-XX-XXXX METHODOLOGY: Using ACL software, easily correlate disparate data for indications of fraud, waste, and abuse. Apply analytics for easy cross-matching in areas such as: XXX-XX-XXXX XXX-XX-XXXX – National Directory of New Hires (NDNH) and State Directory of New Hires (SDNH) – Disqualify UI payments once a recipient obtains employment – Prison – Analyze prison records to cross-match UI claimants to ensure people who are incarcerated aren’t receiving UI benefits XXX-XX-XXXX XXX-XX-XXXX – Social Security Number Verification (SSN) – Use data to referee: validate your SSN against the Social Security Administration master XXX-XX-XXXX – Foreign IPs – Identify and prevent filing or paying claims to foreign IP addresses – Hot IP – Identify and prevent filing or paying claims to a “hot” IP address known for fraudulent claims 2 * (National Association of State Workforce Agencies, “UI Integrity Assessment Report”) – Drivers’ licenses – Analyze state DMV records for positive verification – State Vital Records Department – Access death master files to ensure people who are deceased aren’t receiving UI benefits – Foreign travel records – Cross-check recipients with travel records to avoid improper payments to citizens living abroad XXX-XX-XXXX Figure 2: Violation by approver Figure 3: Improper payments by amount Automated analytics can continuously monitor to detect fraud and spot emerging trends, such as: ■■ Fraud rings or multi-claimant fraud ■■ Fictitious employer schemes Other Areas to Practice Cross Matching: UI Claims Paid ■■ ■■ ■■ ■■ ■■ New hires Retirees Multiple claimant criteria matching Blacklisted addresses Claimant / Employer address match Unreported Earnings ■■ ■■ ■■ ■■ ■■ ■■ Federal – State Agency Data ■■ ■■ ■■ ■■ Food stamp entitlements Child care subsidies Federal disability payments Workers compensation claims National Guard IRS employees Part-time employees Large company layoffs Temp agency employees Hours worked vs. wages reported Agency Employees ■■ ■■ ■■ ■■ Filing as claimant Same telephone # as claimant Address same as claimant Inappropriate or suspicious changes SOLUTION BRIEF CUSTOMER ROI: $1.4B recovered by the U.S. Air Force in misappropriated funds $173K in a single improper payment uncovered by Louisiana Legislative Auditor in just one five-minute data test “We needed a solution that provided us with the ability to look at any type of data, old or new, from any source. There are no limits to data interrogation. ACL Analytics Exchange and ACL GRC Results Manager will allow us to further protect taxpayer dollars and better serve the people of South Carolina.” – Cheryl Stanton– Executive Director, South Carolina Department of Employment and Workforce SOLUTION BENEFITS How does ACL technology improve unemployment insurance integrity? Data Access Management ACL technology was designed to be agnostic and obtain, import and process data from any disparate data source. Collaboration The ACL platform enables collaboration across units and job functions, creating an auditable universe of transactions from multiple, disparate data sources. Performance ACL can analyze billions of records and accurately serve up the exceptions based on your criteria. Continuous Monitoring Given the immense volume of UI disbursements, you need to implement tests that will continuously check 100% of your datasets for improper payments. ACL software can automate this monitoring and flag potential issues. Investigations & Workflow When continuous data monitoring detects potential issues, flagged records may require review, investigation and remediation. Securely manage that entire process in a platform designed for workflow review and remediation Visualize Your Records Part of the review and remediation process might require the detection of sophisticated patterns in the data that you can’t see without a picture. ACL helps you paint a picture worth a thousand rows of data, and also lets you create a report graph to communicate the value of your work. 50% 70% 61% 50% deployed ACL GRC in less than 15 days said their team was comfortable using ACL GRC in <30 days of leaders said overall change management in automated processes in ACL GRC was “easy” or “very easy” felt ACL Analytics gives their team the equivalent of 1 full-time person in extra bandwidth to do value-added work Modern technology is no longer optional if you need to build an airtight process to protect taxpayer dollars from fraudster—and help keep you off the front page. A data-driven, GRC solution with sophisticated workflow for collaboration with other business units can help government departments better serve residents by identifying and acting on any risk-related red flags in real-time. Call us at 1-888-669-4225 or email [email protected] to speak to one of our experts to learn how you can proactively monitor claimant data to stop fraud and improper payments and protect your agency’s reputation. Learn more about what you can accomplish with ACL. Call 1-888-669-4225 to speak with a representative Visit our website at acl.com Email us at [email protected] 4 solution-brief-improper-ui-payments © 2015 ACL Services Ltd. ACL and the ACL logo are trademarks or registered trademarks of ACL Services Ltd. All other trademarks are the property of their respective owners.
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