Virginia Employment Commission, Update on the Unemployment Compensation Ombudsman, November 1, 2022

Summary

A letter dated November 1, 2022 from Virginia Employment Commission Commissioner Carrie Roth to Governor Glenn Youngkin and legislative chairs, giving the budget-required update on the unemployment ombudsman and the plan to clear claims from 2020 and 2021. The VEC hired Tamara Jones in August as Chief Customer Advocate to lead a team of 14 Customer Advocates. Over 98 percent of claims in adjudication had been completed since January, and all 246,273 separation reports outstanding in January were cleared by March. As of October 27th, 3,904 unpaid and 51,574 paid potential fraud claims remained, and the VEC expected a November identity verification effort to cut the paid backlog by 91 percent.

Summary drafted by a model from the document's text below and checked by script against that text before publication. It is a navigation aid, not a reading of what the document proves. Where AI is used

Full text

Carrie Roth
Commissioner Post Office Box 26441
Advisor to the Governor for Richmond, VA 23261-6441
Strategic Initiatives

November 1, 2022
The Honorable Glenn Youngkin
Governor, Commonwealth of Virginia
Patrick Henry Building
1111 E. Broad Street
Richmond, Virginia 23219

The Honorable Richard Saslaw
Chairman, Senate Commerce and Labor
Senate of Virginia
P.O. Box 396
Richmond, Virginia 23218

The Honorable Kathy Byron
Chairwoman, House Commerce and Energy
Pocahontas Building
900 E. Main Street
Richmond, Virginia 23219

The Honorable Adam Ebbin
Chairman, Commission on Unemployment Compensation
Senate of Virginia
P.O. Box 396
Richmond, Virginia 23218

Dear Governor, Chairmen and Madame Chair:

Per the 2023-2024 Budget of the Commonwealth of Virginia, the Virginia Employment
Commission is required to provide an update on the Unemployment Compensation
Ombudsman, the plan to resolve outstanding adjudications with issues established in 2020 and
2021, and the usability of the new information technology system to the Governor, House
Commerce and Energy Committee, the Senate Commerce and Labor Committee, and the
Commission on Unemployment Compensation. This letter serves to meet that requirement,
and will be published and updated as also required within the current budget language.
Page 2

As you are well aware, the VEC faced significant hurdles with the onset of the COVID-19
pandemic as the agency was not built or prepared for the unprecedented surge of claims. We
cannot change what happened during that timeframe – but we have been hyper-focused on
our strategy to first, stabilize the agency by eliminating the backlogs; second, transform the
agency to become best-in-class; and third, build an agency resilient and responsive to the
changes in the economy that, based on historical data, we know will happen. While we have a
great deal of work still to do, our strategies are paying off and we have made a tremendous
amount of progress. We are laser focused on our customers to get them the resources they
need for the benefits they have earned.

Ombudsmen (Chief Customer Advocate) Project

The General Assembly created the opportunity for an Ombudsman, which we call our
Chief Customer Advocate, to support individuals and groups who are underserved or
disadvantaged and address the availability of and access to UI programs and services. Ensuring
we had the right person for the position, Tamara Jones was hired in August to serve as the Chief
Customer Advocate. She will lead a team of 14 Customer Advocates that will be located in
Virginia Career Works Centers throughout the Commonwealth.

This team will be focused on outreach, education of local advocates and stakeholders,
and removing barriers to UI benefits and services for our customers. Additionally, the Chief
Customer Advocate will form a Customer Advisory Council (CAC) that will meet at least
quarterly. The CAC will consist of representatives from local and state organizations that
advocate on behalf of underserved populations and shall provide guidance and feedback to the
Ombudsman on the effectiveness of the VEC’s outreach efforts and areas where those efforts
could be improved.

Following the hiring our Chief Customer Advocate, the Customer Advocate positions
were posted on the state recruitment management system in September. In October, fourteen
completed applicants were forwarded by Human Resources for various regions with the
exception of no applications received for Northern Virginia. The Chief Customer Advocate
worked closely with the Customer Relations & Information Control Manager to develop a plan
to increase awareness of the regional positions. Also, the Customer Advocate recruitment link
was shared with key stakeholders to disseminate the recruitment posting with eligible
candidates within their networks.

Customer Advocate interviews were held for the following regional offices in October:
Wytheville; Roanoke; Petersburg/Emporia/Prince George communities; and Henrico/Cedar Fork
communities. New hires are pending personnel and background checks. Finding the right
individuals to fill these roles are imperative to the success of the program.

The Chief Customer Advocate is providing educational information and assistance to all
persons seeking assistance in appeals and other matters related to unemployment
compensation. As the Customer Advocate positions are filled, the implementation of these
Page 3

services will continue to expand. In addition, the Chief Customer Advocate is a key leader on
our Plain Language Project team to ensure all of the efforts keep the customer as the focus and
foundation of all communications from the Virginia Employment Commission. It is also
important to note the entire agency completed customer service training in the spring and
summer.

In accordance with 2022 legislation (HB 270 and SB 219), the Chief Customer Advocate
has begun compiling and maintaining data on inquires related to the unemployment
compensation process and will make an annual report to the UC Commission. The report will be
based on the types of assistance requested, and the actions taken and the disposition of each
matter.

Resolving Outstanding Adjudications + All Issues on Claims from 2020/2021

The VEC is tasked with developing a plan regarding the specific actions and timeline to
resolve outstanding adjudications and issues established on claims from 2020 and 2021. The
VEC has set its priorities and developed its strategic direction to transform the agency to be the
“Best in Class” example of an employment security agency in the country. In order to achieve
this objective, the VEC has implemented strategies through 21 completed and nine in-flight
initiatives that have substantially reduced backlogs of work. Over 98 percent of unpaid and paid
claims in adjudication have been completed since January of this year. The potential fraud
unpaid claims backlog has been reduced by 92 percent. Paid potential fraud claims have been
reduced by 68 percent, with a strategy expected to reduce this work stream by 91 percent in
November. These numbers include new claims in the work streams. While this report covers
resolve outstanding adjudications and issues established on claims from 2020 and 2021,
attached to this report is a chart on the backlog reduction and work to date.

The VEC conducts operations meetings with senior leadership and work stream leaders four
days a week dedicated to providing actionable measures on backlog categories using
transformation principles. In addition, the agency has implemented reporting tools and training
for adjudication team members to continually increase their skills and outcomes.

 Separation Reports: Separation reports are submitted by employers once they are
notified that a former employee has filed for unemployment benefits. Upon receipt of
the separation report, VEC staff must review the report and enter the type of separation
from employment as reported from the employer and any inconsistencies from the
initial claim as reported by the employee. There is no current backlog of separation
reports as all 246,273 outstanding in January were completed in March of this year and
remain current.

 Adjudication (Unpaid Claims): These are claims that have been filed, but have yet to
receive a payment or a decision to deny benefits. Examples of issues that could still
need adjudication are where the claimant did not provide enough information or
respond to requests to provide additional information regarding the last and liable
Page 4

employer. The claim may have discrepancies as to the separation status; whereas an
employee states he was terminated, but the employer reports that the employee quit.
As of October 27th, zero unpaid claims have an issue establishment date in 2020 and five
unpaid claims have an issue established in 2021. Those five claims were completed on
October 31st.

 Adjudication (Paid Claims): These are claims that have been filed and the claimant has
received at least one week of payment. Examples of issues that can fall in this category
are a claimant has responded to a weekly filing question that requires review - this could
be that the claimant refused work, reported income, or started a training program. It
could also be a discrepancy on whether the claimant has qualified for state benefits or
was in the Pandemic Unemployment Assistance (PUA) program previously. As of
October 27th, zero paid claims have an issue establishment date in 2020 and 24 paid
claims have an issue established in 2021 that have adjudication issues. These 24 claims
will be resolved in November 2022.

There are 338 claims with an issue detection date in 2020 and 277 claims with an issue
detection date of 2021 that the adjudication team has completed their work but the
remaining issues must be completed outside of the adjudication team. These claims will
be resolved by year end.

 Potential Fraud: The potential fraud to investigate is separated into two categories:
unpaid claims and paid claims, and are issues created on claims for various identity and
banking verification issues. As of October 27th, 3,904 unpaid potential fraud claims and
51,574 paid potential fraud claims remain outstanding. As noted above, an identity
verification strategy effort will be executed in November with the anticipated outcome
of reducing this number by 71 percent and the overall paid potential fraud claims
backlog by 91 percent with the goal to resolve this category by calendar year end.

We have adjusted the work streams of the current adjudication staff as they have worked
through the backlog to support other work streams. There is not a need to hire additional staff
to resolve claims.

Information Technology System Feedback and Usability

The VEC instituted its new technology system (VUIS), for filing benefits in November of
2021 and accepted the project in 2022. Through the Chief Customer Advocate, customer call
center, social media and email communications, we receive continual feedback on the usability
of VUIS and adjustments are made as appropriate. This continual customer discovery is
instrumental in the success of VUIS.

One of the key challenges to usability is how information is requested and
communicated to the customer. As part of the VEC’s Plain Language Communications project,
the agency has reviewed all documents for clear understanding from the customer perspective
Page 5

and are in the process of being updated. Through the VCU Wilder School’s Performance
Management Group (PMG), we have also surveyed claimants on their understanding of the
unemployment insurance process, including usability of VUIS. These survey results will instruct
the agency on how to better communicate and educate claimants, and make VUIS most
efficient and effective for the customer. To pair with the survey, on behalf of VEC, PMG also
conducted focus groups about VEC services and usability of customer facing tools with both
claimant and business advocacy organizations to hear challenges and create recommended
actions. The Customer Contact Center team is also collaborating with the VEC and Chief
Customer Advocate to act on relevant customer usability issues discovered in calls. Daily
updates are received from the Customer Contact Center team and weekly from the social
media team with key indicators on usability.

In the early 2023, the agency will execute a survey that will collect feedback and
usability on the site from customers at the local Virginia Career Works Centers across the
Commonwealth. This information will be compiled and submitted to you all as required in the
budget language by November 1, 2023.

In closing, each and every day VEC staff strive to meet agency goals, while continuing
their work through an extraordinary volume and complexity of claims resulting from the
pandemic. My team and I are committed to transform the agency through best-in-class
practices and achieve our goal of being the best employment commission in the country. Please
do not hesitate to contact me at carrie.roth@vec.virginia.gov or 804.786.3001 with any
questions.

Sincerely,

Carrie Roth

Attachment: Backlog Reduction and Work to Date
Page 6

Backlog Reduction and Work to Date

Removed
Starting Balance Received Since Current Balance
Category or Complete Since
on 1/15 1/15 on 10/27
1/15

Separation Reports
246,273 75,518 321,791 0

Adjudication
109,362 82,083 189,588 1,857
(Claims)

Potential Fraud
258,320 57,942 255,089 61,173
(Claims)

First Level Appeals
86,546 80,906 67,474 99,978
(Case Dockets)

Total 700,501 296,449 833,942 163,008

File and source

File: 2022-RD634.pdf
Size: 825,869 bytes
SHA-256: 93c9138ed8cf114bf585c08528b8737f890dc59c942b5d84bbe5acfc061f283f
Our copy: 2022-RD634.pdf
Original: rga.lis.virginia.gov