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| Claims
Monitor Services |
| How
the program works for UST participants:
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| TALX
works with your agency to control unemployment compensation costs
by becoming your cost control partner. |
| FILES & SYSTEM |
| TALX
has been designated as your unemployment representative.
They establish a centralized file through which
all of your agency’s separation information, claims
and charges can be processed. |
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| CLAIMS PROCESSING |
| When
a claim is filed, TALX, as your agency’s representative, responds to the claim and reports any other necessary information
to the appropriate state agencies. Every claim
filed against your account is carefully reviewed
to detect any irregularities or any improper charges.
TALX protests all inaccuracies and improper claim
determinations. |
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| CONTROLLING COSTS |
| Your
agency can help control rising unemployment costs
by observing sound hiring and disciplinary practices,
and by documenting all warnings, reprimands, and
separations. You also play an active and important
role in managing claims when you forward any state unemployment forms you may receive, along with any pertinent employee separation details to TALX in a timely manner. |
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| STATE FILING |
| The
individual responsible for filing state unemployment
documents at your agency must keep TALX informed
by mailing or faxing the following items as appropriate:
- Copies
of face sheets of state quarterly tax returns
(quarterly) and the wage detail (employee listing).
- Any
correspondence regarding protests, determinations,
penalties, etc.
- State
charge statements that inadvertently come to
you after joining the Trust, forward to TALX
immediately.
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| Address
of record change. Upon enrollment, you signed
a power of attorney form allowing the claims monitor,
TALX, to represent your Agency for all unemployment
claims issues and to make them the “address of record”
for all state unemployment mail. It is essential
that you maintain this election. Should you receive
any unemployment claims or charge statements at
your office, please forward these items immediately
to TALX at the appropriate address shown in the
section “Whom to Call”. |
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| TALX |
| When
an Employee Separates Regardless of Reason:
- Complete
the TALX Separation Form, which can be found
in your administrative manual. Please call us
at (888)249-4788 if you need us to fax you a
copy.
- The
form must include the following information:
- Employer
name
- Employee
name
- Social
Security number
- Last
date worked
- Reason
for separation
- Employer
contact name, address, and phone number
- The
form and any supporting documentation (e.g.,
copies of warnings, letter of resignation, and
counseling papers) should be mailed or faxed
to TALX immediately upon termination to ensure
the appropriate data is available if a claim
is received.
- Lists,
including the following information, may be
supplied in place of individual documents for
mass layoffs and shutdowns(contact your TALX
office by telephone to discuss before submitting):
- Employer
name
- Employee
name
- Social
security number
- Last
date worked
- Reason
for separation
- Payments
for severance, holiday, vacation, etc.
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These
forms are very important and need to be completed
accurately and clearly. Forms should be completed
and forwarded to TALX within 24 hours of the employee’s
separation. Many employers make the separation
notice a standard part of the employee termination/separation
package. Unemployment claims have time limits
on protests. If we have not received a separation
notice and documentation backup or cannot read
the forms clearly, you reduce the chances of successfully appealing claims and minimizing your unemployment costs.
Send
to the appropriate TALX office for your state.
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| INVOLUNTARY SEPARATIONS |
Documenting
Involuntary Separations
An
involuntary separation occurs when employment
ends due to the agency’s actions. Therefore,
it is extremely important that documentation exists
to support the separation issues.
Lack
of Work (Layoffs)
Lack
of work is simply a temporary or permanent decrease
in the agency’s labor force. Separations resulting
from lack of work are not disqualifying but should
be documented and include the following:
- Employer
name
- Employee
name
- Social
security number
- Last
date worked
Conditions,
which may result in lack of work, include:
- Reduction
in work force
- Job
elimination
- Reorganization
- End
of temporary or seasonal employment
- Location
closing
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| MISCONDUCT |
Discharge
for Misconduct
Misconduct
is a deliberate disregard of reasonable policies
and behavior standards established by the employer.
If deliberate misconduct is proven by the employer,
the separation should result in a disqualification
of the claim. Carelessness and/or negligence
in connection with work showing deliberate disregard
for the employer’s interests is also considered
misconduct. There are isolated incidents of inefficiency,
carelessness, or “good faith” judgment errors
that are not considered disqualifying misconduct.
Misconduct is defined as follows:
- A
violation of reasonable company rules of which
the worker is aware.
- Failure
to follow the employer’s instructions.
- Absenteeism,
if the established policy is not observed.
- Tardiness,
if the established policy is not observed.
- Altercations
with fellow employees.
- Insubordination.
- Appearing
on the job under the influence of intoxicants
or drugs.
- Habitual
carelessness or negligence.
- Off-duty
misconduct that materially affects the employee’s
job performance
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| VOLUNTARY SEPARATIONS |
Documenting
Voluntary Separations
Voluntary
separation issues occur when employment ends at
the request of the employee and should result
in a disqualification of unemployment benefits
unless the employee can show “good cause.” The
specific reason for the separation should be recorded
in a separation document.
Common
Voluntary Separations
Reasons
for voluntary separations:
- Accepting
other employment
- Job
abandonment
- Walking
off the job
- Relocation
- Job
dissatisfaction due to:
- Working
hours
- Salary
- Working
Conditions
- Supervisor
- Performance
review
- Returning
to school
- Non-job-related
personal reasons
- Family
obligations
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| Always
include the following information with the record
of a voluntary resignation:
- The
actual last date the employee worked
- The
length of notice the employee gave to terminate
employment
- Full
disclosure of the reason the employee gave for
resignation. If no reason or notice was given,
document the record appropriately
- Written
resignation from the employee when possible
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| LEAVE OF ABSENCE |
| If
the employee requests the leave, it is considered
a voluntary leave of absence and the employee
is generally disqualified from benefits. If the
employer mandates a leave and the employee is
separated through no recognizable fault, the employee
will receive benefits.
Reasons
for leaves of absence:
- Personal
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Illness or maternity
- Military
- Family
obligations
- School
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Injuries
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| Documentation
of a leave of absence should include:
- A
specific beginning and ending date for the employee’s
benefit and your records when you grant a leave
of absence. An unspecified period of absence
could result in a claim determination allowing
benefits.
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Any changes to the original terms of the leave
of absence agreement should be formally noted
in the personnel file.
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Documentation should specify whether the leave of absence was paid or unpaid.
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| RETIREMENT |
| Eligibility
for benefits involving retirement issues depends
upon the specific circumstances of the retirement
and the state laws.
Reasons
for Retirement
- Voluntary
- Contractual
- Involuntary
- Disabled
Documentation
of a retirement should include
- The
type of retirement taking place
- Beginning
retirement date
- The
amount of retirement benefits
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| REFUSAL TO WORK |
| Offering
work to former employees is an accepted method
of avoiding charges for unemployment compensation
benefits. If the work is rejected, and the state
agency recognizes that the job that is offered
is “suitable”, the state agency generally declares
the claimant unavailable for work and ineligible
for benefits. |
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| HEARINGS |
| When
a separation or monetary issue is disputed, all
states provide for an administrative hearing before
a referee or administrative law judge. Agency
participation in the proceeding is almost always
required to provide firsthand testimony, which
will ensure that the employer’s position is fully
considered in the final ruling. When you receive
a hearing notice by mail, either call or fax TALX. |
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| COUNSELING |
| Counseling
and Preparation
TALX
will notify you of any hearings. Prior to the
hearing, the TALX hearing staff will review all
the available information and suggest a strategy
for presenting your case.
To
prepare for the hearing:
- Review
the claimant’s personnel file
- Copy
relevant documents for presentation at the hearing
- Determine
who has firsthand knowledge of the events surrounding
the separation and arrange for the employee’s
participation at the hearing
- Follow
any further instructions provided by your TALX
representative
Failure
to appear at a scheduled hearing will result in
a $500 charge to the agency. |
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| REPORTS |
| You
will receive quarterly claim reports from TALX
reflecting your Agency’s claims activity, only
if there is activity. You should expect to receive
the report 2 to 3 months after the claim has been
made. |
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| ONLINE LEARNING |
| Understanding the topics of discipline, discharge,
proper documentation and hearing preparation is key to reducing claims costs. The Unemployment Services Trust
and TALX Employer Services are excited to offer UST member agencies a new web-based educational resource on
these topics for your HR staff/managers who are involved with employee separations: TALX Learning Solutions.
These courses are available 24/7 and are free to UST participants. A link to this service is provided in the Members Only section of this site.
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