Unemployment Quality Control

Overview

Benefit Accuracy Measurement (BAM) is a program designed to identify the Unemployment Insurance (UI) Program's processing trends that cause erroneous UI benefit payments or denials. The BAM program is administered for the U.S. Department of Labor by all 50 states to assist state and federal UI programs with identifying error and abuse in UI programs. BAM investigations are a review of the records of a sample group of claimants, selected each week at random, to test the accuracy of UI decisions to issue or deny the payment of UI benefits for a key week. The Paid Claims Accuracy (PCA) program reviews paying claims and provides detailed information regarding the rates, types, and causes of improper payments. The Denied Claims Accuracy (DCA) program reviews claims for specific denials due to monetary, separation, and other nonmonetary/nonseparation issues. Causes of erroneous payments or denials may include administrative oversight, and misrepresentation or errors by claimants and/or employers.

Quality Control Frequently Asked Questions  

Benefit Accuracy Measurement Reviews

In an effort to detect error and fraud, the BAM unit reviews information provided by employers and/or claimants, and decisions issued and actions taken by UI Program staff.

Employer Information

The BAM review process includes an examination of employer records and actions, UI Program records and actions, and the statements and actions of selected claimants. Eligibility, payroll, work-search contacts, and employment-office records that pertain to the claimant are investigated.

During the BAM review, former employers are contacted to verify payroll records, including current and previous wages. The dates of employment, reasons for separation, and separation payments (pay other than earnings) are also verified.

Employers are contacted to verify that work-search contacts reported by the claimant for the selected week were made.

If full or partial UI benefits were paid for a week in which the claimant reported earnings, employers are contacted to verify employment and earnings.

Cases are selected for review each week. Sample UI claim records are chosen at random by a computer. Selections are made from a list of claimants who were paid UI benefits during a selected week (a PCA claim) and a list of claimants who were not paid UI benefits due to specific issues (a DCA claim).

A UI claim may be reviewed more than once. The number of reviews is not predictable since new cases are randomly selected each week. UI claims are not selected for review because of suspicions of wrongdoing.

Claimant Information

The BAM review process includes an examination of employer records and actions, UI Program records and actions, and the statements and actions of selected claimants. Eligibility, payroll, work-search contacts, and employment-office records that pertain to the claimant are investigated. Former employers are contacted to verify payroll records, including current and previous wages. The dates of employment, reasons for separation, and separation payments (pay other than earnings) are also verified.

Claimants are contacted to verify previously submitted personal information and information about job separations, work-search activities, and availability issues.

Employers are contacted to verify that work-search contacts reported by the claimant for the selected week were made.

If full or partial UI benefits were paid for a week in which the claimant reported earnings, employers are contacted to verify employment and earnings.

Claimants are notified that a particular week is being reviewed based on the payment of UI benefits or a specific issue leading to a denial of UI benefits.

A detailed questionnaire about the UI claim is mailed to the claimant. The claimant is required to complete the questionnaire and return it. As an alternative, a telephone interview may be scheduled to review the UI claim, and the BAM investigator completes the questionnaire during the interview.

The review ensures that UI benefits were correctly paid or denied. If it is determined that UI benefit payments should not have been issued, an adjustment may be made. The results of the BAM review are used to improve the overall quality of the UI Program.

Appeals Information

If a claimant receives a Form UIB-6, Notice of Decision, denying UI benefits, an appeal may be filed within 20 calendar days of the date the decision was mailed. If a claimant is selected for a BAM DCA review and an appeal is pending, the claimant should continue the appeal process. If an error is found in the processing of a UI claim, the BAM review does not necessarily mean the error can be corrected outside of the appeal process.

Contact Us

Colorado Department of Labor and Employment
Unemployment Insurance Integrity, Benefit Accuracy Measurement
P.O. Box 8789
Denver, CO 80201-8789
 

  • UI Benefits Inquiries: 303-318-9000 or 1-800-388-5515 • UI Employer Services Inquiries: 303-318-9100 or 1-800-480-8299
  • Telephone hours: 7:30 a.m. to 4:30 p.m., Monday - Friday
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