IDES Quality Assurance & Compliance 2

Question 1

An IDES claims examiner discovers that a claimant submitted falsified wage records to inflate their Weekly Benefit Amount. What is the appropriate compliance action?

Accepted Answer

Refer the case to the IDES fraud investigation unit and issue an overpayment determination

Answer

Falsified wage records constitute fraud and must be referred to the fraud investigation unit, with an overpayment determination issued for benefits received in excess.

Question 2

Under Illinois UI law, what is the maximum percentage of a claimant's Weekly Benefit Amount that can be deducted per week to recover a non-fraud overpayment?

Accepted Answer

50%

Answer

IDES may withhold up to 50% of the Weekly Benefit Amount per week to recoup non-fraud overpayments.

Question 3

A Quality Assurance reviewer finds that an adjudicator consistently misclassifies 'lack of work' separations as 'voluntary quit' without evidence. This represents:

Accepted Answer

A systemic accuracy error requiring targeted retraining and supervisory review

Answer

Consistent misclassification of separation reasons is a systemic accuracy error that requires QA intervention, retraining, and supervisory oversight.

Question 4

The Benefit Payment Control (BPC) unit uses cross-matching with which federal database to detect claimants who return to work without reporting earnings?

Accepted Answer

National Directory of New Hires (NDNH)

Answer

The NDNH, maintained by the federal Office of Child Support Enforcement, reports new hire data that BPC cross-matches against active UI claims.

Question 5

An employer submits a late response to a separation questionnaire 35 days after the due date. Under standard IDES QA policy, what typically happens?

Accepted Answer

The late response is generally not accepted and the determination stands

Answer

IDES generally does not accept employer responses submitted after the established deadline, and the original determination remains in effect.

(IDES) Illinois Department of Employment Security Certification Practice Test

(IDES) Illinois Department of Employment Security Certification Practice Test

IDES Quality Assurance & Compliance 2