Case Study: Unemployment claims management

Curing the ills of unemployment claims management

Challenge

A regional, nonprofit healthcare system sought to substantially reduce the internal resources allocated to facilitating its outsourced unemployment program, as well as to improve communication effectiveness with key stakeholders and its mechanisms for accurately managing state agency mailings and invoicing.

Solution

The organization turned to Sedgwick’s unemployment compensation team, who developed a unique, outsourced program model based on the client’s limited available resources. Our proactive and collaborative experts implemented critical checks and balances and technology enhancements to promote program compliance, financial oversight. and an efficient and positive employee experience. Utilizing real-time data integrations, new claim processes protected employees from fraudulent unemployment filings and assured timely and accurate benefit decisions.

Results

Identified and secured refunds of more than $4 million in account overpayments

By outsourcing to Sedgwick, the client achieved a solution that alleviated their administrative burden and helped them better manage deadlines and expenses. As the client’s benefits manager said, “Partnering with Sedgwick has enabled us to provide a cost-effective unemployment program. Their creative solutions are sensitive to our unique needs and ensure our valuable resources are protected.”



100%



40+



74%