Claims Management

A Guide to Various Types of Claims Management

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If an employee is out of work, he or she may be entitled to unemployment benefits depending on a number of factors. The main factors that come into play include the circumstances around the employee having to leave the job and whether or not the employer contests the claim. So when it comes to claims management, your company has some power over whether your workers can receive unemployment benefits or not.

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Eligibility for Unemployment Benefits

Employees will usually be eligible for unemployment benefits when they are out of work without any fault of their own. The rules will apply differently based on how the employee went out of work – whether he/she was fired, laid off or he/she quit the job.

If the employee was removed from service because of financial cutbacks, he can claim for unemployment benefits. He can also claim it if he was not the perfect match for the job for which the company hired him. Even if you removed him from service because of being late, but the violations were minor or unintentional, he may be entitled to claims management. Employees who are laid off or removed because of reduction in workforce can always clam for unemployment benefits.

Common types of claims management

The most common types of employee claims that your organization will have to deal with include the following:

Unfair Dismissal

The employee may claim that the decision for removal from service was not genuine or fair. He may claim that unfair process was followed leading to his removal. It may also be a case of constructive unfair decision where he resigned believing that the employer breached the contract. This is a common type of complaint where the employee claims that the conduct of the employer caused collapse of trust and confidence.

Discrimination

Some of the cases in claims management are related to discrimination. They are considered to be relatively of more complex nature. It is related to conduct, which will fall under Protected Characteristic, which is beyond the scope of unfair or negative. This can include factors like religion, race, age, sexual orientation, marriage, maternity, pregnancy and disability. In such a case, the employee will file the Protected Characteristic involved, the kind of unfairness experienced by the employee, and the reasons he thinks that the conduct was related to his Protected Characteristic.

Wages Claims

Wage claim is another common type of dispute that arises in claims management. It may be related to bonuses, redundancy pay, holiday pay or ordinary pay. Usually, such a claim can be of two types. The first type can involve unauthorized deduction from the employee wages. The second can be a breach of contract. This second type of claim can be made only after the employee has been terminated and there is a cap to the amount of award.

These are some of the main types of disputes that you will have to deal with when it comes to claims management. It is important to seek proper professional guidance when dealing with any such issues.

Employers Resource helps every business at all stages with growth and development. Find out more! Call us today at (800) 559-2350.

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