In 2015, the federal government estimates that states improperly paid 11.6% of $48.4 billion in Unemployment Insurance (UI) claims. This represents $5.6 billion in improper payments. As states continue to offer additional on-line channels to initiate and manage claims, fraudsters take advantage of new computer methods to steal identities, create fictitious employers, and file false claims.
Pondera's System, built "by investigators, for investigators", offers an extremely powerful, yet easy-to-use system to combat fraud, waste, and abuse in Unemployment Insurance programs. Our integrated system spans fraud detection, investigation, and enforcement.
Detect UI Fraud
Fraud Detection as a Service (FDaaS): Core detection system that includes over 130 Alerts, Prediction Models, and Geospatial Analysis Maps designed specifically for state Unemployment Insurance systems. Validates all employers, claimants, and claims. Searches for issues such as deceased and incarcerated claimants, fictitious employers, shared emails and bank accounts, and more.
State Unemployment Tax Act (SUTA) Module: Identify unusual shifts in employees, tax rate changes, and other indicators of potential SUTA dumping schemes.
Worker Misclassification Module: Flag employers for potential 1099 classification violations using Pondera's behavioral analysis flags combined with integrated third party data sets.
Fraud Risk Scorecards: Combine data matching services and behavioral flags to generate a fraud risk score for every employer and claimant in your program. Stack rank all program actors to prioritize enforcement activities. Create custom scorecards based on your own investigative experience and apply that to the entire program database.
Investigate UI Fraud
SuperSearch: Search the FDaaS database and integrated public records databases for information on employers, claimants, associates, affiliates, and more. Hyperlink to employer and claimant profiles for more information such as fraud indicators, alert and claims history, geospatial maps, and Google Street View of locations.
Link Analysis: Visually explore associations and network linkages between and among employers and claimants. Use pre-built UI templates for issues such as corporate associations and shell
Social Media Analyzer: Discover connections, associations, and investigative data through analysis of social network sites, blogs, and other on-line services. Save newly discovered links to your link analysis charts or open cases.
Enforce UI Rules
Case Tracker: Create, manage, collaborate, and report on cases generated by Pondera or through tips or other automated systems. Add notes, documents, and images to your cases.
Intel Reports: Request in-depth investigative reports from Pondera's Special Investigation Unit (SIU), staffed by certified fraud examiners, UI experts, and former law enforcement agents. Reports include behavioral, link, and social network analysis.
Executive Dashboard: Easily review the results of your detection and enforcement activities via a graphical management reporting system. Analyze your program's most frequent Alerts, associated dollar amounts, and trends over time.
Pondera's entire suite of tools is fully integrated, passing data and leads between the detection, investigation, and enforcement modules. Your analysts and investigators access the system through a secure Internet Browser. Additional advantages of Pondera include:
- Rapid Deployments: Go live in as few as 120 days
- Cloud Infrastructure: No need to buy hardware or software
- Machine Learning: Identify emerging fraud trends with constantly improving algorithms
- Integrated Third Party Data: Validate identities, incarceration status, addresses, and more with pre-tested consumer and business databases