1. (Improper Payments Prevention Initiative)
IPPI
(Improper Payments Prevention Initiative)
4/22/15
Workforce Technology Division

2. Improper Payments Prevention Initiative
Project Purpose
Project Scope
Business Objectives
Technical Objectives
Budget
Schedule
Current Status
Questions

3. Improper Payments Prevention Initiative
IPPI Purpose:
Improve the detection and reduction of overpayment fraud through the use of IPPI, an analytical system comprised of algorithmic solutions which will be customized using DWS historical data to identify unemployment insurance claims with a higher propensity to involve fraudulent activity. The tool and resultant information will be incorporated into DWS modernized Unemployment Insurance Application (UIA).
This supports DWS strategic goal to reduce the amount of improper payments by focusing on the reduction of unemployment insurance fraud. This was included in our 2013 Supplemental Budget Requests and is directly supported with US Department of Labor funding.

4. Improper Payments Prevention Initiative
Scope
Phase 1. Algorithmic Solutions Analysis: Evaluate, customize, and enhance IPPI fraud detection on unemployment insurance claims from DWS.
Phase 2. Scoring Engine Deployment: Implement Scoring Engine for IPPI in a technology solution to score unemployment insurance claims for the purpose of identifying and reducing potential overpayment fraud.
Phase 3. uFACTS Integration: Integrate the IPPI Scoring Engine within the uFACTS application, including configuration of input and output data streams to the Scoring Engine and design and development of a user interface.
Phase 4. Business Implementation: Enhance the businesses process whereby claims messaging and processing incorporating analysis results and subsequently managed within uFACTS

5. Improper Payments Prevention Initiative
Business Objectives
To reduce fraud by a minimum of 20% through predictive measures in the area of claim certifications, separation overpayment and anomaly detection.
To provide structured workflows for BPC and Fraud Team to ensure UI performance measures are maintained and workloads effectively managed for specialized cases

6. Improper Payments Prevention Initiative
Technical Objectives:
Implement the IPPI Scoring Engine in the DWS technology platform to score unemployment insurance claims for the purpose of identifying and reducing potential overpayments and fraud.
Integrate the process into the Unemployment Insurance Application (UIA) system to enhance the management of UIA initial claims, continued claims, adjudication, workflow and reporting processes to support the fraud analytics business processes

7. Improper Payments Prevention Initiative
Budget

8. Improper Payments Prevention Initiative
Key Deliverables
Phase
Summary of Phase
Key Deliverables
Planning
Project organization planning
Fraud Detection Analysis Implementation Plan; Bi-weekly status reports, monthly status reports
Design
Implementation and Reporting Design
System design documents detailing the proposed system.
Testing
Agile methodology to build, test and review followed by standard UAT
Test planning unit, system, UAT testing and bug fixing
Implementation
Implementation planning, results, and close-out.
CCB reviews, approvals, operational hand off documentation including SOPs

9. Improper Payments Prevention Initiative
Project Schedule
Completed
Completed
Completed
On Schedule

10. Improper Payments Prevention Initiative
Current Status
Key Milestones
Scheduled Completion
Actual Completion
Project Schedule (updated)
8/22/2014
9/11/2014
Business Implementation Requirements and Reporting Documents
11/7/2014
11/18/2014
uDetect™ Engine Design
10/6/2014
10/14/2014
uDetect™ Engine Development
2/13/2015*
2/20/2015
UIA Integration Design
1/17/2015*
1/29/2015
UIA Integration Development
3/27/2015
3/26/2015
Final Release
5/7/2015**

11. Improper Payments Prevention Initiative
Questions