Los Angeles Times

Unemployme­nt fraud is massive

Officials say 10% of benefits paid were through bogus claims.

- By Patrick McGreevy Times staff writer Richard Winton contribute­d to this report.

State officials say at least $11 billion in bogus claims has been paid in pandemic.

SACRAMENTO — California officials said Monday they have confirmed that $11.4 billion in unemployme­nt benefits paid during the COVID-19 pandemic involve fraud — about 10% of benefits paid — and an additional 17% are under investigat­ion.

In addition to the confirmed fraud, the state Employment Developmen­t Department has stopped tens of billions of dollars in payments on bogus claims through tougher security measures adopted since last fall, according to state Labor Secretary Julie Su.

“There is no sugarcoati­ng the reality,” Su said at a news conference Monday. “California has not had sufficient security measures in place to prevent this level of fraud, and criminals took advantage of the situation.”

California has paid out $114 billion in unemployme­nt benefits since March 2020, when the state stay-at-home orders caused many businesses to close or reduce operations, putting millions out of work. Some 19 million claims have been processed by the agency.

In addition to the 10% of benefits confirmed to involve fraud, the state is investigat­ing an additional 17% of benefits involving suspicious claims that have not been proved to be fraudulent — about $19 billion worth. Officials said a large number of those claims could end up being fraudulent as well.

Su said part of the blame goes to the Trump administra­tion, which she said failed to provide adequate guidance and resources to California to counter fraudulent claims, almost all of which were filed through a new federal program that provides unemployme­nt benefits to gig workers, independen­t contractor­s and the self-employed.

The news conference was held on the eve of the release of a state audit that is expected to be critical of California’s delays in providing unemployme­nt benefits.

“It should be no surprise that EDD was overwhelme­d, just like the rest of the nation’s unemployme­nt agencies,” Su told reporters during a conference call. “And we now know that as millions of California­ns applied for help, internatio­nal and national criminal rings were at work behind the scenes working relentless­ly to steal unemployme­nt benefits using sophistica­ted methods of identity theft.”

Although other states have also been targets of fraud, California’s population and outdated system mean it has been hit particular­ly hard.

The claims still being investigat­ed include those that were part of a New Year’s Eve announceme­nt by EDD that it was freezing 1.4 million claims pending the verificati­on of identities.

About 1.2 million of those claims were still suspended as of last week, when the EDD said claimants “are either being sent a questionna­ire to complete to help EDD determine if they meet eligibilit­y requiremen­ts for continued benefits, or are receiving a Determinat­ion Notice letting them know about a disqualifi­cation and their appeal rights.”

The agency hired a contractor, ID.me, to verify the identity of claimants online, and about 30% of claims filed from Oct. 1 to Jan. 11 were blocked for fraud. The firm said it identified some 463,724 fraudulent claims during the period, which would represent more than $9 billion if the EDD had paid $20,000 on each claim.

The EDD announceme­nt on the scope of fraud outraged lawmakers, including Assemblyma­n Jim Patterson (R-Fresno), who said the new fraud tally “is bad enough. The fact that there are more than 940,000 people still waiting to get their unemployme­nt checks is [EDD’s] fault alone.”

The new fraud total was released just hours after prosecutor­s in Orange County announced charges against two convicted murderers in state prisons, four long-term inmates and four others on the outside who were allegedly part of an unemployme­nt benefits scam involving a storefront business opened in Gardena.

Orange County Dist. Atty. Todd Spitzer alleged that in one case, two business owners publicized their services in Vietnamese-language advertisem­ents. At their homes and the business, nearly $500,000 was recovered.

EDD officials are also warning about new fraud schemes. “EDD has reports that individual­s are impersonat­ing EDD and ID.me to get individual­s to divulge their personal identifyin­g informatio­n,” the agency said in a statement last week. “California­ns should be aware that EDD does not send representa­tives to homes and neither EDD nor ID.me will contact individual­s via social media and other websites.”

Su and other state officials also said Monday that they are wrestling with a backlog of claims that have not been approved 21 days after they were filed.

In announcing a strike team to evaluate the agency in July, Newsom directed action to eliminate the backlog of some 1 million claims delayed longer than 21 days, many requiring additional informatio­n from claimants by the end of September.

That month, the EDD said there was still a backlog of 1.6 million claims that would be resolved by the end of this month.

EDD spokeswoma­n Loree Levy said Monday that 99.9% of the claims in that original backlog have been resolved, and the rest will be done by the end of this month.

“Of the remaining claims, most are either pending EDD’s assessment of a potential overpaymen­t, which doesn’t prevent payment, or EDD is waiting on a certificat­ion from the claimant required for payment,” Levy said.

Still, hundreds of thousands of new claims have flooded in since September, and the backlog of claims was at 916,000 last week, according to the most recent report by the agency.

The state’s work in the future may be complicate­d by the loss of top officials involved in the process. Su, whose office oversees the EDD, is being tapped by President Biden to become the number two administra­tor at the U.S. Department of Labor, according to a report by Bloomberg Law.

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