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HRD-78-40 1 (1978-02-16)

handle is hein.gao/gaobaawvj0001 and id is 1 raw text is: DOCUEBUT &xSDe1 05317 - F905250351 The Social Security Adainistraiu n Needs To Improve its Disability Claims ProcWss. 82D-78-4C; d-16#031'(4). February 16, 1978. Released February 21. 5978. 18 pp. + 3 appendices (% pp.). Report to Rep. Elizabeth Holtzqwn; by Elmer B. Staats Coptroller General. Issue area: Income Security Programs: Bligibility Detersination (1301); Income Security Progrsms: Programs to Protect orkers, lncome (1306). Contact: Human Resources Dive Budqet ?unction: Income Secerity: General RetIcameat and Disability Insurance (6011; Income Security; Public Assistance and Other Income Sepplements (604). Organization Concerned: Department of Healtk lduecation and lelfare; Soci'al Se arity Administration. Conqzessional Relevance: Rep. &iabetb Soltzman. authority: N.A. 8076 (9Sth Cong.)9; Dis,%Ality Inar:rnce Amendments of 1977. Social Security Act (42 U.S.C. 1382). =20 C.F.R. 416. Thrh Social Security Adinlstxatioals ISSA's) pracedurs for procesainq approved disability insuranct claims were revieved to determine if the process could be improved. the review covered claims proctlssiug steps at the Bureab of Disability nsaaranc& and at district offices (eO) and iacilded an analysis of a sample of 498 approved disabillty iascmximi claims processed by 1S SSA district offiices. Findinqs/Conclusions: The disability claims processing functioa in district offices has not been effectively managed by te SSA. Forty-six percent of the sample claims revieved were delayed unnecessarily; the number of claims delayed umncessarily varied from 105 to 781 at the 15 DOs. Controls designed to assure prompt processing and timely payment of disability clas in DOs and to quard against loss or misplaced files are inedeato and* in some cases, nonexistent. SSA has failed to provide DO with claims processing standards, to monitor the compter-generated alerts to determine aduacy and usefulness and to ansre that adequate and accurate management information is provided to operating managers. the med for review by S3A headquarters of claims containiag conspicuous characteristics is questionasbLe. Recommendations: The S&cretary of Health. Idscations and welfare should direct the Commissioner of Social Security to: establish district office processing time goals. develop and implement an alert system using seaningful time frames to monitor claims# and develop a m sagemest information system using ,e abova controls. The Commission should also: real.ne the Supplemental Security Is-c)e and dJsability insurance paymeat input to eliminate undeserved payaestse dervcop i& I~leaemt special procedures to expedite processin! those claims that cannot &ow be completed by DOs. aLd deteam-e the fesibility of relootig

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