Again, Mr. Commissioner, What Are You Going To Do About These Payment Errors?

      From a recent report by Social Security’s Office of Inspector General:

The Old-Age, Survivors, and Disability Insurance program provides monthly benefits to retired and disabled workers and their dependents as well as the survivors of deceased workers. In general, to be entitled to benefits, a child of a retired, disabled, or deceased worker must: 1) be unmarried; 2) be under age 18, a full-time elementary or secondary school student under age 19, or have become disabled before age 22; and 3) meet certain relationship and dependency requirements. Generally, an SSA employee may appropriately deny a claim when the employee properly completes all necessary actions and determines the applicant has not established the claimant meets the requirements to be entitled to child’s insurance benefits. 

We reviewed a random sample of 100 claims from a population of 21,533 claims filed from January 2019 through July 2023 that SSA employees approved for benefits in July 2023 or earlier and a random sample of 100 claims from a population of 75,424 claims filed from January 2019 through July 2023 SSA employees did not approve for benefits as of July 2023. 

Of the 96,957 claims in our review, we estimate SSA employees correctly denied 37,712 (39 percent) and incorrectly denied 24,555 (25 percent). As a result of employee errors, SSA did not pay these beneficiaries approximately $92.2 million in benefits and delayed paying these beneficiaries approximately $87.7 million in benefits to which they were entitled. 

We could not conclude whether employees correctly denied the remaining 34,690 claims (36 percent). This includes an estimated 28,661 claims SSA employees denied before they appropriately completed all required actions; therefore, there was not enough information in SSA’s records to determine whether Agency employees appropriately denied the claims. …

     This might be tough for the Commissioner. I don’t think it can be solved by laying off employees or intimidating them or demanding they work harder.  It will take analysis of the difficulties in doing this work accurately, coming up with better workflow processes, coming up with better quality control processes and being honest with everyone about the workforce needed to do the job properly. The honesty part will be the hardest thing for this Administration. It’s easier to blame the “deep state” than to do the difficult work of governing.