Audit of the U.S. Office of Personnel Management's Retirement Services Disability Process

Submitting OIG:

Office of Personnel Management OIG

Date Issued:

Friday, October 30, 2020

Agency Reviewed / Investigated:

Office of Personnel Management

Submitting OIG-Specific Report Number:

4A-RS-00-19-038

Component, if applicable:

Retirement Services

Location(s):

Agency-Wide

Type of Report:

Audit

Number of Recommendations:

View Document:

Attachment	Size
4A-RS-00-19-038.pdf	625.46 KB

Recommendation Number	Recommendation Status	Significant Recommendation
1	Open	Yes
We recommend that RS implement internal controls to ensure that all staff responsible for processing disability cases, including but not limited to Medical Specialists, Paralegals, and Legal Administrative Specialists, take the required training to perform their job functions and that supporting documentation for completed training is maintained.
2	Open	Yes
We recommend that RS establish a plan to complete the Medical Call-ups that are past the annual review period and stop any payments for which annuitants are no longer eligible.
3	Open	Yes
We recommend that RS ensure that Medical Call-ups are conducted timely and that supporting documentation is maintained.
4	Open	Yes
We recommend that RS investigate the cases due for Medical Call-ups in FY 2019 to determine if improper payments were made and immediately initiate any funds recovery, if applicable.
5	Open	Yes
We recommend that RS create and implement written procedures to ensure that quality assurance reviews are properly documented and maintained.
6	Open	Yes
We recommend that RS ensure that Claims I/Claims II Internal Auditors and Senior LAS thoroughly complete quality assurance reviews for adjudicated cases.
7	Open	Yes
We recommend that RS monitor internal timeliness goals to determine if they are practical and align with the updated disability process and new performance tracking systems, and modify the timeliness goals as appropriate.
8	Open	Yes
We recommend that Retirement Services continue to work with OPM’s Office of the Chief Information Officer to establish a modernized Information Technology system that has capabilities to ensure the proper tracking of cases throughout the disability process.

Recommendation Number

Recommendation Status

Significant Recommendation

Additional Details

Open

Yes

We recommend that RS implement internal controls to ensure that all staff responsible for processing disability cases, including but not limited to Medical Specialists, Paralegals, and Legal Administrative Specialists, take the required training to perform their job functions and that supporting documentation for completed training is maintained.

Open

Yes

We recommend that RS establish a plan to complete the Medical Call-ups that are past the annual review period and stop any payments for which annuitants are no longer eligible.

Open

Yes