Use Case Specification:



UI Modernization NJ SUCCESS

Use Case Specification: Process Information Received from Claimant Business Use Case 24

Version 1.2

Revision History

|Date |Version |Description |Author |

|02/10/04 |1.0 | |Business Work Group |

|05/14/04 |1.1 |Update Prior to Validation Meeting |B. Towles |

|06/09/04 |1.2 |Validation per Tier |Gloria Fulham |

| | | | |

Table of Contents

1. Use Case Name- Process Information Received from Claimant Use Case 24 1

1.1 Brief Description 1

2. Flow of Events 1

2.1 Basic Flow 1

2.1.1 Claimant returns dependency application with supporting documentation 1

2.1.2 System routes application to appropriate work area 1

2.1.3 System or Agent reviews claim to determine if claimant has less than maximum weekly benefit amount 1

2.1.4 System or agent reviews application for completeness and eligibility 1

2.1.5 System adds dependents to claim 1

2.1.6 System performs monetary re-determination . 1

2.1.7 System documents action taken 1

2.2 Alternative Flows 1

2.2.1 Claimant requests a temporary FEIN number be assigned to his employer due to a hardship 1

2.2.2 UI receives incomplete or inaccurate wage information on a wage affidavit 1

2.2.3 Claimant requests claim be withdrawn 2

2.2.4 Claimant applies for dependency benefits with insufficient documentation 2

2.2.5 Claimant reports earnings for a week which was already paid resulting in an overpayment 2

2.2.6 Claimant reports earnings for a week which was already paid resulting in an underpayment 2

2.2.7 Claimant returns check, weeks not payable 2

2.2.8 Claimant returns check, weeks are still payable 2

2.2.9 Claimant requests hardship payment 2

2.2.10 Claimant requests the certification be decertified 2

2.2.11 Claimant submits proof of employment authorization 2

2.2.12 Claimant submits proof of toll out 3

2.2.13 Claimant submits monetary affidavit 3

2.2.14 Claimant notifies UI of non receipt of payment and check has been cashed or payment has been direct deposited, affidavit of forgery 3

2.2.15 Claimant returns completed fact finding questionnaire 3

2.2.16 Claimant changes address to out of country and is entitled to a benefit check 3

2.2.17 Claimant provides proof of earnings to re-qualify 3

2.2.18 Claimant requests a checks tracer or payment tracer and the check has not been cashed or direct deposit has not been received 3

2.2.19 Claimant requests dependency on claim and has a maximum claim or is not eligible for dependency allowance 3

2.2.20 Claimant requests correct 1099 4

2.2.21 Claimant requests direct deposit of benefit payments 4

3. Special Requirements 4

4. Preconditions 4

5. Post Conditions 4

6. Extension Points 4

6.1 Business and System Use Cases: Calculate Monetary Determination 4

6.2 Business and System Use Cases: Track Overpayments and Process Collections 4

6.3 Business and System Use Cases: Process Payments 4

6.4 Business and System Use Cases: Adjudicate Non-Monetary 4

6.5 System Use Case: Workload Tracker 4

6.6 Business and System Use Cases: Manage Claimant Personal Profile 4

Use Case Specification: Process Information Received From Claimant

Use Case Name- Process Information Received from Claimant Use Case 24

1 Brief Description

This use case allows the claimant to provide UI/DDU with additional claims information, such as adding dependents, requesting a corrected form 1099, filing an affidavit of forgery, etc. This use case reflects the capturing of information that includes the requirements of other use cases.

Flow of Events

1 Basic Flow

1 UC426 Claimant returns dependency application with supporting documentation 

2 UC427 System routes application to appropriate work area 

3 UC428 System or Agent reviews claim to determine if claimant has less than maximum weekly benefit amount 

A letter of explanation will be sent to the claimant.

4 UC429 System or agent reviews application for completeness and eligibility 

5 UC430 System adds dependents to claim 

6 UC431 System performs monetary re-determination .

7 UC432 System documents action taken 

2 Alternative Flows

1 UC459 Claimant requests a temporary FEIN number be assigned to his employer due to a hardship 

In step 2.1.1 of basic flow, if the claimant claims a hardship or the request has not been processed after 6 weeks, System or Agent can request that a temporary FEIN number be issued. The UI Technical Support Unit issues the temporary FEIN numbers. Continue with step 2.1.7 in basic flow. Include Case 5, Calculate Monetary Determinations

2 UC460 UI receives incomplete or inaccurate wage information on a wage affidavit 

In step 2.1.1 of basic flow, UI receives incomplete or inaccurate wage information. If unable to contact the claimant the wage affidavit is returned to claimant with an explanation. If claimant was contacted, continue with step 2.1.7 in basic flow. Include Use Case 5 Calculate Monetary Determination.

3 UC461 Claimant requests claim be withdrawn 

In step 2.1.1 of basic flow, claimant requests to withdraw claim. System or Agent determines if claim can be withdrawn. System or Agent cancels claim. Continue with step 2.1.7 in basic flow.

4 UC462 Claimant applies for dependency benefits with insufficient documentation 

In step 2.1.4 of basic flow, System or Agent reviews application and determines claimant submitted insufficient or incomplete documentation. System or Agent returns application to claimant with explanation. Continue with step 2.1.7 in basic flow. Include Use Case 5 Calculate Monetary Determination and System Use Case Workload Tracker

5 UC463 Claimant reports earnings for a week which was already paid resulting in an overpayment 

In step 2.1.1 of basic, System or Agent will adjust benefits payable. System will establish an overpayment. Continue with step 2.1.7 in basic flow. Include Use Case 11 Track Overpayments and Process Collections and Use Case Process Payments.

6 UC464 Claimant reports earnings for a week which was already paid resulting in an underpayment 

In step 2.1.1 of basic flow, System or Agent will adjust benefits payable. System will issue the underpayment. Continue with step 2.1.7 in basic flow. Include Use Case Process Payments.

7 UC465 Claimant returns check, weeks not payable 

In step 2.1.1 of basic flow, claimant returns checks and indicates the weeks are not payable. UI/DDU redeposits the checks. Employer charges are credited and claimant’s and employer’s balances are adjusted. System or Agent forwards checks and redeposit log to Check Master unit. Continue with step 2.1.7 in basic flow.

8 UC466 Claimant returns check, weeks are still payable 

In step 2.1.1 of basic flow, claimant returns a check and the weeks are still payable. UI/DDU re-deposits the check. Employer charges are credited and claimant’s and employer’s balances are adjusted. System or Agent forwards checks and redeposit log to Check Master unit. System must reissue the check. Continue with step 2.1.7 of basic flow. Include Use Case 7 Process Payments.

9 UC467 Claimant requests hardship payment 

In step 2.1.1 of basic flow, claimant request payment due to hardship. System or Agent will issue payment upon approval of UI Director. Continue with step 2.1.7 of basic flow. Include Use Case Process Payments.

10 UC468 Claimant requests the certification be decertified 

In step 2.1.1 of basic flow, claimant requests the certification be decertified, System or Agent will decertify the check. Continue with step 2.1.7 in basic flow.

11 UC469 Claimant submits proof of employment authorization 

In step 2.1.1 of basic flow, claimant provides proof of employment authorization. System or Agent will obtain copies and attach to necessary documents to be sent to INS. Continue with step 2.1.7 in basic flow.

12 UC470 Claimant submits proof of toll out 

In step 2.1.1 of basic flow, claimant submits proof of toll out. Claimant submits pay stubs and System or Agent reviews to determine if claimant had sufficient earnings to remove any potential or existing disqualification from a separating employer. If sufficient earnings exist, the employer is then identified as a potential non-chargeable employer. If sufficient earnings exist and the claimant has been disqualified, the system will end the disqualification and non charge the employer if applicable. Continue with step 2.1.7 in basic flow. Include Use Case 6 Adjudicate Non Monetary, alternate flow 1 and Case 5 Calculates Monetary Determinations.

13 UC471 Claimant submits monetary affidavit 

In step 2.1.1 of basic flow claimant submits an affidavit. System or Agent reviews monetary affidavit for accuracy and completeness. Continue with step 2.1.7 in basic flow. Include Use Case 5 Calculate Monetary Determinations.

14 UC472 Claimant notifies UI of non receipt of payment and check has been cashed or payment has been direct deposited, affidavit of forgery 

In step 2.1.1 of basic flow, System or Agent requests a copy of the check from the bank. System or Agent will send the copy of the check and an Affidavit of Forgery form to the claimant or begin the payment tracer process if direct deposit. Continue with step 2.1.7 in basic blow.

15 UC473 Claimant returns completed fact finding questionnaire 

In step 2.1.1 of basic flow, System will route to appropriate work area. Continue with step 2.1.7 in basic flow.

16 UC474 Claimant changes address to out of country and is entitled to a benefit check 

In step 2.1.1 of basic flow, claimant changes address to an out of country address. System or Agent will issue benefit check due claimant. Continue with step 2.1.7 in basic flow. Refer to Use Case Manage Claimant Personal Profile.

17 UC475 Claimant provides proof of earnings to re-qualify 

In step 2.1.1 of basic flow, System or Agent will review the proof and remove flag from claim. Continue with step 2.1.7 in basic flow.

18 UC476 Claimant requests a checks tracer or payment tracer and the check has not been cashed or direct deposit has not been received 

In step 2.1.1 of basic flow, System or Agent will complete the check tracer or payment tracer and send to OMB. Continue with step 2.1.7 in basic flow.

19 UC1643 Claimant requests dependency on claim and has a maximum claim or is not eligible for dependency allowance 

In step 2.1.3 of basic flow, System or Agent determines the claimant has maximum weekly benefit rate or dependents are not eligible. Dependencies are not entered. System or Agent sends notice of explanation to claimant as to why dependency allowance was not added to the claim. Continue with step 2.1.7 in basic flow.

20 UC478 Claimant requests correct 1099 

In step 2.1.1 of basic flow, System or Agent will verify amount on 1099 and re-issue to claimant and IRS. Continue with step 2.1.7 in basic flow.

21 UC1603 Claimant requests direct deposit of benefit payments 

In step 2.1.1 of basic flow, claimant submits completed request for direct deposit and has submitted necessary authentication. Agent change payment option and enters appropriate bank account number and routing number. If insufficient or incomplete documentation is received, the agent will return the documentation with an explanation of what is needed. Continue with step 2.1.2 of basic flow.

Special Requirements

Preconditions

Post Conditions

Extension Points

1 Business and System Use Cases: Calculate Monetary Determination

2 Business and System Use Cases: Track Overpayments and Process Collections

3 Business and System Use Cases: Process Payments

4 Business and System Use Cases: Adjudicate Non-Monetary

5 System Use Case: Workload Tracker

6 Business and System Use Cases: Manage Claimant Personal Profile

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