Use Case Specification:
UI Modernization NJ SUCCESS
Use Case Specification: Payment Process
System Use Case 3
Version 1.5
Revision History
|Date |Version |Description |Author |
|05/24/04 |1.0 | |System Workgroup |
|06/09/04 |1.1 |As per Tier/Corrections |CD |
|06/21/04 |1.2 |Corrections and Number |CD |
|06/29/04 |1.3 |Added Cross Check for Employee |TJK |
|06/29/04 |1.4 |Additions per Sharon Riley |CD and RL |
|06/30/04 |1.5 |Minor Changes |TJK |
Table of Contents
1. Use Case Name: Payment Process 1
1.1 Brief Description 1
This use case allows for the UI and DDU system to produce payments and checks. 1
2. Flow of Events 1
2.1 Basic Flow 1
2.1.1 The system gathers all possible payments that need to be processed 1
2.1.2 The system verifies claim is eligible for payment 1
2.1.3 The system determines the amount of payment for the claims 1
2.1.4 The system runs cross checks to verify payment information 1
2.1.5 The system notifies Budget and Accounting & ODS of payments 1
2.1.6 The system generates payment 1
2.1.7 The system sends payment information to claimant 2
2.1.8 The system notifies employer of UI charges 2
2.1.9 The system will document all action taken 2
2.2 Alternative Flows 2
2.2.1 The system provides check master with special interface 2
2.2.2 CWE includes the 12th of the month 2
2.2.3 Payment is for a NJLWD Employee 2
2.2.4 Profiling Status will be activated 2
2.2.5 Tracking source and reason for underpayment 2
3. Special Requirements 3
4. Preconditions 3
5. Post Conditions 3
6. Extension Points 3
6.1 Processing Overpayments and Collections 3
6.2 Documenting Action Taken 3
Use Case Specification: Payment Process
Use Case Name: Payment Process
1 Brief Description
This use case allows for the UI and DDU system to produce payments and checks.
Flow of Events
1 Basic Flow
1 UC1011 The system gathers all possible payments that need to be processed
The system will search through all of the active claims through ODS that have been marked to receive payment. (Ref. Business Use Case 2.1.2)
2 UC1012 The system verifies claim is eligible for payment
The system will perform batch cross matches with IBIQ, COURTS, SSD…make sure that there are no pend indicators on all of the claims marked for payment. (Ref. Business Use Case 2.1.2)
3 UC1013 The system determines the amount of payment for the claims
The system will use the Weekly Benefit Rate and Partial Weekly Benefit Rate to calculate the claim payment. The system will check for possible deductions that the claim is marked with (i.e. Federal Income Tax.) The system will also check for backdated/underpaid payments that the claimant might be eligible for or previous overpayments that occurred (Extend Processing Overpayments and Collections.) The system will also calculate any garnishments that apply to the claim (i.e. Child Support Payments.) The garnishment can not exceed 65% of the WBA. If the claim balance is less than the garnishment amount the balance will be applied to the garnishment.
4 UC1579 The system runs cross checks to verify payment information
The system will run cross checks against SSA (Social Security Administration) and Department of Corrections to assure that the payment is still eligible to be processed. If one of the cross checks gets a hit the payment will be pended and sent to an adjudicating agents work queue. (Ref. Business Use Case 2.1.2)
5 UC1014 The system notifies Budget and Accounting & ODS of payments
The system will send Budget and Accounting a ledger of all payments broken down by claim. (this will include replacement checks.) The system will also notify ODS of payments so that the proper charges are dispensed to the chargeable employers. System creates a benefit check, overpayment offset, or pended credit.
6 UC1016 The system generates payment
The system will process all entitled payments to the claimants. The system will issue payments with claimant’s preferred method of payment (i.e. Paper Check or Direct Deposit). System will have the ability to consolidate multiple payments into 1 check or electronic transfer. (Ref. Business Use Case 2.1.3)
7 UC1017 The system sends payment information to claimant
The system will send all claimants a check (either non negotiable or paper check depending on preferred method of payment) along with next certification information, eligibility questions that will be asked, and the dates, beginning and end, that the claimant may certify for the next period. The certification will contain a history of the claims payment and account balance for the claimant’s records.
8 UC1018 The system notifies employer of UI charges
The system will send employer information about charges against their account (the system will send using employers preferred method of contact.). The notification is a quarterly statement, and includes the dollar amount paid to each claimant, by week. This does not include DDU, employers are not charged for DDU.
9 UC1019 The system will document all action taken
2 Alternative Flows
1 UC1020 The system provides check master with special interface
The system will provide the Check Master unit with an interface to access, edit, redeposit and void payments that have been processed. The system should also allow the unit to generate a replacement check of a previously printed check. The replacement check will have a message on the receipt explaining it is a replacement check and for what week endings and check number. The system will also have the ability to reissue a damaged or unusable check. (Ref Business Use Case 2.2.1-3)
2 UC1021 CWE includes the 12th of the month
If the system paid a Compensable Week Ending (CWE) and Adjusted Weekly Benefit amount due to earnings and the 12th day of the month occurs in the CWE, the system will place an indicator on the claim and generate a report Labor Planning and Analysis.
3 UC1574 Payment is for a NJLWD Employee
If the payment that is being generated is for a NJLWD Employee the system will not allow for another employee without the proper permissions to handle the payment.
4 UC1577 Profiling Status will be activated
The system will activate the Profiling status when the first payment is processed.
(Refer 2.2.6)
5 UC1582 Tracking source and reason for underpayment, overpayments and offsets.
The system will have the ability to check for offsets, overpayments and the reason for an underpayment and the source of the creation of the underpayment. The system will automatically pay a claimant for underpayments. The system will not add the underpayment amount in to the 1099 field if the underpayment was due to an overpayment reimbursement.
Special Requirements
Preconditions
Post Conditions
Extension Points
1 Processing Overpayments and Collections
2 Documenting Action Taken
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