Did not File
If you locate an existing ID/ID case with a footnote/statement showing the ‘Did Not File’ was previously worked by an OS Rep or TWC Agent who made contact for ‘Did Not File’, how do you work this case?
What is resolution is FF-Did not file and comments This case previously worked by another agent [date worked.] an no bluezone notes.
According to the Wiki what kind of statement do I take when working a report suspected fraud case?
What is a third party statement?
During pre-call research if there are no claims dated 2020 and after, What is the resolution and comments for this case?
What is put it back in the bucket it came from and the comments on the DUA form will say Disputing (IC date of claim that is being referred to appeals)
If on a Did not file NMER says this is a fraud claim, How do we handle it?
What is no call is needed, resolution is FF-DID not file, comments is Os reviewed, Employer responded (‘Responded:’ date) stating claim is fraud. No further action is required, no call is needed and enter bluezone notes.
If there is a did not file footnote on a did not file need to file, how is this case worked.
What is check to see if there is a need to file statement which is an enhanced id statement and if there is not then there is a call needed. They need to verify their identity before being able to file a claim for themselves.
IF TWC has already verified the claimant, Answered the questionnaire in NMFF, but not all of the relevant claim verification questions that we would normally are answered in the questionnaire, what is the course of action.
What is This is not considered previously worked and must be called to do claim verification.
If the witness wants to remain Anonymous, Can they and how is this noted in NMFF?
What is yes they can and for the witness name we would put Anonymous Tip.
If a case has a determination of Identity Theft - Claimant Identified - No Text: The Claimant has been Identified by TWC INV or an OS REP via Enhanced identification and/or Claim verification but there are no footnotes to support, what should you do?
What is put it back into the Assignment Type it came from and leave the comment OS reviewed, determination on file as of (date) please review the determination. No Notes in NMFF.
What do we say to someone who says that a did not file has been take care of when we call?
What is we advise “I’m sorry Mr./Ms.__. However I have no record of the fraudulent claim being reviewed”
What is an action that needs to documented on a did not file need to file in the DUA app?
What is Victim needs pseudo.
If there is no callback number on a proof ID what should be done?
What is LOGIN to UBS and search the SSN of the claimant, select view profile and compare the phone number on UBS to the phone number on BlueZone. If it matches Check CTHI for REG IC claims unrelated to the claim in question Compare historical data like CTAH for multiple address changes, BPMH for multiple bank changes, and CMCL for returned mail (Column ‘R” marked X”). If there aren’t any changes - you can call the number on BlueZone. If there are multiple changes or there is anything else that seems suspicious on the claim - do NOT use the number on BlueZone.
According to the flow, when should we call on a report suspected fraud case?
What is YOU MUST CALL every time even if NMDL shows Employer or Victim Confirmed.
If there is a case that says Identity Theft - Claimant Identified - IDME and Identity Theft - Failed to Respond to Contact Request - No Text, what is the course of action?
What is there are Conflicting ID/ID or IV/IV case decisions so we put it back into the Assignment Type it came from and comment OS reviewed, determination on file as of (date) please review the determination. No Notes in NMFF.
If a pseudo has footnotes determining identity theft- victim confirmed- no text or identity theft- employer confirmed- no text with supporting footnotes , Do we need to call and what is the resolution and comments?
What is No call needed, No bluezone notes, resolution is ID/ID already closed- NMFF Entered and comment in DUA are Reason for submission has already been addressed and cleared on [date of verification]. Pseudo SSN present (999999999). No contact needed.
If a pseudo and true ssn is located on a did not file, need to file case and the ID/ID case is dated before the effective date of the pseudo, what should the resolution and comments be?
What is the resolution is ID/ID already closed- NMFF Entered and the comments should state I added my NMFF notes to [ID/ID or IV/IV] Case [00-0] Stmt Nbr [0]: Reason for submission has already been addressed and cleared on [effective date in CTCH]. Pseudo SSN present (999999999). No contact needed
On a proof ID if there is a completed ID.ME how do you know you don't need to call for a claim verification?
What is there are no new claims in CTHI after the date that Enhanced ID/ID.me was verified, there is not more than one bank change, there is not more than one address change, there is no new employer on BN74 after the last date of the LEU on the claim, there is no return mail, and there is more than one REG IC claim.
If on Report Suspected fraud and unable to locate a claim after a social is given and asked to e repeated but still unable to locate a claim should you tell the individual you are unable to locate a claim?
What is No, Do NOT tell them there is no claim on file! If you are speaking with a fraudster they will know that they can potentially file a claim on that SSN.
If you receive a case that has a CAST alert or RED alert, how is this case handled?
What is if it is a cast alert you can work this case as normal, it does not affect the process of your investigation and if it has a red aler you will likely not be able to work this case, try to but if it does not let you inform an L2 (via Fastpath). Resolution in DUA App is put it back in the bucket it came from and comment here was a red alert on the case, it wouldn’t allow me to work anything.
If an employer is reporting multiple fraud claims for employees, how do we work this case?
What is take notes of the info (Name/SSN/Issue) for each employee affected and complete the process of footnotes in bluezone for each, Complete a FDCM form for each Name/SSN/Issue Including in the Message: “Employer Reporting multiple fraudulent claims: (Name of employee/SSN/Add any additional information they provide you that is relevant to the employee on the form), Search the case in DUA worker APP, FF- Did Not File as resolution and comments are Contact was made. Did Not File (IC of fraudulent claim) I advised [employer] to advise [employee] to visit FTC.gov and IRS.gov and that the (IC of fraudulent claim) would be reviewed and appropriate action taken.
If there is a Pseudo on file and No true SSN, what is the course of action?
What is we need to call and treat this is did not file, need to file and can locate claim.
If a pseudo is found and there is a true ssn located, and there is a proof identity statement/ claim verification located, what is the resolution and comments?
What is I added my NMFF notes to [ID/ID or IV/IV] Case [00-0] Stmt Nbr [0] on Pseudo [999999999]: OS reviewed, Pseudo SSN found effective as of [effective date in CTCH]. Enhanced ID and Claim Verif is completed as of [Taken Date]. No further action is required, no call is needed.-[insert your BZ ID ex. UID]
If a complainant is reporting someone for report suspected fraud and the claim is located but does not match our information what should we do?
What is If it was incorrect on your case in the DUA APP, correct the ssn in “update info” and attempt to look it up in CMES.
What can you check for in CTCH?
What is changes to the SSN.