USE CASE: GET PAID FOR CAR ACCIDENT​

Primary Actor: The Claimant

Scope: The insurance company ("MyInsCo")

Level: Summary

Stakeholders and Interests:

* The claimant - to get paid the most possible

* MyInsCo - to pay the smallest appropriate amount

* The dept. of insurance - to see that all guidelines are followed.

Precondition: none

Minimal guarantees: MyInsCo logs the claim and all activities.

Success guarantees: Claimant and MyInsCo agree on amount to be paid, claimant gets paid that.

Trigger: Claimant submits a claim

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Main success scenario:

1. Claimant submits claim with substantiating data.

2. Insurance company verifies claimant owns a valid policy

3. Insurance company assigns agent to examine case

4. Insurance company verifies all details are within policy guidelines

5. Insurance company pays claimant and closes file.

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Alternate scenario:

1a. Submitted data is incomplete:

1a1. Insurance company requests missing information

1a2. Claimant supplies missing information

2a. Claimant does not own a valid policy:

2a1. Insurance company declines claim, notifies claimant, records all this, terminates proceedings.

3a. No agents are available at this time

3a1. (What does the insurance company do here?)

4a. Accident violates basic policy guidelines:

4a1. Insurance company declines claim, notifies claimant, records all this, terminates proceedings.

4b. Accident violates some minor policy guidelines:

4b1. Insurance company begins negotiation with claimant as to degree of payment to be

made.

Etc. Etc.