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NEW QUESTION # 34
A sales executive and business traveler has a full coverage auto policy through his insurance company. The executive lives in Detroit, Michigan and often drives across the border to visit client offices in Canada.
While driving in downtown Toronto, the executive's car was hit by a truck coming the wrong way. He called his insurance company to report a claim for this accident. However, the Customer Service Representative (CSR) cannot confirm there is an active policy on file.
How should this claim be handled?
Answer: B
Explanation:
Guidewire ClaimCenter is designed to handle First Notice of Loss (FNOL) scenarios where the policy system is unavailable or the specific policy cannot be immediately located. The correct standard procedure is to create an Unverified Policy claim.
* Unverified Policy Workflow:The New Claim Wizard allows the user to select "Unverified Policy" if a search returns no results. This allows the CSR to proceed with capturing critical accident details (Loss Details, Vehicles, Injuries) and providing service to the customer immediately.
* Reconciliation:Later, once the correct policy number is found or the policy system comes back online, the claim can be updated. The "Unverified Policy" feature specifically supports the "Select Policy" step of the wizard to ensure claims are not blocked by administrative data issues.
* Customer Experience:Option A (asking the customer to call back) is poor service and contrary to ClaimCenter's design philosophy. Option D is incorrect because a verified policy isnota hard blocking requirement for creating a draft claim in this specific workflow.
NEW QUESTION # 35
A Business Analyst (BA) has identified a new typecode essential for Succeed Insurance implementation.
During adjudication, Adjusters need to be able to update the loss cause value to reflect the new typecode.
Which tabs in a Guidewire Story Card should be used to document the business requirement?
Answer: A
Explanation:
To fully document a requirement that involves both a User Interface change (updating a value on a screen) and a Data Model change (adding a new typecode), the standard Guidewire Story Card tabs required are:
* Document Control:Captures the metadata (Author, Version, Owner) to track the requirement's history.
* UI Mockup:visually illustrateswhereon the screen the "Loss Cause" field is located and how the dropdown should appear to the Adjuster.
* UI Fields:Defines the specific behavior of the field (e.g., Is it mandatory? Is it editable during adjudication? What is the label?).
* Typelist:This is critical for this specific scenario. It lists the actual Code, Name, and Description of the new typecodebeing added to the "Loss Cause" typelist.
* Business Acceptance:Defines the testable criteria (Acceptance Criteria) to verify that the adjuster can successfully select the new value and save the claim.
Why Option B is correct:It is the only option that includesboththe visual requirements (Mockup/Fields) and the data requirement (Typelist) alongside the standard control and testing tabs (Document Control/Business Acceptance).
NEW QUESTION # 36
What two pieces of information enable the Business Analyst (BA) to trace back to the root cause of an issue?
(Choose two.)
Answer: B,C
Explanation:
In Guidewire implementation methodology (Agile/SurePath), Traceability is maintained through specific unique identifiers that link the code and test cases back to the business definition.
* Unique Requirement Numbers (Option E):Every granular business requirement is assigned a unique ID (e.g., CC-FNOL-001). If a defect or issue arises during testing or production, the BA uses this number to find the exact text of the requirement that was implemented. This helps determine if the issue is a "bug" (code doesn't match requirement) or a "gap" (requirement was missing or wrong).
* Unique Story Card Number (Option A):User Stories act as containers for requirements. The Story Card Number (e.g., Story-105) links the individual requirements to the broader feature context. Tracing back to the Story Card allows the BA to review the original scope, the UI mockups, and the Acceptance Criteria associated with that feature to understand the "Root Cause" of the misunderstanding or failure.
Why other options are incorrect:
* Option B (Caution points):These are process diagrams notes, useful for training but not for system traceability.
* Option C (Change History):While useful for seeingwhoedited a document, it does not provide the structural link between a system error and the business definition like the IDs do.
* Option D (Approver Notes):These confirm sign-off but rarely contain the functional detail needed to diagnose a root cause.
NEW QUESTION # 37
An Adjuster at Succeed Insurance increases the reserve on a claim's exposure from $1,000 to $1,500 to account for inflation in repair costs. A week later, a Supervisor reviews the claim and wants to know specifically who made this change, the exact date and time it was made, and what the previous value was.
The Supervisor needs a chronological audit trail of changes to the claim file without navigating through complex financial ledgers.
Which screen in the ClaimCenter user interface should the Supervisor access to find this information?
Answer: B
NEW QUESTION # 38
Succeed Insurance has a strategic initiative to offer pay-as-you-drive personal auto insurance to compete with other large carriers. Customers who choose these policies must either own a vehicle that is equipped with a monitoring device or agree to install a device provided by Succeed. The monitoring device collects information about how the drivers of a covered vehicle drive, including how fast they drive, how hard they brake, and how many miles/kilometers the vehicle travels within a policy period.
This information is logged, and premiums are based on how the insured's driving behavior is categorized.
When a claim is reported, the log files must be obtained to analyze the information captured by the monitoring device at the time of the incident.
Succeed plans to collect and evaluate the Vehicle Monitoring Log files in the first implementation phase, which is scheduled for release in 60 days. The project sponsors have instructed the implementation team to use base product functionality over customization. Integration should be leveraged where possible to avoid manual data entry.
No payments can be made on the claim until a flag indicating that the Vehicle Monitoring Log file has been processed has been set to 'Yes'.
Which feature of the base product prevents payments from being made on the claim?
Answer: B
Explanation:
In Guidewire ClaimCenter, the Ability to Pay validation level is the specific "gatekeeper" designed to verify that a claim is mature enough and has sufficient data to allow financial transactions to be issued.
* Validation Levels:ClaimCenter uses validation levels (e.g., Load, New Loss, Ability to Pay) to enforce data integrity at different stages of the claim lifecycle.
* Blocking Payments:When a user attempts to create a check, the system triggers the rules associated with theAbility to Paylevel. If any rule at this level fails (returns an error), the system prevents the payment wizard from completing.
* Scenario Application:The Business Analyst can define a rule at the "Ability to Pay" level that checks the condition:"If Policy Type is Pay-as-you-drive AND Log Processed Flag is NOT 'Yes', then throw an error."This fulfills the requirement to strictly block payments ("No payments can be made") rather than just route them for approval.
Why other options are incorrect:
* Authority Limits (B)control theamountof money a user can approve, not the prerequisites (like data flags) for making a payment.
* Transaction Validation requiring approval (C)would route the payment to a supervisor, but it implies the paymentcouldbe made if approved. The requirement states "No payments can be made," implying a hard system stop, which validation rules provide.
* Send to External System (D)validates data just before it leaves the system (e.g., for check printing), which is often too late in the workflow for business-logic stops like reviewing a log file.
NEW QUESTION # 39
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