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| Certification Vendor: | Guidewire |
|---|---|
| Exam Name: | ClaimCenter Business Analyst - Mammoth Proctored Exam |
| Exam Number: | ClaimCenter-Business-Analysts |
| Available Languages: | English |
| Passing Score: | 70% |
| Related Certifications: | Guidewire Certified Associate - InsuranceSuite Guidewire Certified Professional - ClaimCenter |
| Exam Duration: | 90 minutes |
| Certificate Validity Period: | 2 years |
| Exam Price: | $150 USD |
| Real Exam Qty: | 50 |
| Exam Format: | Scenario-Based Questions, Multiple Choice |
| Recommended Training: | ClaimCenter Business Analyst Official Training Guidewire InsuranceSuite Analyst Fundamentals Course |
| Exam Registration: | Pearson VUE Guidewire Certification Portal |
| Sample Questions: | Guidewire ClaimCenter-Business-Analysts Sample Questions |
| Exam Way: | Online proctored or onsite at authorized test centers |
| Pre Condition: | Basic knowledge of insurance industry processes and Guidewire InsuranceSuite fundamentals; recommended prior experience with ClaimCenter configuration or business analysis projects |
| Official Syllabus URL: | https://www.guidewire.com/en/training-and-certification/certification-programs |
>> ClaimCenter-Business-Analysts Valid Guide Files <<
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NEW QUESTION # 29
An auto claim is owned by Adjuster1. The Customer Service Representative (CSR) that created the claim owns one follow-up activity on the claim. An Injury Specialist owns an injury exposure on the claim. All these persons are members of Auto Team 1.
The Team Lead determines that Adjuster1 is overworked and reassigns the claim to Adjuster2, a member of Auto Team 2.
Which three people now have access to the claim? (Choose three.)
Answer: B,C,E
Explanation:
250 to 350 words From Exact Extract of Guidewire ClaimCenter Business Analyst documentation:
In Guidewire ClaimCenter, access to a claim file is determined by Access Control Lists (ACLs), which are dynamically updated based on user roles and ownership. A user is granted access to a claim if they own the claim itself, or if they own a sub-object within that claim, such as an Activity or an Exposure.
* Adjuster2 (Option E):Upon reassignment, Adjuster2 becomes the newClaim Owner. The owner of the claim record always has full view and edit access to the claim.
* CSR (Option C):The CSR retains ownership of a specificActivity(the follow-up task). In the ClaimCenter security model, owning an open activity on a claim grants the user "view" access to the parent claim so they can perform the necessary work to complete their task. Reassigning the claim header does not automatically reassign the activities owned by other users.
* Injury Specialist (Option D):This user owns anExposure(a distinct financial sub-record for a specific coverage feature). Similar to activities, owning an exposure grants access to the parent claim. The reassignment of the main claim file from Adjuster1 to Adjuster2 does not strip the Injury Specialist of their ownership of the specific injury exposure.
Why Adjuster1 loses access:Adjuster1 was the previous owner. Once ownership is transferred to Adjuster2 (who is in a different group, "Auto Team 2"), Adjuster1 no longer meets the criteria for ownership access.
Unless Adjuster1 is explicitly added to the ACL manually or has "Super User" privileges (not stated), they lose the automatic access rights associated with being the owner.
NEW QUESTION # 30
Succeed Insurance is implementing a slightly modified version of ClaimCenter to suit its organization's needs.
The modification will include adding two new required fields to the standard user interface to capture the reporter's Preferred Language and Preferred Contact Time. This requirement is critical for Succeed to improve efficiency and the expediency of claims processing in its region.
Under which ClaimCenter theme will the User Story Card be found for documenting these requirements?
Answer: B
Explanation:
In the Guidewire implementation methodology, User Stories are categorized into Themes that align with the high-level business processes of the claim lifecycle.
* Intake (Option A):TheIntaketheme covers theFirst Notice of Loss (FNOL)process and the "New Claim Wizard." The requirement specified is to capture data regarding the "Reporter" (the person reporting the loss) and their contact preferences. In ClaimCenter, Reporter information is collected at the very beginning of the New Claim Wizard (Step 1: Search/Create Policy and Reporter). Because this data entry occurs during the initial setup of the claim, the User Story governing these UI changes belongs to theIntaketheme.
* Context:Improving "expediency of claims processing" often relies on accurate data capture at the Intake stage so that downstream assignment and communication can be handled correctly from the start.
Why other options are incorrect:
* Adjudicate (B):This theme covers the investigation, evaluation, and negotiation phases that occurafter the claim is created.
* Settle/Close (D):This theme covers the payment issuance and final closure of the file.
* Special Services (C):This typically refers to Vendor Management or specialized sub-processes, not the core FNOL reporter data.
NEW QUESTION # 31
To optimize business process workflow, an insurer has spent a great deal of effort on estimating the amount of effort required to complete various types of work... They are also aware that certain situations may require specialized expertise and want to incorporate this in their decision making.
All claims and exposures are entered using only the ClaimCenter new claim wizard. Once entered, the work should be automatically distributed fairly to those properly suited, as determined by the company's knowledge of each worker's skill set.
Which two assignment mechanisms, alone or together, will achieve their goal? (Choose two.)
Answer: B,D
Explanation:
To meet the dual requirements of "specialized expertise" and "fair distribution based on effort," the Business Analyst should utilize User Attributes and Weighted Workload assignment rules.
* User Attributes (Option B):This feature handles the "specialized expertise" requirement.
Administrators can tag users with specific attributes (e.g., "Bilingual," "Heavy Equipment Expert,"
"Litigation Specialist"). Assignment rules can then be configured to filter the pool of potential assignees toonlythose who possess the matching attribute for the specific claim type.
* Weighted Workload (Option D):This feature handles the "fair distribution" and "amount of effort" requirement. Unlike Round-robin (which treats all claims as equal), Weighted Workload assigns a
"weight" (effort points) to the claim and tracks the "load factor" (current capacity) of the user. The system assigns the new work to the user with the lowest relative workload, ensuring that adjusters handling difficult, high-effort claims are not overwhelmed with the same volume as those handling simple claims.
Why other options are incorrect:
* Round-robin (A):Distributes work purely cyclically (1-2-3-1-2-3) without regard for the user's current workload or the complexity of the claim.
* FNOL Queues (C):This is a "pull" mechanism where work sits in a bucket until someone grabs it, rather than the "automatic distribution" (push) requested.
* Supervisor Assignment (E):This is manual, not automatic.
NEW QUESTION # 32
An Adjuster at Succeed Insurance is handling a personal auto claim for an insured who hit a tree after swerving to avoid a child who ran into the road.
The Adjuster has this Authority Limit Profile:
The Adjuster creates a collision exposure and sets the initial reserves so that payments can be made to the insured for repairs to the damaged vehicle. No payments have been created yet.
The current financials for the claim are as follows:
Which two financial transactions will not require approval given that each option is the only transaction change rather than a cumulative change? (Choose two.)
Answer: B,C
Explanation:
To determine if a transaction requires approval, we must compare the proposed transaction against the Adjuster's Authority Limits and the current financial state of the claim.
* Current State:Total Reserves = $3,000 ($2,500 Indemnity + $500 Expense). Total Paid = $0.
* Adjuster Limits:
* Claim Total Reserves Limit: $5,000
* Payments Exceed Reserves Limit: $500
Evaluation of Options:
* Option B (No Approval Required):Making a $2,000 payment against the "Claim Cost - Auto body" reserve.
* The available reserve is $2,500. Since $2,000 < $2,500, the payment does not exceed the reserve.
* The total payments on the claim would be $2,000, which is well below the "Claim payments to date" limit of $5,000.
* Option D (No Approval Required):Increasing the Expense reserve to $550.
* This increases the total claim reserves from $3,000 to $3,050 ($2,500 + $550).
* Since $3,050 is below the Adjuster's "Claim total reserves" limit of $5,000, no approval is triggered.
Why other options require approval:
* Option A:A payment of $1,100 against a $500 reserve means the payment exceeds the reserve by$600.
The Adjuster's limit for "Payments exceed reserves" is only$500. Since $600 > $500, approval is required.
* Option C:Increasing the Auto body reserve to $6,000 would raise the total claim reserves to$6,500 ($6,000 + $500). This exceeds the Adjuster's "Claim total reserves" limit of $5,000, triggering an approval.
NEW QUESTION # 33
Succeed Insurance requires that all vehicles involved in collisions be evaluated to determine if the vehicle is a total loss. A vehicle claim is deemed a total loss using a calculation based on points earned for selecting specific vehicle information.
What are two examples of acceptance criteria for this business requirement? (Choose two.)
Answer: C,D
Explanation:
Acceptance Criteria (AC) are specific conditions that the software must satisfy to be accepted by the user. In the context of a User Story, AC must be written as testable outcomes or verification steps (pass/fail conditions), not as implementation tasks for the developer.
* Option D (Testable Outcome):"Validate the assignment to the Salvage Group when calculated points are 25 or greater."This is a perfect example of AC. It describes a specific scenario (Points >= 25) and the expected system behavior (Assign to Salvage Group). A tester can run this scenario and objectively determine if the system passes or fails.
* Option A (Testable Outcome):"Ensure that the business rule generates the Review for Salvage Activity."Similarly, this describes the expectedresultof the logic. It does not tell the developerhowto write the code, but it tells the QA team what to look for (the creation of a specific Activity) to confirm the requirement is met.
Why other options are incorrect:
* Option B ("Add a question..."):This is anImplementation Task. It describes work the developer must do ("Add a question"), but it is not a criterion for verifying the end-to-end business value.
* Option C ("Create a business rule..."):This is also anImplementation Task. A user cannot "test" that a rule was created; they test theeffectof that rule (which is described in A and D). Acceptance criteria focus on the "What" (behavior), while tasks focus on the "How" (configuration).
Here are the 100% verified answers for Question 16 and Question 17, formatted as requested.
NEW QUESTION # 34
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