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| Section | Objectives |
|---|---|
| Topic 1: Claim Processes and Maintenance | - Claim Lifecycle Management - Claim Status Transitions and Rules - Maintenance and Configuration |
| Topic 2: Claim Center Financials Transactions | - Reserves Management - Payments and Recoveries - Financial Calculations and Rules |
| Topic 3: Behavior Driven Development at Guidewire | - Writing Acceptance Criteria - BDD Principles and Collaboration - Connecting Business Requirements to Test Scenarios |
| Topic 4: Claim Center Data Model and Adjudication | - Claim Data Entities and Relationships - Adjudication Processes |
| Topic 5: Quality Analyst Basics | - Quality Assurance Frameworks - Defect Identification and Validation - Data Accuracy Verification |
| Topic 6: InsuranceSuite Analyst Fundamentals | - InsuranceSuite Module Navigation and Integration - Core Guidewire Platform Concepts |
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NEW QUESTION # 38
Under the Travel loss type, Succeed Insurance offers personal travel policies as part of its travel line of business.
Which two pieces of information in the user interface (UI) will be different for a personal travel claim than for a personal auto or homeowners claim? (Choose two.)
Answer: D,E
Explanation:
Guidewire ClaimCenter is designed to support multiple Lines of Business (LOB), and the User Interface adapts dynamically based on the policy type associated with the claim.
* Incident Types (Option B):The "Incident" is the object that describes what was damaged or lost.
* ForAuto, the UI displaysVehicle Incidents(describing cars).
* ForHomeowners, the UI displaysDwellingorFixed Property Incidents.
* ForTravel, the UI will display distinct incident types such asBaggage Incident(for lost luggage) orTrip Cancellation Incident. These are fundamentally different data objects with different fields.
* Loss Causes (Option C):The LossCause typelist is filtered by the Line of Business.
* Autoclaims show causes like "Collision," "Rear-end," or "Theft of Vehicle."
* Travelclaims will show completely different values such as "Trip Delay," "Lost Baggage,"
"Medical Emergency," or "Cancellation."
Why other options are incorrect:
* Financial Summary (A):The structural format of the Financial Summary screen (displaying Reserve Lines, Payments, and Remaining Reserves) is a core system framework that remains consistent across all lines of business.
* Contact Information (E):The Contact entity (Name, Address, Phone) is a shared entity. The fields used to capture a person's details are generally the same whether they are a driver, a homeowner, or a traveler.
NEW QUESTION # 39
Succeed Insurance needs the ability to associate a primary hospital with an injury incident if the injured party received treatment. When treatment is needed, the primary hospital name should display on the injury incident screen along with other details about the injury and treatment received.
The primary hospital should be added to the injury incident in one of the following ways:
. Select the name from a list of medical care organizations already associated with the claim.
. Enter the contact details directly in the incident.
. Search the Address Book from the incident to locate a hospital.
Which two requirements must be documented to associate the primary hospital with the claim? (Choose two.)
Answer: A,D
Explanation:
To implement the functionality of associating a specific contact (the "Primary Hospital") with an entity (the
"Injury Incident") in Guidewire ClaimCenter, two core configuration components are required:
* A new primary hospital role (Option B):In ClaimCenter, the relationship between a Contact and a Claim (or Incident) is defined by aRole. While the contact itself might be a "Medical Care Organization" (existing subtype), thecontextof its relationship to this specific incident is that it is the
"Primary Hospital". Defining this role allows the system to distinguish this hospital from other medical providers on the same claim.
* A new field on the incident screen (Option C):To allow the user to select, add, or view this contact, a UI element (specifically aClaim Contact Pickeror Input widget) must be added to the Injury Incident screen. This field will be configured to store the relationship and allows the user to perform the required actions: selecting from existing contacts (filtered by the role), entering new ones, or searching the Address Book.
Why other options are incorrect:
* A (New Subtype):The base product already includes the MedicalCareOrg contact subtype, which is sufficient to store hospital data. Creating a new subtype is unnecessary unless the data structure (fields) of a hospital is fundamentally different from other medical providers.
* D (Address Book Field):Contacts in the Address Book are typically identified by tags or their Subtype, not by adding a custom field just to identify them as a vendor/hospital.
NEW QUESTION # 40
A catastrophe has been created in ClaimCenter for Tropic Storm Dorian. Succeed Insurance requires that all claims resulting from the storm be attributed to that catastrophe when they are entered in ClaimCenter. The completion target is within three (3) days of claim creation and should be escalated if it is not completed within five (5) days.
Which required element for a business activity rule is missing?
Answer: C
Explanation:
A complete Business Rule (specifically one designed to generate an Activity) consists of a Context (Trigger
/Entity), a Condition (Logic), and an Action (Execution).
* Missing Element: Actions (Option A):The scenario describes thetrigger("when they are entered"), the intent/condition("resulting from the storm"), and theparametersof the resulting activity (Target: 3 days, Escalation: 5 days). However, it fails to specify theActiondetails required to execute the rule:
specifically,whothe activity should be assigned to (The Assignee) and the specific instruction tocreate the activity instance. Without defining the Action (e.g., "Create Activity 'Review Catastrophe' and Assign to Claim Owner"), the rule cannot function.
* Why other options are present:
* TriggerEntity (B):Implied as the Claim (since the text says "whenthey[claims] are entered").
* RuleCondition (C):While "resulting from the storm" is vague, it represents the business condition. TheAction(assignment) is the most glaring omission preventing the workflow from reaching a user.
* AppliesTo (D):This generally refers to the root entity (Claim), which is identified.
NEW QUESTION # 41
Which two actions may the Business Analyst (BA) perform based on the roles and permissions functionality of ClaimCenter? (Choose two.)
Answer: B,D
Explanation:
The Roles and Permissions functionality (part of the Role-Based Access Control or RBAC model) in ClaimCenter is designed to simplify security administration. A Business Analyst utilizes this functionality to define how users access the system.
* Defining Roles (Option A):A "Role" in Guidewire is fundamentally a named container for a set of System Permissions(e.g., claimview, activitycreate). The BA defines a role (like "Adjuster" or
"Supervisor") by consolidating the necessary individual permissions into one single set.
* Simplifying Management (Option B):The primary benefit of this model is efficiency. Instead of assigning 50 individual permissions to 100 different users, the BA/Admin creates a "Collection of permissions" (the Role) and assigns that single Role to the group of users. This simplifies onboarding and maintenance.
Why other options are incorrect:
* Authority Limits (C):While related to security,Authority Limits(financial caps on reserves/payments) are technically distinct from "Roles and Permissions" functionality in the ClaimCenter object model.
Authority is handled via Authority Profiles, whereas Roles handle system access rights.
* Unique Permissions (D):This is the opposite of best practice. Assigning unique permissions to every user creates a maintenance nightmare. The best practice is to use standard Roles.
NEW QUESTION # 42
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: C,D
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 # 43
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