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| Certification Vendor: | Guidewire |
|---|---|
| Exam Name: | ClaimCenter Business Analyst - Mammoth Proctored Exam |
| Exam Number: | ClaimCenter-Business-Analysts |
| Exam Duration: | 120 minutes |
| Certificate Validity Period: | 3 years |
| Real Exam Qty: | 50 |
| Exam Price: | USD 250 |
| Exam Format: | Multiple Choice, Single Choice |
| Related Certifications: | Guidewire Certified Professional |
| Available Languages: | English |
| Passing Score: | 70% |
| Sample Questions: | Guidewire ClaimCenter-Business-Analysts Sample Questions |
| Exam Way: | Proctored |
| Pre Condition: | Candidates are recommended to complete Guidewire ClaimCenter training courses and have hands-on experience with ClaimCenter configuration and business analysis. |
| Official Syllabus URL: | https://education.guidewire.com |
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NEW QUESTION # 18
Succeed Insurance is expanding into California, Texas, and Arizona which have large Spanish-speaking customer bases. Currently language is not considered in assignment. Succeed wants the ability to assign claims to appropriate bilingual Adjusters. Succeed also needs the ability to identify the preferred language of the customers.
The company is planning to implement a slightly modified version of ClaimCenter to suit its organization's needs. The modification will include adding two new required fields to the existing user interface (UI) to capture the reporter's Preferred Language and Preferred Contact Time. This requirement is critical for Succeed to enhance the operational efficiency and expediency of claims processing in its region.
Which two guiding principles apply to this implementation? (Choose two.)
Answer: A,C
Explanation:
In Guidewire implementation projects (often following the SurePath methodology), specific Guiding Principles are established to manage scope and ensure project success.
* "We are not building a system from scratch" (Option A):This is the foundational principle of package software implementation. The scenario explicitly states that Succeed is implementing a
"slightly modified version of ClaimCenter" (using the base product) rather than building a custom solution. The project team accepts that they are starting with a robust, pre-built application and will only modify it where necessary (e.g., the two specific fields).
* "We will challenge current processes" (Option B):The scenario notes that "Currently language is not considered in assignment." To successfully implement the new requirement (bilingual assignment), the project team must challenge and change the legacy business process. Instead of automating the old way of working (which ignored language), they are defining a new, more efficient process that leverages the tool's capabilities.
Why other options are incorrect:
* Option C:Adding scope (new fields) generallyincreasesrisk and time rather than accelerating it, unless the scope is strictly MVP. The primary focus here is efficiency, not just speed of deployment.
* Option D:While "not revisiting decisions" is a good governance rule, it is not the primary principle illustrated by the decision to modify the UI for specific business value.
NEW QUESTION # 19
Succeed Insurance had an embarrassing event last month that had potential legal ramifications. One of their Customer Service Representatives (CSR) shared details of a celebrity's personal auto claim on social media.
Fortunately for Succeed, the celebrity decided not to pursue legal actions as long as Succeed agreed to resolve the potential for future occurrences within the next 30 days.
Succeed executives immediately reacted to the situation by establishing new guidelines regarding claim security. The Business Analyst (BA) assigned to the project researched ClaimCenter base product capabilities and held several requirements gathering sessions designed to document their strategy. The new requirements indicate that only authorized users should be looking at celebrity claims.
Which two features should be used to meet the new requirements? (Choose two.)
Answer: B,D
Explanation:
To restrict access to sensitive claims (such as those involving celebrities) so that "only authorized users" can view them, a Business Analyst must utilize the Claim Security features in Guidewire.
* Specify Claim Security Types (Option A):The first step is to define the classification of the claim.
The system uses the ClaimSecurityType typelist. The BA would add a new typekey (e.g., "Celebrity" or
"High Profile") or use an existing one (e.g., "Sensitive") to flag these specific claims.
* Create/Assign Access Profiles (Option E):Access control in Guidewire is managed throughAccess Profiles(sometimes referred to within Role configurations). An Access Profile maps specificSecurity Levels(like the "Celebrity" type defined above) to permissions. To meet the requirement, the BA defines an Access Profile that grants "View" permission for the "Celebrity" security type and assigns this profileonlyto the authorized users (or roles). Users without this specific Access Profile will be unable to search for or view the claim.
Why other options are incorrect:
* Authority Profiles (B):In Guidewire terminology, "Authority" refers strictly toFinancial Authority (limits on reserves and payments), not data access visibility.
* Hide secure fields (C):This refers toField Level Security(masking specific data like a Tax ID). The requirement is to restrict access to theentire claim, not just specific fields.
* Tracking rules (D):While "Claim Access Auditing" (tracking history) is often enabled for sensitive claims, it is a detective control, not a preventive one. The requirement specifies that unauthorized users should not be looking at the claim at all, which requires the Access Profiles (preventive control).
NEW QUESTION # 20
Which two best practices should a Business Analyst (BA) follow to be prepared for a Requirements Workshop? (Choose two.)
Answer: C,E
Explanation:
Preparation is key to a successful Requirements Workshop (or Elaboration Workshop). The BA must enter the room with a clear understanding of the project scope and the tool's capabilities.
* Review Notes from Inception (B):TheInception Phasedefines the high-level scope, vision, and business objectives. Reviewing these notes ensures the BA understands the boundaries of the discussion (e.g., "We are doing Auto Hail damage, but not Property Hail damage yet") and the strategic goals defined by the sponsors.
* Review Base Product Functionality (C):To effectively lead the session and recommend solutions (as seen in Question 22), the BA must be familiar with how ClaimCenter handles the specific topic (e.g., Check Wizards, Coverage Verification) out-of-the-box. This allows the BA to demo standard features during the workshop to drive "Fit-to-Standard" discussions rather than starting from a blank sheet of paper.
* Why not A, D, or E?Inviting users (A) and setting agendas (E) are logistical tasks often handled by the Project Manager or shared; they are not "personal preparation" of knowledge. Acceptance Criteria (D) are typically writtenduringorafterthe workshop, not reviewed beforehand (unless refining an existing story).
NEW QUESTION # 21
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: A,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 # 22
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 # 23
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