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Guidewire ClaimCenter Business Analyst - Mammoth Proctored Sample Questions:
A performing arts organization operates nationwide and is responsible for setting up stages for musical acts and concerts. The organization requires specific insurance coverage for its gear and equipment, including audio systems, lighting, cameras, and control boards. Succeed Insurance wants to optimize claim intake, processing, and reporting for this organization.
Which modifications should be made to ClaimCenter's base product line of business (LOB)?
- A. Add newCoverage Subtypecode(s) with detailed information for eachExposureTypecode to the existing LOB model.
- B. Add relevantCoverageTypecode(s),Coverage Subtypecode(s), and mapExposureTypecode(s) to support the new coverage.
- C. The existing ClaimCenter standard LOB model can meet the company's objectives without modifications.
- D. Add newLossTypecode(s) andPolicyTypecode(s) to the LOB model to handle the organization's coverage needs.
Correct Answer: B 🗳️
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An Adjuster at Succeed Insurance creates a check with a partial payment of $1,200 for medical expenses payable to a claimant who was injured in a collision. The check has completed the following processing steps:
. The payment exceeded the Adjuster's authority limits, changing the status to Pending Approval.
. The Adjuster's supervisor reviewed and approved the payment, changing the status to Awaiting Submission.
. A batch process sent the check to the external check processing system, changing the status to Requested when ClaimCenter received an update from the external system.
The Adjuster received new information indicating that the check amount should be reduced to $950.
Which action should the Adjuster take?
- A. Void the check and create a new check for the correct amount.
- B. Ask the bank to hold the check and create a new check for the correct amount.
- C. Edit the check and change the amount, then submit it for processing.
- D. Stop the check and create a new check for the correct amount.
Correct Answer: A 🗳️
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What are two recommended best practices with user interface (UI) mock-ups in a ClaimCenter implementation project? (Choose two.)
- A. When creating a user interface (UI) mock-up, a Business Analyst (BA) should take a clear screen shot.
User interface (UI) mock-up tools should not be used. - B. A Business Analyst (BA) should document the requirement number associated with the mock-up and then use a user interface (UI) mock-up tool to build the mock-up.
- C. A live system demonstration is acceptable in place of using a user interface (UI) mock-up to describe needed changes to the user interface.
- D. When a Business Analyst (BA) does not have access to a tool, it is acceptable to take a clear screen shot, then indicate on the image how the screen should appear to meet the requirements.
Correct Answer: B,D 🗳️
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A claim for an auto accident in California has been assigned to an insurance Adjuster in the Midwest region for investigation and processing. The claim has been flagged as "Low Complexity" in ClaimCenter. The Adjuster has an authority limit for total reserves of $30,000 and has created reserves totaling $35,000.
What is the correct approval routing for this transaction?
- A. The transaction will require approval from the Supervisor of the group.
- B. This transaction will not require approval because the claim is identified as low complexity.
- C. This transaction will require approval because the Adjuster does not work in the same region where the claim was reported.
- D. The transaction will require approval from another team member who has the authority limit to approve.
Correct Answer: A 🗳️
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An auto accident in Chicago, Illinois has been reported to Succeed Insurance. The customer service representative uses the ClaimCenter standard Claim Wizard to set up the new claim. The policy is verified in effect and based on the reported exposures the total loss points calculated is 38. There is also a note to have an expert inspection via approved vendor.
What is the most likely claim setup with regards to this reported auto accident?
- A. The new claim will be segmented as high complexity auto claim, assigned to Midwest Complex Auto Adjusters Group, with activity for vehicle inspection.
- B. The new claim will be segmented as low complexity auto claim, assigned to Midwest Low Complexity Auto Adjusters Group, with activity for vehicle inspection.
- C. The new claim will be segmented as high complexity auto claim, assigned to a Supervisor for further determination on next steps due to complexity.
- D. The new claim will be segmented as mid-complexity auto claim, assigned to Midwest Low Complexity Auto Adjusters Group, with activity for vehicle inspection.
Correct Answer: A 🗳️
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