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Guidewire ClaimCenter-Business-Analysts ClaimCenter Business Analyst - Mammoth Proctored Exam Exam Practice Test

ClaimCenter Business Analyst - Mammoth Proctored Exam Questions and Answers

Question 1

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)?

Options:

A.

The existing ClaimCenter standard LOB model can meet the company’s objectives without modifications.

B.

Add relevantCoverageTypecode(s),Coverage Subtypecode(s), and mapExposureTypecode(s) to support the new coverage.

C.

Add newLossTypecode(s) andPolicyTypecode(s) to the LOB model to handle the organization’s coverage needs.

D.

Add newCoverage Subtypecode(s) with detailed information for eachExposureTypecode to the existing LOB model.

Question 2

When creating a new Personal Auto claim, Succeed Insurance would like to identify when Rideshare is the primary use for a vehicle. A Business Analyst (BA) thinks that Primary Use already exists as a typekey on the Vehicle Details screen.

What are two ways the BA can confirm whether this field is configured in ClaimCenter and, if it is, which values are available in the typelist? (Choose two.)

Options:

A.

Access the Data Dictionary > Click the Data Entities link > Open the PrimaryUse entity from left-hand pane to view field details on the right pane.

B.

Access the Guidewire ClaimCenter Application Guide > Go to section on Personal Auto Object Model which lists available entities.

C.

Log in to ClaimCenter > Create a new Personal Auto claim > Navigate to Vehicle Details > Use keyboard shortcut CTRL + F to find information about the fields on the screen.

D.

Open Guidewire Studio for ClaimCenter > Navigate to the Vehicle Details screen > Locate the Primary Use field to view its typelist.

Question 3

During claim intake and adjudication, Adjusters capture contact information for the insured and all claimants. To improve customer service and reduce the time required to reach these contacts to gather additional claim information, Succeed Insurance will capture the preferred contact method for all person contacts. The new field will be added to the contact details screen of the user interface (UI) as a drop-down list displaying all valid contact methods including email, mail, and phone.

Which version correctly lists the preferred contact methods in the Typelists tab of the Parties Involved User Story Card?

Options:

A.

Option A

B.

Option B

C.

Option C

D.

Option D

Question 4

Whenever the Total Loss Calculator determines that a vehicle is a total loss, Succeed Insurance wants to create a custom history event with the exposure name and total loss score.

Which step in the claim setup process flow must be completed before the history event can be created?

Options:

A.

Add a new step after the Vehicle Incident step to create the history event.

B.

Add a new step before the Total Loss Calculator to create the history event.

C.

Add a new step after the Total Loss Calculator to create the history event.

D.

Add a new step before the Vehicle Incident step to create the history event.

Question 5

Succeed Insurance has a strategic initiative to change auto insurance into a pay-as-you-drive model... When claims are processed, claimants must provide the log from the application for the date of incident. The log's details are essential to validation and analysis of the monitoring system's activity at the time of the incident. Without the application log, claims should not be processed to indemnification.

Executives say the implementation team must maintain the base product functionality where appropriate and only change those things essential to the success of the initiative...

Which two requirements are in scope based on the guiding principles? (Choose two.)

Options:

A.

As an Adjuster, vehicle mileage/kilometers must be captured during adjudication to track mileage/kilometers, and potentially prevent fraudulent activities.

B.

As a business, integration to the top five vehicle manufactures must be completed to maximize accuracy of claim processing. Succeed intends to complete one integration every 30 days.

C.

As an Adjuster, the system should prevent indemnification of claimants if the application log has not been provided and reviewed to prevent payments without validation.

D.

As an Adjuster, the insured application log must be received, reviewed, and attached to the claim to analyze and validate the monitoring systems activity at the time of the claim.

Question 6

What is the importance of a mock-up of the user interface (UI) design?

Options:

A.

A mock-up shows the viewer what the intended ClaimCenter user experience is.

B.

A mock-up tells the customer what the current ClaimCenter user experience is.

C.

A mock-up illustrates for the viewer the integration of ClaimCenter with outside sources.

D.

A mock-up illustrates for the customer what the final ClaimCenter user experience is.

Question 7

Which two components are necessary to create the check(s) using the wizard? (Choose two.)

Options:

A.

Payment tied to a reserve line

B.

Payment tied to an activity

C.

Payee

D.

Date of the claim

Question 8

Why are unique requirement numbers so important for business analysis?

Options:

A.

Requirement numbers are not absolutely necessary but they make it easier to trace changes that occur.

B.

Requirement numbers are specific to the document control portion of the Story Card and allow the analyst to trace who did what and when.

C.

Requirement numbers are useful for technical support and allow customers to track back on root causes for a support ticket.

D.

Requirement numbers organize requirements with a unique ID and provide a standardized order for insertion of new requirements.

Question 9

A claim for an auto accident in Tampa, Florida has been reported and recorded in ClaimCenter. The ClaimCenter base product Global Claim Assignment Rule is utilized for automatic assignment to Adjusters regardless of complexity of claims.

What is the likely path of assignment for this claim?

Options:

A.

The new claim will be assigned to an Adjuster in the Southeastern Auto Adjusters group based on availability in a cyclical fashion.

B.

The new claim will be assigned to an appropriate Adjuster in the Midwest Auto Adjusters group with relevant skill set regardless of location.

C.

The new claim will be assigned based on weighted workload of each Adjuster in the assigned group to ensure balanced workload across the team.

D.

The new claim will initially be assigned to the Supervisor of the Southeastern Auto Adjusters group for investigation and determining next steps.

Question 10

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?

Options:

A.

Edit the check and change the amount, then submit it for processing.

B.

Ask the bank to hold the check and create a new check for the correct amount.

C.

Stop the check and create a new check for the correct amount.

D.

Void the check and create a new check for the correct amount.

Question 11

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?

Options:

A.

If the policy is not verifiable, the CSR will ask the executive to call back when he has the policy information to complete the report and create the claim.

B.

If the policy is not verifiable, the CSR will create the claim as an unverified policy claim and retrieve the correct policy when more information available.

C.

If the policy is not verifiable, the CSR will notify a Supervisor to escalate the case for investigation and submits notes in ClaimCenter for reference.

D.

If the policy is not verifiable, the CSR cannot create the claim as a verified, active policy is a minimum requirement to create a claim.

Question 12

A car accident in a rural area of Durango, Colorado is reported to Succeed Insurance. The driver of the damaged car reportedly hit the base of a windmill tower while driving at night. There was no other passenger in the car when the accident happened, and the driver has a valid auto policy on file.

While the driver is not physically injured, the entire passenger side of the car has been severely damaged. Although the windmill is still functioning, the base of the tower has sustained multiple broken parts.

Which two incidents need to be created for the claim based on the reported accident? (Choose two.)

Options:

A.

Create another structure incident for windmill power damage

B.

Create a property incident for the damaged windmill

C.

Create a vehicle incident for the damaged car

D.

Create a loss of use incident for the windmill tower

E.

Create an injury incident for the driver

Question 13

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?

Options:

A.

Validation rule enforcing the Ability to pay validation level.

B.

Authority Limit for any payment with a policy type of Pay-as-you-drive.

C.

Transaction Validation rule requiring approval for payments with unprocessed log files.

D.

Validation rule enforcing the Send to external system validation level.

Question 14

Succeed Insurance has a requirement to add a new high-risk indicator to the Claim Status screen for property claims that have a lien on the property. A new icon will be added to the configuration to provide a visual indicator making it easier for Adjusters and other ClaimCenter users to determine that a claim has a lien.

Which two common areas of the user interface (UI) can display the new lien icon? (Choose two.)

Options:

A.

Screen Area

B.

Sidebar

C.

Workspace

D.

Info Bar

E.

Tab Bar

Question 15

Succeed Insurance requires that a new 'Driver under 18?' field be added to the vehicle incident screen for personal auto claims to indicate whether or not the driver of the vehicle was a minor when the loss occurred. The field will be set by calculating the driver's age using the date of loss and the driver's date of birth.

There are two validation requirements:

    The field must be set if the 'Date of Birth' field for the driver is not null.

    No payments can be made for collision exposures if the 'Date of Birth' field for the driver of the vehicle is null.

A Business Analyst (BA) documents the validation requirements in the validation tab of the User Story Card 'Adjudicate - Update Maintain Vehicle Incident for Personal Auto Claims' as shown in the exhibit.

What information in the two validation examples is either missing or incorrectly documented? (Choose two.)

Options:

A.

The first requirement does not need a value in the LOB column since the rule condition provides a test for the policy type.

B.

The first requirement is missing the name of the DV or LV file for the new field, and an error or warning message should be provided.

C.

The second requirement is missing a requirement number, and the rule condition should check for a policy type of personal auto.

D.

The second requirement is missing the name of the DV or LV file where the warning or error message will display when the validation fails.

E.

The first requirement includes information on how to set the new 'Driver under 18?' field in the Rules column, which is not needed.