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ClaimCenter Business Analyst - Mammoth Proctored Exam

Last Update 1 day ago Total Questions : 50

The ClaimCenter Business Analyst - Mammoth Proctored Exam content is now fully updated, with all current exam questions added 1 day ago. Deciding to include ClaimCenter-Business-Analysts practice exam questions in your study plan goes far beyond basic test preparation.

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Question # 1

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.)

A.

A partial payment of $1,100 is made against the Expense - A & O - Vehicle inspection reserve line.

B.

A partial payment of $2,000 is made against the Claim Cost - Auto body reserve line.

C.

The Claim Cost - Auto body reserve line is increased to $6,000.

D.

The Expense - A & O - Vehicle inspection reserve line is increased to $550.

Question # 2

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.)

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 # 3

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 low complexity auto claim, assigned to Midwest Low Complexity Auto Adjusters Group, with activity for vehicle inspection.

B.

The new claim will be segmented as high complexity auto claim, assigned to Midwest Complex 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.

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?

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

At Succeed Insurance, new personal auto claims involving a fatality are assigned to a High Complexity Auto group made up of Adjusters with at least eight years of experience dealing with the issues and emotions commonly found in claims involving fatalities. Fatality claims typically take 18 to 24 days to complete. The assigned Business Analyst (BA) will document the assignment rule for this requirement in User Story Card Assign Claims Exposures and Activities for a Personal Auto Claim - Foundational. The existing tab UI Validation & Business Rules shown below is not a good fit for assignment rules, so a new tab will be added to the Story Card.

Which two sets of columns should the new tab include to accurately capture the assignment rule requirements? (Choose two.)

A.

Name of DV or LV, Field or Filter, Rules or Links to Master Business Rules Spreadsheet

B.

Global Assignment Rule, Default Group Assignment Rule, Exit Type

C.

Error or Warning?, Base Product/New/Modified, Acceptance Criteria

D.

Entity, Line of Business, Rule Conditions, Rule Actions

E.

Comments, Wave or Release, Requirement Number

Question # 6

Succeed Insurance allows field Adjusters to write checks directly to the insured to cover damage costs for minor claims such as:

    Personal auto claims involving cracked windshields

    Homeowners claims involving minor glass breakage

The Adjuster uses the Manual Check Wizard to record the check number and amount against a reserve line. Succeed requires Supervisor approval for all manual checks to ensure that the paper checks are verified against the payment information in ClaimCenter.

Which two limits or rules must be configured in ClaimCenter to ensure that these manual payments are sent to the correct person for approval? (Choose two.)

A.

Approval routing rules

B.

TransactionSet validation rules

C.

Transaction approval rules

D.

Authority limits

Question # 7

An Adjuster at Succeed Insurance increases the reserve on a claim's exposure from $1,000 to $1,500 to account for inflation in repair costs. A week later, a Supervisor reviews the claim and wants to know specifically who made this change, the exact date and time it was made, and what the previous value was.

The Supervisor needs a chronological audit trail of changes to the claim file without navigating through complex financial ledgers.

Which screen in the ClaimCenter user interface should the Supervisor access to find this information?

A.

Financials > Transactions

B.

History

C.

Notes

D.

Loss Details > Status

Question # 8

Succeed Insurance handles a small volume of asbestos claims in their legacy system. These claims can remain open for many years to cover medical costs to claimants due to illnesses caused by exposure to asbestos in the workplace.

Succeed has the following requirements for paying these claims with the New Check Wizard:

. No indemnity (claim cost) payments can be made until a medical assessment of the claimant is completed.

. Expense payments can be made to cover Succeed's costs to process the claim.

Which feature in the base product can be extended to support both of these requirements?

A.

Authority Limits

B.

Transaction approval rules

C.

Financial holds

D.

Claim Maturity Level - Ability to pay

Question # 9

Which scenario shows a Business Analyst (BA) demonstrating an important way to use Guidewire's Business Process Flows during a product implementation?

A.

We will use our Business Process Flow for First Notice of Loss (FNOL) to guide the development of custom configuration instead of Guidewire's Process for Flow FNOL because we would like to continue using our current process.

B.

We will be leveraging base configuration, so we will reference Guidewire's Business Process Flow for assignments to make changes to our business process for claim assignment.

C.

We will compare our Business Process Flow for First Notice of Loss (FNOL) to Guidewire's Business Process Flow for Reserve entry to identify whether process gaps exist.

D.

We will not reference Guidewire Business Process Flows because we do not have the process flows for our current process documented to compare it.

Question # 10

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.)

A.

The format of the Financial Summary screen

B.

Incident types available for recording damage

C.

The values displayed in the list of loss causes

D.

The values displayed in the list of fault ratings

E.

Contact information collected for the insured

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