Exactprep ClaimCenter-Business-Analysts Questions

This scenario highlights the value of Feature Knowledge and Gap Analysis during preparation.

Prevention of unnecessary work (Option A):Because the BA researched and found the "Graphical Incident Capture Accelerator," the team avoided the costly mistake of deciding to "develop the... functionality from scratch." This is a direct outcome of the BA's preparation preventing an inefficient custom build.

Comparison of Legacy vs. New (Option B):The text details that the BA "reviewed ClaimCenter functionality" and explicitly noted the difference ("saw that ClaimCenter did not have... like they have in their current application"). This ability to articulate the gap between theAs-Is(Legacy) and theTo-Be(Base ClaimCenter) allowed the BA to present the Accelerator as the perfect bridge solution.

Why other options are incorrect:

Option C:The team didnotaccept the "base product process" (which lacked the graphics); they accepted theAccelerator(an add-on) to match the legacy expectation of clickable hot spots.

Option D:The decision was not made "in advance." The text states the team made the "quick decision"during the workshop. The preparation enabled theteam'sdecision, but the BA did not make it unilaterally beforehand.

250 to 350 words From Exact Extract of Guidewire ClaimCenter Business Analyst documentation:

In the lifecycle of a check within Guidewire ClaimCenter, the Requested status indicates that the payment instruction has been successfully handed off to the downstream check writing or electronic funds transfer system. Once a check reaches this status, it is considered a committed financial transaction and is locked from further editing.

Why Option A is incorrect:You cannot edit a check that is in "Requested" status. The "Edit" button will likely be disabled or the fields locked because the data has already left the system.

Why Option C is incorrect:A "Stop" payment is typically reserved for scenarios where a physical check has been lost, stolen, or destroyedafterit was printed and mailed. While a Stop Payment does prevent the check from being cashed, it is a specific banking process often involving fees.

Why Option D is Correct:To correct an administrative error (such as the wrong amount) for a check that has been processed but not yet negotiated (cashed), the standard procedure is toVoidthe check. Voiding the check in ClaimCenter performs two critical functions:

It reverses the financial T-accounts (reserves and payments) associated with the transaction, ensuring the claim financials are accurate.

It updates the status to "Voided," effectively cancelling the payment in the system.

After voiding the incorrect check ($1,200), the Adjuster must then create anew checkfor the correct amount ($950) to pay the claimant.

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.

Claim Assignment in Guidewire ClaimCenter follows a two-step logic: Global Assignment (finding the right Group) and Group Assignment (finding the right User).

Group Identification (Global Assignment):The first step relies on the geography of the loss. According to the provided organization table, theSoutheastern Auto Adjustersgroup is responsible for "Georgia,Florida, Alabama, South Carolina, North Carolina." Since the accident occurred inTampa, Florida, the Global Assignment rule will route the claim to the Southeastern Auto Adjusters group.

User Assignment (Group Assignment):The prompt specifies the use of "automatic assignment... regardless of complexity." In ClaimCenter's base configuration, the standard method for distributing claims automatically within a group isRound Robin(or Cyclical) assignment. This method assigns the claim to the next available adjuster in the list, ensuring an even distribution of volume without complex weighting calculations.

Why other options are incorrect:

Option B (Midwest):Incorrect geography. The Midwest group covers IL, MI, OH, IN, WI, not Florida.

Option C (Weighted Workload):While "Dynamic Assignment" (workload balancing) is a feature, the standard "automatic assignment" described implies a simple cyclical rotation (Round Robin). Weighted assignment is a more advanced configuration typically used when complexityisa factor (e.g., assigning fewer claims to junior adjusters).

Option D (Supervisor):Assigning to a Supervisor is a manual fallback or "Assign to Supervisor" rule, usually triggered when no suitable adjuster is available or for complex exceptions. It is not the primary path for standard automatic assignment.