ClaimCenter-Business-Analysts Exam Dumps - ClaimCenter Business Analyst - Mammoth Proctored Exam

One of the primary value drivers of a Guidewire implementation is the "Adopt" or "Fit-to-Standard" approach, which encourages insurers to align their operations with industry best practices embedded in the software.

Best Practice (Option B):The most effective use of Guidewire's standard Business Process Flows is to use them as a reference tochange the customer's internal processes. Instead of customizing the software to match a legacy (and potentially inefficient) way of doing things, the BA uses the base product flow to demonstrate how the system works out-of-the-box and guides the business to adapt their assignment logic to match this standard. This reduces customization costs and simplifies future upgrades.

Why Option A is incorrect:This describes the "Gap" approach where the software is heavily customized to fit the old process ("continue using our current process"). This is considered an anti-pattern in modern implementations as it increases technical debt.

Why Option C is incorrect:Comparing FNOL (intake) to Reserves (financials) is comparing two completely different lifecycle stages, making the gap analysis invalid.

Why Option D is incorrect:Lack of documentation is not a valid reason to ignore the standard flows; in fact, the standard flows can serve as thenewdocumentation for the undocumented process.

Based on the Guidewire ClaimCenter Business Analyst documentation and the provided exhibits, here is the verified answer for Question 42.

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.

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).

The Data Dictionary is the definitive reference tool for Business Analysts to explore the data model of a Guidewire application.

Best Practice:To determine if a specific data point (like "distance driven" or "odometer reading") exists in the system's schema, the BA should consult theData Dictionary. This auto-generated documentation lists all entities (such as Vehicle or VehicleIncident) and their associated fields (columns), along with data types and descriptions. This confirms existence even if the field is not currently exposed on the user interface.

Why Option B is better than A:Checking the UI (Option A) is unreliable because a field may exist in the database but be hidden, disabled, or not placed on the specific screen the BA is viewing.

Why Option B is better than C:The Application Guide (Option C) describes standard features and workflows but does not provide a granular, technical list of every database column, nor does it reflect any custom schema extensions added by the implementation team.

Why Option B is better than D:While Guidewire Studio (Option D) is a powerful tool thatcanverify this, it is primarily a developer environment. For a Business Analyst, the Data Dictionary is the intended, accessible "Source of Truth" artifact for data modeling questions without requiring IDE access or technical code navigation.

In Guidewire ClaimCenter, Validation Rules are used to enforce data integrity and business requirements at specific stages of the claim lifecycle. These stages are defined by Validation Levels.

New Loss Completion (Option B):This validation level is specifically designed as the "gatekeeper" for the New Claim Wizard (FNOL). Rules triggered at this level run when the user attempts to click "Finish" to submit the new claim. If a rule fails (e.g., "If Policy Type = Pay-as-you-drive AND Monitoring Device is Null"), the system prevents the claim from being created and highlights the missing field. This directly meets the requirement to enforce data capture "when a personal auto claim is created."

Why other options are incorrect:

Ability to Pay (A):This level runs when a user tries to issue a check. Using this would allow the claim to be createdwithoutthe device info, only blocking the user later when they try to pay, which is too late for the requirement.

Custom Level (C):Creating custom levels is possible but discouraged when a standard level fits the purpose, aligning with the "use base product functionality" principle.

Load and Save (D):This level runs every time the claim is saved (even as a draft). Enforcing mandatory fields here can frustrate users who need to save their work partially complete.

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

To satisfy the requirements for the new "Rideshare" coverage product, the Business Analyst must map the described risks to the correct Exposure Types in the ClaimCenter data model.

Risk: Injury to a first-party driver:In insurance terminology, "First Party" refers to the insured (the driver). Coverage for injuries sustained by the driver themselves is typically handled byMedical Payments(MedPay) or Personal Injury Protection (PIP). Among the choices provided,Rideshare Medical Payments (Option C)is the correct exposure type to cover medical costs for the driver regardless of fault. (Option E, Liability Bodily Injury, would cover injuries toothersthat the driver hit).

Risk: Damaged personal property of third-party passengers:This refers to liability for damage to property belonging to others. While typically "Property Damage Liability," the specific option provided that fits this description isRideshare Personal Property Protection (Option B). This exposure would be configured to capture details about the damaged items (e.g., luggage, electronics) belonging to the passengers.

Why other options are incorrect:

Option E (Liability Bodily Injury):This is for Third Party injuries (e.g., pedestrians or people in other cars), not the First Party driver.

Option D (Under Insured Motorist):This applies when the Rideshare driver is hit by someone else who doesn't have enough insurance. The prompt focuses on the risksofthe driver working, not the financial failure of others.

To fully document a requirement that involves both a User Interface change (updating a value on a screen) and a Data Model change (adding a new typecode), the standard Guidewire Story Card tabs required are:

Document Control:Captures the metadata (Author, Version, Owner) to track the requirement's history.

UI Mockup:visually illustrateswhereon the screen the "Loss Cause" field is located and how the dropdown should appear to the Adjuster.

UI Fields:Defines the specific behavior of the field (e.g., Is it mandatory? Is it editable during adjudication? What is the label?).

Typelist:This is critical for this specific scenario. It lists the actual Code, Name, and Description of thenew typecodebeing added to the "Loss Cause" typelist.

Business Acceptance:Defines the testable criteria (Acceptance Criteria) to verify that the adjuster can successfully select the new value and save the claim.

Why Option B is correct:It is the only option that includesboththe visual requirements (Mockup/Fields) and the data requirement (Typelist) alongside the standard control and testing tabs (Document Control/Business Acceptance).