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Guidewire ClaimCenter Business Analysts 시험

ClaimCenter Business Analyst - Mammoth Proctored Exam 온라인 연습

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Question No : 1


Which two actions may the Business Analyst (BA) perform based on the roles and permissions functionality of ClaimCenter? (Choose two.)

정답:
Explanation:
The Roles and Permissions functionality (part of the Role-Based Access Control or RBAC model) in ClaimCenter is designed to simplify security administration. A Business Analyst utilizes this functionality to define how users access the system.
Defining Roles (Option A): A "Role" in Guidewire is fundamentally a named container for a set of System Permissions (e.g., claimview, activitycreate). The BA defines a role (like "Adjuster" or "Supervisor") by consolidating the necessary individual permissions into one single set.
Simplifying Management (Option B): The primary benefit of this model is efficiency. Instead of assigning 50 individual permissions to 100 different users, the BA/Admin creates a "Collection of permissions" (the Role) and assigns that single Role to the group of users. This simplifies onboarding and maintenance.
Why other options are incorrect:
Authority Limits (C): While related to security, Authority Limits (financial caps on reserves/payments) are technically distinct from "Roles and Permissions" functionality in the ClaimCenter object model. Authority is handled via Authority Profiles, whereas Roles handle system access rights.
Unique Permissions (D): This is the opposite of best practice. Assigning unique permissions to every user creates a maintenance nightmare. The best practice is to use standard Roles.

Question No : 2


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?

정답:
Explanation:
Guidewire ClaimCenter is designed to handle First Notice of Loss (FNOL) scenarios where the policy system is unavailable or the specific policy cannot be immediately located. The correct standard procedure is to create an Unverified Policy claim.
Unverified Policy Workflow: The New Claim Wizard allows the user to select "Unverified Policy" if a search returns no results. This allows the CSR to proceed with capturing critical accident details (Loss
Details, Vehicles, Injuries) and providing service to the customer immediately.
Reconciliation: Later, once the correct policy number is found or the policy system comes back online, the claim can be updated. The "Unverified Policy" feature specifically supports the "Select Policy" step of the wizard to ensure claims are not blocked by administrative data issues.
Customer Experience: Option A (asking the customer to call back) is poor service and contrary to ClaimCenter's design philosophy.
Option D is incorrect because a verified policy is not a hard blocking requirement for creating a draft claim in this specific workflow.

Question No : 3


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

정답:
Explanation:
In the context of a Guidewire implementation project, a User Interface (UI) Mock-up is a visual tool used during the requirements gathering and design phases. Its primary purpose is to illustrate the intended user experience before development begins.
Visualization of Requirements: Mock-ups bridge the gap between abstract written requirements (User Stories) and the concrete software product. They show stakeholders how the screens will look and function to meet their needs.
Intended vs. Final: Option A is correct because the mock-up represents the proposed or intended design.
Option D ("Final") is subtly incorrect because the "final" experience is the actual, functioning software, which may evolve slightly from the mock-up during development due to technical constraints or feedback.
Current vs. Integration:
Option B refers to the existing system (Current state), which is typically shown via live demo, not a mock-up.
Option C refers to backend integrations, which are typically documented via data mapping spreadsheets or architecture diagrams, not UI mock-ups.

Question No : 4


Drivers for Rideshare companies need insurance that provides protection when they are driving the vehicle for personal reasons. This will be the Succeed Insurance standard Personal Auto Policy. However, they also need insurance to protect them from the increased risks associated with working as a Rideshare Driver. This would include when they are logged in to the Rideshare application waiting for a customer match, on their way to pick up a customer, but not when a customer has entered the vehicle.
When a driver is working as a Rideshare Driver, this new Rideshare coverage will protect them from the following types of risks, and there is a need to be able to collect the appropriate information about the losses:
. Injury to a first-party driver
. Damaged personal property of the third-party passengers
Which two exposures need to be configured? (Choose two.)

정답:
Explanation:
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 by Medical 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 to others that 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 is Rideshare 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 risks of the driver working, not the financial failure of others.

Question No : 5


An auto claim is owned by Adjuster1. The Customer Service Representative (CSR) that created the claim owns one follow-up activity on the claim. An Injury Specialist owns an injury exposure on the claim. All these persons are members of Auto Team 1.
The Team Lead determines that Adjuster1 is overworked and reassigns the claim to Adjuster2, a member of Auto Team 2.
Which three people now have access to the claim? (Choose three.)

정답:
Explanation:
250 to 350 words From Exact Extract of Guidewire ClaimCenter Business Analyst documentation:
In Guidewire ClaimCenter, access to a claim file is determined by Access Control Lists (ACLs), which are dynamically updated based on user roles and ownership. A user is granted access to a claim if they own the claim itself, or if they own a sub-object within that claim, such as an Activity or an Exposure.
Adjuster2 (Option E): Upon reassignment, Adjuster2 becomes the new Claim Owner. The owner of the claim record always has full view and edit access to the claim.
CSR (Option C): The CSR retains ownership of a specific Activity (the follow-up task). In the ClaimCenter security model, owning an open activity on a claim grants the user "view" access to the parent claim so they can perform the necessary work to complete their task. Reassigning the claim header does not automatically reassign the activities owned by other users.
Injury Specialist (Option D): This user owns an Exposure (a distinct financial sub-record for a specific coverage feature). Similar to activities, owning an exposure grants access to the parent claim. The reassignment of the main claim file from Adjuster1 to Adjuster2 does not strip the Injury Specialist of their ownership of the specific injury exposure.
Why Adjuster1 loses access: Adjuster1 was the previous owner. Once ownership is transferred to Adjuster2 (who is in a different group, "Auto Team 2"), Adjuster1 no longer meets the criteria for ownership access. Unless Adjuster1 is explicitly added to the ACL manually or has "Super User" privileges (not stated), they lose the automatic access rights associated with being the owner.

Question No : 6


Succeed Insurance requires that all vehicles involved in collisions be evaluated to determine if the vehicle is a total loss. A vehicle claim is deemed a total loss using a calculation based on points earned for selecting specific vehicle information.
What are two examples of acceptance criteria for this business requirement? (Choose two.)

정답:
Explanation:
Acceptance Criteria (AC) are specific conditions that the software must satisfy to be accepted by the user. In the context of a User Story, AC must be written as testable outcomes or verification steps
(pass/fail conditions), not as implementation tasks for the developer.
Option D (Testable Outcome): "Validate the assignment to the Salvage Group when calculated points are 25 or greater." This is a perfect example of AC. It describes a specific scenario (Points >= 25) and the expected system behavior (Assign to Salvage Group). A tester can run this scenario and objectively determine if the system passes or fails.
Option A (Testable Outcome): "Ensure that the business rule generates the Review for Salvage Activity." Similarly, this describes the expected result of the logic. It does not tell the developer how to write the code, but it tells the QA team what to look for (the creation of a specific Activity) to confirm the requirement is met.
Why other options are incorrect:
Option B ("Add a question..."): This is an Implementation Task. It describes work the developer must do ("Add a question"), but it is not a criterion for verifying the end-to-end business value.
Option C ("Create a business rule..."): This is also an Implementation Task. A user cannot "test" that a rule was created; they test the effect of that rule (which is described in A and D). Acceptance criteria focus on the "What" (behavior), while tasks focus on the "How" (configuration).
Here are the 100% verified answers for Question 16 and Question 17, formatted as requested.

Question No : 7


What are two recommended best practices with user interface (UI) mock-ups in a ClaimCenter implementation project? (Choose two.)

정답:
Explanation:
In a Guidewire implementation, User Interface (UI) mock-ups serve as critical visual aids to bridge the gap between written business requirements and the final technical solution.
Best Practice 1 (Option B): While sophisticated prototyping tools (like Balsamiq or Axure) are valuable, they are not always strictly necessary for every change. A "low-fidelity" mock-up is often sufficient and highly effective for minor adjustments. If a BA lacks access to specialized software, the recommended best practice is to take a screenshot of the existing ClaimCenter screen and overlay it with text boxes, arrows, or simple graphics (using tools like Paint or PowerPoint) to clearly indicate where fields should be added, moved, or removed. The goal is clarity of intent, not artistic
perfection.
Best Practice 2 (Option D): Traceability is fundamental to the Agile and hybrid methodologies used in Guidewire projects. Every artifact, including mock-ups, must be traceable back to the specific User Story or Requirement Number it supports. By explicitly documenting the requirement number on or with the mock-up, the BA ensures that developers understand exactly which functionality is being visualized and that QA testers can validate the final screen against the correct scope.
Why other options are incorrect:
Option A: A live demo shows the current state. It cannot effectively demonstrate future changes (fields that don't exist yet) without a visual mock-up to accompany the explanation.
Option C: Stating that tools "should not be used" is incorrect; tools are generally encouraged when available to create high-fidelity prototypes.

Question No : 8


A commercial auto claims group at Succeed Insurance has a large number of overdue activities related to service requests. Reviewing the distribution of these activities across the team, the supervisor sees that one Adjuster on the team owns only one of these activities, while the other
Adjusters own five or six.
To expedite completion of these activities, the Supervisor decides that the Adjuster with one service request activity will handle all of the overdue service activities for the team.
Which screen can the Supervisor use to most efficiently reassign these service request activities?

정답:
Explanation:
The Team Tab is the dedicated workspace in ClaimCenter designed for Supervisors and Managers to oversee the workload and performance of their direct reports (groups).
Efficiency: From the Team Activities screen, a supervisor can view all activities assigned to users within their group in a single list.
Functionality: This screen provides built-in filtering (e.g., "Overdue" or "Due Today") and bulk processing capabilities. The Supervisor can select multiple activities currently owned by different adjusters (the ones with five or six items), click the Assign button, and reassign them all to the target Adjuster (the one with only one item) in a single action.
Why it fits: This meets the requirement to "review the distribution" (viewing the team's load) and "reassign" efficiently from one central location.
Why other options are incorrect:
Queued Activities (A) displays items that are sitting in a queue waiting to be picked up; it does not display activities already owned by individual users.
Search Activities (B) allows finding activities but is less efficient because it requires setting up complex search criteria to find the specific group's items, whereas the Team tab is pre-filtered to the supervisor's hierarchy.
Desktop Activities (C) displays the activities assigned to the current user (the Supervisor themselves), not the activities owned by their subordinates.
Here are the 100% verified answers for Question 14 and Question 15 based on Guidewire ClaimCenter Business Analyst documentation.

Question No : 9


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?

정답:
Explanation:
In Guidewire ClaimCenter, the Ability to Pay validation level is the specific "gatekeeper" designed to verify that a claim is mature enough and has sufficient data to allow financial transactions to be issued.
Validation Levels: ClaimCenter uses validation levels (e.g., Load, New Loss, Ability to Pay) to enforce data integrity at different stages of the claim lifecycle.
Blocking Payments: When a user attempts to create a check, the system triggers the rules associated with the Ability to Pay level. If any rule at this level fails (returns an error), the system prevents the payment wizard from completing.
Scenario Application: The Business Analyst can define a rule at the "Ability to Pay" level that checks the condition: "If Policy Type is Pay-as-you-drive AND Log Processed Flag is NOT 'Yes', then throw an error." This fulfills the requirement to strictly block payments ("No payments can be made") rather than just route them for approval.
Why other options are incorrect:
Authority Limits (B) control the amount of money a user can approve, not the prerequisites (like data flags) for making a payment.
Transaction Validation requiring approval (C) would route the payment to a supervisor, but it implies the payment could be made if approved. The requirement states "No payments can be made," implying a hard system stop, which validation rules provide.
Send to External System (D) validates data just before it leaves the system (e.g., for check printing), which is often too late in the workflow for business-logic stops like reviewing a log file.

Question No : 10


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.)

정답:
Explanation:
When documenting Assignment Rules (or any business logic) in a User Story Card or a separate Business Rules spreadsheet, the Business Analyst must capture specific metadata that allows developers to implement the logic correctly in Gosu (Guidewire's programming language).
Option D (Entity, Line of Business, Rule Conditions, Rule Actions): This is the core logical definition of the rule.
Entity: Defines what object is being assigned (e.g., Claim, Exposure, Activity).
Line of Business: Specifies the scope (e.g., Personal Auto).
Rule Conditions: Captures the "IF" logic (e.g., "IF Loss Cause = Fatality AND LOB = Personal Auto").
Rule Actions: Captures the "THEN" logic (e.g., "THEN Assign to Group: High Complexity Auto").
This structure mimics the actual implementation pattern in Guidewire Studio (Rule Sets).
Option E (Comments, Wave or Release, Requirement Number): These are standard project management and traceability columns required for any requirements artifact.
Requirement Number: Links the specific rule row back to the high-level business requirement.
Wave or Release: Indicates when this specific rule needs to be deployed.
Comments: Provides context or clarification for the developer.
Why other options are incorrect:
Option A: These columns ("Name of DV or LV", "Field or Filter") are specific to UI Validation (the tab currently shown in the image). They describe screen widgets and validation errors, not backend assignment logic.
Option B: While "Global Assignment Rule" and "Default Group Assignment Rule" are valid Guidewire concepts, listing them as columns is not the standard way to document a list of requirements. Usually, the rule type would be a single column, but "Exit Type" is a technical implementation detail (part of the rule set execution) rather than a business requirement column.
Option C: "Error or Warning?" is specific to Validation Rules (stopping a user from proceeding), not
Assignment Rules (routing a work item).
Next Step: Would you like me to generate a sample "Assignment Rule" table structure that shows exactly how this Fatality claim rule would be entered into the columns described in Option D?

Question No : 11


Succeed Insurance had an embarrassing event last month that had potential legal ramifications. One of their Customer Service Representatives (CSR) shared details of a celebrity's personal auto claim on social media. Fortunately for Succeed, the celebrity decided not to pursue legal actions as long as Succeed agreed to resolve the potential for future occurrences within the next 30 days.
Succeed executives immediately reacted to the situation by establishing new guidelines regarding
claim security. The Business Analyst (BA) assigned to the project researched ClaimCenter base product capabilities and held several requirements gathering sessions designed to document their strategy. The new requirements indicate that only authorized users should be looking at celebrity claims.
Which two features should be used to meet the new requirements? (Choose two.)

정답:
Explanation:
To restrict access to sensitive claims (such as those involving celebrities) so that "only authorized users" can view them, a Business Analyst must utilize the Claim Security features in Guidewire.
Specify Claim Security Types (Option A): The first step is to define the classification of the claim. The system uses the ClaimSecurityType typelist. The BA would add a new typekey (e.g., "Celebrity" or "High Profile") or use an existing one (e.g., "Sensitive") to flag these specific claims.
Create/Assign Access Profiles (Option E): Access control in Guidewire is managed through Access Profiles (sometimes referred to within Role configurations). An Access Profile maps specific Security Levels (like the "Celebrity" type defined above) to permissions. To meet the requirement, the BA defines an Access Profile that grants "View" permission for the "Celebrity" security type and assigns this profile only to the authorized users (or roles). Users without this specific Access Profile will be unable to search for or view the claim.
Why other options are incorrect:
Authority Profiles (B): In Guidewire terminology, "Authority" refers strictly to Financial Authority (limits on reserves and payments), not data access visibility.
Hide secure fields (C): This refers to Field Level Security (masking specific data like a Tax ID). The requirement is to restrict access to the entire claim, not just specific fields.
Tracking rules (D): While "Claim Access Auditing" (tracking history) is often enabled for sensitive claims, it is a detective control, not a preventive one. The requirement specifies that unauthorized users should not be looking at the claim at all, which requires the Access Profiles (preventive control).

Question No : 12


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.)

정답:
Explanation:
In the standard Guidewire ClaimCenter User Interface architecture, high-priority alerts and claim indicators are displayed in two primary locations to ensure visibility:
The Info Bar (Option D): This is the persistent strip located at the top of the claim file (just below the Tab Bar). It remains visible regardless of which specific claim sub-screen (Medical, Financials, Notes) the user is navigating. It is designed specifically to host "High Risk Indicators" such as Litigation, Fatalities, Coverage issues, and in this scenario, a "Lien" indicator. This ensures the adjuster is aware of the critical status immediately upon opening the claim.
The Screen Area (Option A): Specifically, the Claim Status (or Summary) screen―which resides in the main Screen Area―contains a dedicated section for "Claim Indicators." Here, the icon is displayed along with a text description and potential toggle status (On/Off). The prompt explicitly mentions the requirement to "add a new high-risk indicator to the Claim Status screen," confirming the Screen Area as the second location.
Why other options are incorrect:
Sidebar (B): The sidebar (left panel) is used for the "Actions" menu and navigation links (steps) to move between screens. It does not typically host status icons for the claim object itself.
Workspace (C): While "Workspace" can refer to the application frame, in UI terminology, it often refers to the specific worksheets (bottom pane) or the container, not the specific UI element for indicators.
Tab Bar (E): The Tab Bar is for high-level navigation (Claim, Desktop, Administration, Search) and does not display claim-specific data icons.

Question No : 13


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?

정답:
Explanation:
250 to 350 words From Exact Extract of Guidewire ClaimCenter Business Analyst documentation:
In Guidewire ClaimCenter workflow analysis and configuration, defining the correct sequence of operations is critically dependent on Data Availability and Data Dependency.
The specific requirement here dictates that the custom history event must capture the Total Loss Score. In the context of the ClaimCenter object model and process flow, the Total Loss Score is an output value generated specifically by the Total Loss Calculator engine. Before this calculator runs, the score attribute is effectively null or non-existent.
Therefore, to satisfy the business requirement, the step that writes the history event must be placed after the step that generates the data it needs to record.
Process Logic: If the Business Analyst were to place the history event creation step before the Total Loss Calculator (Option B) or before the Vehicle Incident (Option D), the system would attempt to
write a record containing a score that has not yet been calculated. This would result in either a system error or a history event with a blank/zero value, failing to meet the business requirement.
Dependency Chain: The workflow dependency is: Vehicle Data Entry -> Total Loss Calculation -> Score Generation -> History Event Creation.
Implementation Note: In a typical Guidewire implementation, this logic is often handled via "Event Fired" rules or specific "Exit Points" in the workflow. The system waits for the confirmation that the Total Loss calculation service has successfully returned a result. Once that transaction is committed and the score is persisted on the Vehicle or Exposure entity, the subsequent rule to generate the History Event can trigger successfully.
Consequently, Option C is the only viable placement in the process flow. It ensures that the prerequisite action (calculation) is complete and the required data payload (the score) is available for the subsequent action (logging the history event).

Question No : 14


When capturing information about a damaged vehicle, Succeed Insurance requires that the total distance driven (miles/km) for the vehicle be captured as well.
What is the best practice for a Business Analyst (BA) to determine if ClaimCenter already has a field to capture distance driven?

정답:
Explanation:
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 the Data 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 that can verify 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.

Question No : 15


Which workflow will kick in if the claim assignment is handled via "Default Group Claim Assignment Rule" with available matching?

정답:
Explanation:
In Guidewire ClaimCenter, assignment logic functions in a two-stage process: first Global Assignment (which finds the appropriate Group) and then Group Assignment (which finds the appropriate User within that group).1
The Default Group Claim Assignment Rule is the specific logic set used to distribute claims within a group once the group has already been identified. When this rule is configured with "available matching" (often referred to as criteria-based or attribute-based assignment), the system evaluates the users inside that group against specific criteria.
Workflow: The system filters the group's users to find those who are "available" (not on vacation) and then matches the claim against user attributes such as Expertise, Workload (current claim count), or specific skills.
Result: The claim is automatically assigned to the best-fit User within that group.
Why other options are incorrect:
Option B (Geography/LOB): This describes Global Assignment rules, which are responsible for routing the claim to the correct office or unit (Group), not the specific user.
Option C (Supervisor): Assigning to a supervisor is a fallback mechanism (often called "Assign to Supervisor") used when the system fails to find a matching user or when manual intervention is explicitly required. It is not the primary function of "available matching."
Option D (Root Group): Routing to the "Root Group" is a last-resort fallback when Global Assignment fails entirely to find any appropriate group.

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