ClaimCenter Business Analysts Exam Guide
This ClaimCenter Business Analysts exam focuses on practical knowledge and real-world application scenarios related to the subject area. It evaluates your ability to understand core concepts, apply best practices, and make informed decisions in realistic situations rather than relying solely on memorization.
This page provides a structured exam guide, including exam focus areas, skills measured, preparation recommendations, and practice questions with explanations to support effective learning.
Exam Overview
The ClaimCenter Business Analysts exam typically emphasizes how concepts are used in professional environments, testing both theoretical understanding and practical problem-solving skills.
Skills Measured
- Understanding of core concepts and terminology
- Ability to apply knowledge to practical scenarios
- Analysis and evaluation of solution options
- Identification of best practices and common use cases
Preparation Tips
Successful candidates combine conceptual understanding with hands-on practice. Reviewing measured skills and working through scenario-based questions is strongly recommended.
Practice Questions for ClaimCenter Business Analysts Exam
The following practice questions are designed to reinforce key ClaimCenter Business Analysts exam concepts and reflect common scenario-based decision points tested in the certification.
Question#1
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?
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.
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#2
Why are unique requirement numbers so important for business analysis?
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.
Explanation:
Traceability is the primary driver for assigning unique identification numbers to every business requirement.
Root Cause Analysis (Option C): Throughout the software development lifecycle (SDLC), a requirement flows from the Business Analyst (User Story) to the Developer (Code) and the Tester (Test Case). When a defect is found in production (a support ticket), the unique requirement number allows the team to trace the issue backward. They can determine if the defect was caused by a coding error (Requirement was right, code was wrong) or a requirements gap (Code met the requirement, but the requirement was wrong). This link "back to the root cause" is critical for quality assurance and continuous improvement.
Why other options are incorrect:
A: Unique IDs are considered absolutely necessary in formal agile methodologies (like the one used by Guidewire) for traceability matrices.
B: Document control tracks the file history, not the granular requirement history.
D: While IDs do organize data, their function in "standardized order for insertion" is administrative and secondary to the strategic value of traceability described in Option C.
Question#3
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
Explanation:
In Guidewire ClaimCenter, the History screen serves as the automated audit trail for the claim file. It is designed to capture and display a chronological list of significant events and user actions that have occurred throughout the claim's lifecycle.
Audit Trail Functionality: The History screen automatically records specific types of events, including:
Field Changes: When critical fields (like Reserve Amounts) are modified, the system logs the "Old Value" and the "New Value."
Assignment Changes: Tracks when the claim was transferred from one user to another.
Rule Execution: Logs when specific business rules (like "Exception Flagged") are triggered.
Data Points: For each entry, the History screen displays the User who performed the action, the Timestamp of the event, and a Description of the change.
Why other options are incorrect:
Financials > Transactions (A): While this screen shows the financial T-account entries (debits/credits) for the reserve increase, its primary purpose is accounting analysis. It is less efficient for a supervisor looking for a simple "Who/When/What" audit trail compared to the History screen.
Notes (C): Notes are typically used for qualitative narratives and manual entry. While a system note can be generated for a reserve change, the History screen is the dedicated, non-editable system of record for tracking field changes.
Loss Details > Status (D): This screen shows the current state of the claim (e.g., Open, Closed, Litigation Status) but does not provide a historical log of previous values or the specific user actions that led to the current state.
Question#4
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.
Explanation:
ClaimCenter uses a logic-based process called Segmentation to categorize claims and Assignment to route them.
Complexity (Points): The "Total Loss Points" score of 38 is significantly high. In standard configuration, high scores (typically indicating severe damage or total loss potential) trigger a High Complexity segmentation.
Assignment (Geography): The accident occurred in Chicago (Midwest). The assignment rules will match the geography (Midwest) with the complexity (High/Complex). Therefore, it routes to the Midwest Complex Auto Adjusters Group.
Workplan (Activity): The specific note regarding an "expert inspection" translates into a generated Activity (likely "Assign Vehicle Inspection" or similar) added to the claim's workplan.
Why other options are incorrect:
A & D (Low/Mid Complexity): A score of 38 is too high for "Low Complexity" (which is usually for simple fender benders). Assigning a complex claim to a "Low Complexity" group would violate standard routing logic.
C (Supervisor): Modern ClaimCenter configurations prefer Straight-Through Processing (STP) to a
working group. Routing to a Supervisor is generally a fallback for exceptions, whereas this is a standard high-severity scenario that should go directly to the specialized adjusters.
Question#5
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
Explanation:
Guidewire ClaimCenter is designed to support multiple Lines of Business (LOB), and the User Interface adapts dynamically based on the policy type associated with the claim.
Incident Types (Option B): The "Incident" is the object that describes what was damaged or lost.
For Auto, the UI displays Vehicle Incidents (describing cars).
For Homeowners, the UI displays Dwelling or Fixed Property Incidents.
For Travel, the UI will display distinct incident types such as Baggage Incident (for lost luggage) or Trip Cancellation Incident. These are fundamentally different data objects with different fields.
Loss Causes (Option C): The LossCause typelist is filtered by the Line of Business.
Auto claims show causes like "Collision," "Rear-end," or "Theft of Vehicle."
Travel claims will show completely different values such as "Trip Delay," "Lost Baggage," "Medical Emergency," or "Cancellation."
Why other options are incorrect:
Financial Summary (A): The structural format of the Financial Summary screen (displaying Reserve Lines, Payments, and Remaining Reserves) is a core system framework that remains consistent across all lines of business.
Contact Information (E): The Contact entity (Name, Address, Phone) is a shared entity. The fields used to capture a person's details are generally the same whether they are a driver, a homeowner, or a traveler.
Disclaimer
This page is for educational and exam preparation reference only. It is not affiliated with Guidewire, Guidewire Certified Associate, or the official exam provider. Candidates should refer to official documentation and training for authoritative information.
