ClaimCenter-Business-Analysts Exam Dumps - Guidewire Certified Professional Questions and Answers

In the standard Guidewire User Story Card template (an Excel-based tool used for requirements gathering), version control is manually tracked to ensure auditability and clarity among the project team.

Document Control Tab (Option C):This is typically the first tab in the Story Card workbook. It contains a section specifically forAmendment History(or Revision History).

Content:This section is designed to capture:

Who:The author of the change.

When:The date of the change.

What/Why: A description of the modification (e.g., "Updated Acceptance Criteria based on Workshop feedback").

This provides the specific "Who, What, and Why" requested in the scenario.

Why other options are incorrect:

File > Properties (A):This is standard Excel metadata. It shows the "Last Modified By" user and date, but it cannot explainwhatspecific cells were changed orwhy(the business context).

Action Items (B):This tab tracks open questions or tasks, not the revision history of the document requirements.

UI Fields (D):This tab tracks the requirements for screen fields, but does not serve as a changelog for the entire document.

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 theAbility to Paylevel. 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 theamountof 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 paymentcouldbe 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.

Based on theGuidewire ClaimCenter Financials and Authority Limitsdocumentation, the correct behavior for this scenario is determined by the strict enforcement ofAuthority Limits, regardless of claim complexity or geographic region.

In ClaimCenter, every user is assigned specific authority limits for various financial transactions, including reserves, payments, and recovery reserves. These limits are absolute constraints designed to control financial exposure. In the scenario provided, the Adjuster attempted to set a reserve of$35,000, which exceeds their authorized limit of$30,000.

When a user submits a financial transaction that exceeds their pre-configured authority limit, ClaimCenter automatically triggers anApproval Workflow. The system validates the transaction amount against the user's limit at the time of submission. Since the limit is breached, the transaction is not committed immediately to the database as "Submitted"; instead, it enters a"Pending Approval"status.

Routing Logic:

The standard, out-of-the-box approval routing logic in ClaimCenter follows the Group Hierarchy.

The system identifies the group to which the Adjuster belongs.

It creates anApproval Activity.

This activity is assigned to theSupervisorof that group.

The Supervisor must then review the transaction. If the Supervisor has sufficient authority (greater than $35,000), they can approve it. If the Supervisor also lacks sufficient authority, they must still "approve" it to escalate the request further up the hierarchy totheirmanager, until it reaches a user with sufficient limits.

Why other options are incorrect:

A (Complexity):Claim complexity flags (e.g., "Low Complexity") are often used forAssignmentrules (Segment-based assignment) or straight-through processing ofdocuments, but they do not overrideFinancial Authoritycontrols. A low-complexity claim still requires financial oversight if the dollar amount is high.

B (Peer Approval):Approval routing is hierarchical, not peer-to-peer. It does not look for "any" team member; it looks specifically for the defined Supervisor.

C (Region):The region mismatch might trigger an assignment rule or a validation warning depending on configuration, but the specific trigger for theapprovalhere is purely the financial discrepancy ($35k > $30k), not the geography.

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 foranyrequirements 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 toUI 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 ascolumnsis not the standard way to document a list of requirements. Usually, the ruletypewould 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?

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 throughAccess Profiles(sometimes referred to within Role configurations). An Access Profile maps specificSecurity 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 profileonlyto 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 toFinancial Authority(limits on reserves and payments), not data access visibility.

Hide secure fields (C):This refers toField Level Security(masking specific data like a Tax ID). The requirement is to restrict access to theentire 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).