GUIDEWIRE CLAIMCENTER PROFESSIONAL EXAM | 2025/2026 UPDATE |
QUESTIONS AND ANSWERS | WITH ACTUAL SOLUTION!!
What does an end user need to access a GW app - -A supported web browser and a valid
username and password
--What is one thing that determines what data is gathered on a claim intake screen - -Type
of claim (auto, homeowners)
--When a user attempts to log into CC, what 3 pieces of info does the app attempt to
determine? - -1. can the user be authenticated
2. what are the users roles
3. what is the users startup page
--What is the purpose of an exposure? - -Used to track potential payments on one coverage
for one claimant
--What are two mechanisms used to determine if a payment requires approval? - -1.
Authority Limits
2. Transaction Approval Rules
--What two mechanisms are referred to as a check? - -A physical paper check and an EFT
--What is a set of activities on a claim called? - -A workplan
--What are the three types of service requests? - -1. Service only
2. Quote only
3 Quote and service
--What is an incident? - -The 'what" that was lost or damaged
--What are the six assignable objects in CC base configuration? - -1. Claims
2. Exposures
3. Activities
4. Service requests
5. Matter (litigation)
6. Subrogation
--When does object assignment happen? - -Object creation and manual object reassignment
--What are the two basic building blocks of the CC org structure - -Users and groups
--What is the difference between a policy and a PolicyType in CC? - -Policy - a product that is
sold to customers, promises to pay money for specified loss types. Contract between
insured and insurer
PolicyType - Identifies the line of business associated with a policy, and indicates the
coverages (CoverageTypes) that can be associated with the policy
, --What is the purpose of a CoverageSubtype? - -It connects coverage types to exposure
types
--What are some coverage types? - -Collision, comprehensive, general liability, medical
payments
--What is the purpose of segmentation? - -Process of determining a strategy for processing a
claim. determines complexity so that appropriate assignment can be made
--What happens during automated claim setup? - -1. The claim is segmented
2. The claim is assigned to a group and user
3. Activities may be created for work that must be done on the claim
--What are 3 ways a claim can be entered into CC? - -1. Portal (by user or agent)
2. New claim wizard (by adjuster)
3. External application (Imported by FNOL system)
--What are the highest and lowest levels of maturity of a claim and exposure? - -Ability to
pay and New loss completion
--What are two attributes of a group used in determining assignment? - -Group type and
group region
Ex. Type is kind of work the group cover like WC. Region identifies the location where the
group has responsibilities
--What is the purpose of assignment in automated claim setup? - -To determines the owner
of the claim and exposures
--What are the 3 steps of automated claim setup? - -1. Segmentation
2. Assignment
3. Workplan (activities)
--How does CC manage a contact that has multiple relationships to a claim? - -through the
ClaimContact entity
--What is the purpose of a reserve line? - -The amount of money set aside for expected
payments related to a given exposure. defined by exposure, cost type and cost category
--What is the main goal of adjudication? - -To determine if the claim should be paid or not
and if so, how much
--What is the total paid? - -Sum of all approved payments with scheduled send date today or
earlier
--What is the total incurred gross? - -Open reserves + total payments
QUESTIONS AND ANSWERS | WITH ACTUAL SOLUTION!!
What does an end user need to access a GW app - -A supported web browser and a valid
username and password
--What is one thing that determines what data is gathered on a claim intake screen - -Type
of claim (auto, homeowners)
--When a user attempts to log into CC, what 3 pieces of info does the app attempt to
determine? - -1. can the user be authenticated
2. what are the users roles
3. what is the users startup page
--What is the purpose of an exposure? - -Used to track potential payments on one coverage
for one claimant
--What are two mechanisms used to determine if a payment requires approval? - -1.
Authority Limits
2. Transaction Approval Rules
--What two mechanisms are referred to as a check? - -A physical paper check and an EFT
--What is a set of activities on a claim called? - -A workplan
--What are the three types of service requests? - -1. Service only
2. Quote only
3 Quote and service
--What is an incident? - -The 'what" that was lost or damaged
--What are the six assignable objects in CC base configuration? - -1. Claims
2. Exposures
3. Activities
4. Service requests
5. Matter (litigation)
6. Subrogation
--When does object assignment happen? - -Object creation and manual object reassignment
--What are the two basic building blocks of the CC org structure - -Users and groups
--What is the difference between a policy and a PolicyType in CC? - -Policy - a product that is
sold to customers, promises to pay money for specified loss types. Contract between
insured and insurer
PolicyType - Identifies the line of business associated with a policy, and indicates the
coverages (CoverageTypes) that can be associated with the policy
, --What is the purpose of a CoverageSubtype? - -It connects coverage types to exposure
types
--What are some coverage types? - -Collision, comprehensive, general liability, medical
payments
--What is the purpose of segmentation? - -Process of determining a strategy for processing a
claim. determines complexity so that appropriate assignment can be made
--What happens during automated claim setup? - -1. The claim is segmented
2. The claim is assigned to a group and user
3. Activities may be created for work that must be done on the claim
--What are 3 ways a claim can be entered into CC? - -1. Portal (by user or agent)
2. New claim wizard (by adjuster)
3. External application (Imported by FNOL system)
--What are the highest and lowest levels of maturity of a claim and exposure? - -Ability to
pay and New loss completion
--What are two attributes of a group used in determining assignment? - -Group type and
group region
Ex. Type is kind of work the group cover like WC. Region identifies the location where the
group has responsibilities
--What is the purpose of assignment in automated claim setup? - -To determines the owner
of the claim and exposures
--What are the 3 steps of automated claim setup? - -1. Segmentation
2. Assignment
3. Workplan (activities)
--How does CC manage a contact that has multiple relationships to a claim? - -through the
ClaimContact entity
--What is the purpose of a reserve line? - -The amount of money set aside for expected
payments related to a given exposure. defined by exposure, cost type and cost category
--What is the main goal of adjudication? - -To determine if the claim should be paid or not
and if so, how much
--What is the total paid? - -Sum of all approved payments with scheduled send date today or
earlier
--What is the total incurred gross? - -Open reserves + total payments