Guidewire ClaimCenter Professional Exam
ACTUAL EXAM 2026/2027 | Guidewire
ClaimCenter Certification | Verified Q&A |
Pass Guaranteed - A+ Graded
Section 1: Claim Lifecycle & FNOL
Q1: A claim has been fully investigated, liability determined, settlement paid, and no further action is
expected. The adjuster completes all outstanding activities. Which claim status should be selected?
A. Open
B. Pending Investigation
C. Closed [CORRECT]
D. Reopened
Correct Answer: C
Rationale: [CORRECT] "Closed" status indicates that all claim handling activities are complete, payments
issued, and no outstanding exposures remain.
A – Open is for active, in-process claims.
B – Pending Investigation occurs when facts are still being gathered.
D – Reopened is for previously closed claims with new activity.
Q2: During the First Notice of Loss (FNOL) process, the system automatically populates policy details
after the user enters a policy number. What is the primary source of this data integration?
A. BillingCenter
B. PolicyCenter [CORRECT]
C. Data Warehouse
,D. Contact Manager
Correct Answer: B
Rationale: [CORRECT] ClaimCenter integrates with PolicyCenter to retrieve policy data (coverages, limits,
insured names) in real-time or batch, ensuring the claim is filed against the correct policy terms.
A – BillingCenter provides financial/billing data, not policy coverage details.
C – Data Warehouse is for historical reporting, not transactional lookups.
D – Contact Manager stores entity data but not the policy contract itself.
Q3: An insurance company wants to ensure that complex commercial liability claims are assigned to
senior adjusters, while simple auto glass claims go to junior staff. Which ClaimCenter feature is used to
automate this distribution?
A. Activity Templates
B. Assignment Rules [CORRECT]
C. User Groups
D. Diary System
Correct Answer: B
Rationale: [CORRECT] Assignment Rules allow configuration of logic based on claim attributes (type,
complexity, location) to route work to specific users or groups (skill-based routing).
A – Activity Templates generate tasks, not claim ownership.
C – User Groups organize users but do not perform the routing logic.
D – Diary system is for follow-up reminders.
Q4: Select All That Apply: Which of the following are essential data elements required to create a basic
FNOL (First Notice of Loss) in ClaimCenter?
A. Policy Number [CORRECT]
B. Date of Loss [CORRECT]
C. Claimant's Social Security Number
,D. Description of the Loss [CORRECT]
Correct Answer: A, B, D
Rationale: [CORRECT] To initiate a claim, the system minimally requires identification of the policy (A),
when the event happened (B), and what happened (D) to trigger coverage verification.
C – SSN is not typically required at the immediate moment of FNOL unless it is a specific workers' comp
claim; it is PII usually gathered later.
Q5: A claimant calls to report an accident that happened 10 minutes ago. The policy system shows the
policy canceled yesterday for non-payment. What is the likely claim status outcome after the FNOL is
created?
A. Open
B. Closed
C. Declined [CORRECT]
D. Pending Investigation
Correct Answer: C
Rationale: [CORRECT] If no valid policy exists at the time of loss, the claim is typically set to "Declined"
(or "Denial" in some terminologies) as there is no coverage to investigate.
A – Open implies coverage exists.
B – Closed implies handling is finished; declined is the specific reason for closure without handling.
D – While brief investigation might occur to verify cancellation, the primary status logic points to
Declined if the system validates the cancellation.
Q6: An adjuster is entering an FNOL for a multi-car accident. The system allows the adjuster to add
multiple vehicles and drivers under a single claim number. In ClaimCenter structure, how are these
entities related to the main claim?
A. As separate claims linked by a "Super Claim"
B. As Exposures [CORRECT]
C. As Sub-Claims
D. As Activities
, Correct Answer: B
Rationale: [CORRECT] In ClaimCenter, an "Exposure" represents a specific coverage or element of loss
(e.g., Vehicle 1 Bodily Injury, Vehicle 2 Property Damage) within the main claim file.
A – One claim number is used.
C – "Sub-claim" is not standard terminology; Exposures are used.
D – Activities are tasks, not entities.
Q7: A user creates a claim but forgets to assign it to a specific adjuster. Which default assignment logic
typically applies?
A. The claim remains unassigned until a manager intervenes.
B. The claim is assigned to the user who created it.
C. The claim is assigned to a default group or round-robin queue based on the claim type. [CORRECT]
D. The system deletes the claim as invalid.
Correct Answer: C
Rationale: [CORRECT] Default assignment rules typically catch unassigned claims and route them to a
general queue or distribute them via round-robin to available adjusters in the relevant team.
A – Systems are designed to avoid "orphan" claims.
B – The creator might be a call center rep, not an adjuster; rules determine the handler.
Section 2: Financial Management
Q8: An adjuster opens a new auto claim with an initial case reserve of $5,000 for vehicle damage. Later,
a medical bill arrives for $2,000 from the other driver's chiropractor, and the adjuster adds a $2,000
expense reserve for medical. What is the total incurred amount for this claim before any payments are
made?
A. $5,000
B. $7,000 [CORRECT]
C. $2,000
D. $0
ACTUAL EXAM 2026/2027 | Guidewire
ClaimCenter Certification | Verified Q&A |
Pass Guaranteed - A+ Graded
Section 1: Claim Lifecycle & FNOL
Q1: A claim has been fully investigated, liability determined, settlement paid, and no further action is
expected. The adjuster completes all outstanding activities. Which claim status should be selected?
A. Open
B. Pending Investigation
C. Closed [CORRECT]
D. Reopened
Correct Answer: C
Rationale: [CORRECT] "Closed" status indicates that all claim handling activities are complete, payments
issued, and no outstanding exposures remain.
A – Open is for active, in-process claims.
B – Pending Investigation occurs when facts are still being gathered.
D – Reopened is for previously closed claims with new activity.
Q2: During the First Notice of Loss (FNOL) process, the system automatically populates policy details
after the user enters a policy number. What is the primary source of this data integration?
A. BillingCenter
B. PolicyCenter [CORRECT]
C. Data Warehouse
,D. Contact Manager
Correct Answer: B
Rationale: [CORRECT] ClaimCenter integrates with PolicyCenter to retrieve policy data (coverages, limits,
insured names) in real-time or batch, ensuring the claim is filed against the correct policy terms.
A – BillingCenter provides financial/billing data, not policy coverage details.
C – Data Warehouse is for historical reporting, not transactional lookups.
D – Contact Manager stores entity data but not the policy contract itself.
Q3: An insurance company wants to ensure that complex commercial liability claims are assigned to
senior adjusters, while simple auto glass claims go to junior staff. Which ClaimCenter feature is used to
automate this distribution?
A. Activity Templates
B. Assignment Rules [CORRECT]
C. User Groups
D. Diary System
Correct Answer: B
Rationale: [CORRECT] Assignment Rules allow configuration of logic based on claim attributes (type,
complexity, location) to route work to specific users or groups (skill-based routing).
A – Activity Templates generate tasks, not claim ownership.
C – User Groups organize users but do not perform the routing logic.
D – Diary system is for follow-up reminders.
Q4: Select All That Apply: Which of the following are essential data elements required to create a basic
FNOL (First Notice of Loss) in ClaimCenter?
A. Policy Number [CORRECT]
B. Date of Loss [CORRECT]
C. Claimant's Social Security Number
,D. Description of the Loss [CORRECT]
Correct Answer: A, B, D
Rationale: [CORRECT] To initiate a claim, the system minimally requires identification of the policy (A),
when the event happened (B), and what happened (D) to trigger coverage verification.
C – SSN is not typically required at the immediate moment of FNOL unless it is a specific workers' comp
claim; it is PII usually gathered later.
Q5: A claimant calls to report an accident that happened 10 minutes ago. The policy system shows the
policy canceled yesterday for non-payment. What is the likely claim status outcome after the FNOL is
created?
A. Open
B. Closed
C. Declined [CORRECT]
D. Pending Investigation
Correct Answer: C
Rationale: [CORRECT] If no valid policy exists at the time of loss, the claim is typically set to "Declined"
(or "Denial" in some terminologies) as there is no coverage to investigate.
A – Open implies coverage exists.
B – Closed implies handling is finished; declined is the specific reason for closure without handling.
D – While brief investigation might occur to verify cancellation, the primary status logic points to
Declined if the system validates the cancellation.
Q6: An adjuster is entering an FNOL for a multi-car accident. The system allows the adjuster to add
multiple vehicles and drivers under a single claim number. In ClaimCenter structure, how are these
entities related to the main claim?
A. As separate claims linked by a "Super Claim"
B. As Exposures [CORRECT]
C. As Sub-Claims
D. As Activities
, Correct Answer: B
Rationale: [CORRECT] In ClaimCenter, an "Exposure" represents a specific coverage or element of loss
(e.g., Vehicle 1 Bodily Injury, Vehicle 2 Property Damage) within the main claim file.
A – One claim number is used.
C – "Sub-claim" is not standard terminology; Exposures are used.
D – Activities are tasks, not entities.
Q7: A user creates a claim but forgets to assign it to a specific adjuster. Which default assignment logic
typically applies?
A. The claim remains unassigned until a manager intervenes.
B. The claim is assigned to the user who created it.
C. The claim is assigned to a default group or round-robin queue based on the claim type. [CORRECT]
D. The system deletes the claim as invalid.
Correct Answer: C
Rationale: [CORRECT] Default assignment rules typically catch unassigned claims and route them to a
general queue or distribute them via round-robin to available adjusters in the relevant team.
A – Systems are designed to avoid "orphan" claims.
B – The creator might be a call center rep, not an adjuster; rules determine the handler.
Section 2: Financial Management
Q8: An adjuster opens a new auto claim with an initial case reserve of $5,000 for vehicle damage. Later,
a medical bill arrives for $2,000 from the other driver's chiropractor, and the adjuster adds a $2,000
expense reserve for medical. What is the total incurred amount for this claim before any payments are
made?
A. $5,000
B. $7,000 [CORRECT]
C. $2,000
D. $0
