ClaimCenter-Business-Analysts Exam Question 16

An Adjuster at Succeed Insurance is handling a homeowners claim with a dwelling exposure for damage to the insured's home. The Adjuster's Authority Limit Profile has the following limits:

The table below is a view of the property claims organization within Succeed Insurance. The Adjuster is a member of the group Property - Team A.

The Adjuster creates a payment in the amount of $6,500 for repairs to the insured's home. How will it be processed assuming that the claim has sufficient reserves for the payment?
  • ClaimCenter-Business-Analysts Exam Question 17

    Succeed Insurance has a strategic initiative to change auto insurance into a pay-as-you-drive model... When claims are processed, claimants must provide the log from the application for the date of incident. The log's details are essential to validation and analysis of the monitoring system's activity at the time of the incident.
    Without the application log, claims should not be processed to indemnification.
    Executives say the implementation team must maintain the base product functionality where appropriate and only change those things essential to the success of the initiative...
    Which two requirements are in scope based on the guiding principles? (Choose two.)
  • ClaimCenter-Business-Analysts Exam Question 18

    Succeed Insurance needs the ability to associate a primary hospital with an injury incident if the injured party received treatment. When treatment is needed, the primary hospital name should display on the injury incident screen along with other details about the injury and treatment received.
    The primary hospital should be added to the injury incident in one of the following ways:
    . Select the name from a list of medical care organizations already associated with the claim.
    . Enter the contact details directly in the incident.
    . Search the Address Book from the incident to locate a hospital.
    Which two requirements must be documented to associate the primary hospital with the claim? (Choose two.)
  • ClaimCenter-Business-Analysts Exam Question 19

    An Adjuster at Succeed Insurance creates a check with a partial payment of $1,200 for medical expenses payable to a claimant who was injured in a collision. The check has completed the following processing steps:
    . The payment exceeded the Adjuster's authority limits, changing the status to Pending Approval.
    . The Adjuster's supervisor reviewed and approved the payment, changing the status to Awaiting Submission.
    . A batch process sent the check to the external check processing system, changing the status to Requested when ClaimCenter received an update from the external system.
    The Adjuster received new information indicating that the check amount should be reduced to $950.
    Which action should the Adjuster take?
  • ClaimCenter-Business-Analysts Exam Question 20

    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?