Insurance claims & underwriting
Process claims and underwriting files in core insurance systems.
20 project-authored proposals · taxonomy v1.1 · 0 new benchmark runs. Verifiers and partial-credit rules below are designs, not executed results.
- Typical applications
- Guidewire · Duck Creek
- Class GUI-need label
HY· Hybrid
Task proposals · 20
Expand to inspect the complete original wording and proposed checks. Original proposal text remains English in both interfaces.
R05.13.01.04-T01 Open an auto claim with parties and exposures from FNOL documents
Original instruction
Guidewire ClaimCenter (training instance, synthetic data) is open. From input/fnol_call_notes.txt and input/police_report.pdf, create the claim on policy PA-000418: loss date/time/location, cause 'Rear-end collision', insured driver, claimant and witness contacts, and exposures for insured vehicle damage and claimant bodily injury. Run coverage verification.
- Platforms
web· Any OS (web)- Applications
- Guidewire ClaimCenter
- Interfaces
brow· Browser- GUI need · task setting
G2· GUI-essential- GUI need · ordinary access
G2· GUI-essential- Interaction primitives
type· Text & formsclick· Point & clickvis· Visual judgment- Work product
WP08· App/system state- Conditions
- None declared
- Proposed difficulty
- 3 / 5
Proposed verifier
Grader reads training DB: claim on correct policy, loss fields exact, 3 contacts with roles, 2 exposures with correct coverage types, coverage verified flag. Guidewire Cloud API scopes are withheld from the agent user, and history must show its UI session.
Proposed partial credit
25% loss details; 25% contacts and roles; 35% exposures and coverages; 15% verification.
R05.13.01.04-T02 Set initial reserves per reserving guidelines
Original instruction
In ClaimCenter (training), claim 0000-31-2207 has 3 exposures. Set initial reserves per input/reserving_guide.pdf: vehicle damage from the appraisal estimate, rental at 30 days x daily limit, bodily injury by injury code table. One reserve exceeds your authority and must be submitted for approval, not forced.
- Platforms
web· Any OS (web)- Applications
- Guidewire ClaimCenter
- Interfaces
brow· Browser- GUI need · task setting
HY· Hybrid- GUI need · ordinary access
G2· GUI-essential- Interaction primitives
type· Text & formsclick· Point & clickmulti· Cross-app- Work product
WP08· App/system state- Conditions
- None declared
- Proposed difficulty
- 3 / 5
Proposed verifier
Reserve transactions per exposure/cost type equal key amounts; the over-authority reserve is in 'pending approval' with approval activity; no other reserves.
Proposed partial credit
60% reserve amounts (pro rata over 3 exposures); 25% over-authority routed; 15% cost types correct.
R05.13.01.04-T03 Issue a repair payment net of deductible
Original instruction
In ClaimCenter (training), pay the body shop for claim 0000-31-2207 vehicle exposure: estimate total from input/final_invoice.pdf, minus the $500 collision deductible, payee 'Reliable Auto Body (synthetic)' with the insured as joint payee per state rule, check method. Submit the check for approval; do not release it.
- Platforms
web· Any OS (web)- Applications
- Guidewire ClaimCenter
- Interfaces
brow· Browser- GUI need · task setting
HY· Hybrid- GUI need · ordinary access
G2· GUI-essential- Interaction primitives
type· Text & formsclick· Point & click- Work product
WP08· App/system state- Conditions
risk· Irreversible/risky- Proposed difficulty
- 3 / 5
Proposed verifier
Check record: amount = invoice - 500 exactly, payees per rule, reserve line correct, status pending approval (not issued); reserves eroded correctly.
Proposed partial credit
40% amount; 25% payees; 20% reserve line; 15% not released.
R05.13.01.04-T04 Deny an exposure on a policy exclusion with a letter
Original instruction
In ClaimCenter (training), claim 0000-44-1180 includes an exposure for a vehicle used for paid delivery. Review the policy form input/pa_policy_form.pdf and adjuster notes; if the commercial-use exclusion applies, close the exposure with outcome 'Coverage denied', cite the clause, zero the reserve, and generate denial letter template DL-02 to output/denial.pdf.
- Platforms
web· Any OS (web)- Applications
- Guidewire ClaimCenter
- Interfaces
brow· Browser- GUI need · task setting
HY· Hybrid- GUI need · ordinary access
G2· GUI-essential- Interaction primitives
click· Point & clicktype· Text & formsvis· Visual judgment- Work product
WP08· App/system state- Conditions
risk· Irreversible/risky- Proposed difficulty
- 4 / 5
Proposed verifier
Exposure closed with outcome and note citing exclusion section; reserve 0; letter PDF contains claim number and clause text; other exposure open. Grader key: exclusion applies.
Proposed partial credit
35% correct coverage decision; 25% closure and reserve; 25% letter; 15% other exposure untouched.
R05.13.01.04-T05 Sketch a water-damaged floor and price the estimate in Xactimate
Original instruction
In Xactimate (Windows, training license), create the estimate for claim WD-2210: sketch kitchen, hall and laundry from input/field_measurements.pdf (walls, doors, openings, 8 ft ceiling), then add line items for tear-out, drying equipment and replacement per input/scope_notes.txt using the price list ORLA8X_OCT26. Total RCV must land within 2% of reference.
- Platforms
win· Windows- Applications
- Xactimate
- Interfaces
desk· Desktop GUI- GUI need · task setting
G2· GUI-essential- GUI need · ordinary access
G3· GUI-only- Interaction primitives
drag· Drag & dropgeom· Precise geometrytype· Text & formsclick· Point & click- Work product
WP08· App/system state- Conditions
licensed· Licensed pro applong· Long-horizon- Proposed difficulty
- 5 / 5
Proposed verifier
ESX export parsed: room areas and perimeters within 1%; openings present; line items match scope (codes/quantities within 3%); RCV total within 2% of reference. ESX/XML sketch import is disabled for the training license and the VM has no scripting runtime, so the sketch must be drawn natively.
Proposed partial credit
35% sketch geometry; 30% line items; 25% RCV total within 2 pct of reference; 10% price list.
R05.13.01.04-T06 Write an auto damage estimate from photos
Original instruction
In CCC ONE (training), write the estimate for VIN in input/vehicle.txt from the 14 damage photos in input/photos/: choose repair vs replace for each damaged panel per input/guidelines.pdf, add refinish and blend operations, and OEM vs alternative parts per policy. Total within 5% of the reference estimate.
- Platforms
win· Windows- Applications
- CCC ONE
- Interfaces
desk· Desktop GUI- GUI need · task setting
G2· GUI-essential- GUI need · ordinary access
G3· GUI-only- Interaction primitives
vis· Visual judgmentclick· Point & clicktype· Text & forms- Work product
WP08· App/system state- Conditions
licensed· Licensed pro app- Proposed difficulty
- 4 / 5
Proposed verifier
Exported estimate: damaged-panel set F1 >= 0.85 vs reference; repair/replace decisions per guideline; refinish/blend present; total within 5%. CCC ONE estimate import and API access are not available to the training user, so the estimate must be written in the client.
Proposed partial credit
35% panel set; 25% repair/replace; 15% refinish/blend; 25% total within 5 pct of reference.
R05.13.01.04-T07 Quote and bind a small-commercial BOP submission
Original instruction
In Guidewire PolicyCenter (training), create a Businessowners submission for 'Lakeside Bakery LLC (synthetic)' from input/acord125_140.pdf: locations, buildings, class code, limits and optional coverages. Quote it, confirm the premium matches input/rating_worksheet.xlsx within $1, then bind with effective date 2026-11-01.
- Platforms
web· Any OS (web)- Applications
- Guidewire PolicyCenter · Excel
- Interfaces
brow· Browser- GUI need · task setting
G2· GUI-essential- GUI need · ordinary access
G2· GUI-essential- Interaction primitives
type· Text & formsclick· Point & clickmulti· Cross-app- Work product
WP08· App/system state- Conditions
risk· Irreversible/risky- Proposed difficulty
- 4 / 5
Proposed verifier
Policy period bound; locations/buildings/class/limits per ACORD; premium within $1 of worksheet; effective date exact. Guidewire Cloud API scopes are withheld from the agent user, and history must show its UI session.
Proposed partial credit
40% submission data; 25% quoted premium match; 25% bound; 10% effective date.
R05.13.01.04-T08 Endorse an auto policy mid-term
Original instruction
In PolicyCenter (training), process a policy change on PA-000522 effective 2026-10-20: add a 2024 Honda CR-V (VIN in input/change_req.pdf) with the same coverages as vehicle 1, remove driver 'Ben Ito (synthetic)', and quote. Bind the change and report the prorated premium change in output/premium.txt.
- Platforms
web· Any OS (web)- Applications
- Guidewire PolicyCenter
- Interfaces
brow· Browser- GUI need · task setting
G2· GUI-essential- GUI need · ordinary access
G2· GUI-essential- Interaction primitives
type· Text & formsclick· Point & click- Work product
WP08· App/system state- Conditions
- None declared
- Proposed difficulty
- 3 / 5
Proposed verifier
Policy change job bound; vehicle added with coverages mirroring vehicle 1; driver removed; prorated change equals system and key. Guidewire Cloud API scopes are withheld from the agent user, and history must show its UI session.
Proposed partial credit
35% vehicle and coverages; 25% driver removed; 25% bound; 15% premium reported.
R05.13.01.04-T09 Renew a policy within underwriting authority
Original instruction
In Duck Creek Policy (training), process the renewal of commercial auto policy CA-30019: apply the 6% filed rate change, set a schedule rating modification of -8% justified by input/loss_runs.pdf, and if the final premium change exceeds +15%, refer to a senior underwriter instead of issuing.
- Platforms
web· Any OS (web)- Applications
- Duck Creek Policy
- Interfaces
brow· Browser- GUI need · task setting
HY· Hybrid- GUI need · ordinary access
G2· GUI-essential- Interaction primitives
type· Text & formsclick· Point & clickmulti· Cross-app- Work product
WP08· App/system state- Conditions
- None declared
- Proposed difficulty
- 3 / 5
Proposed verifier
Renewal transaction: rate change and schedule mod values; justification note; status issued or referred per key computed premium change.
Proposed partial credit
30% rate change; 30% schedule mod with note; 40% correct issue/refer outcome.
R05.13.01.04-T10 Clear an underwriting queue against the appetite guide
Original instruction
In the Duck Creek underwriting workbench (training), 6 new submissions await review. Apply input/appetite_guide.pdf (eligible class codes, TIV limit, 3-year loss ratio, protection class). Decline out-of-appetite submissions with reason codes, refer one borderline TIV case to the manager, and accept the rest into quoting.
- Platforms
web· Any OS (web)- Applications
- Duck Creek Policy
- Interfaces
brow· Browser- GUI need · task setting
HY· Hybrid- GUI need · ordinary access
G2· GUI-essential- Interaction primitives
click· Point & clickvis· Visual judgmenttype· Text & forms- Work product
WP08· App/system state- Conditions
- None declared
- Proposed difficulty
- 3 / 5
Proposed verifier
Submission statuses and reason codes equal key; referral activity on the borderline case; no decline without a reason code.
Proposed partial credit
70% decisions (pro rata); 20% reason codes; 10% referral.
R05.13.01.04-T11 Apply address changes in a green-screen policy system
Original instruction
In a 3270 terminal emulator connected to a legacy policy-admin sandbox, apply the 15 mailing-address changes in input/changes.xlsx using screen POLICY-UPD (PF keys per input/screen_guide.pdf). Each policy's inquiry screen must show the new address; skip the 2 rows whose policy numbers are cancelled and log them in output/skipped.txt.
- Platforms
win· Windowsmac· macOS- Applications
- 3270 emulator · Excel
- Interfaces
desk· Desktop GUIterm· Terminal- GUI need · task setting
G3· GUI-only- GUI need · ordinary access
G3· GUI-only- Interaction primitives
type· Text & formskey· Shortcutsmulti· Cross-app- Work product
WP08· App/system state- Conditions
multiapp· Multi-apptutorial· Follow docs/tutorial- Proposed difficulty
- 3 / 5
Proposed verifier
Host DB: 13 addresses updated exactly; cancelled policies unchanged; skipped.txt lists those 2. The host exposes no database, FTP or API route, only the 3270 session, and the emulator's macro/scripting interface (HLLAPI, script files) is disabled, so updates must be keyed on POLICY-UPD.
Proposed partial credit
65% addresses (pro rata over 13); 20% cancelled skipped; 15% log.
R05.13.01.04-T12 Identify subrogation potential and open recovery records
Original instruction
In ClaimCenter (training), review the 10 claims closed last month in group 'Auto East'. Using notes and police reports, open subrogation for claims where the other party was at fault (>= 50%) and a known carrier exists: create the subrogation record, recovery reserve equal to paid loss x fault share, and a demand-letter activity.
- Platforms
web· Any OS (web)- Applications
- Guidewire ClaimCenter
- Interfaces
brow· Browser- GUI need · task setting
HY· Hybrid- GUI need · ordinary access
G2· GUI-essential- Interaction primitives
nav· Pan/zoom/scrollvis· Visual judgmenttype· Text & forms- Work product
WP08· App/system state- Conditions
- None declared
- Proposed difficulty
- 4 / 5
Proposed verifier
Subrogation set equals key (4 claims); recovery reserves exact; activities present; no subrogation on others.
Proposed partial credit
50% claim set; 30% recovery reserves; 20% activities.
R05.13.01.04-T13 Refer suspicious claims to the SIU
Original instruction
In Duck Creek Claims (training), apply the red-flag rules in input/siu_rules.md (loss within 30 days of inception, reported > 14 days late, 2+ prior claims in 12 months, inconsistent statements) to the 18 open claims in your queue. Refer those scoring >= 2 flags to SIU with a note listing the flags.
- Platforms
web· Any OS (web)- Applications
- Duck Creek Claims
- Interfaces
brow· Browser- GUI need · task setting
HY· Hybrid- GUI need · ordinary access
G2· GUI-essential- Interaction primitives
nav· Pan/zoom/scrollclick· Point & clicktype· Text & forms- Work product
WP08· App/system state- Conditions
- None declared
- Proposed difficulty
- 3 / 5
Proposed verifier
SIU referral records equal key set; notes enumerate the flags matched; no referrals for others.
Proposed partial credit
60% referral set; 30% flags listed; 10% no extra referrals.
R05.13.01.04-T14 Assign catastrophe claims to field adjusters on a map
Original instruction
After a hailstorm, 40 new property claims are unassigned in ClaimCenter (training). Using the assignment map view, drag claims to the 5 field adjusters so each adjuster's claims lie in their territory polygon, nobody exceeds 10 claims, and roof claims go only to adjusters with the 'roof certified' skill.
- Platforms
web· Any OS (web)- Applications
- Guidewire ClaimCenter
- Interfaces
brow· Browser- GUI need · task setting
G2· GUI-essential- GUI need · ordinary access
G2· GUI-essential- Interaction primitives
drag· Drag & dropnav· Pan/zoom/scrollvis· Visual judgment- Work product
WP08· App/system state- Conditions
- None declared
- Proposed difficulty
- 4 / 5
Proposed verifier
Assignments: every claim assigned once; claim locations inside the assignee's territory; <= 10 each; roof claims to certified adjusters. Guidewire Cloud API scopes are withheld from the agent user, and history must show its UI session.
Proposed partial credit
30% all assigned; 30% territory; 20% caps; 20% skill rule.
R05.13.01.04-T15 Control: perform the T08 policy change through the API
Original instruction
Control pair of T08. Using PolicyCenter Cloud API sandbox credentials in input/pc_api.env, run the same mid-term change on a fresh copy of PA-000522 (add vehicle with mirrored coverages, remove driver, quote, bind) and print the premium change.
- Platforms
lin· Linuxmac· macOSwin· Windows- Applications
- Guidewire Cloud API · Python
- Interfaces
api· API/SDKterm· Terminal- GUI need · task setting
AP· API-sufficient- GUI need · ordinary access
AP· API-sufficient- Interaction primitives
code· Code & commands- Work product
WP08· App/system state- Conditions
- None declared
- Proposed difficulty
- 2 / 5
Proposed verifier
Same end-state checks as T08.
Proposed partial credit
35% vehicle and coverages; 25% driver removed; 25% bound; 15% premium.
R05.13.01.04-T16 Rate a life application from physician and lab records
Original instruction
In the life underwriting workbench (training), case L-55821 has an attending physician statement (input/aps.pdf, partly handwritten) and lab results (input/labs.pdf). Enter the medical findings, apply the debit/credit manual input/uw_manual.pdf (BMI, A1C, BP, family history), set the resulting rating class and table, and request one missing requirement.
- Platforms
web· Any OS (web)- Applications
- life underwriting workbench
- Interfaces
brow· Browser- GUI need · task setting
HY· Hybrid- GUI need · ordinary access
G2· GUI-essential- Interaction primitives
vis· Visual judgmenttype· Text & formsclick· Point & click- Work product
WP08· App/system state- Conditions
- None declared
- Proposed difficulty
- 4 / 5
Proposed verifier
Case record: findings entered match key values; total debits/credits and rating class equal key; one requirement ordered (the missing one).
Proposed partial credit
35% findings; 35% rating class; 30% requirement ordered.
R05.13.01.04-T17 Reinstate a lapsed policy with an installment plan
Original instruction
In Guidewire BillingCenter (training), policy HO-77310 lapsed for non-payment 9 days ago, within the 15-day reinstatement window. Apply the customer's payment from input/payment.txt to the delinquent amount, switch the account to the 10-pay installment plan, and trigger reinstatement without a lapse in coverage.
- Platforms
web· Any OS (web)- Applications
- Guidewire BillingCenter · Guidewire PolicyCenter
- Interfaces
brow· Browser- GUI need · task setting
HY· Hybrid- GUI need · ordinary access
G2· GUI-essential- Interaction primitives
click· Point & clicktype· Text & forms- Work product
WP08· App/system state- Conditions
- None declared
- Proposed difficulty
- 3 / 5
Proposed verifier
Payment applied to delinquent invoice items; payment plan changed with new invoice schedule; reinstatement job bound with effective date equal to lapse date.
Proposed partial credit
30% payment applied; 35% installment plan; 35% reinstated without gap.
R05.13.01.04-T18 File a windshield claim and auto-approve under threshold
Original instruction
In Duck Creek Claims (training), file first notice of loss for a windshield chip on policy PA-000611 from input/glass_fnol.txt, select glass vendor 'ClearView (synthetic)', and approve the repair since the quote ($89) is under the $150 auto-approval threshold with zero deductible.
- Platforms
web· Any OS (web)- Applications
- Duck Creek Claims
- Interfaces
brow· Browser- GUI need · task setting
HY· Hybrid- GUI need · ordinary access
G2· GUI-essential- Interaction primitives
type· Text & formsclick· Point & click- Work product
WP08· App/system state- Conditions
- None declared
- Proposed difficulty
- 2 / 5
Proposed verifier
Claim on right policy with glass coverage, vendor assignment, approved payment 89.00, deductible 0.
Proposed partial credit
40% claim details; 25% vendor; 35% approval and amount.
R05.13.01.04-T19 Log an adjuster call and create follow-up activities
Original instruction
In ClaimCenter (training), on claim 0000-31-2207 add a note from input/call_summary.txt (topic 'Claimant contact'), then create 3 activities: obtain medical records (due in 14 days), follow up with claimant (7 days), supervisor review (3 days), assigned per input/assignments.txt.
- Platforms
web· Any OS (web)- Applications
- Guidewire ClaimCenter
- Interfaces
brow· Browser- GUI need · task setting
HY· Hybrid- GUI need · ordinary access
G2· GUI-essential- Interaction primitives
type· Text & formsclick· Point & click- Work product
WP08· App/system state- Conditions
- None declared
- Proposed difficulty
- 2 / 5
Proposed verifier
Note with topic and text; 3 activities with subjects, due dates relative to today and assignees exact.
Proposed partial credit
30% note; 70% activities (due dates and assignees).
R05.13.01.04-T20 Handle an auto claim from first notice to closure
Original instruction
In ClaimCenter (training), run claim lifecycle input/scenario_auto.md: FNOL with 2 vehicles, coverage check, reserves, appraisal assignment, rental authorization (max 21 days), repair and rental payments net of deductible, total-loss decision for the claimant vehicle via the valuation report, salvage assignment, subrogation, and closure of all exposures.
- Platforms
web· Any OS (web)- Applications
- Guidewire ClaimCenter
- Interfaces
brow· Browser- GUI need · task setting
G2· GUI-essential- GUI need · ordinary access
G2· GUI-essential- Interaction primitives
type· Text & formsclick· Point & clicknav· Pan/zoom/scrollvis· Visual judgment- Work product
WP08· App/system state- Conditions
long· Long-horizonrisk· Irreversible/risky- Proposed difficulty
- 5 / 5
Proposed verifier
Training DB state equals scenario key at each stage: exposures, reserves, payments (amounts/payees), total-loss flag, salvage record, subrogation, closed statuses; no payments released beyond approval. Guidewire Cloud API scopes are withheld from the agent user, and history must show its UI session.
Proposed partial credit
30% FNOL and reserves; 25% payments; 30% total loss, salvage and subrogation; 15% closure.
Mapped research references
Existing benchmark-to-class links from the research catalog. They are not record-level annotations, executions or product endorsements.
In this workflow family
- R05.13.01.01 Hotel & restaurant operations (PMS, POS)
- R05.13.01.02 Retail store & point-of-sale operations
- R05.13.01.03 Real estate & property management
- R05.13.01.05 Banking & lending operations
- R05.13.01.06 Construction estimating & field management
- R05.13.01.07 Facility & building automation operations
- R05.13.01.08 Service appointment scheduling (provider side)