guidewire-core-workflow-b

Guidewire Core Workflow B: Claims Processing

Overview

Master the complete claims lifecycle in ClaimCenter: First Notice of Loss (FNOL), claim investigation, reserve setting, payments, and settlement.

Prerequisites

• Completed guidewire-install-auth and guidewire-core-workflow-a
• Understanding of claims handling processes
• Valid API credentials with claims admin permissions

Claims Lifecycle States

FNOL -> Open -> Investigation -> Evaluation -> Negotiation -> Settlement -> Closed
[Draft] [Open]   [Reserve]      [Exposure]    [Payment]     [Settle]    [Closed]

Instructions

Step 1: Create FNOL

POST to /fnol/v1/fnol with loss date, loss type/cause, description, policy number, loss location, and reporter details.

Step 2: Add Exposures

POST exposures to /claim/v1/claims/<claimId>/exposures specifying exposure type (VehicleDamage, BodilyInjury), loss party (insured, claimant), and primary coverage.

Step 3: Add Incidents

POST vehicle incidents with severity, damage description, vehicle details, and operability status.

Step 4: Set Reserves

POST reserves to each exposure specifying reserve line (indemnity, expenses), cost type, category, and amount.

Step 5: Create Payments

POST payments with payment type (partial, final), exposure reference, payee, reserve line, amount, and payment method (check).

Step 6: Close Exposures

POST to each exposure's /close endpoint with the closed outcome (completed, denied, duplicate).

Step 7: Close Claim

POST to /claim/v1/claims/<claimId>/close with outcome. All exposures must be closed first.

For complete TypeScript API calls and Gosu server-side implementations, load the reference guide: Read(${CLAUDE_SKILL_DIR}/references/implementation-guide.md)

Output

• FNOL claim with claim number
• Exposures linked to coverages
• Reserves set on exposures
• Payments processed
• Claim closed with outcome

Error Handling

Error	Cause	Solution
Policy not found	Invalid policy number	Verify policy number and status
Coverage not applicable	Wrong coverage type	Check policy coverages
Reserve exceeds limit	Over policy limit	Adjust to policy limits
Payment validation	Missing required fields	Check payee and amount
Cannot close	Open activities/exposures	Complete pending items

Resources

• ClaimCenter Cloud API
• Claims Workflow Guide
• Exposure Types Reference

Next Steps

For error handling patterns, see guidewire-common-errors.

Examples

Auto collision claim: File an FNOL for a two-vehicle accident, create VehicleDamage and BodilyInjury exposures, set reserves of $5,000 for vehicle repair and $2,000 for medical expenses, issue a partial payment to the body shop, then close exposures and the claim after settlement.

Property damage claim with subrogation: File an FNOL for water damage at a commercial property, create a PropertyDamage exposure, set indemnity reserves, process payments to the restoration contractor, pursue subrogation against the responsible party, and close the claim with recovered amounts.