Insurance Claims Case Management Quiz

A visually appealing illustration of an insurance claims process, featuring icons representing case management, customer service, and digital workflows, with a modern, professional design.

Insurance Claims Case Management Quiz

Test your knowledge of best practices in insurance claims management with this engaging quiz. Designed for professionals and learners alike, it covers key aspects of case types, service levels, and assignment routing.

  • 9 thought-provoking questions
  • Multiple choice and text entry formats
  • Learn about Pega's best practices
9 Questions2 MinutesCreated by ManagingClaims092
How do you indicate the progress of a case towards resolution?
Update the case status on the appropriate steps.
Design intent-driven user interfaces.
Apply service levels to the assignment steps.
Configure a case notes field to capture progress information
The business process for an automobile insurance claim consists of the following phases:​ Submission: The customer contacts a customer service representative to file the claim​ Review: An adjuster reviews the claim, assesses the damages to each vehicle and provides an estimate of the cost of repairs.​ Repair: A third-party performs the repairs on each vehicle communicating with the adjuster and customer necessary.​ Verification: After each vehicle repair, the adjuster closes the claim.​ According to Pega best practices, which phase can you implement as a child case?
Review
Repair
Verification
Submission
All cases of a certain case type must be completed within a period of 5 days. To meet this requirement, you need to set the _________ in the service level to 5 days.
When developing a Pega App, you were given a task to add a passed deadline SLA, which studio will be able to implement it?
App studio
Dev Studio
On a service level, the passed deadline interval is measured from _____.
When the assignment is ready for a user.
The end of the goal interval
When a user begins the assignment.
The end of the deadline interval.
Case type for voice over, the application has roles for actors and editors. How do you setup work for the case type?
. Create two worklists,  one for actors and one for editors
Create two work queues, one for actors and one for editors​
You are configuring routing for a customer warranty service request. All warranty service requests are routed to the warranty resolution group except for warranty service requests for beta-release product that requires review by the vice president of service. ​ ​ How do you configure assignment routing to review warranty service requests?
€‹ Route the assignment to the vice president of service who routes assignments to the warranty resolution group as needed.
Route the assignment to the warranty resolution group who sends an email notification to the vice president of service for the beta-release product.
Route the assignment to the skilled group for the beta release when the request is for the beta release. Otherwise, route the assignment to the warranty resolution group.
Route the assignment to the vice president of service when the request is for the beta release. Otherwise, route the assignment to the warranty resolution group.
A stakeholder notice that the Send email step in the case is not sending an email. Which work item do you create in Agile Workbench to address this request?
Status
User Story
Bug
Feedback
A stake holder prefer to a group a set of existing actions into a multistep form, which work item do you create in agile workbench to address this change request
Bug
Feedback
Status
User story
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