Skills Development Guidewire Claims Workflow Management

Guidewire Claims Workflow Management

v20260423
guidewire-core-workflow-b
Automate the entire insurance claims lifecycle within the Guidewire ClaimCenter platform. This workflow covers initial First Notice of Loss (FNOL) creation, investigation steps, reserve setting, payment processing, and final settlement. It is designed for insurance operations teams needing to streamline complex, multi-stage claims management processes using API calls.
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Overview

Guidewire Core Workflow B: Claims Processing

Overview

Claims lifecycle in ClaimCenter: First Notice of Loss (FNOL), investigation, reserve setting, payment processing, and settlement.

Claims Lifecycle

FNOL -> Investigation -> Reserve -> Payment -> Settlement -> Close

Instructions

Step 1: Create Claim (FNOL)

const claim = await fetch(`${GW_CC}/claim/v1/claims`, {
  method: 'POST', headers,
  body: JSON.stringify({
    data: { attributes: {
      lossDate: '2025-03-15T14:30:00Z',
      lossCause: { code: 'vehcollision' },
      lossType: { code: 'AUTO' },
      policyNumber: 'PA-000001',
      description: 'Rear-end collision at intersection',
      reporter: {
        firstName: 'John', lastName: 'Smith',
        primaryPhone: { phoneNumber: '555-0100' },
      },
    }}
  }),
}).then(r => r.json());
console.log(`Claim created: ${claim.data.attributes.claimNumber}`);

Step 2: Set Reserves

await fetch(`${GW_CC}/claim/v1/claims/${claimId}/reserves`, {
  method: 'POST', headers,
  body: JSON.stringify({
    data: { attributes: {
      reserveAmount: { amount: 5000, currency: 'usd' },
      costType: { code: 'claimcost' },
      costCategory: { code: 'body' },
    }}
  }),
});

Step 3: Create Payment

await fetch(`${GW_CC}/claim/v1/claims/${claimId}/payments`, {
  method: 'POST', headers,
  body: JSON.stringify({
    data: { attributes: {
      paymentType: { code: 'partial' },
      amount: { amount: 3000, currency: 'usd' },
      payee: { contact: { id: claimantContactId } },
    }}
  }),
});

Error Handling

Error Cause Solution
Policy not found Invalid policy number Verify policy exists and is in-force
Reserve exceeds limit Authority level exceeded Escalate to supervisor approval
Payment validation Missing payee info Add contact details before payment

For detailed implementation, see: implementation guide

Resources

Next Steps

For common errors, see guidewire-common-errors.

Info
Category Development
Name guidewire-core-workflow-b
Version v20260423
Size 4.13KB
Updated At 2026-04-28
Language