技能 编程开发 巨环理赔流程自动化

巨环理赔流程自动化

v20260423
guidewire-core-workflow-b
该技能旨在自动化巨环(Guidewire)理赔中心平台内的完整理赔生命周期流程。它涵盖了从第一次报告损失(FNOL)的创建、事故调查、预留准备金设置、付款处理到最终理赔结案的全过程。适用于需要通过API调用简化复杂、多阶段保险理赔管理流程的保险运营团队。
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概览

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.

信息
Category 编程开发
Name guidewire-core-workflow-b
版本 v20260423
大小 4.13KB
更新时间 2026-04-28
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