Worked Example

This chapter uses sample policy data to show how queue resolution selects a queue, creates a work item, calculates SLA dates, and closes the work item when the policy is submitted again.

The example values are illustrative. They show the expected decision flow and are not required configuration values.

Queue Resolution

This example follows policy POL-1001 after it is submitted and pended.

Policy Data

The submitted policy has two pend reasons and policy-specific dimensions that can be used for queue matching.

Table 1. Policy Input Data
Policy Code Brand Pend Reasons Messages Line of Business Group Account Policy Type Policy Broker

POL-1001

UCH

PEND001, PEND002

M1, M2

Individual

GA-100

Standard

BRK-01

Queue Configuration

The following queue configuration is available when queue resolution starts. The example uses a subset of the policy dimensions for readability. Queue definitions can also use other policy-specific dimensions, such as group client, policy broker, and policy agent.

Table 2. Candidate Queue Configuration
Queue Queue Pend Reason Message Group Priority Brand Line of Business Group Account Policy Type Condition Dynamic Logic

Q1 Eligibility Review

PEND001

MG1

1

UCH

Individual

GA-100

Standard

DL-Q1

Q2 Policy Operations

PEND001

MG2

1

UCH

Individual

NULL

Standard

DL-Q2

Q3 Broker Review

PEND001

MG1

2

TOP

Individual

GA-100

Standard

DL-Q3

Q4 General Policy Review

NULL

NULL

3

UCH

NULL

NULL

NULL

DL-Q4

The message groups used by the queues contain the following messages.

Table 3. Message Group Configuration
Message Group Messages

MG1

M1, M2

MG2

M1, M2, M3

The pend reasons are configured with the following priorities.

Table 4. Pend Reason Priority
Pend Reason Priority

PEND001

1

PEND002

NULL

Step 1: Identify the Primary Pend Reason

The system sorts the policy pend reasons by priority and then by pend reason code.

Table 5. Primary Pend Reason Selection
Order Pend Reason Reason

1

PEND001

It has priority 1.

2

PEND002

It has no configured priority, so it ranks after PEND001.

The primary pend reason for policy POL-1001 is PEND001.

Step 2: Identify Eligible Queues

Each queue is checked against the primary pend reason, policy messages, and policy-specific dimensions.

Table 6. Queue Eligibility Result
Queue Result Reason

Q1 Eligibility Review

Eligible

The queue contains PEND001; messages M1 and M2 are in MG1; and the configured brand, line of business, group account, and policy type match the policy.

Q2 Policy Operations

Eligible

The queue contains PEND001; messages M1 and M2 are in MG2; and the queue matches the policy dimensions. The blank group account acts as a wildcard.

Q3 Broker Review

Not eligible

The configured brand is TOP, but the policy brand is UCH.

Q4 General Policy Review

Eligible

No pend reason or message group is configured, and the blank dimensions act as wildcards.

Step 3: Order Eligible Queues

The eligible queues are ordered by whether they contain the primary pend reason, then by queue priority, and then by queue code.

Table 7. Ordered Eligible Queues
Order Queue Queue Priority Reason

1

Q1 Eligibility Review

1

Contains the primary pend reason and has the highest queue priority.

2

Q2 Policy Operations

1

Contains the primary pend reason and has the same priority as Q1; queue code ordering places it after Q1.

3

Q4 General Policy Review

3

Does not contain a specific pend reason and has lower queue priority.

Step 4: Execute Condition Dynamic Logic

The system evaluates the condition dynamic logic in the ordered sequence. The first queue that evaluates to true becomes the winning queue.

Table 8. Condition Dynamic Logic Result
Queue Result Outcome

Q1 Eligibility Review

True

Q1 Eligibility Review is selected as the winning queue.

Q2 Policy Operations

Not evaluated

Evaluation stops after Q1 is selected.

Q4 General Policy Review

Not evaluated

Evaluation stops after Q1 is selected.

The system creates a work item for policy POL-1001 in Q1 Eligibility Review.

Work Item Creation and Closure

This example shows how the policy work item is created and closed through policy submit processing.

Table 9. Policy Work Item Creation and Closure
Step Event System Behavior Result

1

Policy POL-1001 is submitted and pended.

Queue resolution runs and selects Q1 Eligibility Review.

Work item WI-POL-1001 is created with status Open.

2

A queue user reviews the policy work item.

The user completes the required policy review or correction outside the work item record.

The policy is ready to be submitted again.

3

Policy POL-1001 is submitted again.

The system checks for an open work item on the policy. If the work item is not in Done status, the system closes it and records the status history.

Work item WI-POL-1001 is closed.

4

Policy POL-1001 still has pend reasons after the new submit.

Queue resolution runs again for the remaining pends.

A new work item is created for the winning queue.

If the open work item is on hold when the policy is submitted, the system releases the hold and updates the hold history before closing the work item.

Default SLA Calculation

This example shows the difference between the work item SLA and the global SLA for a policy work item.

Table 10. SLA Configuration
SLA Type Due Time Risk Time

Work item SLA

2 days after work item creation

1 day after work item creation

Global SLA

5 days after the latest policy version creation date

4 days after the latest policy version creation date

The policy version is created on 2026-06-01 08:00, and the work item is created on 2026-06-01 10:00.

Table 11. SLA Calculation Result
SLA Type Risk Date and Time Due Date and Time

Work item SLA

2026-06-02 10:00

2026-06-03 10:00

Global SLA

2026-06-05 08:00

2026-06-06 08:00

The work item SLA is based on when the work item is created. The global SLA is based on the latest policy version creation date.