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CLM-5367DCE1

Travel
ApprovePending Review
Policy Details
Policy Number M-REV4769179
Insurance Plan Ultra Plan
Claim Amount
$867.61
Important Dates
Created Nov 12, 2025
AI Recommendation
Approve
AI Confidence
100%
High Confidence
History

Claim Description

Claim for trip cancellation due to the serious illness of the insured's wife, Leny Chemaly. The trip to Bilbao and San Sebastián from July 11 to July 14, 2025, was cancelled based on medical advice.

Attached Files

(16)
16 file(s) attached

AI Analysis

AI Reasoning

The claim is approved as it meets all the criteria for 'Trip Cancellation for listed reasons'. The reason for cancellation (serious sickness of a family member) is a covered event. All required documents, including booking confirmations, cancellation proofs, and a valid medical certificate from a registered practitioner advising against travel, have been provided. The calculated reimbursement amount of €867.61 is based on the non-refundable costs of flights and hotels (€917.61) minus the policy deductible of €50.

Confidence Breakdown

Overall Confidence 100.0%
Risk Assessment Low Risk
Recommendation Approve

Human Review

Awaiting Human Review

This claim is waiting for human review and approval.

Additional Information

System Information

Claim ID
5367dce1-6356-4d0c-a384-f5cda72fbaa6
Processing Agent
ClaimLLM
Last Updated
November 12, 2025 at 9:50 AM

Timeline

Submitted: Nov 12, 9:50 AM
Last Updated: Nov 12, 9:50 AM