Claim CLM-69AC1091

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CLM-69AC1091

Travel
ApprovePending Review
Policy Details
Policy Number M-REV4769179
Insurance Plan Ultra Plan
Claim Amount
$742.11
Important Dates
Created Dec 4, 2025
AI Recommendation
Approve
AI Confidence
100%
High Confidence
History

Claim Description

Claim for trip cancellation due to the sickness (spontaneous miscarriage) of the claimant's wife, a family member. The claim covers two non-refundable hotel bookings and one non-refundable flight. A medical certificate advising against travel has been provided.

Attached Files

(15)
15 file(s) attached

AI Analysis

AI Reasoning

The claim is approved based on the 'Trip Cancellation - listed reasons' coverage of the Ultra Plan policy. The user has provided a valid medical certificate for a family member (wife) confirming a serious sickness (spontaneous miscarriage) and advising against travel, which is a covered circumstance. All submitted expenses (two hotels, one flight) have been verified with booking and cancellation confirmations showing they are non-refundable. The refund amount is calculated as 100% of the non-refundable costs (€792.11) minus the €50 policy deductible.

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
69ac1091-1efb-4463-8c39-c6492a3baf4c
Processing Agent
ClaimLLM
Last Updated
December 4, 2025 at 11:10 AM

Timeline

Submitted: Dec 4, 11:10 AM
Last Updated: Dec 4, 11:10 AM