Claim CLM-870601D7

Detailed view of the selected insurance claim

CLM-870601D7

Travel
Needs More InfoPending Review
Policy Details
Policy Number M-REV4769179
Insurance Plan Ultra Plan
Claim Amount
$917.61
Important Dates
Created Oct 1, 2025
AI Recommendation
Needs More Info
AI Confidence
90%
High Confidence
History

Claim Description

Customer wants to cancel a trip due to his wife's sickness. He has provided booking and cancellation confirmations for flights and hotels, along with proof of payment.

Attached Files

(15)
15 file(s) attached

AI Analysis

AI Reasoning

The user has provided substantial evidence of non-refundable travel costs, including flight and hotel booking/cancellation confirmations and payment statements. The total non-refundable amount is calculated as €170.34 (Vueling) + (€149.04 - €23.54) (Volotea) + €371.68 (Barceló Hotel) + €250.09 (Abba Hotel) = €917.61. However, the claim falls under 'Trip Cancellation for listed reasons' (sickness of a trip companion), which requires medical documentation. The user has not yet provided the required medical certificate or the doctor's note advising against travel. Therefore, the claim cannot be approved yet and requires more information.

Confidence Breakdown

Overall Confidence 90.0%
Risk Assessment Low Risk
Recommendation Needs More Info

Human Review

Awaiting Human Review

This claim is waiting for human review and approval.

Additional Information

System Information

Claim ID
870601d7-0153-4a10-9e7d-ae6bb7698e78
Processing Agent
ClaimLLM
Last Updated
October 1, 2025 at 4:10 PM

Timeline

Submitted: Oct 1, 4:10 PM
Last Updated: Oct 1, 4:10 PM