Claim CLM-8EDD78D1

Detailed view of the selected insurance claim

CLM-8EDD78D1

Travel
ApprovePending Review
Policy Details
Policy Number M-REV4769179
Insurance Plan Ultra Plan
Claim Amount
$867.61
Important Dates
Created Nov 20, 2025
AI Recommendation
Approve
AI Confidence
100%
High Confidence
History

Claim Description

The user has submitted a claim for trip cancellation due to the serious sickness (spontaneous miscarriage) of his wife, who was a trip companion. The claim is supported by all required documentation, including booking invoices, cancellation confirmations from all providers (hotels and airlines), and a medical certificate from a gynecologist explicitly advising against travel. The non-refundable costs total €917.61.

Attached Files

(11)
11 file(s) attached

AI Analysis

AI Reasoning

The user has provided all necessary documentation as stipulated in the 'Trip Cancellation – Listed Reasons' section of the policy. The reason for cancellation (serious sickness of a trip companion) is a covered event. The medical documentation is clear, dated appropriately, and explicitly recommends cancelling the trip. All costs have been verified through invoices and cancellation letters. The claimed amount is calculated by subtracting the received refund (€23.54) and the policy deductible (€50) from the total non-refundable expenses (€917.61). The documentation is complete and unambiguously supports the claim.

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
8edd78d1-1426-4644-84f5-21596fb5762d
Processing Agent
ClaimLLM
Last Updated
November 20, 2025 at 7:05 PM

Timeline

Submitted: Nov 20, 7:05 PM
Last Updated: Nov 20, 7:05 PM