Claim CLM-AA24B5FB

Detailed view of the selected insurance claim

CLM-AA24B5FB

Travel
Needs More InfoPending Review
Policy Details
Policy Number M-REV4769179
Insurance Plan Ultra Plan
Claim Amount
$917.61
Important Dates
Created Oct 9, 2025
AI Recommendation
Needs More Info
AI Confidence
100%
High Confidence
History

Claim Description

User is claiming for trip cancellation due to his wife's sickness. The trip includes flights with Volotea and Vueling, and hotel stays at Barceló Bilbao Nervión and abba San Sebastián Hotel. The user has provided booking confirmations, cancellation confirmations for some items, and proof of payment. However, the required medical documentation (medical certificate and doctor's note) is missing.

Attached Files

(15)
15 file(s) attached

AI Analysis

AI Reasoning

The claim falls under 'Trip Cancellation for listed reasons' due to sickness of a trip companion. The policy explicitly requires an initial medical certificate and a written note from a medical practitioner advising against the trip (page 6). These documents have not been provided. Therefore, the claim cannot be approved until this essential evidence is submitted.

Confidence Breakdown

Overall Confidence 100.0%
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
aa24b5fb-d5de-4cd8-b775-34ddc359094c
Processing Agent
ClaimLLM
Last Updated
October 9, 2025 at 11:52 AM

Timeline

Submitted: Oct 9, 11:52 AM
Last Updated: Oct 9, 11:52 AM