down arrow
About the Case

Lucas Johnson recently submitted an insurance claim to his home insurance provider due to a pipe that broke down in his kitchen, causing significant damage to nearly all cabinets. However, the insurance company has denied the claim, citing that it does not meet the necessary requirements for payment. Mr. Johnson is here again to dispute the denied claim, seeking resolution and clarification. 

As the insurance company representative, your primary objective is to ensure client satisfaction while demonstrating a thorough understanding of insurance policies and empathizing with Mr. Johnson’s situation.  

Learning Objectives:
  • Address the client’s concerns with empathy and professionalism  
  • Develop effective communication skills to handle claim disputes 
  • Identify cause of conflict and address issue with tact 
  • Display familiarity with the company’s rules and regulations 
  • Develop skills to meet client satisfaction and foster trust and loyalty
AI authoring tool
Skills Assessed
  • Effective Communication Skills
  • Problem-solving Abilities
  • Client Retention 
  • Client Relationship Management 
  • Product Knowledge and Compliance  

Customize Your Case
No technical knowledge required.

With the AI-Humans platform, create fully customizable AI-powered immersive scenarios for soft skills training. You have the power to:

Try Now
available on PC/Laptop

Denied Claim Dispute

Enter your details and click Try Now.