In the game launcher see if in the options / advanced settings SSAO is ticked
I noticed on one of our family laptops which is above minimum spec for this game that even though the generated setup was set to low, reducing things like Actor and Object distance, it still enabled SSAO
From my experience trying out ENBs and similar graphics enhancements as SSAO for Skyrim, those are very heavy on CPU resource use.
I switched off Ambient Occlusion ( SSAO to off ) on that machine, and upped the Actor and Object distance a fair few notches ( which to my mind has less impact than SSAO ), and get really good performance on that machine now.
I think the generated ini setup still needs a bit of work in the balancing department by Bethesda, maybe they are enthusiastic to show off new features but have not really considered the performance impact very well as regards the logic of which options to leave on.
For anyone who remembers Skyrim launch, it was pretty much the same story - NVidia / ATI graphics drivers needed a few driver updates specifically for the game, and Bethesda needed to do a fair few tweaks to the game generated setup. No doubt it will get patched, even though it is a pain waiting for them to get things right, this aspect of the game is probably the hardest thing for them to judge, they can only have so many beta testers and possible machine configurations, when the game is set loose upon the world it is then subjected to a far wider range of machine hardware configurations which they could not have anticipated.
One thing to remember about the setup though - For laptops which have an I7 with an integrated HD Graphics card ( best setup as a PhysX co-processor ), the game launcher if not detected by NVidia may be using the intel processor as its graphics card that it sets up for .. You need to ensure that NVidia recognises that both the game exe and the launcher exe are using the High Performance dedicated graphics card, so that when the launcher runs it will setup for your NVidia card ..
.. I dont know what the routine is for ATI/AMD grahics cards