1. After the insured has an insurance accident, he shall promptly notify the insurance company to report it;

2. Prepare claim materials according to the requirements of the insurance company, such as the insured's ID card, bank card, outpatient medical record, outpatient invoice, disease diagnosis, total invoice of hospitalization expenses, total list of hospitalization expenses, medical insurance settlement sheet, discharge record, etc.; If it is an accident, it is usually necessary to prepare an accident certificate; If it is a serious illness claim, it is generally necessary to prepare a pathological diagnosis or a hospital diagnosis report; If it is a death claim, it is generally necessary to prepare three death certificates, namely, cremation certificate, public security organ account cancellation certificate and medical death certificate issued by the hospital, but many insurance companies may only need two of them in order to simplify the claim settlement procedure;

3. After the insured is discharged from the hospital, submit the reimbursement materials to the insurance company for claim settlement; If it is a death or disability claim, then prepare the information and submit it to the insurance company for claim settlement;

4. If the insurance company is approved, the claim will be credited to the bank account designated by the insured/deceased beneficiary.

First, the function of economic compensation is the foundation of insurance, which can best reflect the characteristics and core competitiveness of the insurance industry. It is reflected in two aspects:

1. Property insurance compensation: Insurance refers to the compensation according to the scope of responsibility and insurance amount agreed in the insurance contract and the actual loss amount at the time of specific disasters and accidents within the validity period of insurance. Through compensation, the actual loss of existing social wealth caused by disasters and accidents is compensated in value, and the use value is restored, so that the process of social reproduction can continue. This kind of compensation includes not only the compensation for economic losses caused by natural disasters or accidents, but also the economic compensation for the insured's liability for economic compensation to a third party according to law, and also the compensation for economic losses caused by breach of contract in commercial credit.

2. Payment of life insurance: The insured amount of life insurance is determined by the insured through consultation with the insured according to the insured's needs for life insurance and the insured's ability to pay.

Second, compensation for losses

The principle of loss compensation is that when the subject matter insured suffers losses due to an insured accident, the insurer must compensate the beneficiary according to the scope of insurance liability. It means that the insurer compensates for the losses caused by the agreed insurance accident, and the beneficiary can't get additional benefits from the payment of insurance money. Generally speaking, property insurance follows this principle, but it is difficult to estimate the value of human life and body, so this principle is not applicable to life insurance. However, some scholars believe that the medical expenses of health insurance should also be followed, otherwise it is suspected of unjust enrichment.