Involvement of Nurses in Handling an Insurance Case in a Health Insurance Company
Keywords:
insurance, insurance services, quality, nurseAbstract
Insurance, that combines social and individual insurances, the purpose of which is managing different risks, is a very complex system for individuals. The social security system in Slovenia is based on the principles of compulsory and voluntary health insurance. Due to long queues in healthcare services, more and more people opt for additional health insurances that enable shorter waiting time for the services. Nurses can also get involved into the handling of an insurance case; their expertise and
communication skills can be beneficial not only to the insured person but also to the insurance company. Through this review of literature, we wanted to find out what kind of insurance services are available abroad, and what is the role of nurses in health insurance companies when handling insurance cases. Based on predefined inclusion criteria for the selection of scientific articles, contents of 20 articles were analysed for the purpose of this paper. We found out that different countries have different health insurance systems, and that the accessibility of people to health insurance depends on their financial means. Nurses are included in different phases of work when handling an insurance case.
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