Benefits Confusion
Employees often struggle to understand coverage, networks, deductibles, claims, and healthcare costs.
Clarivo gives employees a trusted place to turn for healthcare and benefits support while reducing the administrative burden placed on HR teams.
Through human advocacy, intelligent technology, and actionable reporting, we help employers create a better benefits experience and make more informed decisions.
HR teams are often expected to resolve complex healthcare questions while also managing enrollment, compliance, payroll, recruiting, and the broader employee experience.
Employees often struggle to understand coverage, networks, deductibles, claims, and healthcare costs.
Benefit and healthcare questions create a steady stream of administrative work for already stretched teams.
Guide employees toward smarter decisions that reduce avoidable costs and increase the value of every benefits dollar.
Traditional reporting explains past utilization but may not reveal current confusion or emerging needs.
Claims reporting is valuable, but it primarily explains what has already happened. Clarivo captures the questions, barriers, and behaviors occurring now.
By analyzing member interactions and case activity, employers can identify education gaps, recurring issues, benefit confusion, and opportunities to improve the employee experience before those issues become larger problems.
Explore Clarivo analyticsClarivo gives employees direct access to knowledgeable advocates who can answer questions, research issues, explain options, and help move difficult situations forward.
HR teams gain a trusted extension of their benefits strategy without becoming the front line for every healthcare concern.
See how we support membersEmployees have a clear destination for benefits, claims, billing, provider, and cost questions.
Complex and sensitive situations receive personalized support from a real person.
Technology helps advocates access employer-specific information and provide consistent guidance.
Employers gain insight into member questions, case trends, and opportunities for improvement.
When an employee requests a Clarivo Cost & Quality Report and chooses a qualifying lower-cost provider, they can earn a financial reward based on the employer's program design.
The employee contacts Clarivo for a Cost & Quality Report.
Clarivo provides cost and quality report for providers.
The employee selects a qualifying lower-cost provider.
The employee provides the Explanation of Benefits so Clarivo can validate the provider selected.
Once validated, the employee receives the applicable reward based on the employer's program design.
Create a meaningful incentive for choosing high-value care.
Encourage decisions that can lower avoidable healthcare costs.
Help employees evaluate cost and quality when choosing care.
Build a reward structure that aligns with your benefits strategy.
Clarivo is designed to support employees while helping employers improve engagement, understand emerging needs, and strengthen future benefit decisions.
Employees receive direct support instead of relying on HR to research every healthcare concern.
Ongoing support encourages employees to better understand and use the benefits available to them.
Employees can make decisions with clearer information and support from someone in their corner.
Case activity and leading indicators help inform future communication and benefit planning.
Clarivo reporting is designed to give employers a clearer view of member engagement, recurring challenges, service activity, and opportunities to improve benefit outcomes.
Trends that may identify avoidable friction or opportunities for better navigation.
Indicators of benefit understanding, confidence, and informed decision-making.
Insights that can support communication, education, plan design, and renewal discussions.
Member utilization, repeat interactions, and service touchpoints.
Common questions, issue categories, and emerging employee needs.
Resolution activity, response patterns, and member experience indicators.
We work alongside employers and brokers to understand workforce needs, support employees, identify patterns, and translate member experiences into practical opportunities for improvement.
Let’s discuss how Clarivo can support your workforce, strengthen benefit engagement, and provide meaningful insight for your organization.