ClaimChoice Administrators - 3x3x3 Challenge with Shawn Szydlowski
ClaimChoice empowers self-funded employers to cut healthcare costs 20–30% through member advocacy and proactive claims management, helping brokers retain clients and avoid renewal chaos.
Transcript:
What is ClaimChoice Administrators?
If you've ever had a client stuck in a fully insured plan that's no longer working, but too overwhelmed to change, you're not alone. Rising costs, rigid networks and confused members are the norm. ClaimChoice flips that script. We're a third party administrator and Benefits Studio built for brokers who want smarter self-funded plans without chaos. Our approach combines proactive claims oversight with real human support. Take a recent case, a 55-year-old member was facing a $75,000 spinal fusion. Our member advocacy team stepped in with a second opinion and alternative treatment path, biomechanical physical therapy final cost $2,050, result, full recovery in two weeks and back on his motorcycle. This isn't luck. It's systematic claims management that delivers 20 to 30% cost reductions while improving member outcomes. Let's stop settling for autopilot renewals.
How is ClaimChoice Administrators different?
Most TPAs process claims and apply discounts. We prevent unnecessary claims from happening in the first place. That means live advocacy teams, not phone trees, realtime intervention on high risk procedures, and a clinically sound PBM ChoiceScripts that actually reduces Rx spend. Our plans aren't plug and play. They're built to perform. We pair each employer with a dedicated account manager and back every decision with bill reviews, second opinions, and smart contracting, not just discounts. Unlike traditional TPAs with 97% auto adjudication, we intentionally set ours lower to catch errors and identify intervention opportunities early. Bottom line, we treat every claim like it's our own family's healthcare. That mindset changes everything.
Who is a good fit for ClaimChoice Administrators?
We are the right fit for employers with 100 to 2,500 lives who are ready to control spend without disrupting the member experience. Whether it's traditional self-funding, level funding or work choice MEC plans for part-time or seasonal workers, we tailor the plan to your group's real world needs. Brokers bring us in when clients face 8 to 12% annual trend increases, declining service, or they're just tired of hearing, that's how it works. Our approach makes plan design collaborative, transparent and adaptable. If your clients want more control, more flexibility and actual savings, not just reports, ClaimChoice delivers. Let's connect and talk through what a better benefits plan looks like.
Transcript:
What is ClaimChoice Administrators?
If you've ever had a client stuck in a fully insured plan that's no longer working, but too overwhelmed to change, you're not alone. Rising costs, rigid networks and confused members are the norm. ClaimChoice flips that script. We're a third party administrator and Benefits Studio built for brokers who want smarter self-funded plans without chaos. Our approach combines proactive claims oversight with real human support. Take a recent case, a 55-year-old member was facing a $75,000 spinal fusion. Our member advocacy team stepped in with a second opinion and alternative treatment path, biomechanical physical therapy final cost $2,050, result, full recovery in two weeks and back on his motorcycle. This isn't luck. It's systematic claims management that delivers 20 to 30% cost reductions while improving member outcomes. Let's stop settling for autopilot renewals.
How is ClaimChoice Administrators different?
Most TPAs process claims and apply discounts. We prevent unnecessary claims from happening in the first place. That means live advocacy teams, not phone trees, realtime intervention on high risk procedures, and a clinically sound PBM ChoiceScripts that actually reduces Rx spend. Our plans aren't plug and play. They're built to perform. We pair each employer with a dedicated account manager and back every decision with bill reviews, second opinions, and smart contracting, not just discounts. Unlike traditional TPAs with 97% auto adjudication, we intentionally set ours lower to catch errors and identify intervention opportunities early. Bottom line, we treat every claim like it's our own family's healthcare. That mindset changes everything.
Who is a good fit for ClaimChoice Administrators?
We are the right fit for employers with 100 to 2,500 lives who are ready to control spend without disrupting the member experience. Whether it's traditional self-funding, level funding or work choice MEC plans for part-time or seasonal workers, we tailor the plan to your group's real world needs. Brokers bring us in when clients face 8 to 12% annual trend increases, declining service, or they're just tired of hearing, that's how it works. Our approach makes plan design collaborative, transparent and adaptable. If your clients want more control, more flexibility and actual savings, not just reports, ClaimChoice delivers. Let's connect and talk through what a better benefits plan looks like.