Customer Complaint Workflow for Healthcare & Allied Health

# Customer Complaint Workflow - Healthcare & Allied Health

## Purpose
Use for all formal complaints to ensure timely resolution, consistent communication, and continuous improvement.

## When to Use
A structured complaint handling workflow with triage, investigation, resolution, and follow-up stages to turn negative experiences into retention opportunities.

## Instructions
1. Review the template below and familiarise yourself with the structure
2. Replace all [bracketed placeholders] with your healthcare & allied health business details
3. Customise the tone and formatting to match your brand
4. Save in your preferred tool (Zendesk or HubSpot)

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## Customer Complaint Workflow

### Trigger
Customer submits a formal complaint via any channel: email, phone, social media, website form, or in person.

### Steps

**Step 1: Log the Complaint** (Owner: Customer Service Representative) - Within 1 hour of receipt
Create a support ticket in Zendesk. Record: customer name, contact details, date of complaint, channel received, full description of the complaint, and any supporting evidence (screenshots, order numbers, correspondence). Assign the initial category.
- Tool: Zendesk
- Output: Complaint ticket created with full details

**Step 2: Acknowledge Receipt** (Owner: Customer Service Representative) - Within 2 business hours
Send the customer an acknowledgement using the complaint response template. Confirm their complaint has been received, provide a reference number, and set expectations for the next contact (typically within 2 business days).
- Tool: Zendesk
- Output: Acknowledgement sent with reference number

**Step 3: Classify Severity** (Owner: Customer Service Lead) - Within 4 business hours
Assess the complaint severity:
- **High:** Financial loss, legal risk, safety concern, repeat complaint, or high-value customer
- **Medium:** Service failure, product defect, significant inconvenience
- **Low:** Minor inconvenience, misunderstanding, preference issue
Set the priority in Zendesk and assign to the appropriate handler.
- Tool: Zendesk
- Output: Severity classified, handler assigned

> Decision Point: High-severity complaints must be escalated to the Department Manager within 4 hours. The Manager takes personal ownership of resolution. Medium and Low complaints proceed through the standard process.

**Step 4: Investigate** (Owner: Assigned Handler) - Within 2 business days
Investigate the complaint thoroughly. Review order history, service records, and internal communications in HubSpot. Speak with team members involved. Identify the root cause and determine whether the complaint is substantiated.
- Tool: HubSpot + Zendesk + Slack (internal enquiries)
- Output: Investigation completed, root cause identified

**Step 5: Determine Resolution** (Owner: Assigned Handler + Approval if needed) - Within 2 business days
Decide on the appropriate resolution. Options may include: apology, explanation, repair or replacement, refund (full or partial), credit, process change, or a combination. Resolutions over $500 require Manager approval.
- Tool: Zendesk + Slack (for approval)
- Output: Resolution determined and approved

**Step 6: Contact Customer with Resolution** (Owner: Assigned Handler) - Within 1 business day of determining resolution
Contact the customer to explain the findings and proposed resolution. Be empathetic, take responsibility where warranted, and clearly explain what will happen next. Give the customer an opportunity to respond.
- Tool: Zendesk (email/phone)
- Output: Resolution communicated, customer response received

> Decision Point: If the customer accepts the resolution, proceed to Step 7. If the customer is not satisfied, escalate to the Department Manager or offer alternative resolution options. Document the escalation.

**Step 7: Implement Resolution** (Owner: Assigned Handler + Relevant Department) - Per agreed timeframe
Execute the agreed resolution: process the refund, ship the replacement, implement the change, or deliver the service correction. Update the Zendesk ticket with proof of completion.
- Tool: Zendesk + Xero (for refunds) + relevant systems
- Output: Resolution implemented and documented

**Step 8: Follow Up** (Owner: Assigned Handler) - 5-7 business days after resolution
Contact the customer to confirm the resolution was satisfactory and the issue has not recurred. Ask if there is anything else you can do. Log the outcome in Zendesk and HubSpot.
- Tool: Zendesk + HubSpot
- Output: Follow-up completed, customer satisfaction confirmed

**Step 9: Record and Analyse** (Owner: Customer Service Lead) - Monthly
Review all complaint data for the period. Identify patterns, recurring issues, and systemic root causes. Present findings to the management team with recommendations for process improvements.
- Tool: Zendesk (reports) + Notion
- Output: Monthly complaint analysis completed

### Completion Criteria
- [ ] Complaint logged within 1 hour of receipt
- [ ] Customer acknowledged within 2 business hours
- [ ] Investigation completed within 2 business days
- [ ] Resolution implemented within agreed timeframe
- [ ] Follow-up completed and customer satisfied
- [ ] Data recorded for trend analysis

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**Complexity:** intermediate | **Setup time:** 15 minutes | **Tools:** Zendesk, HubSpot, Slack

Note: This template has been tailored for healthcare & allied health businesses in Australia. Adjust terminology and compliance references to match your specific context.