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Complaint, SLA & Service Desk — Insurance

Central service desk for complaints, inquiries, and requests: omnichannel intake, SLA timers, triage & routing, case workflows, communications, knowledge base, root‑cause & corrective actions, and regulatory reporting — integrated with PAS/Claims/Billing and customer/agent portals.

Resolve FasterSLA timers & escalations
Regulatory ReadyStandard logs & regulator packs
Happier CustomersConsistent comms & visibility

Standard Features

Omnichannel Intake

Email/WA/SMS, portal, CTI/call logs, and branch walk‑ins.

Case Types & Templates

Complaints/inquiries/requests with workflows, tasks, and SLAs.

Triage & Routing

Auto classification, routing by skills/queues, and priorities.

SLA Timers & Escalations

Clock/stop rules, holidays, warnings, and multi‑level escalations.

Communications

Templates, merge fields, attachments, and audit trail; two‑way messaging.

Knowledge Base

Articles, SOPs, canned responses, and feedback loops.

Root‑Cause & CAPA

Capture causes, corrective/preventive actions, and owner follow‑ups.

Regulatory Reporting

Registers, timelines, outcomes, and periodic regulator reports.

Dashboards & KPIs

Volumes, SLA compliance, NPS/CSAT, and backlog heatmaps.

Security & Privacy

Consent, access controls, and redaction tools for sensitive info.

Integrations

PAS/Claims/Billing, CTI/Email/WA/SMS, DWH/BI, and portals.

Business Benefits

Shorter Resolution Time

Standard workflows and timers keep cases moving.

Reduced Risk

Compliant logs and regulator‑ready packs minimize penalties.

Higher NPS/CSAT

Consistent, proactive updates via preferred channels.

Cross‑Team Collaboration

Hand‑offs to claims/underwriting handled in‑tool.

Better Knowledge Reuse

Articles and canned responses reduce repeat effort.

Executive Control

Live SLA views and early warning signals for spikes.

Technology & Integration

PAS/Claims/Billing CTI/Telephony Email/WA/SMS Knowledge Base Data Warehouse/BI API‑First & SSO

What You Get

Branding (templates) Custom workflows & reports Trial access until go‑live Annual maintenance incl. change requests On‑prem or cloud
Ready to customize
Run a regulator‑ready service desk—with predictable SLAs.
Share your case categories and SLA matrix — we’ll configure queues, timers, and templates for a pilot.
Request Free Customization