Customer Complaint Management Checklist for Insurance
A structured checklist for managing customer complaints from initial receipt through to resolution and follow-up, ensuring a consistent and professional approach.
Aligns with ASIC regulatory requirements, General Insurance Code of Practice, and AFSL obligations. Includes audit trail provisions.
Complete Checklist
- 1Acknowledge receipt of the dispute within the service level timeframeCritical
- 2Record all dispute details including date, customer, nature of issue, and desired outcomeCritical
- 3Assign the dispute to the appropriate person for investigation and resolution
- 4Investigate the dispute thoroughly and gather all relevant factsCritical
- 5Determine the root cause of the issue that led to the dispute
- 6Develop a resolution that is fair and proportionate to the issue
- 7Communicate the proposed resolution to the customer and seek their agreementCritical
- 8Implement the agreed resolution within the committed timeframe
- 9Follow up with the customer to confirm they are satisfied with the resolution
- 10Implement corrective actions to prevent the same issue from recurringCritical
- 11Update the dispute register with the resolution details and outcome
- 12Classify the dispute by type and severity for trend analysis
- 13Share the learnings from the dispute with the team to improve awareness
- 14Review dispute handling timelines and identify any breaches of service levels
- 15Close the dispute record and archive the documentation
Frequently Asked Questions
How do we use dispute data to improve the business?
Track and categorise all complaints to identify patterns. Analyse the root causes of the most frequent dispute types. Implement systemic changes to address the underlying issues. Monitor whether dispute volumes decrease after improvements are made. Share dispute trends with the team regularly and include dispute reduction targets in quality objectives. A declining dispute rate is one of the best indicators of improving quality.
How should staff be trained to handle customer complaints?
Train staff to listen actively without interrupting, empathise with the customer's experience, apologise for the inconvenience, gather all relevant information, and explain the next steps clearly. Empower front-line staff to resolve simple complaints immediately where possible. For more complex issues, train them on how to escalate appropriately without making the customer feel dismissed.
What is a good response time target for customer complaints?
Acknowledge all complaints within 24 hours. Aim to resolve simple complaints within 48 hours and more complex issues within five to ten business days. If resolution will take longer, keep the customer informed of progress at regular intervals. The speed of your initial acknowledgement often matters more to the customer than the speed of the final resolution.
Need help implementing these checks into your daily operations?
Our team can build custom checklists integrated into your daily operations workflow.