đź’Ś    GET IN TOUCH

Transforming Member Support:
Enhancing Grievance management for better customer experience

Web App

Grievance manager using the grievance portal on a laptop

NationsBenefits, a leading provider of supplemental benefits and member engagement solutions in the US, was in need of a better way to address their member's benefits related issues to ensure 100% customer satisfaction.

Client

NationsBenefits

August 2022 - October 2022

Role

User experience (UX)

Ideation

Interaction Design

Visual Design

Team

Sai Charan Kankipati, Sole Designer

1 SME, SWE. F & B

2 Business Analysts

1 Product Owner

Objective

The objective of this project was to design a Grievance Management portal to replace the email-based escalation process, making grievance intake and resolution more structured, efficient, and trackable for Member Experience Agents (MEAs) and the Grievance team.

  • Eliminate reliance on email-based escalations reducing manual effort and scattered communication.
  • Improve workflow efficiency by introducing a centralized system for logging and tracking grievances.
  • Enhance traceability by ensuring every grievance is properly recorded, categorized, and assigned to the right team.
  • Increase team productivity and customer satisfaction through an intuitive, structured, and user-friendly grievance management system.
  • Problem Space

    As this was an internal tool, I relied on internal discussions with Grievance SMEs, Managers, and the Product team to understand the existing challenges. These conversations highlighted inefficiencies in the complaint intake and resolution process, revealing key pain points faced by Member Experience Agents (MEAs) and the Grievance Team.
  • Email-Based Escalations Causing Delays

    MEAs struggled to register grievances efficiently as they relied on emails to escalate grievances, while handling customer calls, as they had to switch between the CRM and the email client, leading to slow response times, lost requests, and inconsistent tracking of complaints.
  • Lack of Visibility and Accountability

    With grievances scattered across email threads, there was no clear ownership, making it difficult to track who escalated a complaint and what actions were taken.
  • Time-Consuming Manual Processing

    With grievances being reported through various calls and emails, they had to be manually sorted, categorized, and assigned, causing inefficiencies and increasing the risk of errors or delays.
  • Uncategorized Complaints Leading to Delays

    Member grievances varied widely, from general inquiries to benefits-related issues, but the lack of a structured categorization made it hard to prioritize and assign complaints, resulting in longer resolution times.
  • Grievance details view

    Current Grievance Workflow(As-Is) & User Groups

    After in-depth discussions with the Product team, MEAs, and the Grievance team, I mapped out the current (As-Is) workflow to gain a comprehensive understanding of how grievances are handled. This analysis was essential to eliminate assumptions and move forward with clarity ensuring a well-defined understanding of each user's role in the process and laying the foundation for identifying and implementing meaningful improvements.
    Grievance existing workflow

    Users

    I defined four key user groups aligned with the company’s existing processes to ensure best outcomes.
    Member Experience Agents (MEAs)

    Day to Day: MEAs interact with their pre-assigned customer base on a regular basis to help them with processing of orders, account information and now with their grievances

    Grievance Managers

    Day to Day: Grievance Managers overlook the entire grievance intake and resolving process by tracking them and co-ordinating the team responsible to resolve the grievances.

    Grievance Analysts

    Day to Day: Grievance Analyst goes through the actual grievance and assists the customers with the tools available at their disposal.

    Inter-department Experts

    Day to Day: If the grievance is related to or out of scope of an analyst they escalate the issues to the pre-assigned inter-department experts who resolve the issues for the customer and escalate it back to Analysts who will close the grievance once its reviewed.

    Opportunities

    The Grievance Management portal aimed to streamline complaint intake, tracking, and resolution. A review of the existing workflow revealed major inefficiencies, including email-based escalations, lack of tracking, and manual processing delays. To address these gaps, we explored the following:

    How Might We...

  • Create a seamless and intuitve experience for logging and handling grievances?
  • Improve transparency and accountability in the grievance process?
  • Simplify and optimize how grievances are recorded and managed?
  • Ensure better organization and prioritization of different grievance types?
  • Help MEAs & Grievance team with timely and relevant updates to enhance efficiency?
  • Project Goal & Scope

    Ensure a seamless workflow for creating, managing grievances (CRUD), enhance team efficiency, and design a tool that is both scalable and user-friendly.
    Grievance to-be workflow

    Solution

    TASK 1: Redesigning MEA experience to include Member grievances within the CRM:

    1. Streamlining grievance entry for efficiency

    To streamline and speed up the process for MEAs, we decided to position the grievance entry point at the customer's plan level in the CRM. This strategic placement ensures a smoother workflow for MEAs, improving their overall efficiency.

    Grievances entry point in CRM snippet

    Eliminates the need to switch between tools, speeding up the grievance escalation process.

    Improves traceability by clearly tracking who raised each grievance.

    2. Simplified grievance forms for faster reporting

    The grievance forms were designed to be simple, pulling relevant data directly from the plan-level information through interconnected platforms. This enables MEAs to quickly select options and report grievances with minimal effort.


    To improve efficiency for MEAs, we explored two Grievance intake form variations, each designed to streamline complaint registration while minimizing disruptions.

    Exploration 1

    A structured, multi-step process guiding MEAs through complaint registration in a sequential manner.

    first variation of grievance intake form

    The Stepper-Based Form provided structure but slowed MEAs with multiple screens and limited scalability.

    Reduces manual effort by automatically pulling relevant customer information into the grievance form.

    Slower process – MEAs must go through multiple steps, increasing the time spent per grievance.

    Interrupts workflow – Switching between steps adds friction, especially when handling multiple grievances.

    Limited scalability – Adding new grievance types requires modifying multiple steps, making future updates complex.

    Exploration 2 - Final Design

    A Simple, popup-initiated grievance intake within the CRM, keeping MEAs on the same page.

    finalized variation of grievance intake form

    To improve efficiency, we introduced the Quick-Submit Form, allowing MEAs to register grievances within a single screen. With pre-filled details and contextual forms, this streamlined approach significantly reduced time spent on each grievance while maintaining accuracy and flexibility.

    Simplified flow – A popup allows MEAs to initiate and register a grievance in just a few clicks.

    Includes categorization, detailed grievance entry, and contextual forms tailored to grievance types.

    Easily scalable – New grievance types and fields can be integrated without disrupting the existing structure.

    Validating Scalability & Refining the Solution

    Once the Quick submit form variation was finalized, I worked closely with the Product Owner & a Grievance Manager to classify and categorize 15+ grievance types and their subcategories. This process reinforced the scalability of the solution, proving it could accommodate any number of grievances seamlessly.

    Grievance form designs
    Streamlined & Scalable: Grievance submission in action
    end-to-end flow of MEA submitting a grievance

    TASK 2: Building a Dedicated Portal for Grievance managers & Analysts to Track and Manage Complaints

    A centralized portal for Grievance managers and Analysts to efficiently track, manage, and resolve complaints—all in one place.

    HOW IT STARTED

    Limited dashboard view makes grievance management harder

    This portal was designed to help Grievance Managers and Analysts efficiently handle escalated grievances through the improved intake process. Unlike the previous system, it offers a centralized hub for tracking, managing, and resolving complaints.

    I led the end-to-end design, working closely with Product Owners and Grievance teams, I created a dashboard-centric experience for the users, using a tab-based interface for easy navigation through various grievance statuses, all while following the established design guidelines and system.

    Grievance portal - Version 1

    The Grievance team faced difficulties accessing key information quickly due to a dashboard design that hid important details under multiple columns and tabs, requiring excessive scrolling.

    Important data was hidden under tabs, making it hard to get a quick overview.

    The need for additional scrolling to view more grievances or details led to inefficiencies.

    Lack of context in the dashboard meant users couldn’t easily identify the nature of the grievance at a glance.


    DESIGN EXPLORATION

    Optimized dashboard for easy Grievance tracking and management

    After exploring different variations, we settled on a bucketed list view to organize grievances by status. This design allows Grievance Managers to efficiently track multiple grievances, assign tasks, and monitor progress all in one place.

    3 Design variations comparison Final Grievance Design variation with annotations

    Final update to the Portal

    After a series of back and forth internal reviews, we decided to add a table view to make it easier and accessible for all the user groups.
    Grievance portal - Final design with table view Grievance details view

    Result & Impact

    Improved grievance intake efficiency reducing time spent on searching and sorting by ~40%.

    Clear grievance ownership and improved tracking, boosting transparency.

    Grievances were categorized and prioritized effectively, reducing manual effort by ~15%.

    Real-time updates and automated workflows led to a ~15% boost in team productivity.

    ~40%

    There was a reduction of about time taken by 40% (searching and sorting) as it was completely automated due to the setup.

    ~15%

    We noticed a 15% increase in the productivity of the Grievances team by eliminating the reliance on third-party tools for grievance resolution.

    Learnings: What I learned

    Streamlining the intake and categorization process eliminated manual steps and sped up resolution times.

    Engaging with stakeholders, including Grievance Managers and MEAs, ensured the solution met operational needs.

    Testing multiple variations helped refine the system and address critical pain points.