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❀️ Health · Case Study

Customer support organization built from scratch

Standing up a 24/7 support function for a health-tech platform on an ITIL 4 operating model β€” from zero.

RoleSupport Operations Lead
Timeframe~6 months
IndustryHealth
0β†’24/7
Coverage
4-tier
SLA model
<2h
P1 response
90%
FCR target

The challenge

The platform was growing fast but had no formal support function β€” engineers fielded customer issues ad hoc, response times were unpredictable, and there was no way to measure or improve service quality.

In a regulated health context, that was a liability. The company needed a structured, auditable support operation that could scale and hold to defined service levels.

Approach

01

Operating model

Defined the support operating model on ITIL 4 β€” incident, request, and problem management with clear ownership and guiding principles.

02

Tiering & SLAs

Designed a four-tier model (L1–L3 + engineering escalation) with priority definitions and response/resolution SLAs per tier.

03

Tooling & knowledge

Configured the service desk, queues, and a knowledge base so L1 could resolve the long tail without escalating.

04

Hiring & ramp

Built the hiring plan, role definitions, and onboarding path, then ramped the first cohort against live volume.

05

Continual improvement

Instrumented dashboards and a review cadence to feed recurring issues back into product and knowledge.

How it fit together

Incident mgmt

Structured intake, prioritization, and resolution with defined SLAs per severity.

Escalation

Clear L1β†’L2β†’L3β†’engineering paths with ownership and handoff criteria at each tier.

Knowledge

A maintained knowledge base that powers first-contact resolution and onboarding.

Measurement

Dashboards for SLA attainment, FCR, backlog, and recurring-issue trends.

Architecture / flow diagram β€” to add

Outcomes

Tools & tech

ITIL 4Support OpsKnowledge BaseSLA DesignEscalation

Reflections

Starting from zero was an advantage β€” we designed the operating model deliberately instead of inheriting bad habits. ITIL 4 gave us a shared language without becoming bureaucratic.

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