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Business Profile

Insurance Claims Processing

Sedgwick CMS

Headquarters

This business is NOT BBB Accredited.

Find BBB Accredited Businesses in Insurance Claims Processing.

Important information

  • Customer Complaint:
    While the BBB continues to accept and report complaints against this business and fulfill its responsibility to inform businesses of communications from its customers, this business generally responds that the Better Business Bureau online complaint resolution system is not the proper forum to respond to allegations in this complaint.

Complaints

This profile includes complaints for Sedgwick CMS's headquarters and its corporate-owned locations. To view all corporate locations, see

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Sedgwick CMS has 24 locations, listed below.

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    Customer Complaints Summary

    • 549 total complaints in the last 3 years.
    • 172 complaints closed in the last 12 months.

    If you've experienced an issue

    Submit a Complaint

    The complaint text that is displayed might not represent all complaints filed with BBB. Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business.

    Sort by

    Complaint status

    Complaint type

    • Initial Complaint

      Date:07/22/2025

      Type:Service or Repair Issues
      Status:
      Unresolved
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I am working for *****. I had a fall accident occurring on June 18. It took a whole month to get to even schedule and appointment with a doctor, and to this day, over a month later, no any funds have been paid and it does not seem anything will. It is complete non responsiveness, glacier speed and avoidance, and completely disrespectful attitude. I receive some generic texts and can not get a hold of anyone whenever trying to contact back.

      Business Response

      Date: 08/01/2025

      Thank you for the opportunity to respond to the complaint filed by **** ******. Please note that Sedgwick CMS is not an insurance company.  Sedgwick CMS is a third party claim administrator.  This complaint arises from a dispute related to a claim **** ****** filed against our client, ****** Services).

      A review of the claim file reveals that Sedgwick CMS has administered this claim in compliance with the laws and regulations governing the alleged loss. 

      Sedgwick CMS respectfully maintains that the Better Business Bureau online complaint resolution system is not the proper forum to respond to the allegations contained in **** Svitkos complaint. 

      Again, thank you for the opportunity to respond and clarify,as able.

    • Initial Complaint

      Date:07/21/2025

      Type:Service or Repair Issues
      Status:
      Unresolved
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I was involved in a motor accident on April 12, 2025. I made contact with Sedgwick a few days after the accident as this is the third-party administrator for the at-fault drivers insurance.The other driver was deemed at fault per the crash report I obtained. I provided all necessary documents within a week of the accident and have made multiple attempts to reach my adjuster since. The last time I made contact with the adjuster was around the last week of April. I called Sedgwick and someone other than my adjuster was able to provide an update. They indicated they were still working on whether they would accept liability even though the crash report indicates their driver was at fault. This update was provided over a month ago. Overall, I have been unable to reach my adjuster after multiple calls and an email. I have left my number and contact information on voicemail but have not heard anything back.

      Business Response

      Date: 08/01/2025

      Thank you for the opportunity to respond to the complaint filed by ***** *****. Please note that Sedgwick CMS is not an insurance company.  Sedgwick CMS is a third party claim administrator.  This complaint arises from a dispute related to a claim ***** ***** filed against our client, (********************).

      A review of the claim file reveals that Sedgwick CMS has administered this claim in compliance with the laws and regulations governing the alleged loss. 

      Sedgwick CMS respectfully maintains that the Better Business Bureau online complaint resolution system is not the proper forum to respond to the allegations contained in ***** ****** complaint. 

      Again, thank you for the opportunity to respond and clarify,as able.

    • Initial Complaint

      Date:07/18/2025

      Type:Order Issues
      Status:
      Unresolved
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      ****: *********************************** has defaulted on the contract. This is a result of a breach of duty in the closure and settlement of all obligations. Employee ***** **** of Sedgwick Claims Management has been very dishonorable. There hasn't been any communication after the demand has been set. We wouldn't advise any further business with this company or employee after closure and settlement. It is our utmost duty as the people to establish an equitable ground. This is a final demand for Delivery. REDEEM FOR LAWFUL MONEY 12 U.S.C. Subsection 411

      Customer Answer

      Date: 08/04/2025

      GREETINGS

      This message is to request document of signature drafted by BBB. The next step is printing this document and signing it as the lawful party. We thank you for you help and owe gratitude to your services. BBB of the ************** has been very helpful. Look forward to notifying you about any updates.

       

      This document has signature space with price of claim at the bottom.

    • Initial Complaint

      Date:07/16/2025

      Type:Service or Repair Issues
      Status:
      Unresolved
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      On May 19th i discovered my storage unit had been broken into, I had several items taken. I immediately filled a claim with my insurance company, Sedgwick. A few days later I missed a call from **** ***** who left a voicemail stating she was going to be my claims manager. I got together all the paperwork that was requested and emailed everything to the appropriate individuals. After that, I never heard back from an actual person regarding my case. I called Iman at least 5 separate times and left 3 voicemails asking her to call me back. I also followed up wither several emails but never heard back. I got a letter in the mail on July 7th stating that my claim was denied due to "lack of evidence" of forced entry. I attempted to explain that my lock was cut clean and removed, but again no one ever reached out to me. Last week I also contact the District Manager for Public Storage in an attempt to gain access to the surveillance footage. The DM told me that Sedgwick is constantly denying claims due to "lack of evidence". I believe Sedgwick is acting in bad faith and I deliberately denying claims to refuse paying out their costumers. I want them held accountable for this gross practice and to see my claim appealed.

      Business Response

      Date: 07/21/2025

      Thank you for the opportunity to respond to the complaint filed by ****** ****-*******. Please note that Sedgwick CMS is not an insurance company.  Sedgwick CMS is a third party claim administrator.  This complaint arises from a dispute related to a claim ****** ****-******* filed against our client, ****************************** Program).

      A review of the claim file reveals that Sedgwick CMS has administered this claim in compliance with the laws and regulations governing the alleged loss. 

      Sedgwick CMS respectfully maintains that the Better Business Bureau online complaint resolution system is not the proper forum to respond to the allegations contained in ****** ****-Ramirezs complaint. 

      Again, thank you for the opportunity to respond and clarify,as able.

    • Initial Complaint

      Date:07/14/2025

      Type:Service or Repair Issues
      Status:
      Unresolved
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      This all started in September 2024. Sedgwick is the insurance company for **********. The claim was submitted and the insurance has not followed through. The claim was assigned and that person moved to another department.. This was never communicated with me. Someone else eventually made contact and they have not followed through. My counter top could not be repaired, only replaced, due to being a laminate. Laminate cannot be repaired. ********** was very good in this process. Sedgwick has dropped the ball.

    • Initial Complaint

      Date:07/13/2025

      Type:Sales and Advertising Issues
      Status:
      Unresolved
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      On July ******* approximately between 7:19 and 7:24 am . I was located at the Krogers grocery *******************************************************************, I was walking down aisle 6 or aisle me and my brother the store employee ******* had ran into me reckless ,duty of care and negligence causing injury to my right foot. **** from Sedgwick contacted July 8 ***** regarding the accident never gave me a claim number regarding to my incident at the store .

      Business Response

      Date: 07/21/2025

      Thank you for the opportunity to respond to the complaint filed by ****** ********. Please note that Sedgwick CMS is not an insurance company.  Sedgwick CMS is a third party claim administrator.  This complaint arises from a dispute related to a claim ****** ******** filed against our client, (The Kroger Co.).

      A review of the claim file reveals that Sedgwick CMS has administered this claim in compliance with the laws and regulations governing the alleged loss. 

      Sedgwick CMS respectfully maintains that the Better Business Bureau online complaint resolution system is not the proper forum to respond to the allegations contained in ****** ********* complaint. 

      Again, thank you for the opportunity to respond and clarify,as able.

    • Initial Complaint

      Date:07/11/2025

      Type:Service or Repair Issues
      Status:
      Unresolved
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I filed a short term disability claim with Sedgwick and was denied. During this time period I was given incorrect information on at least 3 separate occasions. I requested transcripts of those calls and I have now called up 3 separate times about receiving those transcripts and have not been provided with them. If the information I was given had been correct I likely would have been approved for my claim. Even if that is not the case they should be help liable for the information that they gave out and their refusal to provide call logs.

    • Initial Complaint

      Date:07/10/2025

      Type:Service or Repair Issues
      Status:
      Unresolved
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I have been displaced from my home with two young sons (4,6) for 47 days and counting due to GE's negligence flooding and destroying my kitchen. My entire kitchen has been ripped out and the contents strewn about my home. They referred me to Sedgwick, their claims administrator who has been absolutely horrific in helping me navigate this situation. They refuse to answer any of my questions about what will be covered in terms of meals and temporary housing which has become a financial burden for me. They refuse to let me know the timeline of what needs to happen before they issue a check so I have no idea how long we will be displaced. They never answer their phone and rarely answer emails. When they do it is vague and useless information. There are no adequate long term rentals in our area and I can't afford to front he money for one anyway. Ive also lost hours or time which I use to work trying dealing with this situation. We have been living out of bags staying with friends and family, and eating take out for the majority of this time. It is extremely inconvenient, we are all exhausted, and our health is suffering due to inadequate sleep and poor nutrition from endless takeout. I would like to move back into our home and continue bringing in meals until the kitchen is complete, but Sedgwick will not even answer my question about whether or not I can get rid of the damaged materials strewn about my home. They are hazardous to my young sons being here and I cannot move them back in until they are gone. The stress of this situation and the complete lack of regard from Sedgwick is unbelievable. Its horrible that they are able to treat people this way and I need them to settle my claim ASAP to we can get our life back on track. Thank you

      Business Response

      Date: 07/21/2025

      Thank you for the opportunity to respond to the complaint filed by ****** *****. Please note that Sedgwick CMS is not an insurance company.  Sedgwick CMS is a third party claim administrator.  This complaint arises from a dispute related to a claim ****** ***** filed against our client, (Haier, dba GE Appliances).

      A review of the claim file reveals that Sedgwick CMS has administered this claim in compliance with the laws and regulations governing the alleged loss. 

      Sedgwick CMS respectfully maintains that the Better Business Bureau online complaint resolution system is not the proper forum to respond to the allegations contained in ****** Manzos complaint. 

      Again, thank you for the opportunity to respond and clarify,as able.

    • Initial Complaint

      Date:07/09/2025

      Type:Service or Repair Issues
      Status:
      Unresolved
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I recently purchased a product from **********. When it was delivered, the delivery guy went into my garage without knocking or permission and put the item i purchased on top of some other items damaging them. I contacted ********** and they turned it into this sedgwick company apparently. About a week later i received a letter from this sedgwick that said contact them or they were going to close this on july 21st. I have reached out to them "Called and left messages" for 5 days in a row and was told someone would contact me back. TO NO AVAIL. Some of the days ive called as many as 4-5 times and can NEVER talk to anyone but a secretary who takes messages and tells me someone will contact me back but no one ever does.

      Business Response

      Date: 07/11/2025

      Thank you for the opportunity to respond to the complaint filed by ***** ******. Please note that Sedgwick CMS is not an insurance company.  Sedgwick CMS is a third party claim administrator.  This complaint arises from a dispute related to a claim ***** ****** filed against our client, (*******************).

      A review of the claim file reveals that Sedgwick CMS has administered this claim in compliance with the laws and regulations governing the alleged loss. 

      Sedgwick CMS respectfully maintains that the Better Business Bureau online complaint resolution system is not the proper forum to respond to the allegations contained in ***** Emmerts complaint. 

      Again, thank you for the opportunity to respond and clarify,as able.

    • Initial Complaint

      Date:07/08/2025

      Type:Customer Service Issues
      Status:
      Unresolved
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I purchased chicken breast from ***** club on March 1st, after consuming the chicken breast, my family and I became incredibly sick. That night we all had flu-like symptoms such as throwing up, headache, body chills, and I personally passed out twice. I made the report to ***** club and they got me in contact with this company. I have been in contact with this company regarding this claim since mid March. My claim has been transferred to 3 different claim managers. First was ****** *******, second was ***** *****, and now the third is *** ******. When it's transferred, nobody gets in contact with me. I called today to speak to *** ****** to see the status of my claim, and she was very unhelpful and gave me no information because it was her first day. This claim has been up in the air for over 4 months with no resolution in sight. I've provided everything I was asked to, I've done my part. This company has not made the situation better after the horrible and traumatizing experience we had with this product of chicken. My claim number is 4A2502CW9MH-0001.

    Sedgwick CMS is NOT a BBB Accredited Business.

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