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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:07/07/2025

      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.
      I submitted a claim for a job I made an error on. Countertop cut out issue. I recieved just one call only from a ******* ****** at Sedgwick. ******* contacted my customer only once. ******* and everyone else is ignoring myself and my customer ***** ******. ***** is about to Sue me. Please help. I contacted Sedgwick multiple times.

    • Initial Complaint

      Date:07/02/2025

      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.
      Sedgwick is denying my claim for an extension of my disability from my c section. My doctor sent over the paperwork like they requested and then they turned around and denied it, stating there was no medical reason why I cant return to work. I discussed my issues with my doctors. I dont need to explain them to Sedgwick. I have had so many issues with this company handling my claims. They make it really difficult for new mothers. I cant get a hold of a manager or anyone and it seems no one can help me. My case worker ***** only calls me really early in the morning (7am) and doesnt call me at a convenient time and she doesnt leave a good call back number. Its just the automated number for the main menu. She doesnt want to help me. She is never in her office when I call back and get transferred to her. Im at risk of losing my job because of Sedgwick.

      Business Response

      Date: 07/08/2025

      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:07/01/2025

      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.
      I have an open Short Term Disability claim with this company. I was talked to so bad by their employees including a Supervisor named ******, Im literally looking into filing a lawsuit against them including the employees that thought it was so funny to treat customers so bad. I have reported them to several different legal agencies as well as I filed a complaint with them ***************.

      Business Response

      Date: 07/08/2025

      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 ****** Gearins complaint. 

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

    • Initial Complaint

      Date:06/30/2025

      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 ordered a dishwasher from Best Buy. They use a third party to install. They use lmb handyman. They came out and cause a plumbing leak I didnt have before. I even told him I had the main off. Still he touched my manifold in the garage then it leaked. I called a plumber he said there is no previous water damage so whatever the guy did he caused a leak. Now no one is getting back to me and Sedgwick told me to call the installer I did and he called me names. Now Sedgwick wont let me talk to a supervisor and he told me all they can do is escalate it cause its a third party. Arent they the insurer. Please help.

      Business Response

      Date: 07/08/2025

      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, (Best ************.).

      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 ****** Feltons complaint. 

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

    • Initial Complaint

      Date:06/27/2025

      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.
      During the month of August 2024 **** placed a concrete headstone in my front yard without my permission. They said they would cover the damages that I needed to file a claim with their insurance company Sedgwick which I did. Sedgwick would never respond and I'm now finding out Sedgwick is a subsidiary of ************. I would like this headstone removed from my yard immediately.

      Business Response

      Date: 07/01/2025

      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, (AT&T Services, Inc.).

      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:06/27/2025

      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.
      On 5/16/25 we had our new stove delivered. Shortly after we noticed the installers scratched our floor in 2 places. We reported the issue to ********** and they reported the problem with pictures to Sedgwick claim ***** I received a letter from ***** ****** ************ to contact him. I have been put on hold several times for a long period and eventually left a message to call me back and ********** has done the same. This has been going on way to long and would like help getting this resolved.

      Business Response

      Date: 06/27/2025

      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 ****** Ringlers complaint.  

      Business Response

      Date: 07/01/2025

      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 ****** Ringlers complaint. 

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

    • Initial Complaint

      Date:06/22/2025

      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.
      Claim Abandonment, Retaliatory Silence, and Unethical Claim Handling:This complaint concerns Sedgwicks unethical handling of a property damage claim I filed in April 2024, resulting from damage caused by a ********** delivery subcontractor. Sedgwick issued a low estimate using blanket depreciation without verifying the age or condition of the damaged materialscontrary to standard adjusting practice. Despite submitting photos, a detailed timeline, and contractor repair estimates, Sedgwick failed to provide any transparency on how the figures were calculated.On 8/16/24, I emailed Sedgwick directly asking for a clear breakdown of their estimate and depreciation methodology. Instead of responding, they abandoned the claim and falsely told the ************************** Services (DFS) that I declined to submit additional documentation. I have retained the full email record, which proves otherwise.Sedgwick also ignored damages that were visibly marked and discussed during the site walkthrough, including to the staircase and interior finishes. Their conduct reflects a deliberate attempt to suppress claim costs and avoid accountability.This behavior escalated after I referenced my intent to file a complaint with DFSat which point Sedgwick went silent. This appears retaliatory, obstructive, and unethical. Sedgwicks systemic use of delay, silence, and gaslighting tactics has caused undue stress, wasted time and reflects cost-containment behavior at the consumers ********** a 3rd party admin operating under DFS jurisdiction in NYS Sedgwicks actions raise serious concerns about compliance with insurance and consumer protection laws.***********Pursuant to the Freedom of Information Law (FOIL)/FOIA, applicable federal/state privacy statutes, I formally request: That my personally identifiable information be redacted or withheld from any records made public. That I be notified prior to any disclosures if this information is subject to any third-party FOIL request

      Business Response

      Date: 06/24/2025

      We are unable to locate a claim matching the customer's name using the information provided. We need additional information (claim number) in order to respond.

      Customer Answer

      Date: 06/24/2025


      Dear BBB Team,

      Please find attached the following documentation to support my complaint against Sedgwick Claims Management Services Claim # ***********:

      The 8/16/24 email explicitly requesting a full breakdown of their estimate and depreciation methodology, to which I never received a response;
      A complete timeline of email correspondence demonstrating how Sedgwick ceased all communication immediately after I referenced filing with the NY Department of Financial Services (DFS);
      Actual letter sent by the *** on behalf of Sedgwick, my response again will submit to them earlier this year and records proving Sedgwick misleadingly represented to *** that I had declined to submit further documentation, despite ample proof that I had requested clarification in good faith and offered examples of flawed estimate. It was all communicated via email which clearly shows gaslighting and evasive responses. 

      Sedgwicks failure to respond, their circular and gaslighting email pattern, and the ultimate abandonment of the claim constitute bad faith claims handling. They repeatedly evaded direct requests for transparency and accountability. All communication was conducted via emailno correspondence was ever emailed or receivedmaking any claim to the contrary verifiably false.

      Further, Sedgwick should already possess a full copy of the documentation through DFS filings. The legal position that this claim is closed is inaccurate and improper, particularly since retaliatory abandonment of a valid claim following regulatory notice may constitute breach of fiduciary duty and bad faith under NY insurance law. 

      I trust this documentation enables Sedgwick to formally identify and address the unresolved claim. Please do not hesitate to contact me should any clarification be needed.

      Sincerely,

      ****

      Business Response

      Date: 06/27/2025

      We are unable to locate a claim matching the customer's name using the information provided. We need additional information in order to respond.

      Customer Answer

      Date: 06/28/2025

      Dear BBB Team,

      Attached in this submission is a formal letter to Sedgwick who still has not responded due to a new recent update explaining below. 

      I am submitting this supplemental response regarding my complaint against with BBB for  Sedgwick Claims Management Services # ******** and The ********** # 23503485, in light of Sedgwicks false claim that they could not locate the file.

      Attached is complete documentation proving otherwise, including:
      My 8/16/24 email directly requesting Sedgwick to provide a detailed breakdown of the depreciation methodology in their estimate;
      Sedgwicks failure to respond, followed by abandonment of the claim without resolution;
      Sedgwicks misleading communication to the NY Department of Financial Services (DFS), falsely stating I declined to provide further documentationwhen in fact I had already submitted extensive email evidence and continued correspondence;
      Sedgwicks formal written response to DFS, proving they were fully aware of the claim file and its context.

      All communication took place via emailthere is no excuse for Sedgwick to now claim they cannot locate the claim. If that is their position, it reflects either serious mishandling of consumer records or intentional concealment.

      Furthermore, I want to bring to your attention that the New York Attorney Generals office has officially reviewed this matter and declined to mediate, not because the claim lacks merit, but because they determined the seriousness of the misconduct warrants legal action. Their response explicitly refers me to civil court or other legal channels for escalation. This reinforces that this is not a routine consumer service issueit is a case involving:
      Bad faith claims handling
      Retaliatory abandonment after regulatory involvement
      Concealment of claim methodology and communication
      Failure to comply with fair claims and consumer protection standards

      Despite being given multiple opportunities to resolve this fairly, Sedgwick and ********** have chosen to delay, deflect, and misrepresent factsplacing the burden entirely on the consumer.

      This submission contains verified documentation proving:
      Sedgwick knowingly abandoned the claim;
      Sedgwick misrepresented my cooperation to regulators;
      Sedgwick continues to assert a flawed estimate with no transparency.

      I ask the BBB to continue processing this complaint and reflect Sedgwicks and **********s misconduct in the public record. These are not one-off errors; they are systemic practices that have caused material harm, stress, and delay.

      Sincerely,

      Eloy 

      Customer Answer

      Date: 07/01/2025

       

      Dear BBB Team,

      Attached in this submission is a formal letter to Sedgwick who still has not responded due to a new recent update explaining below. 

      I am submitting this supplemental response regarding my complaint against with BBB for  Sedgwick Claims Management Services # ******** and The ********** # 23503485, in light of Sedgwicks false claim that they could not locate the file.

      Attached is complete documentation proving otherwise, including:
      My 8/16/24 email directly requesting Sedgwick to provide a detailed breakdown of the depreciation methodology in their estimate;
      Sedgwicks failure to respond, followed by abandonment of the claim without resolution;
      Sedgwicks misleading communication to the NY Department of Financial Services (DFS), falsely stating I declined to provide further documentationwhen in fact I had already submitted extensive email evidence and continued correspondence;
      Sedgwicks formal written response to DFS, proving they were fully aware of the claim file and its context.

      All communication took place via emailthere is no excuse for Sedgwick to now claim they cannot locate the claim. If that is their position, it reflects either serious mishandling of consumer records or intentional concealment.

      Furthermore, I want to bring to your attention that the New York Attorney Generals office has officially reviewed this matter and declined to mediate, not because the claim lacks merit, but because they determined the seriousness of the misconduct warrants legal action. Their response explicitly refers me to civil court or other legal channels for escalation. This reinforces that this is not a routine consumer service issueit is a case involving:
      Bad faith claims handling
      Retaliatory abandonment after regulatory involvement
      Concealment of claim methodology and communication
      Failure to comply with fair claims and consumer protection standards

      Despite being given multiple opportunities to resolve this fairly, Sedgwick and ********** have chosen to delay, deflect, and misrepresent factsplacing the burden entirely on the consumer.

      This submission contains verified documentation proving:
      Sedgwick knowingly abandoned the claim;
      Sedgwick misrepresented my cooperation to regulators;
      Sedgwick continues to assert a flawed estimate with no transparency.

      I ask the BBB to continue processing this complaint and reflect Sedgwicks and **********s misconduct in the public record. These are not one-off errors; they are systemic practices that have caused material harm, stress, and delay.

      Sincerely,

      Eloy 

      Business Response

      Date: 07/08/2025

      We have received the below BBB complaint.  However, there is not enough information to assist (namely, the Sedgwick client who was involved, etc.).

      We would need to be provided with that information so we can properly respond to the complaint.   

      Thanks!

      Sedgwick Legal 

    • Initial Complaint

      Date:06/20/2025

      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.
      Purchased a roof through **********. Thier roof installer removed my bathroom fan roof vent and never reinstalled it. Now we have deadly black mold growing in our attic because the bathroom fan doesn't vent out.I submitted a BBB claim and Sedgwick contacted me a couple time with NO resolution. An inspector came out and verified the installion was done wrong.The BBB closed the claim, and right after that ******* stopped making contacting me! We still have deadly black mold growing in our attic because the vent was removed and never reinstalled!!

    • Initial Complaint

      Date:06/18/2025

      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.
      Filed a claim due to water damage at Public storage. Sent photos and receipts of purchases. Claim was denied due to fungus being present. A fungus which is different from mold clearly suspects that there was a water leak from inside of the unit. There had been multiple days of rain since Dec 2024 to April 2025 in which I noticed the damages/mold in the unit. I have lost over $1300 in damages paying $90-120 for rent of the storage and insurance fees. Since there was no signs of actual water leaks in the storage (in 90 degree weather) water has dried when I noticed the damages Apr 17 2025. The outcome was considered a fungus claim which payout is $250 with a $100 deductible in which, I would be getting what I paid for insurance every month. Claims payout is up to $5000. Mold can still form after water has dried therefore claim should have been labeled as water damage. I have reached out to an attorney to look over documents and refrained from signing any paperwork pertaining to settlement outcome. Reached out to orangedoorstorage insurance/sedgwick, and has not received any response since May 27 2025.

      Business Response

      Date: 06/24/2025

      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 ******* ******* complaint. 

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

    • Initial Complaint

      Date:06/16/2025

      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 have a claim filed for short term leave and my examiner has not been working with me to get my extensions approved she keeps giving me the run around and will not turn my calls or respond to me in the portal. I have not gotten any straight answers from her and she is causing delays with me getting my pay check. I need someone to review my records and call me ASAP to confirm the extension is approved so I can get paid this week please! This has been going on for two weeks now with no updates or correspondence

      Business Response

      Date: 06/24/2025

      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, (American Family Enterprise).

      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 Gionna Gordons complaint. 

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

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