Insurance Claims Processing
Sedgwick CMSHeadquarters
This business is NOT BBB Accredited.
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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
Customer Complaints Summary
- 519 total complaints in the last 3 years.
- 146 complaints closed in the last 12 months.
If you've experienced an issue
Submit a ComplaintThe 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.
Initial Complaint
Date:11/13/2025
Type:Sales and Advertising IssuesStatus:UnresolvedMore info
Complaint statuses
- 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.
Sept. 15, 2024, I filed a claim regarding damages to my tooth caused by a purchase from HEB. After months of dealing with HEB and ******, the claim was eventually submitted to Sedgwick. Feb. 26, ******* ******, a Sedgwick claims adjuster, contacted me requesting pictures and an estimate from the dentist office. I provided all the requested information. April 10, 2025, I called *******, who stated she was waiting on test results from the candy and would call me back. After another month, I called again, and she said she had received the results and would follow up with me. In June 2025, I left about four messages for *******. . Around late July or early August, I spoke with *******, who assured me she had all the necessary information and would be sending payment. I spoke to ******, and again to ********* on September 9, both of whom stated they had sent messages to *******. September 17, 2025, ******* has not called me back. I also sent multiple emails to ******* on 2/27, 3/26, 6/5, 8/1, and 8/22. . After over six months of no communication, as soon as I filed a complaint against the company, they retaliated with this denial letter. Sedgwick stated the claim is denied but failed to provide documentation on the tests conducted on the candy, any details from the candy company about the tests performed, or the information that was sent to them. The letter indicated," based on the information we have obtained so far, the account is not held responsible". It also stated "The investigation is still ongoing", but they sent me a denial letter. This seems to be clearly due to me filing a complaint. They also indicated, "We are here to support you in any way that you claim", but they denied payment. The letter was misleading, and as soon as I filed the complaint, they sent out a denial letter, after over months ago said they received the test and would be issuing payment.Business Response
Date: 11/13/2025
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 claim ****** ******* filed against our client, (Academy Sports Minus GC).
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:11/11/2025
Type:Service or Repair IssuesStatus:UnresolvedMore info
Complaint statuses
- 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.
Problem occurred 11/1/2025, 2:30 pm. I have attempted every opportunity to resolve this incident ***ort and the ****** *** requesting for me to close the ***ort and my ***ly was, I will proceed with this. Her response was she would have to pursue ****** and indicated that they would respond to me in a few ******* short, Sedgwick contacted me via email and delivered ineffective numbers and email. So, my patience is no longer. It has been too long and it is time to deliver and to take accountability. The stains has continued and there is film on all of my windows and the seats need cleaning, as well as, the odor.I had delivered all the required information to Sedgwick and too no avail. It would be appreciated, if your organization to further assist me on the above. Thank you in advance.Business Response
Date: 11/13/2025
Thank you for the opportunity to respond to the complaint filed by ****** Kyseck. 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 ***** ****** Kyseck filed against our client, (TARGET CORPORATION).
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 ****** Kysecks complaint.
Again, thank you for the opportunity to respond and clarify,as able.Initial Complaint
Date:10/31/2025
Type:Service or Repair IssuesStatus:UnresolvedMore info
Complaint statuses
- 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.
09/09 - filed claim for damages to my flooring and door that occurred during a delivery *********** 09/10 - Response from Sedgewick claims representative. I submitted pictures and videos showing the damage to my floor and door.I was told due to the amount of the repair estimate I submitted, an adjuster would have to be sent out to the review the damages.The adjuster came to my home on 10/03. On 10/09, I received a settlement offer for $4,512.64. I informed the claims representative this would not be enough to cover the replacement of the tile and the door. The claims representative stated, in email, "This will be the final offer amount for your claim as the independent adjuster is stating that the full replacement of the tile flooring is at the *** (Actual Cash Value) amount. As far as the door the independent adjuster determined the door is not included as door was not damaged to the extent to where it needs to be replaced."I inquired, then, if the settlement amount offered was to replace the tile, why no amount was included to repair the door, even if they adjuster determined it "was not damaged to the extent to where it needs to be replaced." The response I received stated, "The independent adjuster inspects the areas that were reported to the claim as damaged. The independent adjuster did not report damages for the doors."Seeing as though they first stated it was not damaged to the extent of needing a repair, then stated there was no damage reported, I requested a copy of the report submitted by the adjuster. I was told this report was "property of ********** and a request would have to be submitted to them to release the report. I also requested information regarding the process of damage being reported and evidence being submitted but the repair not being covered and was told they would inquire with management and follow up.I have not received an update on response since 10/16 and my claim not shows as closed.Business Response
Date: 11/10/2025
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 ****** Butlers complaint.
Again, thank you for the opportunity to respond and clarify,as able.Initial Complaint
Date:10/28/2025
Type:Service or Repair IssuesStatus:UnresolvedMore info
Complaint statuses
- 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.
Was in a car accident with a driver from a trucking company in which uses Sedgwick. The accident happened at the end of August. It took about 3 weeks before anyone responded to my calls and emails. Last update was two weeks ago and nothing but crickets ever since. They seem to intentionally drag their feet with any issue, hoping youll give up. Avoid dealing with them if at all possible.Business Response
Date: 10/30/2025
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, (Clean Harbors Environmental 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:10/24/2025
Type:Service or Repair IssuesStatus:UnresolvedMore info
Complaint statuses
- 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 ****** 12 I called ****************** GE ) about a AC window unit that I purchased last year that malfunctioned and destroyed my flooring in my dining room. They referred me over to Sedgwick and Ive been speaking to ****** ***** | Liability Examiner Florida Independent Adjuster License Number ******* DIRECT ************.Claim # #4A2508DK8W3-0001 - ******, ***** - 08/12/2025 I had sent emails explaining the situation, photos, and got an estimate from ********** in ****** because Sedgwick needed estimate that I paid for that was all completed in ******. It wasnt until the following month in September I was told that ** ( Bodeswell ) was going come out and pick up the old unit and ***lace it with a brand new one . When I spoke to **, they told me that they completed their part that someone is going to call and schedule a pick up date and ***lace with a new unit that Im still waiting for. When I inquired about my property damage, they referred me back to Sedgwick.I spent countless of hours making phone calls speaking to *******, also leaving voicemails and emails with Sedgwick. I had talked to ***resentatives to ** with this claim number which nobody ever has and always refers me back to Sedgwick. ******** handles all the communication through email only. This been going on since mid ****** going around in circles.Sedgwick said this would be resolved in a timely manner which it has not by any means.Beyond frustrated I have not heard anything back from Sedgwick and I have sent all the information and I was told that they would follow up and I havent heard anything ******** told me that they are scheduling a pick up date which I have not heard anything other than an email stating the *** ***lacing the old unit with a brand new unit and Sedgwick is taking care of the property damage. Its been 11 weeks which is unacceptable and Sedgwick to follow up on their part so I can get my flooring .********** for the installers is taking 3 to 4 weeks itself.Customer Answer
Date: 10/28/2025
Hello
I had contacted GE / Sedgwick in ******.
In ****** everything that was requested for my claim to be processed was sent.
on September 9 I got a email from Sedgwick stating they are reviewing my claim.September 19 I get an email from Sedgwick saying that GE is going to contact me.
I was told by ******* 9/25 they were going to pick up my unit its October 28 and they did not still pick up my ** .
I had talked to GE and they told me they will concluded their part after they pick up my ** and replace it with the brand new one.
When I question them about property damage, they referred me back to Sedgwick.
on September 29, I get an email from Sedgwick saying they are sending the ** to a lab to get test tested to replace my property damage..Why wasnt this discussed two months ago in ****** or early September?
This is just another tactic to side step to avoid payment.
The scenarios keep on changing has the clock keeps on ticking.
At this point GE completed their task after they deliver the new ** and payment should be sent out by Sedgwick at that point.
After 11 weeks this should be settled not coming up with new stipulations to dodge payment to the claimant.I want this to be rectified like I was told weeks ago instead of Sedgwick dodging the issue.
Business Response
Date: 10/28/2025
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 ***** Feeneys complaint.
Again, thank you for the opportunity to respond and clarify,as able.Customer Answer
Date: 10/29/2025
Hello
On 9/25 /25 I got a email from GE/ Bodewell That they were exchanging my AC unit for a new one.
Here we are over a month later still did not get a Delivery date scheduled.
On 10/13 I got another email stating that they were going to exchange the unit back to square one still did not hear anything from them.On 10/16/25 I received another email explaining their exchanging the units and Sedgwick will be taking care of my property damage.
Its been literally three months going around in circles and GE and Sedgwick been doing nothing but delaying the process purposely to avoid payment.
Nothing was ever Stated by GE that they were testing the unit nor did Sedgwick ever say anything about testing a unit until the very end of September beginning October.Its been three months already. How much longer am I have to wait ?
GE never even scheduled a pick up date let alone thinking its going to be tested for how many more months waiting for a check to go out and 3 to 4 weeks for ********** for the installers to do the floor..This incident occurred in August 12 and 3 months has passed and am I supposed to wait another three months or theyre hoping that the customer just fades away?
This is just another tactic to side step to avoid payment.
The scenarios keep on changing has the clock keeps on ticking.I was told this would be would be resolved in a timely manner and its been nothing but a nightmare to deal with Sedgwick and is the most incompetent company I ever dealt with.
I did everything on my part to complete the claim in a timely manner.
Ive spent countless of ours making phone calls, Leaving voicemails and emails.
Both companies are probably hoping customers just get so frustrated that they will fade away .
Terrible Customer Service I will never buy a GE product again and dealing with Sedgwick is a pure nightmare!Please resolve!!!!
Initial Complaint
Date:10/21/2025
Type:Sales and Advertising IssuesStatus:UnresolvedMore info
Complaint statuses
- 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 June 24, 2025, I filed a claim with Sedgwick as my sewer piping had been hit by a contractor when installing cable/internet. I had already attempted to file the claim directly with Wow internet, Spectrum, and City of *************************** but all met me onsite and showed me where it was impossible for them to have created the issue. I attempted to file a claim with *********** directly but they advised I had to contact Lumen Risk Management. ***** advised that they contracted with Sedgwick for claims. I contacted Sedgwick and provided photos of the damage in reference to the Centurylink cable box clearly showing that when the wiring had been installed it had hit my sewer piping and broken two holes in the sewer pipe directly beneath the wiring. I also provided the ********** receipt and photos of us repairing the piping ourselves. All was provided on 6/30/25. On 7/21 after no response from *******, I copied his supervisor and she requested a response which he promptly gave but he was still waiting on info from Lumen. I emailed again on 8/19, 8/25 and 9/25 with no response. I used the Sedgwick contact form online to request an updated on 10/6 and 10/14 with no response there either. Finally on 10/14/25, I threatened to contact BBB and leave bad ****** reviews and ******* called and left a voicemail advising my claim had been denied. I emailed him and requested a response in writing so all was documented. I understand "Sedgwick CMS is not an insurance company. Sedgwick CMS is a third party claim administrator" but they are highly unprofessional hence why this complaint is being filed. I should not have had to email my claims associate over and over, submit additional complaints online and threatened bad reviews/BBB complaint in order to receive a response to m y claim almost four months later. If I acted so unprofessionally in my job, I would no longer have a job!Business Response
Date: 10/28/2025
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 Hope Duncans complaint.
Again, thank you for the opportunity to respond and clarify,as able.Initial Complaint
Date:10/21/2025
Type:Product IssuesStatus:UnresolvedMore info
Complaint statuses
- 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.
7/25/25 I filed for a refund of $150 due to **** cutting the wrong wire which was connected to my electric fence. I reached out to Sedgwick as **** told me to receive my refund. I left several messages and finally got a couple of calls from Sedgwick in regards to this matter. I sent in everything that they required (copy of invoice for fixing my wire fence). I later received a message in Sept. stating the contractor stated he did not cut the wire. I clearly explained that I have 3 dogs and I did not have any issues with the wire underground until **** installed their wire in the same exact area. I was informed by **** ********* that she would contact her supervisor to send me my refund. A month later I called back because I did not hear back from her and she did not answer. I sent an email and she finally replied "The contractor has not responded to this incident, I will continue to pursue. I am highly dissatisfied! This has been three months and the lack of communication is ridiculous! I also left a message for her supervisor and I have not received a response from him either. I would like my reimbursement from their negligence. I reported to **** immediately that I heard a weird noise coming from my garage where the box is located due to the electric fence not working properly. I was not home when **** installed the wire however it was in the EXACT same spot.I can forward the thread of emails that is ridiculous for any business.Business Response
Date: 10/28/2025
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:10/21/2025
Type:Customer Service IssuesStatus:UnresolvedMore info
Complaint statuses
- 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 9, 2025 I was in *********** and there were small amounts of f**** in several areas on the bathroom floor. It was not immediately noticeable and I stepped in it. I told the store manager who assured me that they would make a claim to replace my shoes. The manager said he took photos in the bathroom but did not advise me to take photos of my shoes. The staff immediately began cleaning the room in PPE gear. Several weeks passed and we had not heard back from Sedgwick on the insurance claim. My husband called the contact number he was given many times with no return call. Finally he spoke to a manger and ******* ***** called him back to tell him they would have an answer soon. A few more weeks passed and we got a call that the claim was denied. The voicemail from ******* ***** was rude and highly disrespectful. It also contained a lot of misinformation so either he or the store is lying. I have called several times to try to discuss this with him and left numerous voicemails with no call back. I also called the main line to see if a supervisor would call me back and no one is responding. This level of customer service is unacceptable. My claim was denied on false information and now no one will respond.Business Response
Date: 10/28/2025
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, (Chick-fil-A, 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:10/17/2025
Type:Service or Repair IssuesStatus:UnresolvedMore info
Complaint statuses
- 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 12/24/2024, I suffered a serious hand injury while using a defective potato ****** purchased from ******. I required emergency room treatment, resulting in medical bills totaling $1,185.13, which are now in collections.I promptly filed a claim with Sedgwick, but my claim was denied solely on the basis that I could not provide a photograph of the returned product. I have medical documentation and billing records proving my injury, treatment, and financial harm. Mr. **** ******, my claims investigator, informed me he could not assist further and refused to escalate my request to management or respond to my emails or calls. I have been waiting since February 2025 for a supervisors response and have received no communication despite multiple follow-ups.Business Response
Date: 10/20/2025
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 **** Franciss complaint.
Again,thank you for the opportunity to respond and clarify, as ableInitial Complaint
Date:10/14/2025
Type:Service or Repair IssuesStatus:UnresolvedMore info
Complaint statuses
- 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.
**** laid some fiber optics on my property without my permission. This took place in June or July 2025. They damaged my driveway and my lawn. l filed a claim, which **** passed on to Sedgwick (claim # 4A250914CWF-0001). Sedgwick's *** states "I am unable to assist you with this issue as your claim was sent to the contractor." The contractor has been unable to properly fix the damaged driveway, as it specialized in trenching/boring and not in asphalt ***air. Sedgwick refuses to assist. They provide insurance for ****, which was responsible for the damage to my property. Yet, they refuse to provide assistance so that the necessary ***airs are made.Business Response
Date: 10/20/2025
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.
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