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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

    • 517 total complaints in the last 3 years.
    • 150 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:12/05/2025

      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 off work since June 2025 I have been communicating back and forth via text email and phone have never received any mail from Sedgwick they denied my claim never giving me any dated deadlines never providing me with definite details of what needed to be turned in until I complained to a supervisor then the supervisor failed to provide me with dated details on top of receiving a deadline date and they arent acknowledging their mistakes Im now facing life threatening events after having a major organ removed

      Business Response

      Date: 12/11/2025

      Thank you for the opportunity to respond to the complaint filed by REMOVED. 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 REMOVEDfiled against our client, (REMOVED).

      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 REMOVEDcomplaint. 

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

    • Initial Complaint

      Date:12/03/2025

      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 4A2506MXCXS-0001 made in July 2025 from 6-18-25 damage to my yard with Brightspeed installing underground cables in my yard for neighbor across the street. Last contact with REMOVEDin September. Several phone calls and emails not returned. Contacted her lead REMOVEDin October and still no contact from either. Voicemail left on company's main phone 3 times. Contacted national and they just referred me right back to them! Photos and estimate sent but I can't get the work done until $600 is received and it is now almost 6 months later.

      Business Response

      Date: 12/11/2025

      Thank you for the opportunity to respond to the complaint filed by REMOVED. 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 REMOVEDfiled against our client, (Brightspeed).

      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 REMOVEDKislers complaint. 

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

    • Initial Complaint

      Date:12/02/2025

      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.
      I am beyond frustrated as I have tried to contact Sedgwick Insurance and received no response.On Friday, October 17th, at approximately 4 pm, REMOVEDran into my car on I-270 west. The other driver, Mr. REMOVED, was operating a company vehicle belonging to REMOVED(REMOVED) when he struck my vehicle, causing damage to the left side of my 2019 Chevrolet Malibu. There was no police report filed, and Mr. REMOVEDadmitted shared his business card and admitted that he was a fault as he came into my lane and struck my car.REMOVEDprovided contact information, claim number and the Sedgwick Insurance representative (REMOVED) assigned to this claim. I have attempted to reach him almost daily by phone and voicemail without receiving a response. I also visited the addresses listed online for Sedgwick, but it appears those offices are no longer in REMOVEDI am unable to process the repair through my own insurance (which had lapsed at the time of the incident), I urgently need assistance moving forward with this claim and obtaining coverage for the damages Mr. REMOVEDcaused to my vehicle. The claim number is: 4A2510NQDMD-0001. I am hoping you can help, as it is very odd that I can not contact a professional company, and they are not responding to me. I also left a message online. Again, this happened on 10/17/25 and it is now 12/2/25

      Business Response

      Date: 12/11/2025

      Thank you for the opportunity to respond to the complaint filed by REMOVED. 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 REMOVEDfiled against our client, (REMOVED).

      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 REMOVEDcomplaint. 

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

    • Initial Complaint

      Date:11/26/2025

      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 starting 7/22/25.The misinformation, delays and poor customer service have been non-stop.I just survived the most challenging experience of my entire life, I have returned to work and Sedgwick is still providing me misinformation about where claim is in process and my next step.Currently I am supposed to be waiting for long term disability to pay out, but found out today that was never the case and my short term disability claim never should have been closed.I highly recommend that every call and action be pulled and reviewed as an example of how not to run a business.Sedgwick has the profound responsibility to help protect people during the scariest times in their lives, and in my experience with this being the only health related claim I have ever made in my life (outside of pregnancy), they have failed.Our livelihood is in Sedgwicks hands, any and all wrong or confusing advice given can affect a persons life so REMOVEDI sit here, not having enough income to support myself or family through this ordeal, I want to make sure anyone considering Sedgwicks services should beware. I would 100% go with any other company.

      Business Response

      Date: 12/11/2025

      Thank you for the opportunity to respond to the complaint filed by REMOVED. 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 REMOVEDfiled against our client, (REMOVED).

      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 REMOVEDOlsons complaint. 

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

    • Initial Complaint

      Date:11/24/2025

      Type:Service or Repair Issues
      Status:
      Resolved
      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 started in April 2025. Communication is HORRIBLE, no follow through with company. Start of what happend. April -Nov 24th no resolution, hardly any communication unless I am asking for updates. Representative is always out of the office. Mishandling of claim and sensitive information sent. Multiple emails and timeline of emails written, but was over characters allowed for this informational box.

      Customer Answer

      Date: 12/03/2025

      Company has paid the claim. Okay to close this case as I am done dealing with them.

      Thank you

    • Initial Complaint

      Date:11/22/2025

      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 filed a complaint against REMOVEDas their technicians damaged my home. In the complaint- REMOVED, they stated that I need to refer to REMOVED. The Sedgewick representative REMOVED| Claims REMOVED| Fax 704.717.7701Email: REMOVEDto not respond and denies the claim and refers back to Brightspeed. If I need to file a complaint against REMOVEDagain, I will do so; however, I have damage to my home caused by Brightspeed and am continuing to be sent back and forth with no resolution. Both organizations are extremely unresponsive and I have to continue to chase.

      Business Response

      Date: 12/03/2025

      Thank you for the opportunity to respond to the complaint filed by REMOVED. 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 REMOVEDfiled against our client, (Brightspeed).

      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 REMOVEDcomplaint. 

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

    • Initial Complaint

      Date:11/22/2025

      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 September 18th, I was notified that my insurance claim, originally submitted in May 2025, had been approved and would be paid out. It has now been nearly six weeks, and I have yet to receive payment, despite submitting all required signed documentation within hours of receiving my approval notice.I have made multiple attempts to contact REMOVEDoffice by phone; however, each time I call, the voicemail states that staff are out of the office until a certain date, which continues to change upon follow-up. I have also sent several emails regarding my claim without a response. Additionally, when I log into MySedwick (their online platform), my account still does not reflect the approved claim information that was sent to me via email.This matter has been ongoing for several months, and I would appreciate prompt completion of my insurance claim and confirmation of when I can expect to receive my payment.

      Business Response

      Date: 12/03/2025

      Thank you for the opportunity to respond to the complaint filed by REMOVED. 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 REMOVEDfiled against our client, REMOVEDProgram).

      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 REMOVEDWyckoffs complaint. 

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

    • Initial Complaint

      Date:11/19/2025

      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 am filing a complaint regarding Sedgwicks handling of my medical leave and the ongoing lack of communication, support, and professionalism throughout my medical leave process. I submitted my medical leave on May 15, 2025. Under DC Paid Family Leave rules, I am entitled to 13 weeks of paid leave per calendar year and cannot submit a new claim until April 2026. REMOVEDhas confirmed this directly, and my exhaustion letter clearly outlines this benefit period.Despite this, Sedgwick has repeatedly asked for information I already provided, including DC payment screenshots, exhaustion letters, and documentation from my DC claims adjusterall of which I submitted promptly. I have made multiple calls, follow-ups, and even arranged joint conversations with DC to ensure everyone was aligned on my benefits and back-benefits.Despite my cooperation, the service REMOVEDreceived has been unacceptable. My calls have been rushed, my concerns dismissed, and there has been a continued lack of empathy or urgency, even as I manage a serious medical condition and rely on these benefits during treatment. Sedgwick has delayed processing my claim, failed to communicate clearly, and repeatedly requested already-submitted documents, causing unnecessary stress during an already difficult time.I am requesting that Sedgwick:REMOVEDand correct all delays and errors with my claim.2.Honor the DC Paid Family Leave documents I have provided.3.Give clear next steps and a firm timeline for resolution.4.Stop requesting conflicting documentation.I hope the BBB can help resolve this matter so I can receive the benefits I am entitled to without further hardship.

      Business Response

      Date: 12/03/2025

      Thank you for the opportunity to respond to the complaint filed by REMOVED. 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 REMOVEDfiled against our client, (CBRE).

      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 Rotisha Overtons complaint. 

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

    • Initial Complaint

      Date:11/18/2025

      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.
      REMOVEDinstallation caused damage to my hardwood floors and basement ceiling. I filed a claim with Sedgwick CMS, but the company has been unresponsive and unhelpful after I submitted a claim.

    • Initial Complaint

      Date:11/13/2025

      Type:Product 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 complaint in May for some washers that overflowed and I had to get maintenance on my house to clean it up, Best Buy sold me the washers and were supposed to get me my money back, where is it no one is responding -

      Business Response

      Date: 12/03/2025

      Thank you for the opportunity to respond to the complaint filed by REMOVED. 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 REMOVEDfiled against our client, (Best REMOVED.).

      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 REMOVEDcomplaint. 

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

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