Complaints

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

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  Sedgwick CMS

  1100 Ridgeway Loop Rd Ste 200 Memphis, TN 38120-4057

• 

  Sedgwick Claims Management

  1800 Bayberry Court # 200 Richmond, VA 23226

• 

  Sedgwick CMS

  2201 W Royal Ln Ste 125 Irving, TX 75063

• 

  Sedgwick Claims Management Services Inc

  1600 Riviera Ave Ste 405 Walnut Creek, CA 94596

• 

  Sedgwick Claims Management Services Inc

  7400 E Orchard Rd Ste 4015 Greenwood Village, CO 80111

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.

• Initial Complaint

  Date:09/05/2025

  Type:Customer Service Issues
  Status:

  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.

  I filed a complaint about a product I got from ******. I was sent to Sedgwick claims management to ask for assistance in filing my claim of loss from the product. It was a counterfeit seresto collar. I gave ******* **** all my information and she sent me documents to sign and I did that and she said I would receive a check in 5 to 7 days. It has been a month and a half and I have nothing. I have called over 10 times, sent emails to her, and sent chat messages on the portal and nobody is getting back with me. There are no payments posted on the portal to verify I have been paid even though I have documentation from her promising a check. I have been ghosted after they got my signature to release them of accountability in exchange for a check I never got. And nobody has bothered to contact me to let me know anything. I was supposed to get $600 from them and never got anything.

  Business Response

  Date: 09/11/2025

  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, (Amazon).
  
  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 ****** Carrs complaint. 
  
  Again, thank you for the opportunity to respond and clarify,as able.

• Initial Complaint

  Date:09/03/2025

  Type:Service or Repair Issues
  Status:

  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.

  Car incident, been about 3 weeks they dont answer the phone or emails .I got one call saying my car is a total loss and there turned it over to the total lost claims and adjuster .that was 3 weeks ago I herd nothing cents then.

  Business Response

  Date: 09/09/2025

  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, (ISP Old Republic).
  
  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 ******* Montgomerys complaint.  

• Initial Complaint

  Date:08/29/2025

  Type:Service or Repair Issues
  Status:

  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.

  I am filing this complaint against Sedgwick for bad faith claim handling, delay, and failure to properly investigate my insurance claim.Details:On December 6, 2024, I reported my claim, the same date the police filed their report. Despite this, Sedgwick did not issue any response until February 2025a delay of nearly two months.The claim was denied on the grounds that the damage was caused by rats being attracted to pet food. On July 22, 2024, I explicitly informed Sedgwick that the item in question was not pet food or a dog treat. It was a repurposed bag used only to store change. There was no food inside, and the bag itself was not an edible item.Despite my request for a proper inspection, Sedgwick refused to send an adjuster to review the unit in person. Instead, the denial was issued based solely on an assumption from a photograph. The photo does not show any edible items, yet this inaccurate presumption was treated as fact.Sedgwicks conduct in this matter demonstrates:Unreasonable Delay: Nearly two months passed before I received any response.Failure to Investigate: No adjuster was ever sent to conduct an onsite inspection despite my written request.Bad Faith ********* A denial was issued based on an incorrect assumption, ignoring evidence and my clarification regarding the bag.Unfair Denial: Coverage was denied without a fair, thorough, or fact-based investigation.I respectfully request that Sedgwick:Re-open and re-review this claim with a proper investigation, including an onsite inspection by a qualified adjuster.If Sedgwick refuses to conduct a fair investigation, I request written guidance on how to formally appeal this decision.

  Business Response

  Date: 09/11/2025

  Thank you for the opportunity to respond to the complaint filed by Rahmecca ****. 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 Rahmecca **** 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 Rahmecca Reids complaint. 
  
  Again, thank you for the opportunity to respond and clarify,as able.

• Initial Complaint

  Date:08/25/2025

  Type:Service or Repair Issues
  Status:

  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.

  My car was hit by a stack of carts that were pushed into my vehicle pretty hard. I have two witnesses that saw the gentlemen do it and then looked at me like I was crazy. It put a pretty big dent with some other scratches on my car. The scratches and dents were repaired but what we didn't know was that due to the impact my module was knocked offline. A few months later after getting it fixed the battery and the car wasnt responding. I took it in, the battery was replaced for the 2nd time since May of 2022. The same thing happened and the car wouldn't start this time. We found out the the module was knocked offline. It has to be completely replaced. This is going to cost almost ******* for landrover to repair it. I sent an email to my adjuster I have not received a response. I just want them to pay for the repair and the charges for having to pay for **** and rental, and towing. Repair ******* Battery ****** Rental: ******* and growing if I have to pay for another week.. Towing: ****** first one and 112 and some change for the 2nd one.

  Business Response

  Date: 08/27/2025

  Thank you for the opportunity to respond to the complaint filed by Kawnisha *********. 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 Kawnisha ********* 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 Kawnisha Whiteheads complaint. 
  
  Again, thank you for the opportunity to respond and clarify,as able.

• Initial Complaint

  Date:08/21/2025

  Type:Order Issues
  Status:

  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.

  For 10 months I have been attempting to resolve property damage caused by an **** employee through Sedgwick, ****s claims administrator. Sedgwick has repeatedly delayed resolution, ignored messages, and continues to reference an unlicensed bid of $18,313.46 instead of the only valid licensed bid of $24,000.Sedgwick is also requiring me to sign a release form that states I must forever release Sedgwick, ***** and all past and present employees in order to receive payment. This is unreasonable and coercive. My contractor has waited nearly a year for payment, and this release form attempts to strip me of all legal rights simply so **** can avoid accountability.Resolution sought: Immediate payment of the licensed contractors $24,000 invoice and removal of the release requirement. Sedgwicks handling of this matter reflects bad faith and unethical claims practices.

  Business Response

  Date: 08/27/2025

  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, (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:08/20/2025

  Type:Billing Issues
  Status:

  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.

  Better Business Bureau:
  
  I have reviewed the response made by the business in reference to complaint ID# ********, and have determined that my complaint has NOT been resolved because:

  [Your Answer Here]

  Payment by Sedgwick has not been received 

   

   

   

  In order for the BBB to appropriately process your response, you MUST answer the question above.

  
  Sincerely,
  
  ***** *****
  
  
  
  
   
  

  Business Response

  Date: 07/31/2025

  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 ***** Whites complaint. 

   

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

   

  Best,

  Customer Answer

  Date: 08/20/2025

  Date of Loss: August 12, 2024Your Insured: Traffic Management, Inc.Driver: ******* ******* MolinaYour claim #: 4A2408D6JC10001Adjuster: ******** ****** ************* Sedgwick (handles claims for ************** Fire Ins of PittsburghClaimant: (me) ***** WhiteClaimant's Ins: State Farm. Traffic Management's driver ****** was responsible for an accident involving my vehicle. My insurance co (**********) has received reimbursement for the damages ($8000+); Sedgwick included my deductible and the rental $ paid by ********** under my coverage. However, I had $198.59 in out-of-pocket expenses for the rental. I provided Sedgwick all the documents. I've contacted Sedgwick insurance over 10 times in the last year and still have not received reimbursement.

• Initial Complaint

  Date:08/18/2025

  Type:Service or Repair Issues
  Status:

  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.

  I filed a claim with Sedgwick for damaged property at the ************************. The claim was handled by Sedgwick assessor ********. During the one-month investigation period. ******** was never reachable by phone. I have escalated twice just to receive a callback from him. He claimed that he would ask for a damaged photo, but never did. In the end, he denied the claim without talking with the ************ security personnel.This insunrance company hires assessor who don't work, don't answer phones and are never on duty.

  Business Response

  Date: 08/27/2025

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

• Initial Complaint

  Date:08/06/2025

  Type:Product Issues
  Status:

  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.

  I went on disability for three months from work due to being very sick. I signed up for a leave of absence and disability through Sedgwick which is who I have to go through per my job. I put my direct deposit information in their portal and started receiving pays while I was on disability. From 5/9/2025 - 6/29-2025 I never received my paychecks. I did receive the deposit statement saying the payment was deposited into my account but it wasnt. I called and the examiner gave me three trace numbers to verify with my bank to see if they had any record of them. My bank is ****************. They didn't have those numbers on file. I called Sedgwick back and explained this and they told me they would investigate where the money was deposited to. They called a few days later and said the money was deposited into a chime account. I dont have a chime account and I have no clue what a chime account is. I've continued to call every week and its the same response. They will look into it and call me within 48 hours. Days go by with no call and no money deposited into my bank account. I called last week and was guaranteed the money would be deposited into my account by Aug ********. I never received the funds. I waited till today August 6th just incase it was delayed and called Sedgwick to find out what was going on. I was told today that they need the money back from the chime account before they can issue the money back to my account. I told them I dont have a chime account to be able to check this. Now they are telling me they are going to investigate the issue and dont have a time of when I will receive this money. I've been fighting with them since June and they are extremely hard to deal with and get in contact with. I just want my paycheck to pay my bills that I wasnt able to pay while I was out on leave.

  Business Response

  Date: 08/15/2025

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

• Initial Complaint

  Date:07/31/2025

  Type:Sales and Advertising Issues
  Status:

  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.

  I had ankle surgery about 5 weeks ago. The state of ******************************* provide my short term disability benefits. I started the process several weeks before my surgery so my benefits would be there for me when I was off work. It has been a nightmare getting this accomplished. The two do not communicate with each other & when Oregon finally approved of my disability benefits I thought Sedgwick would too because on their website they said they had all the paperwork they needed. However when i called them they said they had to have a copy of Oregons approval letter to get approved by them. How is a person supposed to know all of this & take care of all this when you are recovering from a surgery or an illness? Also Sedgwick was supposed to fax a copy of the paperwork they needed filled out to my physician after surgery. They sent me a text stating that they had not received the filled out paperwork from my surgeon. When I called Sedgwick they stated that they had faxed it twice to my surgeons office. When i inquired where had they faxed it too they told me they faxed it to a 203 area code. My surgeons office is in *****. The fax should have gone to a 208 area code. By the time the paperwork got to my surgeons office he was on vacation, so there was another delay. Im not sure if any of my personal information was on those forms or not. This has been a maddening and very disappointing process.

  Business Response

  Date: 08/05/2025

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

• Initial Complaint

  Date:07/24/2025

  Type:Product Issues
  Status:

  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.

  I am filing this complaint due to AbsenceOne's failure to provide clear, timely, and actionable communication regarding the process for submitting required medical documentation for my California Voluntary Plan (CVP) short-term disability claim.I was approved for benefits through June 29, 2025, and was informed that additional medical documentation was due by July 20, 2025. However, I was never clearly instructed on how, where, or to whom to submit the updated medical documents. I reached out for clarification from both AbsenceOne and ******** (my insurance provider), but received no definitive guidance. As a result, I missed the deadline and was denied continued benefits, which has caused significant financial hardship and emotional distress.I had obtained medical notes from my psychiatrist, Dr. ******* ****, confirming that I remained unable to return to work. But due to the lack of clear instructions from AbsenceOne, I did not know how to properly submit this information.This situation represents a serious breakdown in basic customer service and duty of care, particularly given the vulnerable state many disability claimants are in. It is unacceptable that a benefits administrator could let a claim lapse due to internal communication failures.What resolution would you like?:I request that my case be reopened and that my additional medical documentation be accepted for reconsideration.I request a written explanation and acknowledgment from AbsenceOne/Sedgwick regarding their communication failure in this matter.I request assurance that internal communication and instruction procedures will be reviewed to prevent similar harm to other claimants.Why this matters:This incident has not only resulted in the loss of expected pay but also contributed to heightened anxiety and worsening mental health. I am seeking fairness and accountability, and I sincerely hope BBB will assist in facilitating a response and resolution.