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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

    • 538 total complaints in the last 3 years.
    • 157 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.

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    Complaint status

    Complaint type

    • Initial Complaint

      Date:09/24/2025

      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.
      July 2, 2025, Sedgwick contacted me in regard to a claim filed by **** for damages done to our home during an install. The damage caused a water leak due to the hole that was drilled from the outside of our home into the brick through our window frame and when I spoke to ****** ******, I advised her the first estimate we were sending in would be to get the leak as well as the water damage repaired and we would be sending in another estimate to take care of the window frame damage. ****** issued a check for $1,421.03 which we applied another $500.00 out of pocket to get the repairs made and the second estimate of $6,000 to get the window framework done has been ignored by ******. I could not get her to answer any emails or telephone calls; therefore I attempted to get in contact with her manager ****** ***, who was worse than ****** and who at one point when I asked if I needed to get an attorney involved, she replied back have your attorney to call me. At this point I filed a complaint with The BBB against **** and was immediately contacted by ********** of The President asking for details of this matter, *** ***** has been assigned to this case and has advised ****** to reach out to me as well as get this estimate paid out in order to close this case since it had been almost three months, in which ****** only offered me an additional $400 to settle the entire claim, when I told her that would only cover the first estimate and that we wanted out home to be made hold as if the damages never took place, she stated she needed to reach back out to ****, in which Ms. ***** stated she has never done and do not understand, why this company behavioral has come to this because they pay Sedgwick to handle their claims and this matter should not be handled in this matter, I have advised her that ****** has refused to call me back and has stated at this point she was getting a second adjuster to look at the claim, which has been over two weeks, I am looking into legal actions.

      Business Response

      Date: 09/30/2025

      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, (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 ****** Blackmons complaint. 

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

      Date:09/24/2025

      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.
      The company is supposed to be the claims company you contact when you have damage from a delivery from **********. I followed the instructions and called and they sent and email and said someone would get back to me the following day and nobody did. I called to follow up and they said that the person would contact me in 24 hours and nobody has. I called again today 26 hours later and they told me that ****** is the supervisor and he would get back to me. Ironically none of the people that are supposed to support my claim *********** are ever available and I have scratches in my wood floor of a property I need to rent out. I need to get this filed so I can get reimbursed for the floor unless they have someone they work with who will come out and do it. If I ask to talk to a manager they are not available either.

      Business Response

      Date: 09/30/2025

      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 ***** Gallery 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 ***** Gallerys complaint. 

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

      Date:09/22/2025

      Type:Order Issues
      Status:
      ResolvedMore 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.
      Claim # ******H0001 --Nature of Complaint:This complaint arises from Sedgwicks continued neglect, mishandling, and refusal to escalate my pending claim. Despite multiple requests, Sedgwick has failed to address this matter at the appropriate management or legal ******** be clear, no formal civil action has been filed to date, and therefore the BBB is the appropriate venue to commence this grievance at this pre-filing stage.Failure to Escalate:Over the last week, I have explicitly requested escalation and a direct call from the following individuals, all ignored to date:**** ******, Associate General Counsel **** ********, Supervisor of Adjusters *** ********, Supervisor of Adjusters Sedgwick continues to improperly direct this matter to a frontline adjuster with no legal expertise to resolve a civil rights claim.Why This Is Serious:This is not a typical insurable claim involving property damage or coverage disputes. Instead, it arises under the California ***** Civil Rights Act, a statute that protects individuals from discrimination and denial of equal access. As such, it requires legal expertise and management-level oversight, not routine claim adjustment. Sedgwicks continued mishandling and failure to escalate have resulted in delay, ongoing harm, and a fundamental breakdown in its responsibility to address civil rights violations appropriately.Desired Resolution:Immediate escalation today to senior management or Sedgwicks legal ***************** call today from a qualified representative with authority to resolve.Honor the originally advised & requested resolution demand without further ********** Escalations:If Sedgwick fails to act, I will immediately escalate to:California Attorney General *** ***** ************** Division ********************************** (CRD)Tennessee Attorney General ******** ********, given Sedgwicks headquarters jurisdiction.Complainant Contact Information:****** B. ******** ************ M.

      Customer Answer

      Date: 10/01/2025

      Please withdrawal this complaint as it has been resolved.

       

      thank you,

       

      jbs 

    • Initial Complaint

      Date:09/20/2025

      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.
      *Subject:* Formal Complaint Regarding Poor Handling of My Disability Case *To Whom It May Concern,*My name is *Dakeisi ******* Prez*, and I currently have an active disability claim with Sedgwick related to my employment with *******. My claim number is *230924744*.I am writing to formally file a complaint regarding the poor management and lack of communication Ive experienced throughout this process of my pregnancy and postpartum. Despite submitting all required documentation on time, the specialists assigned to my case have not followed up appropriately. They often promise to return calls and never do, and they fail to provide any proactive updates on the status of my ******* feels like unless I call repeatedly and argue to get information, nothing moves forward. This causes unnecessary stress and delays in receiving essential benefits. It is extremely frustrating and disappointing to be treated this way, especially during a time when support should be readily available.I respectfully request an urgent review of my case and a formal response to this complaint. I also ask that Sedgwick take immediate steps to improve communication, accountability, and transparency with claimants going forward.Sincerely, Dakeisi ******** ***** ************** ************************ *09/20/25*

      Business Response

      Date: 09/23/2025

      Thank you for the opportunity to respond to the complaint filed by Dakeisi ******* Prez.  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 Dakeisi ******* Prez 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 Dakeisi Gonzlez Prezs complaint. 

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

      Date:09/19/2025

      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.
      Sedgwick manages claims for *************************************************, handles workers compensation claims for injured employees of CVS RX Services. Examiner is assigned to each case. However if you attempt to reach them by phone you get a message stating they will return your voicemail in one business day. They do not return calls. The examiner can never be reached by phone, communication center or email. No questions or concerns are looked into despite leaving numerous messages for over one week. Very unprofessional and would never recommend a company use them for their services. Workers compensation board sent a letter stating that case was being dropped due to no medical evidence of on going disability while seeing the doctor for a recheck and continuing physical therapy. My employer will not let me return to work unless fully cleared by the doctor. Also have not been paid in almost 4 weeks and have bills that are now behind and still unable to reach anyone to find out what is going on and how to fix it. Overall they are negligent of my case despite trying to reach out multiple times and ways. I have asked for help and someone to contact me as soon as possible and still no response

      Business Response

      Date: 09/24/2025

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

      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 ***** Pruynes complaint. 

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

      Date:09/16/2025

      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 had Sedgwick claims for 5+ years and for 5+ years they continuely not pay me when I'm out on short term disability and their adjusters lack any empathy and do not care about my well being, every time I have a claim, I have issues with Sedgwick they claim not to get paperwork when I have fax confirmation of paperwork sent

      Business Response

      Date: 09/22/2025

      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, (Verizon).

      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 ***** Atabakis complaint. 

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

      Date:09/11/2025

      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.
      Rental car accident 4/19/25 Contact for Sedgwick - ******* ****** ************.Received first letter of correspondence from Sedgwick 5/5/25 Sent USAA claim information (other party's information since I was not at fault) to Sedgwick on 5/13/25 Emails sent to ******* at Sedgwick for claim update 6/9/25 and 6/24/25 Filed claim with my insurance-State Farm 6/30/25 ****************************** claim #**-86Z5-37Z 7/17/25 Received Sedgwick letter about claim update on 7/25/25. Spoke with ******* on the phone on 7/25/25 and was assured that I would not be sent to collections since we were actively working on the claim.State Farm paid $241 for partial claim 8/14/25 Received email from ******* that they received the State Farm funds and suggested that I contact my credit card company for the balance 8/26/25 Filed a claim with ***** for the remainder of the claim 8/29/25 ******* emailed about receipt of ***** claim #******** 9/2/25 Tried to pay balance of claim to Sedgwick 9/4/25 through this link *******************************************************. I was not successful in paying the claim. Account was not found Emailed ******* on 9/4/25 to fond out why I was not able to pay the claim. No response Received balance of claim $817 from ***** credit card 9/8/25 Received collections letter from Viking Client Services on 9/10/25 Tried to reach out to ******* and ***** ************. No response 9/10/25 I am requesting that Sedgwick remove my claim information from ******. I do not understand why I was sent to ****** when I provided all information that was asked. Being sent to ****** will affect my credit score so I would like a letter from Sedgwick stating that this was an error on their part. I will need this letter to provide to my creditors. Thank you for your attention to this matter. ******* *******

      Business Response

      Date: 09/22/2025

      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: 09/23/2025

      Sedgwick claim # is **********. Budget rental agreement # is U783559000. Thanks
    • Initial Complaint

      Date:09/10/2025

      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.
      On Wednesday, 16 July 2025 at approximately 1830hrs, going EB on 1-90 near MP:6.5, ****** D. *****, the driver of a ZipCar ************ RAV4, conducted an improper lane change and struck my vehicle. He received a ticket for improper lane change- ****** D. ***** was undoubtedly at fault for this incident. The driver of the vehicle did not verbally communicate with me at the scene of the accident, but instead allowed his passenger to talk for him, exchange paperwork for him, while he sat in the car because he was feeling emotional, said the passenger. Although I did not press it at the time, this was absolutely strange behavior. The insurance he has through ****** is through Sedgwick, per ****** associates. Sedgwick is unwilling to provide the necessary information, or contact information to associates who will actually respond. My vehicle remains damaged due to Sedgwicks inability to take accountability and the necessary steps to ensure that the consequences of their customers improper lane change, are handled professionally and timely, or handled at all, especially after their customer also didnt take accountability for their immediate actions, and instead sat comfortably in his vehicle with his emotions. They have not provided the necessary information in order to visit a collision center to determine the total internal/external damage for my vehicle to be repaired.

      Business Response

      Date: 09/22/2025

      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: 09/23/2025

      Finally provided with a claim number after many who seemed unwilling to help or willing to give me the run around until I hopefully stopped calling.
      claim #:   258026824

      Left voicemail for ***** ****** in the claims ***** no response 
      ****** number:  **********

      **** was the associate on the phone who provided this info. 

    • Initial Complaint

      Date:09/08/2025

      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.
      Haven't herd nothing from this company on my car incident nor received a ccc report or nothing about my case only herd from the therd party witch is sedgwick and still haven't received no paper work no appraisal no nothing just for me to wait and that was 3 weeks ago Noone answers the phone or email on this situation on my claim

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

    • 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.

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