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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

Find a Location

Sedgwick CMS has 24 locations, listed below.

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    Customer Complaints Summary

    • 538 total complaints in the last 3 years.
    • 154 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:12/16/2024

      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.
      Not returning phone calls emails or texts. Leaving me without payment due to this

      Business Response

      Date: 12/20/2024

      Thank you for the opportunity to respond to the complaint filed by Pandora ********************** 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 Pandora *************** filed against our client, Retailers *************************

      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 Pandora **************** complaint. 

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

    • Initial Complaint

      Date:12/14/2024

      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 was injured on November 11, 2023 at my now former employer i twisted and rolled my foot to the right, I was sent to Med xpress once a week for a month before a ortho referral which took months. Foot went numb during the wait was then referred to Neuro who said it was my back , MRI done sent to therapy , therapist said no not the back contacted ** ordered a custom made brace for my foot. Neuro ordered a nerve test which the office has cancelled TWICE and another scan of near my rear but ** still wants to see me even though there is no results to read. Contacted my case worker ******* ***** and was informed she would contact legal to see about getting me another ** or scheduling the nerve test on her own to get answers, NOPE instead legal suspended my payments said waiting on determination of lumbar injury, ** ruled out back injury and ordered a foot brace, no notice no call nothing just suspended for a injury that either way would have been there responsibility to cover but has already been ruled out. I feel punished for the fact that they placed me with a ** that I feel is milking the system now all tests are obsolete and Ive lost income 2 weeks before Christmas, so thank you so much for making Christmas for my kids non -existant and not having the courtesy to even call or message to give me a heads up. You have all the documentation, there have been numerous calls discussing my concerns with this ** and no answers after a year, but im the one who is punished and ghosted.

      Business Response

      Date: 12/26/2024

      Thank you for the opportunity to respond to the complaint filed by ***** ****. Please note that Sedgwick CMS is not an insurance company.  Sedgwick CMS is a third party claim administrator.  This complaint arises from a dispute related to a claim ***** **** filed against our client, (****************.).

      A review of the claim file reveals that Sedgwick CMS has administered this claim in compliance with the laws and regulations governing the alleged loss. 

      Sedgwick CMS respectfully maintains that the Better Business Bureau online complaint resolution system is not the proper forum to respond to the allegations contained in ***** ***** complaint. 

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

    • Initial Complaint

      Date:12/12/2024

      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.
      In September, I had appliances delivered by **********/***************. They damaged my property while doing so. I filed a claim with them. Sedgwick Claims Management Services received the claim. I was working with an associate, ***** Hope. All items she requested were sent and I was offered a settlement in the amount of $3880.88. I was told that if I accept the offer to contact her and I will have to sign a release form. I have all of this in writing. Since November 25, I have sent 4 emails to her, have left voicemails for her, have sent an email to the Northeast Regional supervisor and an email to a main Sedgwick page and have received no response. I am trying to let them know that I want to accept the offer and need to sign that release form. They will not reply to anything. I am including evidence of all of the emails. You can clearly see where I am trying to accept the offer but can get to response to sign the release form.

      Business Response

      Date: 12/26/2024

      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 **** Doves complaint. 

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

    • Initial Complaint

      Date:12/11/2024

      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.
      **** damaged my property when excavating and laying their **** line. My claim was outsourced through Sedgwick for resolution of the problem. The problem has not been resolved by Sedgwick and my claim has been wrongfully closed due to my Claim Examiner's inability to understand the situation. My property has experienced a thousand dollars of damage, it remains damaged, and Sedgwick and **** refuse to reasonably work with me toward resolution of the issue. My Claims Examiner is TaVaughn Commack **************** and his supervisor's name is ****** *** ***************************************

      Business Response

      Date: 12/26/2024

      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:12/11/2024

      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 am attempting to sign up for school, and received a voucher from my employer through my workers compensation claim, I have been unable to reach anyone, I keep leaving messages, about to miss my deadline to finish registration, through out my whole experience, I feel like I am being taking advantage of because I have no attorney, or simply just dont know the ends and outs, I am forced to settle a claim without a hard copy of my medical report, there is no way to report it, to anyone else because I am always routed to the voicemail, and never received a response back, major insurance company, is taking advantage of me by non compliance, even though it says online how to communicate, it never works for me.

      Business Response

      Date: 12/20/2024

      Thank you for the opportunity to respond to the complaint filed by **** ******. Please note that Sedgwick CMS is not an insurance company.  Sedgwick CMS is a third party claim administrator.  This complaint arises from a dispute related to a claim **** ****** filed against our client, **********.

      A review of the claim file reveals that Sedgwick CMS has administered this claim in compliance with the laws and regulations governing the alleged loss. 

      Sedgwick CMS respectfully maintains that the Better Business Bureau online complaint resolution system is not the proper forum to respond to the allegations contained in **** ******* complaint. 

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

    • Initial Complaint

      Date:12/11/2024

      Type:Customer Service Issues
      Status:
      Unresolved
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I have had an active Workers Compensation claim since 09/18/2024. During this time period I have had multiple issues with the handling of my claim. My claims manager on multiple occasion has misrepresented the settlement offer presented to me by my employer. Ignored my attempts to negotiate with my employer. Which has delayed the settlement process for over a month.Refused to take my calls/ respond to my messages. I have in prior months escalated it to the appropriate supervisor, with no resolution being reached. I have not been paid any of my Compensation benefits and I am suffering financially because of the negligence of my claims manager. The subsequent financial hardships have led to me being unable to continue the proper medical treatment recommended for my condition. I have been left liable for all medical bills associated with my work related injury. Most recently I asked for the corporate office contact information and was denied the right to reach out to Sedgwick **************** with my concerns. It is evident that Sedgwick has acted in bad faith and I am looking forward to hearing their responses and reaching a resolution on the matter.

    • Initial Complaint

      Date:12/03/2024

      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 was rear ended by a cement mixer and Sedgwick handled the claim from the cement mixers insurance. They suggested that I go through my insurance and they would reimburse my insurance. As a result, I had to pay my deductible. Its been four months and they have not reimbursed me for my deductible and have not responded to emails. My insurance just told us Sedgwick has not responded to their requests to reimburse me for my deductible either.

      Business Response

      Date: 12/20/2024

      Thank you for the opportunity to respond to the complaint filed by Yaella ********. 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 Yaella ******** 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 Yaella Aronhimes complaint. 

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

    • Initial Complaint

      Date:12/02/2024

      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.
      Dear Better Business Bureau,I am filing a formal complaint about Sedgwicks mishandling of my claim, which has caused severe physical, emotional, and financial hardship. I filed a claim related to a Sephora incident that resulted in a medical emergency requiring an appendectomy. Despite providing all necessary documentation, Sedgwick delayed responses and failed to process my claim promptly.This negligence has caused me extreme pain, dependency on medication, and psychological distress. My spouse has missed work to care for our children, causing financial strain, and I am unable to perform daily tasks or care for my family. My follow-ups with Sedgwicks ***** ****** have gone unanswered, delaying the resolution further.I request $450,000 in compensation for medical costs, emotional distress, lost income, and long-term impacts on my quality of life. I urge the BBB to hold Sedgwick accountable and ensure this matter is resolved fairly and promptly.

      Business Response

      Date: 12/20/2024

      Thank you for the opportunity to respond to the complaint filed by Neahndi *******. 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 Neahndi ******* 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 Neahndi Batistes complaint. 

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

    • Initial Complaint

      Date:12/02/2024

      Type:Customer Service 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.
      I was issued a damages report from ******* in relation to an **** rental on 10/18/2024 in the amount of nearly $27,000. However, the car was damaged at the time of pickup and I informed **** of that within minutes of the start of my rental. I was told told by **** not to worry, the pre-existing damages was noted in my file. However, that was clearly not the case.I have been in contact with **** and ******* for over a month, provided photographic timestamped evidence and am prepared to submit witness statements attesting to the pre-existing damage (I shared the car with other passengers). Every time I speak with someone at **** or Sedgwick -- and have over a dozen times -- I am assured this will be resolved soon, but it has been over a month and no one with authority will respond to me. Instead, I got a letter saying I owed nearly $27,000 to ****.**** now says they did not communicate my lengthy correspondence to Sedgwick. When I was able to finally speak with someone at Sedgwick, I was informed I was emailing the wrong email address--EVEN THOUGH I WAS USING THE ***** ADDRESS SET FORTH IN THE LETTER FROM SEDGWICK. **** is now saying because the claim was turned over the Sedgwick it is out of their hands (even though **** customer service refuses to transfer me to a supervisor with any real level of authority). Sedgwick does not respond via email and there is a several hour hold time to speak to a low level customer service agent. I sent **** and ********************** the attached letter detailing my correspondence and evidence, and making clear not to destroy any evidence that would show their knowledge of the damage at the time of rental. Both businesses are next to impossible to work with. I appreciate the BBB providing an avenue to assist customers in these types of situations.

    • Initial Complaint

      Date:11/21/2024

      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.
      We moved into our new construction home in July 2022. **** came out after everyone's driveways were poured to run their fiber lines in the neighborhood. We don't have any above ground power in the neighborhood, so they had to run their lines under the driveways. When they got to ours, they managed to dig deep enough they caused a stress fracture in our newly poured driveway - a crack all the way across our double-wide driveway. We spent the next year trying to get our builders to fix this issue. They said it was ****'s fault, and that **** didn't want to give the builders any answers either. The builders finally told us to reach out to **** since I was constantly asking them when this issue would be resolved. After trying to contact **** about this (without having any services through ****, either) I spent about an hour on the phone for them to tell me they've forwarded me onto some company called Sedgwick that handles ****'s claims. Well, Sedgwick and **** apparently take absolutely no responsibility whatsoever. I mentioned in the claim that the date I had given was a general idea of when it would have occurred. Sedgwick's reply was that **** was not in our neighborhood on the "exact" date I provided. After seeing this reply, I obviously tried to contest this and tell them this was an estimate, not an exact date. I've heard nothing since this. It's now the end of November and I haven't heard anything from them since mid September, 2024. Basically, if **** damages any of your property, they're not taking responsibility for it and you end up having to pay for it.

      Business Response

      Date: 12/09/2024

      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.

      Customer Answer

      Date: 12/20/2024

      I'll add that Sedgwick is very unresponsive to any attempt at getting ahold of anyone, including the designated representatives for specific cases. I had attempted to reach out several times with no reply. When they finally replied, it was a notice that they would not be looking any further into my issue because they used the date I had given as a specific date when I clearly specified it was an estimated date. They didn't even bother to look at any other dates that AT&T could have been in the neighborhood. Sedgwick claims AT&T was not here destroying my property when I saw them with my own eyes, and watched them run fiber under everyone's driveway on my street. Maybe I don't know the exact date because it was a long time ago. Sedgwick and AT&T are in the business of making it seem like they care about clients, when all they really do is s**** people like me over. Sedgwick needs to take initiative and look for other possible dates around the date I provided to see if there was an AT&T technician in the area within a month (before or after) the date I provided. When I say it's an estimated date, that doesn't mean look at the claim, see the date, reply to the client that nobody was in the neighborhood on that specific date, and throw the case out without asking for any additional info or clarification on anything. The whole process that Sedgwick has for claims is a joke.

    Sedgwick CMS is NOT a BBB Accredited Business.

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