Insurance Claims Processing
Sedgwick CMSHeadquarters
This business is NOT BBB Accredited.
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Important information
- Customer Complaint:While the BBB continues to accept and report complaints against this business and fulfill its responsibility to inform businesses of communications from its customers, this business generally responds that the Better Business Bureau online complaint resolution system is not the proper forum to respond to allegations in this complaint.
Complaints
This profile includes complaints for Sedgwick CMS's headquarters and its corporate-owned locations. To view all corporate locations, see
Customer Complaints Summary
- 538 total complaints in the last 3 years.
- 157 complaints closed in the last 12 months.
If you've experienced an issue
Submit a ComplaintThe complaint text that is displayed might not represent all complaints filed with BBB. Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business.
Initial Complaint
Date:09/03/2025
Type:Service or Repair IssuesStatus:UnresolvedMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
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:09/03/2025
Type:Service or Repair IssuesStatus:UnresolvedMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
My son and my brother were at Target in ******, ** on August 12, 2025. My son slipped and fell back injuring his ankle and knee on a puddle of water that Target had neglected to take care of. A claims adjuster through Sedgwick opened a claim and deemed negligence on Targets part and offered to settle the matter. We went back and forth for about a week and she advised the complete the settlement we would need to fill out a form with my sons information and send it back. It has now been two weeks and she is completely ignoring all communication now. I have sent 4 emails and asked their phone service to have her call me back 3 times now. They commit to calling back within 24 hours and nothing. I am starting to feel like I got scammed just to get my sons personal information and that Im going to have to pursue this legally. **** ****** is the *** that was handling my case but is now evading our calls and emails.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, (******************).
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 ******* Garouttes complaint.
Again, thank you for the opportunity to respond and clarify,as able.Initial Complaint
Date:09/02/2025
Type:Order IssuesStatus:UnresolvedMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
I incurred an injury at a local business and was treated by a local clinic. The insurance company noted the injury and provided a file number. My treatment for the injury has be discontinued because I have reached the baseline status according to the treating medical provider. The medical facility has contacted the business concerning the bill, and I have made several contacts as well with no response from Sedgwick concerning paying the bill.Please let me know if you need additional information concerning this complaint. **** ***** ********************************************************************* ************** (Home)************** (Cell)******************************** (Email)Business Response
Date: 09/05/2025
We are unable to locate a claim matching the customer's name using the information provided. We need additional information (claim#) in order to respond.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, (***************************).
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:08/29/2025
Type:Service or Repair IssuesStatus:UnresolvedMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
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:08/29/2025
Type:Service or Repair IssuesStatus:UnresolvedMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
I was involved in an accident with a DHL truck back on 5/14/2025 where the other driver was found at fault for the accident. Sedgwick who the insurance for *** is very hard to deal with. I leave messages voicemails with no response and when the adjuster finally responds all I keep getting is they are trying to get a hold of the driver to confirm what happened. Its been 3 months of this. I sent them all the requested documents and its been nothing but delays after delays after delays. I been denied rentals while they do their investigating. My vehicle is unsafe drive and I have told them this more than once. Their communication is horrible.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, (DHL).
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:08/25/2025
Type:Service or Repair IssuesStatus:UnresolvedMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
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:08/22/2025
Type:Service or Repair IssuesStatus:UnresolvedMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
On June 9th my back went out at work my company uses Sedgwick as our short term disability insurance I went home and Contacted Sedgwick I was told that because it happened at work, even though I didnt want it because it was a pre-existing condition Work would file a workers comp claim. Sedgwick told me itwould be denied and when it did, it was no big deal, but they would backdate my claim from the beginning of the thing well its 1/2 months later ive received two checks and my claim is dated July 1 instead of June 9 I have left. I dont even know how many messages with these they never contact you back they lie they cheat you talk to somebody one day and you get a completely different response from somebody else thenext day when you ask about this oh well, Ill have that person contact you that call never comes. This is a c*** company that is only interested in taking your money, not giving any of it back. I was also told that I would be paid by my work scheduled, which I signed the contract saying I would work for 50 hours a week after telling me that yes I was gonna get paid 50hours a week had to raise a 60% well comes to turn out that. No they didnt tell me that no you only get paid for the 40 hours, even though I have contract with my employer for *************************************************** to do that. I dont really know how because youre tellingsomebody one thing and giving them something else and then when you try to ask about it, you never ever answer their questions get back to or anything else all I really hope is I hope and pray all of you have to use your s***** company for what you pay it forin the former short term disability. Im sorry I dont mean to sound angry, but I am. This is America companies arent supposed to be able to do this when we hear politicians whoever sprouting the phrase make America great again when our politicians live with them humanity when our businesses cheat and dont fulfill the obligationsBusiness Response
Date: 08/27/2025
We are unable to locate a claim matching the customer's name using the information provided. We need additional information in order to respondInitial Complaint
Date:08/21/2025
Type:Order IssuesStatus:UnresolvedMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
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:Customer Service IssuesStatus:UnresolvedMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
I created an online account regarding my claim, I no longer have access to my account becausr my email was removed from my account. I have sent messages online and had the option to upload documentation. An agent told me he could delete my account and that I could create a new one, which I was against.
It's been months and I have not been able to reach a claims analyst to update my claim. The claims analyst can update my email and I can move forward with my claim.Business Response
Date: 08/21/2025
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:08/20/2025
Type:Billing IssuesStatus:UnresolvedMore info
Complaint statuses
- Resolved:
- The complainant verified the issue was resolved to their satisfaction.
- Unresolved:
- The business responded to the dispute but failed to make a good faith effort to resolve it.
- Answered:
- The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
- Unanswered:
- The business failed to respond to the dispute.
- Unpursuable:
- BBB is unable to locate the business.
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.
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