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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.

*This company may be headquartered in or have additional locations in another country. Please click on the country abbreviation in the search box below to change to a different country location.

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    Customer Complaints Summary

    • 517 total complaints in the last 3 years.
    • 145 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:10/10/2025

      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.
      In May 2025 A Best Buy Geek Squad member came to my home to repair a dishwasher that I had purchased from them. Unfortunately the repair person either didnt connect the drain hose properly or the clamp they used to secure it failed. This caused extensive water damage that ruined the kitchen and bathroom flooring as well as a number of personal items in the basement below. It required the services ServePro mold and water remediation. The case was referred to the ************************** Sedgwick, and given case number 4A2505N08YB0001. The insurance agent ***** ***** requested that I obtain an estimate for the repairs as well as items damaged, all of which were provided to them. I last heard from her at the end of July, and since then repeated phone calls and emails to her as well as Sedgwick have gone unanswered. They also have not paid ServePro or Envirocheck, who were required to test for asbestos, and have ignored repeated calls and emails from them as well. As a result both are now hounding me. Im at my wits end and would like very much to have my kitchen repaired and the property I lost compensated.

      Business Response

      Date: 10/13/2025

      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.

      Customer Answer

      Date: 10/13/2025

      What is my next step? Best Buy caused a great deal of damage. Should the complaint be filed against them? Please advise 
    • Initial Complaint

      Date:10/10/2025

      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.
      Sedgewick continues to ignore phones calls, and emails in reference to my workmans comp ******** surgery was approved by a Judge in September, yet they continue to ignore my requests for a surgery date. I was hurt 13 months ago but the Judge approved the surgery last month.

      Business Response

      Date: 10/13/2025

      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 **** Kruegers complaint. 

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

      Date:10/09/2025

      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 parked at The Parking Spot 1 and paid for valet covered garage parking from between August 17th and 19th. When I returned to my car on August 19th, my car was HEAVILY covered in dirt, grass clippings, and an odd liquid that had dried in a weird way upon my trunk and on the top of my car. I spoke with the manager Mile ******** and showed him the issue. Upon washing my car, I realized that I had several thousand pinhole indentations on my car paint that were caused by CONSTRUCTION ACID / WATER from above that fell onto my car while supposedly parked in a safe spot. I have an estimate for my repairs at around $4,000 to repaint the hood and trunk. I take immaculate care of my car. So this is very disturbing. The Parking Spot filed a claim with Sedgwick, the insurer. I was denied my claim without investigation. I have photos, I have estimates. The claims agent Kasharian was unhelpful, unprofessional and unavailable. I received one email and one phone call in 8 weeks before being told 'claim denied'. I am seeking $4,000 to make the proper repairs to my damaged car. My claim is legitimate and Sedgwick is wrong for denying the claim. Yes - per your request I am ok with you sharing this claim with the media, I would be glad to speak with them and show them the photos along with the description of this claim and events.

      Business Response

      Date: 10/14/2025

      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, (The Parking Spot).

      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 ******* Smiths complaint. 

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

      Date:10/04/2025

      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.
      We purchased a new GE dishwasher in September 2023. We had it professionally delivered and installed. Unbeknownst to us it came with a manufacturer defect. It had been leaking for 5 months. For the first few months the particle board directly below the washer was soaking up the leaking water then the hardwood floors started to slightly warp. It only got worse and worse. In Feb/Mar 2024 we had a ** tech out to take a look at it and he knew right away what was wrong. Loose heater nut. He tightened it up and the leaking stopped. But the damage was done. In his report he noted significant floor damage and recommended we call GE and file a claim. We did exactly that and ** accepted responsibility. We were eventually contacted by a Sedgwick Claims Adjuster. Her name is ****** ********* and she is literally the least responsive and even less helpful person I have ever had to deal with in my life. After a year and a half of back and forth about the kitchen, all via email because I want everything she says in writing, we are still no any closer to a fair resolution. Back in June ******************************************************* and remove the damaged material (flooring, cabinets, kitchen ****************** because they had to remove the cabinets and flooring. Also sheetrock from the ceiling in the basement). Ms. ********* keeps saying she will only write one check. The restoration company hasnt been paid for the work in June. Two separate contractors have given very similar quotes to repair the damage properly and Ms. ********* has come in with 2 insultingly low quotes. We have 2 young children and our kitchen is not functional to care for our kids. Its getting ridiculous. We are going on almost 4 months without our kitchen.

      Business Response

      Date: 10/14/2025

      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, (Haier, dba GE Appliances).

      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 Britnee Bakers complaint. 

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

      Date:09/30/2025

      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 maternity leave was scheduled to start 9/29 and I went on it as scheduled. I was experiencing issues with my employer honoring the leave unless it is approved by a specific date. My employer used Sedgwick as a 3rd party to manage leaves and as soon as it became urgent they refused to connect with me my examiner, my examiners supervisor, or provide me with a new examiner. I have been calling for at least three business days and am risking not being provided by protected leave by my company due to this lack of response.

      Business Response

      Date: 10/13/2025

      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: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.

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