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
- 540 total complaints in the last 3 years.
- 169 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:06/30/2025
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 ordered a dishwasher from Best Buy. They use a third party to install. They use lmb handyman. They came out and cause a plumbing leak I didnt have before. I even told him I had the main off. Still he touched my manifold in the garage then it leaked. I called a plumber he said there is no previous water damage so whatever the guy did he caused a leak. Now no one is getting back to me and Sedgwick told me to call the installer I did and he called me names. Now Sedgwick wont let me talk to a supervisor and he told me all they can do is escalate it cause its a third party. Arent they the insurer. Please help.Business Response
Date: 07/08/2025
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, (Best ************.).
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 ****** Feltons complaint.
Again, thank you for the opportunity to respond and clarify,as able.Initial Complaint
Date:06/27/2025
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.
During the month of August 2024 **** placed a concrete headstone in my front yard without my permission. They said they would cover the damages that I needed to file a claim with their insurance company Sedgwick which I did. Sedgwick would never respond and I'm now finding out Sedgwick is a subsidiary of ************. I would like this headstone removed from my yard immediately.Business Response
Date: 07/01/2025
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:06/27/2025
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.
On 5/16/25 we had our new stove delivered. Shortly after we noticed the installers scratched our floor in 2 places. We reported the issue to ********** and they reported the problem with pictures to Sedgwick claim ***** I received a letter from ***** ****** ************ to contact him. I have been put on hold several times for a long period and eventually left a message to call me back and ********** has done the same. This has been going on way to long and would like help getting this resolved.Business Response
Date: 06/27/2025
Thank you for the opportunity to respond to the complaint filed by ****** *******. Please note that Sedgwick CMS is not an insurance company. Sedgwick CMS is a third party claim administrator. This complaint arises from a dispute related to a claim ****** ******* filed against our client, (*******************).
A review of the claim file reveals that Sedgwick CMS has administered this claim in compliance with the laws and regulations governing the alleged loss.
Sedgwick CMS respectfully maintains that the Better Business Bureau online complaint resolution system is not the proper forum to respond to the allegations contained in ****** Ringlers complaint.Business Response
Date: 07/01/2025
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 ****** Ringlers complaint.
Again, thank you for the opportunity to respond and clarify,as able.Initial Complaint
Date:06/22/2025
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.
Claim Abandonment, Retaliatory Silence, and Unethical Claim Handling:This complaint concerns Sedgwicks unethical handling of a property damage claim I filed in April 2024, resulting from damage caused by a ********** delivery subcontractor. Sedgwick issued a low estimate using blanket depreciation without verifying the age or condition of the damaged materialscontrary to standard adjusting practice. Despite submitting photos, a detailed timeline, and contractor repair estimates, Sedgwick failed to provide any transparency on how the figures were calculated.On 8/16/24, I emailed Sedgwick directly asking for a clear breakdown of their estimate and depreciation methodology. Instead of responding, they abandoned the claim and falsely told the ************************** Services (DFS) that I declined to submit additional documentation. I have retained the full email record, which proves otherwise.Sedgwick also ignored damages that were visibly marked and discussed during the site walkthrough, including to the staircase and interior finishes. Their conduct reflects a deliberate attempt to suppress claim costs and avoid accountability.This behavior escalated after I referenced my intent to file a complaint with DFSat which point Sedgwick went silent. This appears retaliatory, obstructive, and unethical. Sedgwicks systemic use of delay, silence, and gaslighting tactics has caused undue stress, wasted time and reflects cost-containment behavior at the consumers ********** a 3rd party admin operating under DFS jurisdiction in NYS Sedgwicks actions raise serious concerns about compliance with insurance and consumer protection laws.***********Pursuant to the Freedom of Information Law (FOIL)/FOIA, applicable federal/state privacy statutes, I formally request: That my personally identifiable information be redacted or withheld from any records made public. That I be notified prior to any disclosures if this information is subject to any third-party FOIL requestBusiness Response
Date: 06/24/2025
We are unable to locate a claim matching the customer's name using the information provided. We need additional information (claim number) in order to respond.Customer Answer
Date: 06/24/2025
Dear BBB Team,
Please find attached the following documentation to support my complaint against Sedgwick Claims Management Services Claim # ***********:
The 8/16/24 email explicitly requesting a full breakdown of their estimate and depreciation methodology, to which I never received a response;
A complete timeline of email correspondence demonstrating how Sedgwick ceased all communication immediately after I referenced filing with the NY Department of Financial Services (DFS);
Actual letter sent by the *** on behalf of Sedgwick, my response again will submit to them earlier this year and records proving Sedgwick misleadingly represented to *** that I had declined to submit further documentation, despite ample proof that I had requested clarification in good faith and offered examples of flawed estimate. It was all communicated via email which clearly shows gaslighting and evasive responses.
Sedgwicks failure to respond, their circular and gaslighting email pattern, and the ultimate abandonment of the claim constitute bad faith claims handling. They repeatedly evaded direct requests for transparency and accountability. All communication was conducted via emailno correspondence was ever emailed or receivedmaking any claim to the contrary verifiably false.
Further, Sedgwick should already possess a full copy of the documentation through DFS filings. The legal position that this claim is closed is inaccurate and improper, particularly since retaliatory abandonment of a valid claim following regulatory notice may constitute breach of fiduciary duty and bad faith under NY insurance law.
I trust this documentation enables Sedgwick to formally identify and address the unresolved claim. Please do not hesitate to contact me should any clarification be needed.
Sincerely,
****Business Response
Date: 06/27/2025
We are unable to locate a claim matching the customer's name using the information provided. We need additional information in order to respond.Customer Answer
Date: 06/28/2025
Dear BBB Team,
Attached in this submission is a formal letter to Sedgwick who still has not responded due to a new recent update explaining below.
I am submitting this supplemental response regarding my complaint against with BBB for Sedgwick Claims Management Services # ******** and The ********** # 23503485, in light of Sedgwicks false claim that they could not locate the file.
Attached is complete documentation proving otherwise, including:
My 8/16/24 email directly requesting Sedgwick to provide a detailed breakdown of the depreciation methodology in their estimate;
Sedgwicks failure to respond, followed by abandonment of the claim without resolution;
Sedgwicks misleading communication to the NY Department of Financial Services (DFS), falsely stating I declined to provide further documentationwhen in fact I had already submitted extensive email evidence and continued correspondence;
Sedgwicks formal written response to DFS, proving they were fully aware of the claim file and its context.
All communication took place via emailthere is no excuse for Sedgwick to now claim they cannot locate the claim. If that is their position, it reflects either serious mishandling of consumer records or intentional concealment.
Furthermore, I want to bring to your attention that the New York Attorney Generals office has officially reviewed this matter and declined to mediate, not because the claim lacks merit, but because they determined the seriousness of the misconduct warrants legal action. Their response explicitly refers me to civil court or other legal channels for escalation. This reinforces that this is not a routine consumer service issueit is a case involving:
Bad faith claims handling
Retaliatory abandonment after regulatory involvement
Concealment of claim methodology and communication
Failure to comply with fair claims and consumer protection standards
Despite being given multiple opportunities to resolve this fairly, Sedgwick and ********** have chosen to delay, deflect, and misrepresent factsplacing the burden entirely on the consumer.
This submission contains verified documentation proving:
Sedgwick knowingly abandoned the claim;
Sedgwick misrepresented my cooperation to regulators;
Sedgwick continues to assert a flawed estimate with no transparency.
I ask the BBB to continue processing this complaint and reflect Sedgwicks and **********s misconduct in the public record. These are not one-off errors; they are systemic practices that have caused material harm, stress, and delay.
Sincerely,
EloyCustomer Answer
Date: 07/01/2025
Dear BBB Team,
Attached in this submission is a formal letter to Sedgwick who still has not responded due to a new recent update explaining below.
I am submitting this supplemental response regarding my complaint against with BBB for Sedgwick Claims Management Services # ******** and The ********** # 23503485, in light of Sedgwicks false claim that they could not locate the file.
Attached is complete documentation proving otherwise, including:
My 8/16/24 email directly requesting Sedgwick to provide a detailed breakdown of the depreciation methodology in their estimate;
Sedgwicks failure to respond, followed by abandonment of the claim without resolution;
Sedgwicks misleading communication to the NY Department of Financial Services (DFS), falsely stating I declined to provide further documentationwhen in fact I had already submitted extensive email evidence and continued correspondence;
Sedgwicks formal written response to DFS, proving they were fully aware of the claim file and its context.
All communication took place via emailthere is no excuse for Sedgwick to now claim they cannot locate the claim. If that is their position, it reflects either serious mishandling of consumer records or intentional concealment.
Furthermore, I want to bring to your attention that the New York Attorney Generals office has officially reviewed this matter and declined to mediate, not because the claim lacks merit, but because they determined the seriousness of the misconduct warrants legal action. Their response explicitly refers me to civil court or other legal channels for escalation. This reinforces that this is not a routine consumer service issueit is a case involving:
Bad faith claims handling
Retaliatory abandonment after regulatory involvement
Concealment of claim methodology and communication
Failure to comply with fair claims and consumer protection standards
Despite being given multiple opportunities to resolve this fairly, Sedgwick and ********** have chosen to delay, deflect, and misrepresent factsplacing the burden entirely on the consumer.
This submission contains verified documentation proving:
Sedgwick knowingly abandoned the claim;
Sedgwick misrepresented my cooperation to regulators;
Sedgwick continues to assert a flawed estimate with no transparency.
I ask the BBB to continue processing this complaint and reflect Sedgwicks and **********s misconduct in the public record. These are not one-off errors; they are systemic practices that have caused material harm, stress, and delay.
Sincerely,
EloyBusiness Response
Date: 07/08/2025
We have received the below BBB complaint. However, there is not enough information to assist (namely, the Sedgwick client who was involved, etc.).
We would need to be provided with that information so we can properly respond to the complaint.
Thanks!
Sedgwick Legal
Initial Complaint
Date:06/20/2025
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.
Purchased a roof through **********. Thier roof installer removed my bathroom fan roof vent and never reinstalled it. Now we have deadly black mold growing in our attic because the bathroom fan doesn't vent out.I submitted a BBB claim and Sedgwick contacted me a couple time with NO resolution. An inspector came out and verified the installion was done wrong.The BBB closed the claim, and right after that ******* stopped making contacting me! We still have deadly black mold growing in our attic because the vent was removed and never reinstalled!!Initial Complaint
Date:06/18/2025
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.
Filed a claim due to water damage at Public storage. Sent photos and receipts of purchases. Claim was denied due to fungus being present. A fungus which is different from mold clearly suspects that there was a water leak from inside of the unit. There had been multiple days of rain since Dec 2024 to April 2025 in which I noticed the damages/mold in the unit. I have lost over $1300 in damages paying $90-120 for rent of the storage and insurance fees. Since there was no signs of actual water leaks in the storage (in 90 degree weather) water has dried when I noticed the damages Apr 17 2025. The outcome was considered a fungus claim which payout is $250 with a $100 deductible in which, I would be getting what I paid for insurance every month. Claims payout is up to $5000. Mold can still form after water has dried therefore claim should have been labeled as water damage. I have reached out to an attorney to look over documents and refrained from signing any paperwork pertaining to settlement outcome. Reached out to orangedoorstorage insurance/sedgwick, and has not received any response since May 27 2025.Business Response
Date: 06/24/2025
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, ****************************** 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 ******* ******* complaint.
Again, thank you for the opportunity to respond and clarify,as able.Initial Complaint
Date:06/16/2025
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 have a claim filed for short term leave and my examiner has not been working with me to get my extensions approved she keeps giving me the run around and will not turn my calls or respond to me in the portal. I have not gotten any straight answers from her and she is causing delays with me getting my pay check. I need someone to review my records and call me ASAP to confirm the extension is approved so I can get paid this week please! This has been going on for two weeks now with no updates or correspondenceBusiness Response
Date: 06/24/2025
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, (American Family Enterprise).
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 Gionna Gordons complaint.
Again, thank you for the opportunity to respond and clarify,as able.Initial Complaint
Date:06/07/2025
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.
Filed a claim almost 9 months ago and adjuster continues to drag the process out claiming they are unable to get information they need. They rarely respond now and I fear they are simply waiting this out. We have asked for this to be escalated and were refused.This appears consistent with other complaints which warrants investigation.Business Response
Date: 06/17/2025
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, (Equity Residential).
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:06/07/2025
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 put in a request per my doctor's orders on April 24, 2025 for a leave to start on April 30, 2025 from my job as an inside sales *** at ***************** and end on May 26, 2025. I have still not been paid out for these benefits. My doctor provided all information requested by May 23, 2025. This included my HIPAA release forms for Sedgwick to receive the information. I have been going to the doctor weekly since 04/24/2025 to make sure I was ready and able to come back to work. The determination had an end date which I have never heard of before. I then received a call on May 29, 2025 when I returned to work and the nurse named **** (no last name provided) faxed my doctor's office over an order for questions to be filled out the same day. I am able to attach documents of proof if needed if this is in the right place. My doctor sent in more documentation on 06/02/2025 and 06/05/2025. As of today, June 6, 2025, I still have not received a payment, which I am owed. I have requested help from a supervisor at Sedgwick on 06/02/2025 and today on follow up again 06/06/2025. I have been treated unjustly by Sedgwick, and payment delayed in hard *************** as is with the economy we are experiencing in the last few years. I would like for Sedgwick to do the right thing and pay me my back disability pay.Initial Complaint
Date:06/05/2025
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 have had a claim with Sedgwick for 3 months. I have never spoken to anyone. I have called about 25 times and left 19 voice mails. I have never gotten a call back or heard a word. They have taken me out of work (per my employer) and I want to know why or get some information on the claim. I have been calling for weeks and have no information. When you call you can only leave a VM and they call you back (maybe). How can they take you out of work. Not answer their phones and not even call you back. This is infuriating. They have taken me out of work with no reason. No accountability. More importantly, no explanation. This has been going on for months! They have a 1.3 rating on ****** for all the reasons listed above. Please look into this matter. There are thousands of people just like me out in the wild. Just read the comments. They are all exactly this scenario!
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