Complaints

This profile includes complaints for Sedgwick CMS's headquarters and its corporate-owned locations. To view all corporate locations, see Find Local Branches.

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  Sedgwick CMS

  1100 Ridgeway Loop Rd Ste 200 Memphis, TN 38120-4057

• 

  Sedgwick Claims Management Services, Inc.

  3 Executive Park Dr Bedford, NH 03110

• 

  CompManagement, a Sedgwick CMS Company

  PO Box 884 Dublin, OH 43017

• 

  Sedgwick CMS

  3700 Crestwood Pkwy Nw # 600 Duluth, GA 30096

• 

  Sedgwick Claims Management Services, Inc.

  919 Union St Cary, NC 27511

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.

• Initial Complaint

  Date:06/07/2024

  Type:Customer Service 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.

  **** caused property damage in November 2023. They created a liability claim and forwarded that claim information to their third party administrator, Sedgwick. Sedgwick contacted me a total of two times via email and issued a partial reimbursement for damages. No explanation was provided despite the documentation I sent. Since 3/26, no fewer than 6 unanswered emails have been sent to Sedgwick.I have also called the **** Liability Claims center at Sedgwick with varying results:Sometimes, the system will prompt to leave a voicemail with claim number and contact information; all of these voicemails have been unanswered.At other times, the system will sit on hold for varying lengths of time before an automated message says: "This pilot line is currently not staffed." The call then automatically hangs up. One example: I called the line at 10:37 AM on a Monday. After 4.5 HOURS on hold, the system automatically terminated the call at 2:48 PM. I also have a screenshot of another call that was over 3 hours and 20 minutes on hold before being automatically terminated.Additionally, Sedgwick's website suggests setting up an online account to track **********************. The online system will not allow me to create an account with the claim number provided, and it directs me to contact customer support. Customer support says they cannot create an account with the claim number, and that I have to contact my claim representative. I explain that I don't know who this is because the only two emails I received came from different people. Their response: "Call the **** Liability Claims phone center at ************ for assistance." This is the same number that has been completely unsuccessful as outlined above.In conclusion, I have not been fully reimbursed for the property damage due to Sedgwick as the claim administrator. Multiple calls to **** all result in the same resolution: claims must be handled through Sedgwick. Sedgwick will not communicate with me, so I have no further recourse.

  Customer Answer

  Date: 06/14/2024

  Upon learning about the complaint I submitted, Sedgwick did respond and I have received the remainer of my payment today. It is very concerning that they only took my communication requests seriously once I submitted a formal BBB complaint, but I am still glad to say that this issue is now resolved. Thank you for the assistance

  Customer Answer

  Date: 06/14/2024

   
  Better Business Bureau:
  
  Upon learning about the complaint I submitted, Sedgwick did respond and I have received the remainer of my payment today. It is very concerning that they only took my communication requests seriously once I submitted a formal BBB complaint, but I am still glad to say that this issue is now resolved. Thank you for the assistance

  
  Sincerely,
  
  *****************************

  ********, GA 30341

  
  

• Initial Complaint

  Date:06/07/2024

  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 Case No. 4A240407H9R-0001I am deeply disappointed with Sedgwicks handling of the damages caused by our GE dishwasher. After investing all our resources into building our new home, we discovered our unit was leaking. Multiple reports to GE and technician visits only worsened the issue, and it was not until the technician removed the unit that water damage to our cabinets was discovered behind where the unit was located. GE eventually replaced the defective dishwasher after months of concerns but referred us to Sedgwick for the property damage claim. Initially, Sedgwick delayed the process by requesting service reports that GE does not provide. I forwarded GEs correspondence confirming the replacement of the unit, and only then did Sedgwick accept liability and requested for us to get an independent contractors estimate for damages. The damages totaled to $6.6K, assuming an exact match for the cabinets. However, our contractor informed us that they could not locate matching cabinets, necessitating the replacement of all cabinets for $23.6K to maintain consistency. Sedgwick refused to cover this, stating they do not cover matching costs, leaving us with a mismatched kitchen. After numerous attempts to resolve this and an unacceptable 12-day wait for a response, I requested Sedgwicks policy on matching coverage. Instead, Sedgwick proposed sending their team to inspect the damages when we know that they total to $6.6K, but thats not our sole issue, consistency is; and they stated their team would review and advise if they can or cannot be matched contradicting their earlier stance about how their policy states they dont cover to match. GEs delayed response led damages, Sedgwick first accepted liability but is now avoiding full resolution. I urge Sedgwick to cover the cost of replacing all cabinets to restore our kitchen's uniformity. We have invested everything in this home and deserve a fair and quick resolution. I have had enough.

  Business Response

  Date: 06/14/2024

  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, 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 Whittany Johnbaptistes complaint. 

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

• Initial Complaint

  Date:06/03/2024

  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 bought a 2023 truck in September 2023. Three weeks off the lot, My husband and I were hit in the back by an Amazon driver. I went back and forth since that time to determine who is responsible for managing the claim. I contacted Amazon claims but they gave me the run around for over 2 months before finding out Sedgwick was managing the claims. A representative never contacted me. I reached out to the claims adjuster from my attorney, who stated she couldnt speak with me directly, only the attorney. The attorney received the same run around. Attorney sent the letter notifying them that he is not representing us, but the representative stated they needed to hear from him directly. He then, notified a representative because he could not get the claims adjuster, and was told they still needed to hear from him. I forwarded the letter, thinking it would be enough and was told thats not how this is normally done but will research to see if the letter would be accepted. I was still going to doctors for therapy to find out another representative was managing the medical portion of the claim. He NEVER contacted me. I emailed him in February 2024 to determine next steps, was told it was forwarded to Amazon and hes awaiting acceptance and he will no longer be managing the claim after the response. I'm still waiting.Its May 2024 going into June and I still have no resolve from the repairs for the damage to my new truck, the depreciation value because of the damage, no medical bills covered, no loss time from work, NOTHING! All Ive received is frustration and the run around from this organization. The Claim information is as below.Insurance company: Sedgwick Claims Management Services, Inc.Claim Number: 4A23112SB4W0001 Phone Number: ************ *************************** Sedgwick Medical Claim Adjuster ******************************* Sedgwick Claims Adjuster My hope is that the company finally resolves this claim. It's been too long!

  Business Response

  Date: 06/04/2024

  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, Amazon.com.
  
  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:05/31/2024

  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 dog became ill Dec 28th 2023 after eating a new bag of Purina Pro plan dog food. He came down with ****** diarrhea and vomiting. This went on for several weeks. At the advice of our vet they instructed us to eliminate the food and start a ***** diet in order to improve symptoms. He started to improve so he was placed back on his Purina Pro plan dog food. This started the symptoms all over again. This has gone on for a several months resulting in $1885.20 in vet bills. The extensive diarrhea from eating the dog food resulted in a severe infection of his colon. ****** was contacted. They refunded us the cost of the food but claims the food didn't cause his symptoms and therefore are refusing to reimburse us for the vet bills we incurred. He has been on this food since he was a puppy without any issues whatsoever. The fact that all of his symptoms would return after trying to restart him on his food clearly shows there was a problem with the dog food. A BBB complaint was filed with ******. They informed us that Sedgwick would be the ones to resolve this. Through Purina communication with me regarding the BBB complaint they stated they were contacting ******* and asking for them to look into this or reach out to me. We never heard anything back from them. If I cannot be reached it's because I'm working and not allowed to be on my phone. Please contact my wife *************************** @************ as she can answer any questions about the issues.

  Business Response

  Date: 06/04/2024

  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, ****** US Holdco,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:05/20/2024

  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 have reached out to this company over 15 times in 4 weeks I have left numerous voicemails for supervisors and caseworkers with no call back. I have been out of work for four weeks with no loss wage compensation

  Business Response

  Date: 05/23/2024

  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, Amazon.com.
  
  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:05/19/2024

  Type:Service or Repair Issues
  Status:

  UnresolvedMore info

  Complaint statuses

  Resolved:

  The complainant verified the issue was resolved to their satisfaction.

  Unresolved:

  The business responded to the dispute but failed to make a good faith effort to resolve it.

  Answered:

  The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.

  Unanswered:

  The business failed to respond to the dispute.

  Unpursuable:

  BBB is unable to locate the business.

  On 4-4-2024, my vehicle was hit by one of your insurer that was driving a Rental car. When I called to make the claim, I was told to call Sedgwick, it took a few phone calls and emails. I finally got a call back only to have to Listen to a bunch of lies. They keep telling that my claim is still under investigation or they need some verification, they should have it all since they are representing ****s everything they are requesting is in the **** Rental contract, so Im not sure why they keep asking for documents that they have. Each document that they are asking for, I have provided to them , because I did my homework and got it for them. I call that doing their job for them! Unacceptable! This company has caused a lot of stress and anxiety in my life! Due to the unprofessional employees they have.. my Vehicle has been in storage since the accident on 4-4-2024. and the Storage fees are getting outrageous. I believe they are trained to tell people all the nonsense to try Get them frustrated so they will stop calling and fold their hands. They are Highly mistaking if they think Im gonna go away, I will continue calling daily all day every day whatever it takes to get my vehicle repaired or totaled..

  Business Response

  Date: 06/04/2024

  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, **** Budget Group.
  
  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:05/17/2024

  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 applied for FMLA through Sedgwick on April 11th. Its now May 17th and my case is still pending. I send messages and it takes days for a response. I call and they wont let me speak to a supervisor and tell me they have to call me back within 24 hours. 24 hours goes past and still no call back. Ive been without pay while taking care of my child and I have bills I have to pay. My phone is already off, my WiFi is about to get shut off, my car is about to get repoed on top of other bills

  Business Response

  Date: 05/22/2024

  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, UnitedHealth Group.
  
  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:05/16/2024

  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 management claims is refusing to replace my floor due to damage that occurred during my delivery from ********** on 3/18/24. ******************************* is the claims representative assisting me. She has been unprofessional, lacks knowledge and is unwilling to assist me. ******* only wants to reimburse for appearance in an effort to save the company money. The contractor has advised replacement is needed. The damage is permanent and could cause further damage such as discoloration and warping. This issue has been going on for over 2 months. I have made over 5 attempts to resolve this issue ******* is refusing. I am requesting assistance on getting this issue resolved promptly.

  Business Response

  Date: 05/16/2024

  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, *************** 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:05/13/2024

  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 partner and I have been on Medical Leave since 10/29/23 due to fiberglass contamination per our mattress. This caused a lot medical issues including environmental issues in our previous apartment. We both had the same documented issues, the same health care provider and provided all necessary documentation to this company. My partner was denied for his first extension and then was toyed around with for several months and ghosted by several representatives. All of this was during Thanksgiving and Christmas. Delay after delay after delay. We went to several doctors appointments to provide the medical documentation we were told was required (including photos as well) and he was denied after almost three months of waiting for pay. During this period I was personally granted approval for two extension without needing to provide the required medical documentation that he was forced to provide. Even though we were dealing with the exact same health issues. This showed clear discrepancies and discrimination on their part. Once denied he asked for a claims review and was told he would have to appeal and was ghosted again. This forced us to go into legitimate poverty and we were served several eviction notices over the past few months that we were lucky enough to avoid with the help of family. Thankfully. There were times we could not eat. Times that our power was shut off for weeks on end. Taking cold showers in the dark. All due to their lack of understanding and complete lack of empathy. During this denial period we called them out for their discrimination and discrepancies regarding both of our cases as they should of been treated the same. Due to this, they retaliated against me and denied my extension request. This request was for 2/25-4/1. I just now received a denial after THREE MONTHS OF NO PAY. They only moved on my case because I had Apple Employee Relations involved. Who they lied to. I was also ghosted by my examiner for that entire period. No replies at all.

• Initial Complaint

  Date:05/13/2024

  Type:Service or Repair 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.

  On or around April 22, 2024 I was assigned an insurance adjuster after one of my company vehicles was struck from behind on March 21, 2024 by one of their insured. On or around April 24, 2024 a insurance adjuster was dispatched out to our location, at that time they came assessed the damages took pictures and told us that someone would be in contact with us within 24 to 48 hours. Today is May 11, 2024 and we have reached out to the adjusters numerous times left messages and no one has returned our calls or messages nor have we been compensated. This has been a very lengthy, unacceptable and stressful process for our company as this is our company vehicle and we have and still are losing out on a lot financially. We have been very patient with this establishment as this is an inconvenient and inconsiderate situation and hope to get this matter resolved before any further action.

  Customer Answer

  Date: 05/15/2024

   
  Good afternoon, this is *******************************. My Complaint number is ********, I am just informing that this complaint has been resolved. If you would kindly close this complaint as my request has been resolved as of today. Thanks again for your assistance in this matter.