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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.

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    Customer Complaints Summary

    • 535 total complaints in the last 3 years.
    • 153 complaints closed in the last 12 months.

    If you've experienced an issue

    Submit a Complaint

    The complaint text that is displayed might not represent all complaints filed with BBB. Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business.

    Sort by

    Complaint status

    Complaint type

    • Initial Complaint

      Date:01/03/2024

      Type:Service or Repair Issues
      Status:
      UnansweredMore 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'm dealing with bed bugs still brought into my apartment from Rent-A-Center Sedgwick was supposed to come in and do a initial inspection of the problem they never did and then they were supposed to come in and do a closing inspection of the problem which they never did **** from terminix who was spring knew I still had a bed bug problem I pointed out the issue where I had been killing them every time he came out to spray I'm being treated like I'm not a citizen like I have no rights not even a right to complain and I have to replace everything all over again and I'm still being bitten to this day ********************* does not maintain or keep any form of contact with me and she does not keep her word she is the claim adjuster for my case I've contacted her supervisor or the team supervisor team leader just this morning by email everything's attached including my call log
    • Initial Complaint

      Date:01/02/2024

      Type:Product Issues
      Status:
      UnansweredMore 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 has ignored me for the past 10 months. This is NOT TO DO WITH A DISPUTE - on an insurance claim or otherwise. This is me asking them to respond to me. Thanks.
    • Initial Complaint

      Date:01/01/2024

      Type:Customer Service Issues
      Status:
      UnansweredMore 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 is the insurance company for the Cliffbourne Condominium building and the claim number is 4A2311B0KT20001. An incident in our building occurred on November 13th, which involved multiple units and all units needed to go through the Condo home owners insurance per DC law. The property manager, *************************, reached out to Sedgwick to have an adjuster, *********************, come by the units and fill out an estimate. The adjuster filled out the estimate and sent to another adjuster, ***********************, for approval on December 6th. However, for a period of a few weeks, ***** was not communicating with us and we only learned on December 20th that he had sent the estimate for approval to ***** after we reached out to Sedgwick's HR department. The issue we're having is that we have consistently tried to reach out to ***** and have requested that ***** reach out to him and provide us with a timeline, but have not been able to get any updates. It's been a month and a half past the incident and we have no idea what the status of our claim is. ***** has not given us straight answers, only telling us he sent the estimate to ***** for approval and its out of his hands, and we have heard nothing from *****. We aren't sure if our claim is getting worked on and why this is taking so long. You'll see in the attached emails that there has been a lack of communication and commitment to provide/ seek direct answers. We'd like help getting answers from Sedgwick on the status of our claim, a timeline on when it will be approved, and ultimately approval so that our contracts can start work. Thank you in advance for helping us with this!
    • Initial Complaint

      Date:12/31/2023

      Type:Service or Repair Issues
      Status:
      UnansweredMore 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.
      You all have horrible customer service! My intermittent has been approved from Aug 2023-Feb ****. Tell me why my two claims I've submitted have been sitting waiting approval from.the claim handler!!!! I was informed that I would receive a call back yesterday or today, well guess what! No one has called ans apparently the representative advised that department closed at 2pm. REALLY! I TOLD THEM BEFORE THAT NO ONE EVER CALLS ME BACK. Now my livelihood is being impacted from my monthly incentive to possibly losing my job! I will file suit if this is not rectified. I have an approved intermittent leave, if there is an issue, why hasn't Sedgwick communicated or called me?************ is my contact number.
    • Initial Complaint

      Date:12/21/2023

      Type:Order Issues
      Status:
      UnansweredMore 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.
      Was seriously injured in a slip and fall incident at ******* ****** in ********** on 07/22/2022. Upon completion of the majority of my surgeries, my claim was issued to Sedgwick for adjustment. My attorney was in contact with ********************* in June 2023, who seemed to be processing our complaint appropriately, until October 2023, when he decided to ghost my attorney and myself, not returning emails and phone messages. The company has yet to respond to me, despite me having had two surgeries to date and another scheduled for next year. I have lost my career as a police officer for the ************** over this injury and cannot believe that a company or its officers are allowed to treat ********* with this type of behavior.
    • Initial Complaint

      Date:12/13/2023

      Type:Service or Repair Issues
      Status:
      UnansweredMore 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.
      Best Buy delivered and was paid to set and remove old stove. They dropped grill on my new floor causing damage on 11/20/23. I have filed claim number 4A2311VC9P20001. I have called numerous times to ******* at ************ on 12/6/23, on 12/8/23, on 12/11/23 @10:26, 12/12/23 @ 10:49 and 12/13/23. I have phoned her supervisor ******** at ************ on 12/11/23 @ 10:52. Just like many others no return. This is absolutely ridiculous.
    • Initial Complaint

      Date:12/12/2023

      Type:Service or Repair Issues
      Status:
      UnansweredMore 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 received an email today from Sedgwick Claims Management whom is working for ****** Purina and they said they had an update from ****** Purina and they wanted to do a "curiosity " offer and I  asked Sedgwick for documentation on THIER examination because they are stating that ********* piece of metal I found within the contents of cat food wasn't anything used in thier manufacturing plant,  which isn't accurate because it was clearly a piece of metal like the cans are made of, but Sedgwick tells me they can't disclose ***************** Department's findings. As a customer I do have rights to THIER findings! I have neither accepted nor denied thier "curiosity " offer,  however I did a counter offer, and still waiting for a response! 

      Customer Answer

      Date: 11/01/2023

      I continually am reaching out to Sedgwick Claims Management whom is working for ****** Purina on my claim and they are continually telling me they can't provide me with Quality Assurances findings of examination of the product I sent in to them and as a customer I do have rights to them. They are denying me of them. I have included ****** Purina in emails which I've received no response from them. 

      Customer Answer

      Date: 11/08/2023

      I emailed ****** Purina and they're telling me I can't have access to the quality assurance report of product I sent them for THIER examination. I as a customer do have rights to the report/s.

      Customer Answer

      Date: 12/12/2023

      I've been in communication with ****** Purina and Sedgwick Claims Management whom is working for ****** Purina since February ************************************************************************************************** the contents of the food.On September 11th, 23, I sent in the can, lid and shard piece of metal to ************************************* forTHIER examination, in which they received on September 12th, 23, and they were supposed to have the examination completed by September 26th, 23, and according to Sedgwick Claims Management whom supposedly reaches out to them and than they were told that the person whom worked in Quality was on vacation until October 9th, and there's been no updates from Sedgwick since, they've supposedly reached out to ****** Purina and haven't gotten any response. Here it is a month since the completion was supposed to be done and I've heard nothing. I've also emailed ****** Purina as well and have gotten no response. I believe I'm getting the run around from ****** Purina and Sedgwick Claims Management both! I asked ********************* and her supervisor ******************************* both from Sedgwick Claims Management how could they have gotten a response from Purina before and than nothing at all since they supposedly were told the solo quality assurance person was on vacation. If this is in fact true that they've gotten no response from Purina, ****** is definitely not living up to thier product quality policy at all!!! They say customer satisfaction is important to them, this is false if they aren't taking responsibility for their liability of their products! I'm wanting to get my claim resolved!!! I have had to consume many hours doing emails to all parties mentioned above!!

      Customer Answer

      Date: 12/12/2023

      I've send several emails to Sedgwick requesting documents/reports from the **************************** from ****** Purina and they constantly are refusing to provide it to me the customer/claimant. They say they can't provide it to me because it's considered work product and cannot be shared outside the company. All they're saying is that it was something not found on thier manufacturing floor. I've requested proof of the examination even being done too and they're refusing that as well.  

      Customer Answer

      Date: 12/12/2023

      I've send several emails to Sedgwick requesting documents/reports from the **************************** from ****** Purina and they constantly are refusing to provide it to me the customer/claimant. They say they can't provide it to me because it's considered work product and cannot be shared outside the company. All they're saying is that it was something not found on thier manufacturing floor. I've requested proof of the examination even being done too and they're refusing that as well.  

      Customer Answer

      Date: 12/12/2023

      Emails between myself and Sedgwick today 12-12-23

      Customer Answer

      Date: 12/12/2023

      My last email to Sedgwick today with no response back from them.12-12-23

      Customer Answer

      Date: 01/08/2024

      Has the BBB contacted Sedgwick twice regarding the claim? 
    • Initial Complaint

      Date:12/12/2023

      Type:Service or Repair Issues
      Status:
      UnansweredMore 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 claim # L2308285007-0001 - ********************************************* 08/28/2023 ************************** Claims Associate ****************, Qualified Manager, CA license #******************************. ** license #******* DIRECT: ************ | FAX: ************ | EMAIL: *************************************** Sedgwick is representing ***** Appliance Repair for damage sustained to my house following repair service work an appliance technician did to my washing machine.I have provided them the photos, video of damage, and the requested 2 estimates for repair.I have sent follow up emails to the adjuster following submission of factual evidence related to damage and cost for repair and no response has been received. This is a small claim and I would like to fix my residence before the Holidays especially since this occurred in August.
    • Initial Complaint

      Date:12/11/2023

      Type:Product Issues
      Status:
      UnansweredMore 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 an epic pass for myself and my minor son, ****************************** injured with two herniated discs and cannot ski this year. Provided the necessary documentation from the doctor for refund for myself and my minor son which meet requirement. Received my refund. My minor son's refund was denied as filed incorrectly and offered the ability to appeal to the correct category- Filed appeal immediately on 11/15/23 ( claim # M23A215261). Letter received stated would receive response within 5 business days. It is now almost 4 weeks later to no avail. I have contacted ************ multiple times over last two weeks. I have spoken with supervisor who confirmed receipt of my appeal and that I would hear back within 3-5 days with refund from claim person. Still nothing two weeks later. Individuals and supervisor claim they have contacted claims person, messaged through teams, told them to get in touch with me- NOTHING. Not acceptable. Had I not filed my claim or appeal on time, I would not receive my refund or correspondence other than a denial letter. I followed requirement and letter stated would receive correspondence within 5 business days and we are almost 4 weeks later,
    • Initial Complaint

      Date:12/09/2023

      Type:Service or Repair Issues
      Status:
      UnansweredMore 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 writing to express my extreme dissatisfaction with the claims process at Sedgwick regarding an incident involving property damage caused by ***** Our experience has been marred by significant challenges and lack of communication.The online claims site proved to be a major obstacle as it made uploading pictures and documents nearly impossible. Uncertainty persists regarding whether the crucial photos were successfully uploaded. Despite numerous attempts to seek clarification, no one from Sedgwick reached out to provide guidance or updates on the status of our claim.To exacerbate matters, our claim was closed abruptly without any apparent review. We were left in the dark about the verdict, and efforts to contact Sedgwick proved futile. All phone calls directed to various numbers went unanswered, often landing in voicemail boxes that remained unattended. Regrettably, not a single voicemail was returned, leaving us without any recourse or understanding of the resolution.Even the supposedly available chat support was limited to workers' compensation issues, offering no assistance for our specific situation. It is essential to highlight that we were directed to file our claim with Sedgwick by **** after their activities resulted in severe damage to our property, including plumbing pipes, leading to flooding and substantial repair costs.This entire ordeal has been immensely frustrating and disheartening. We implore Sedgwick to rectify these issues promptly, conduct a thorough review of our claim, and establish better communication channels to ensure a more transparent and responsive claims process for all affected parties.

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