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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

    • 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:09/16/2025

      Type:Service or Repair Issues
      Status:
      Unresolved
      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 had Sedgwick claims for 5+ years and for 5+ years they continuely not pay me when I'm out on short term disability and their adjusters lack any empathy and do not care about my well being, every time I have a claim, I have issues with Sedgwick they claim not to get paperwork when I have fax confirmation of paperwork sent

      Business Response

      Date: 09/22/2025

      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 ***** Atabakis complaint. 

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

    • Initial Complaint

      Date:09/11/2025

      Type:Billing Issues
      Status:
      Unresolved
      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.
      Rental car accident 4/19/25 Contact for Sedgwick - ******* ****** ************.Received first letter of correspondence from Sedgwick 5/5/25 Sent USAA claim information (other party's information since I was not at fault) to Sedgwick on 5/13/25 Emails sent to ******* at Sedgwick for claim update 6/9/25 and 6/24/25 Filed claim with my insurance-State Farm 6/30/25 ****************************** claim #**-86Z5-37Z 7/17/25 Received Sedgwick letter about claim update on 7/25/25. Spoke with ******* on the phone on 7/25/25 and was assured that I would not be sent to collections since we were actively working on the claim.State Farm paid $241 for partial claim 8/14/25 Received email from ******* that they received the State Farm funds and suggested that I contact my credit card company for the balance 8/26/25 Filed a claim with ***** for the remainder of the claim 8/29/25 ******* emailed about receipt of ***** claim #******** 9/2/25 Tried to pay balance of claim to Sedgwick 9/4/25 through this link *******************************************************. I was not successful in paying the claim. Account was not found Emailed ******* on 9/4/25 to fond out why I was not able to pay the claim. No response Received balance of claim $817 from ***** credit card 9/8/25 Received collections letter from Viking Client Services on 9/10/25 Tried to reach out to ******* and ***** ************. No response 9/10/25 I am requesting that Sedgwick remove my claim information from ******. I do not understand why I was sent to ****** when I provided all information that was asked. Being sent to ****** will affect my credit score so I would like a letter from Sedgwick stating that this was an error on their part. I will need this letter to provide to my creditors. Thank you for your attention to this matter. ******* *******

      Business Response

      Date: 09/22/2025

      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: 09/23/2025

      Sedgwick claim # is **********. Budget rental agreement # is U783559000. Thanks

    • Initial Complaint

      Date:09/10/2025

      Type:Service or Repair Issues
      Status:
      Unresolved
      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 Wednesday, 16 July 2025 at approximately 1830hrs, going EB on 1-90 near MP:6.5, ****** D. *****, the driver of a ZipCar ************ RAV4, conducted an improper lane change and struck my vehicle. He received a ticket for improper lane change- ****** D. ***** was undoubtedly at fault for this incident. The driver of the vehicle did not verbally communicate with me at the scene of the accident, but instead allowed his passenger to talk for him, exchange paperwork for him, while he sat in the car because he was feeling emotional, said the passenger. Although I did not press it at the time, this was absolutely strange behavior. The insurance he has through ****** is through Sedgwick, per ****** associates. Sedgwick is unwilling to provide the necessary information, or contact information to associates who will actually respond. My vehicle remains damaged due to Sedgwicks inability to take accountability and the necessary steps to ensure that the consequences of their customers improper lane change, are handled professionally and timely, or handled at all, especially after their customer also didnt take accountability for their immediate actions, and instead sat comfortably in his vehicle with his emotions. They have not provided the necessary information in order to visit a collision center to determine the total internal/external damage for my vehicle to be repaired.

      Business Response

      Date: 09/22/2025

      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: 09/23/2025

      Finally provided with a claim number after many who seemed unwilling to help or willing to give me the run around until I hopefully stopped calling.
      claim #:   258026824

      Left voicemail for ***** ****** in the claims ***** no response 
      ****** number:  **********

      **** was the associate on the phone who provided this info. 

    • Initial Complaint

      Date:09/08/2025

      Type:Customer Service Issues
      Status:
      Unresolved
      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.
      Haven't herd nothing from this company on my car incident nor received a ccc report or nothing about my case only herd from the therd party witch is sedgwick and still haven't received no paper work no appraisal no nothing just for me to wait and that was 3 weeks ago Noone answers the phone or email on this situation on my claim

      Business Response

      Date: 09/11/2025

      Thank you for the opportunity to respond to the complaint filed by ******* **********. Please note that Sedgwick CMS is not an insurance company.  Sedgwick CMS is a third party claim administrator.  This complaint arises from a dispute related to a claim ******* ********** filed against our client, (ISP Old Republic).

      A review of the claim file reveals that Sedgwick CMS has administered this claim in compliance with the laws and regulations governing the alleged loss. 

      Sedgwick CMS respectfully maintains that the Better Business Bureau online complaint resolution system is not the proper forum to respond to the allegations contained in ******* Montgomerys complaint. 
      Again, thank you for the opportunity to respond and clarify,as able.

    • Initial Complaint

      Date:09/05/2025

      Type:Customer Service Issues
      Status:
      Unresolved
      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 filed a complaint about a product I got from ******. I was sent to Sedgwick claims management to ask for assistance in filing my claim of loss from the product. It was a counterfeit seresto collar. I gave ******* **** all my information and she sent me documents to sign and I did that and she said I would receive a check in 5 to 7 days. It has been a month and a half and I have nothing. I have called over 10 times, sent emails to her, and sent chat messages on the portal and nobody is getting back with me. There are no payments posted on the portal to verify I have been paid even though I have documentation from her promising a check. I have been ghosted after they got my signature to release them of accountability in exchange for a check I never got. And nobody has bothered to contact me to let me know anything. I was supposed to get $600 from them and never got anything.

      Business Response

      Date: 09/11/2025

      Thank you for the opportunity to respond to the complaint filed by ****** ****. Please note that Sedgwick CMS is not an insurance company.  Sedgwick CMS is a third party claim administrator.  This complaint arises from a dispute related to a claim ****** **** filed against our client, (Amazon).

      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 ****** Carrs complaint. 

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

    • Initial Complaint

      Date:09/03/2025

      Type:Service or Repair Issues
      Status:
      Unresolved
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      Car incident, been about 3 weeks they dont answer the phone or emails .I got one call saying my car is a total loss and there turned it over to the total lost claims and adjuster .that was 3 weeks ago I herd nothing cents then.

      Business Response

      Date: 09/09/2025

      Thank you for the opportunity to respond to the complaint filed by ******* **********. Please note that Sedgwick CMS is not an insurance company.  Sedgwick CMS is a third party claim administrator.  This complaint arises from a dispute related to a claim ******* ********** filed against our client, (ISP Old Republic).

      A review of the claim file reveals that Sedgwick CMS has administered this claim in compliance with the laws and regulations governing the alleged loss. 

      Sedgwick CMS respectfully maintains that the Better Business Bureau online complaint resolution system is not the proper forum to respond to the allegations contained in ******* Montgomerys complaint.  

    • Initial Complaint

      Date:09/03/2025

      Type:Service or Repair Issues
      Status:
      Unresolved
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      My son and my brother were at Target in ******, ** on August 12, 2025. My son slipped and fell back injuring his ankle and knee on a puddle of water that Target had neglected to take care of. A claims adjuster through Sedgwick opened a claim and deemed negligence on Targets part and offered to settle the matter. We went back and forth for about a week and she advised the complete the settlement we would need to fill out a form with my sons information and send it back. It has now been two weeks and she is completely ignoring all communication now. I have sent 4 emails and asked their phone service to have her call me back 3 times now. They commit to calling back within 24 hours and nothing. I am starting to feel like I got scammed just to get my sons personal information and that Im going to have to pursue this legally. **** ****** is the *** that was handling my case but is now evading our calls and emails.

      Business Response

      Date: 09/11/2025

      Thank you for the opportunity to respond to the complaint filed by ******* ********. Please note that Sedgwick CMS is not an insurance company.  Sedgwick CMS is a third party claim administrator.  This complaint arises from a dispute related to a claim ******* ******** filed against our client, (******************).

      A review of the claim file reveals that Sedgwick CMS has administered this claim in compliance with the laws and regulations governing the alleged loss. 

      Sedgwick CMS respectfully maintains that the Better Business Bureau online complaint resolution system is not the proper forum to respond to the allegations contained in ******* Garouttes complaint. 

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

    • Initial Complaint

      Date:09/02/2025

      Type:Order Issues
      Status:
      Unresolved
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I incurred an injury at a local business and was treated by a local clinic. The insurance company noted the injury and provided a file number. My treatment for the injury has be discontinued because I have reached the baseline status according to the treating medical provider. The medical facility has contacted the business concerning the bill, and I have made several contacts as well with no response from Sedgwick concerning paying the bill.Please let me know if you need additional information concerning this complaint. **** ***** ********************************************************************* ************** (Home)************** (Cell)******************************** (Email)

      Business Response

      Date: 09/05/2025

      We are unable to locate a claim matching the customer's name using the information provided. We need additional information (claim#) in order to respond.

      Business Response

      Date: 09/30/2025

      Thank you for the opportunity to respond to the complaint filed by **** *****. Please note that Sedgwick CMS is not an insurance company.  Sedgwick CMS is a third party claim administrator.  This complaint arises from a dispute related to a claim **** ***** filed against our client, (***************************).

      A review of the claim file reveals that Sedgwick CMS has administered this claim in compliance with the laws and regulations governing the alleged loss. 

      Sedgwick CMS respectfully maintains that the Better Business Bureau online complaint resolution system is not the proper forum to respond to the allegations contained in **** ****** complaint. 

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

    • Initial Complaint

      Date:08/29/2025

      Type:Service or Repair Issues
      Status:
      Unresolved
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I am filing this complaint against Sedgwick for bad faith claim handling, delay, and failure to properly investigate my insurance claim.Details:On December 6, 2024, I reported my claim, the same date the police filed their report. Despite this, Sedgwick did not issue any response until February 2025a delay of nearly two months.The claim was denied on the grounds that the damage was caused by rats being attracted to pet food. On July 22, 2024, I explicitly informed Sedgwick that the item in question was not pet food or a dog treat. It was a repurposed bag used only to store change. There was no food inside, and the bag itself was not an edible item.Despite my request for a proper inspection, Sedgwick refused to send an adjuster to review the unit in person. Instead, the denial was issued based solely on an assumption from a photograph. The photo does not show any edible items, yet this inaccurate presumption was treated as fact.Sedgwicks conduct in this matter demonstrates:Unreasonable Delay: Nearly two months passed before I received any response.Failure to Investigate: No adjuster was ever sent to conduct an onsite inspection despite my written request.Bad Faith ********* A denial was issued based on an incorrect assumption, ignoring evidence and my clarification regarding the bag.Unfair Denial: Coverage was denied without a fair, thorough, or fact-based investigation.I respectfully request that Sedgwick:Re-open and re-review this claim with a proper investigation, including an onsite inspection by a qualified adjuster.If Sedgwick refuses to conduct a fair investigation, I request written guidance on how to formally appeal this decision.

      Business Response

      Date: 09/11/2025

      Thank you for the opportunity to respond to the complaint filed by Rahmecca ****. Please note that Sedgwick CMS is not an insurance company.  Sedgwick CMS is a third party claim administrator.  This complaint arises from a dispute related to a claim Rahmecca **** filed against our client, ****************************** Program).

      A review of the claim file reveals that Sedgwick CMS has administered this claim in compliance with the laws and regulations governing the alleged loss. 

      Sedgwick CMS respectfully maintains that the Better Business Bureau online complaint resolution system is not the proper forum to respond to the allegations contained in Rahmecca Reids complaint. 

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

    • Initial Complaint

      Date:08/29/2025

      Type:Service or Repair Issues
      Status:
      Unresolved
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      I was involved in an accident with a DHL truck back on 5/14/2025 where the other driver was found at fault for the accident. Sedgwick who the insurance for *** is very hard to deal with. I leave messages voicemails with no response and when the adjuster finally responds all I keep getting is they are trying to get a hold of the driver to confirm what happened. Its been 3 months of this. I sent them all the requested documents and its been nothing but delays after delays after delays. I been denied rentals while they do their investigating. My vehicle is unsafe drive and I have told them this more than once. Their communication is horrible.

      Business Response

      Date: 09/09/2025

      Thank you for the opportunity to respond to the complaint filed by ****** ******. Please note that Sedgwick CMS is not an insurance company.  Sedgwick CMS is a third party claim administrator.  This complaint arises from a dispute related to a claim ****** ****** filed against our client, (DHL).

      A review of the claim file reveals that Sedgwick CMS has administered this claim in compliance with the laws and regulations governing the alleged loss. 

      Sedgwick CMS respectfully maintains that the Better Business Bureau online complaint resolution system is not the proper forum to respond to the allegations contained in ****** ******* complaint. 

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

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