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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

    • 536 total complaints in the last 3 years.
    • 154 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:09/25/2023

      Type:Sales and Advertising Issues
      Status:
      Unanswered
      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 8/1/2023, had alarm installation done at Best Buy. Technicians had issues with getting vehicle to turn on, kept my newly purchased vehicle another day. Vehicle was turned on and I took it home. Following days vehicle would have issues turning on until it fully died on 8/19/2023. Car towed to dealership where diagnostics showed damage done during alarm installation by Best Buy techs had to be repaired. On 8/30/2023, had to take vehicle back to Best Buy to get alarm removed so further diagnostics could be done by dealership service center. Damage was worse than we thought. Vehicle still unable to start. On 9/5/2023, vehicle taken back to dealership service to get repaired. On 9/12/2023, reports of diagnostics showed damage was caused by aftermarket product, alarm system, installation by Best Buy Technicians. Best Buy took full responsibility to pay for repairs but had to now deal with their 3rd party insurance claim, "Sedgwick". After weeks of no status and many calls. I have yet to receive the payment to pay the auto repair service where my vehicle is at now, finally repaired. I had only had my new vehicle for about 3 weeks prior to this whole incident. I am waiting to hear back from Sedgwick to receive payment that Best Buy had fully accepted responsibility for to repair all damages incurred during the installation by their employees. I have been patient and waited over a month now for a new car I just purchased and continue to make monthly payments for that I cannot even drive or have back home. I have all documents to prove my case if need be. I have waited long enough. This issue should of been resolved immediately. The claims department have not been following through my case.

    • Initial Complaint

      Date:09/25/2023

      Type:Service or Repair Issues
      Status:
      Unanswered
      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.
      September 1, 2023 I had a fall at a Dollar Tree. I filled out the accident report and I was called by Sedgwick and they asked me to keep them updated. They don't answer or return over 30 calls and over 20 emails. Also 3 portal messages are still not replied to. The portal doesn't work at the public library where we tried to print the documents since the documents are not appearing to be received electronically. I can't get help. I wanted to print them to fill out and mail in. Nobody answers. Also, if our records and medical information is lost by them, they refuse to have responsibility. They seem to be ignoring our calls when we try to advise them of follow up appointments and tests and imaging and updated diagnoses. I ask them to call us to help resolve our claim and any future updates to our claim in a professional manner.

    • Initial Complaint

      Date:09/25/2023

      Type:Product Issues
      Status:
      Unanswered
      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 9-1-2023 My foot got stuck in the door at Dollar Tree and I filed a accident report. I got one call from Sedgwick and a letter after the report was filed. I was told to keep them updated. They have not returned over 30 calls and 20 emails. I also sent 3 messages through their portal that did not receive a reply. My injuries require further imaging and treatment. I feel like they are letting the time run out so we won't have a case.

    • Initial Complaint

      Date:09/22/2023

      Type:Service or Repair Issues
      Status:
      Unanswered
      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 ID: *********** 9/8 ***** driver damaged my driveway in an attempt to deliver an item from *********** Called ************ got the run around from their company via their unprofessional customer service team and was told I'd receive a call from Sedgwick 9/13. That call did not happen. Had ********** resubmit the claim, and was told Sedgwick would call within 72 hours.Received a call from Sedgwick today, 9/22, called them back. Was on hold for over 20 minutes waiting, then transferred to a guy that sounded half asleep who asked me 3x why I was calling. Then, I was transferred to a woman claims adjuster who asked me to tell her what happened. I did, again, even though I had already provided this information several times to *********** Claims adjuster asked if I had followed up with *****, to which I responded yes, and told her they told me to call HD, and HD had told me I needed to wait to speak to Sedgwick. The woman claims adjuster then launched into some rant about who she works for and why I had to repeat my story again, while talking over me when I tried to interject. She then said - super rudely, she would continue to help me when I stopped talking over her, when she was the one who was talking over me. She accused me of yelling at her - which I was not doing either. She told me that she was terminating the call and I could call back another day to finish filing my claim. It is her job to be professional, not mine the customer. I have spent enough time on the phone with HD, ***** and now Sedgwick trying to be reimbursed for the damaged caused by the ***** driver on behalf of HD. To be spoken over, told I can call back another day, and hung up on is unacceptable customer service. ********************** has all information about the ***** driver damaging my driveway on his attempt to deliver damaged goods from the *********** Issue me a check for $150 - the cost of the gravel and my time to fix the damage caused by your incompetent ***** driver.

      Business Response

      Date: 10/16/2023

      Thank you for the opportunity to respond to the complaint filed by ******************** Please note that Sedgwick CMS is not an insurance company.  Sedgwick CMS is a third party claim administrator.  This complaint arises from a dispute related to a claim ******************* filed against our client, The Home Depot,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:09/22/2023

      Type:Service or Repair Issues
      Status:
      Unanswered
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      In June ATT was to bury our line. The contractor used ended up shearing our invisible fence. We were told that we would be contacted by Sedgwick for the claim and that we would be paid. They called me once and left a voice message saying that they would close the claim if not contacted in a couple of days. I called numerous times, I left voicemails, I emailed just as they said. They never once responded to me. Never once tried to call me again. Their phone system is a joke and it loops around, it took me 20 minutes just to even leave a voicemail one point. I never got refunded. **** refuses to help. And now we have a second claim because there was hydraulic fluid spilled all over our yard and driveway from the same contractors burying the line in the neighbors yard. Sedgwick is by far the worst. We cannot get a hold of them at all and they refuse to contact us back

    • Initial Complaint

      Date:09/22/2023

      Type:Service or Repair Issues
      Status:
      Unanswered
      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 September 9th 2023, a person driving a rented **** vehicle rear-ended my truck. He was kind and nice and gave me all of the information that I needed, but the downhill spiral started after I had to contact the insurance provided from him that came with the rental for ****. Sedgwick is the company that **** uses to service their insurance. They refuse to call customers, and instead try to force them to e-mail information. Sedgwick is trying to deny my claim after someone driving one of their vehicles rear-ended my vehicle. They are refusing to contact me by phone which is really the only way that I can talk during the day, and there is no way to get someone to take responsibility for this. I need my claim handled now. My claim number is

    • Initial Complaint

      Date:09/21/2023

      Type:Customer Service Issues
      Status:
      Unanswered
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      The technician who completed my install drilled through the wall in the utility box inside my bedroom closet and into my bathroom. **** filed a claim for me with Sedgwick. Sedgwick has been horrendous to deal with. They will not pay me the $180 that a professional is trying to charge me to professionally fix the damage. They claim that I am not the owner (I am a renter) so they cannot pay me. ******************* wants no involvement because they did not order installation of the service. Meanwhile, I am stuck responsible for the damage but not eligible to receive reimbursement. Someone needs to fix this and this is my last attempt before contacting an attorney and seeking a lot more than $180 in damages.

      Business Response

      Date: 10/16/2023

      Thank you for the opportunity to respond to the complaint filed by ***** and **************************  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 ***** and ************************* 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 ***** and ******************* complaint. 

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

    • Initial Complaint

      Date:09/15/2023

      Type:Product Issues
      Status:
      Unanswered
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      In July I went into ******* and tried to start a handicap cart, the electric basket and was badly electrocuted. I contacted ******* ******* then advised me that I had to deal with their claims department Sedgwick. I spoke to a lady is ****** one time and then I contacted ******* ******* then advised me that I had to deal with there claims department Sedgwick. I spoke to a lady at Sedgwick one time during which she informed me she was going on vacation until August 4 and that she would contact me when she returned. I waited about a week after August 4 and try to call her and I have been calling her and her supervisor every day since I have got no phone call back email or anything.

    • Initial Complaint

      Date:09/14/2023

      Type:Service or Repair Issues
      Status:
      Unanswered
      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 an L.A. County employee out on *** through Sedgwick with complications from Covid 19 and have since been diagnosed with COPD, Long Covid Syndrome and Brain Fog just to name a few.After the benefit period ends Sedgwick requires you to file and appeal to continue to receive benefits which I did and was granted that appeal on July 24 2023 by appeals specialist ******************** to continue receiving benefits and received a letter confirming this. On August 14 2023 I receive a letter from *** specialist ****************** informing me that based on the Appeals recommendation that the prior decision to terminate my claim had been reversed and as a result my *** claim under the Los Angeles County *** and Survivor Benefit Plan has been reopened through 10-25-2023 pending my ****************************** Hearing. She then goes on to say that all she needs me to do is show proof of filing for all retirement benefits with ****** and show proof of filing in order for me to receive my benefits which I immediately did because this is my only source of income. Then she tells me that they need confirmation from LACERA on whether or not I receive retirement benefits so they don't over pay me, I provided that immediately. Then she tells me that they need a dollar amount and effective date which I have also provided. The only thing asked of me in the Emails and Letter was to provide proof of filing for retirement benefits to continue to receive my benefits but everytime I comply with one request they make up another one and I have the correspondence to prove it.I have been waiting on a call back from the Supervisor ******** at extension ******* for two weeks now to explain why this is happening to me after being granted an appeal and providing all the documents that they asked for. I would like to speak with someone higher up and neutral to this case to get some answers. If you look at the initial emails and the letter to my house all that was ask of me is to provide proof of filing

    • Initial Complaint

      Date:09/11/2023

      Type:Service or Repair Issues
      Status:
      Unanswered
      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 husband and I have been trying to get this matter with illegal wires on our property for months we are not getting any responses from Mr *********************** Sedgwick Insurance for ******* 4A2308LT89X-0001

    Sedgwick CMS is NOT a BBB Accredited Business.

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