Insurance Claims Processing
Sedgwick CMSHeadquarters
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
Customer Complaints Summary
- 531 total complaints in the last 3 years.
- 152 complaints closed in the last 12 months.
If you've experienced an issue
Submit a ComplaintThe complaint text that is displayed might not represent all complaints filed with BBB. Some consumers may elect to not publish the details of their complaints, some complaints may not meet BBB's standards for publication, or BBB may display a portion of complaints when a high volume is received for a particular business.
Initial Complaint
Date:05/30/2023
Type:Service or Repair IssuesStatus: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 supposed to resolve claims for Lowes LLC and our case is assigned to them. BBB said to expect resolution within 30 days of our complaint to resolve this filed March 6, 2023, 83 days ago! Instead, I am now told by Sedgwick that our case has not even been assigned a claims investigator. They claim to be undergoing a restructuring and are trying to tell me to check back in about three weeks!! My wife is a stage 4 cancer patient and we are disgusted with how this has been handled. We seek that our claim is assigned an investigator and that that person contact ** no later than June 1, 2023 and assures ** our claim is being handled and how quickly it will be resolved. The round about treatment by Sedgwick is not going to fly in our case.Initial Complaint
Date:05/25/2023
Type:Service or Repair IssuesStatus: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 in *****, **** installed front and rear car cameras in my SUV. Unfortunately, the installer spliced into my SUV's wiring under the front dashboard and in the rear hatch-back "harness" which are tubes on both sides that have wiring in them. This caused electrical problems in my SUV. The car cameras had to be removed. There were several service charges from Acura that Best Buy was responsible for. They referred me to their claims's company SEDGWICK. ******* "work-at-home" employee "*******" called my voicemail, did NOT leave her last name which was required, her phone number extension or email which were required to call her back! She also purposely read off about 40 numbers and letters SUPER FAST so you could not hear her at all. She did this on purpose so she would NOT have to process my claim. Lazy employee who has not returned any of the 14 phone messages left for her. After numerous emails to the Best Buy in *****, **** via the Operations Manager *************************, *************************** at ******* sent me an email (attached). I provided her with my information to process the claim, and then never heard back from her ever again. No employee at Sedgwick EVER answers the phone. I also looked up my claim today, and found that it was NOT processed. Again, no way to reach ANYONE at Sedgwick and Best Buy refuses to refund me. This is NOT a legitimate claim company at all. There is no way to reach them via email, phone calls, social media. Best Buy refuses to refund my SUV's service costs, and the manager *********************** at the ****** **** Best Buy where the cameras were installed, hung up on me. *************************, the Operations Assistant Manager at the ****** **** Best Buy also refused to answer her emails.Initial Complaint
Date:05/24/2023
Type:Service or Repair IssuesStatus: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 damaged my car when working on it. They told me to reach out to Sedgwick to get my claim number. I have left 13 voicemails but have never received a response. In order for me to sue ******* in court a lawyer advised me that I need to do everything I can to get the claim resolved through the company first. However, the problem is this company is failing to respond with the claim number. Either adjudicate the claim or deny it so I can take the next steps on recouping the $2,000 in damages this has cost me.Business Response
Date: 06/09/2023
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, Best Buy.
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:05/23/2023
Type:Service or Repair IssuesStatus: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.
Workers comp claim being drug out by months due to constant denials because ******* will not keep me updated and I am being lied to about my claim. Was told all papers was in only to need more and claim be denied. The company will not return calls, messages not written lettersBusiness Response
Date: 06/16/2023
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, ************ Corporation.
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:05/19/2023
Type:Service or Repair IssuesStatus: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.
The business is handling my disability claim from my last job. I have left dozens of messages and have not received one phone call, email, text, etc. I really need to be contacted by this business and have them eventually settle my claim. This was supposed to be done months ago. The last time I heard from the claim handler was on March 16th. This is unacceptable. Please help.Initial Complaint
Date:05/19/2023
Type:Product IssuesStatus: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 bought two Epic Ski 5-day passes on Nov. 22, 2022, one for my daughter, *********************************, who is in high school, and one for myself, intending to use them the week of Spring Break -- March ***** -- in ************ and ****, ********. Unfortunately, my ex-husband and daughter's father, ***************************, died on March 12 after a long battle with brain cancer. Of course, we returned home the next day, canceling our vacation. The total for both passes was $896. Here's the transaction from my bank statement: 11/22/22 CHECKCARD **** VAIL PASS SALES **** ************ ** ***********************- ****** I have been attempting since March 15 to get a refund for the passes with no luck. Here are the claim #s: ********: M23A173921 *****: M23A173928 I've sent ********'s father's obituary to *********, which handles refunds for Epic, her driver's license as proof of residence with her father, and her birth certificate to prove he was her father and I am her mother (the purchaser of the pass). For ********'s refund, the agent I have been dealing with tells me to send specific documentation, then says the image is too small or doesn't acknowledge that I sent a document, or asks for something else, then denies the claim. My claim also has been denied as he was my ex-husband and, as such, I am told I dont qualify for a refund. I assume I was supposed to send my daughter home alone after her father died and continue on my trip rather than cancel. I have provided the required documentation and sent many emails trying to get this resolved to no avail. I've asked the agent who is handling the claim to connect me with a supervisor but this person has refused to do so. Thanks so much. *************************Initial Complaint
Date:05/19/2023
Type:Product IssuesStatus: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 have a claim related to a dishwasher installation. The appliance was sold by BestBuy and the claim was filled with Sedgwick (the company who deals with Best Buy claims). I received an email from *************************, Sedgwick employee on March 31st, asking for more details about my claim. I answered his email immediately providing all the information necessary.Now is almost one month later and **************** or anyone from Sedgwick did not reach out to me. I sent 3 different emails, called **************** 2 times and left voice mails on his direct number, I called Sedgwick main number and left 3 different voice mails, etc My claim number with Sedgwick is 4A23022TYGR-0001 When I called BestBuy they told me that there is nothing they can do, I need to call Sedgwick directly. Unfortunately Sedgwick does not answers to my emails or phone messages. That is why I am reaching out to BBB. Maybe they will reply to your inquiry.Thank youInitial Complaint
Date:05/19/2023
Type:Service or Repair IssuesStatus: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 stayed at the ******************* in ************ ** Oct. *****, 2022. An hour and a half after checking out I realized that I left a bag of items by mistake. Immediately called the Hilton to report my items missing and they said they would check the room and call me back. I did not hear from them so. That Saturday so I called again on Sunday Oct. 16, 2022 and I was told that they were unable to locate my items but they would continue looking. I called again on Monday Oct. 17, 2022 but spoke with the housekeeping manager and she filed a claim with their insurance company Sedgwick Claims #4A2210R05J6-0001. The claim was assigned to *************************** and there been results. When I spoke to *************************** he stated that they did in fact find my missing items but they dont know what happened to them. I have made several phone calls and I have sent several emails to *************************** but I keep getting the runaround. This has been ongoing for 6 months and he will not settle the claim. I have called and he never answers the phone and he may send a email a month later asking for the same information. I need assistance with this matter. Sedgwick Claims *************************** ************* PO Box ***** ********* ** ***** Thank youCustomer Answer
Date: 06/06/2023
I would like an update on my complaint filed May 19, 2023Initial Complaint
Date:05/19/2023
Type:Customer Service IssuesStatus: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.
Hi, I am filing this complaint against Sedgwick Claims Management Services **** On March 4th 2023, an **** van bumped into the front of my car that was parked right in front of our home, and we immediately started the claim process from ****'s auto insurance company Sedgwick. After days of calling and contacting, finally ********************* from Sedgwick reached out to ** on March 13th and asked ** to get an estimate from the car repair shop - Caliber Collision. We got the estimate cost from Caliber on the same day, March 13th and sent it to Susy. We kept contacting **** to follow up on our claim and she disappeared for one month. Her phone was never turned on and she never responded to any of our emails. She finally appeared on April 11th and gave up an update on our claim. She emailed ** and told ** our claim was approved and our rental car has been arranged. It was a lie because the claim approval did not specify how much cost it would be cover. As a result, Caliber Collision could not order any parts to get our car fixed. They needed an approved cost amount in order to do so.Caliber Collision since then has sent Susy 3 emails to ask for the approved cost, we also called and emailed Susy more than 10 times to follow up on this claim. She has completely disappeared.It has been over two full months to try to get the claim, to get our car fixed. We still cannot see it happening any time soon. We also called their customer service line, 2 times, on the line waiting for 30 minutes, just for their employee to pick up the phone and immediately hung up the call.We don't know what do to anymore. It was completely ****'s fault and now we are suffering from this claim process with Sedgwick. It has been over 2 months and we still have not got the claim to get our car fixed. Please kindly help if you could, thank you very much.Here's the necessary infoSusy ******** email: ************************************************************ number: 469-213-4403Our claim number: 2303000669-01Initial Complaint
Date:05/18/2023
Type:Service or Repair IssuesStatus: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.
Have an open claim with ********* and cannot get them to answer or process anything to GREENWICH ********* on behalf of ************* ***** The agent assigned never answers and she is not in the dial-by-name directory. Phone calls go straight to voicemail and voicemail is never answered. Not even sure ******* is still with the company. I have been trying since March to contact her or anyone there to process this claim to no avail. Contact her ever few days in their own customer ********************** portal still nothing.Name ******************* Claim Number 4A23039RDYB0001 Examiner ****************************** Date of Loss 3/10/2023 Type Product Property Damage Status Open Desire Resolution: Process Claim and respond back.
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