Insurance Claims Processing
Sedgwick CMSHeadquarters
This business is NOT BBB Accredited.
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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:05/18/2023
Type:Sales and Advertising 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 been dealing with Sedgwicks short-term disability service since a wrist injury in 03/2023. I was told that I needed my doctor to submit office notes from 4/25/2023-present day. My doctors office faxed over paperwork that was apparently not what Sedgwick was looking for. I explained this to my doctor and they sent the forms again. I called Sedgwick on two separate occasions after receiving notice that my claims manger had still not received the documents needed and was told on both occasions that my paperwork had been submitted and that the customer service reps were not sure why my claims manager told me she had not received them. Today I got a call from the claims manager saying that she ended my claim after never receiving the appropriate paperwork. Upon asking her why I had been lied to by the two service representatives she informed me that they cannot access my claim and would have no way of knowing which documents had been submitted. I am now contacting a lawyer to appeal my claim.Initial Complaint
Date:05/17/2023
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.
In October of 2022 my vehicle was involved in an incident caused by the telephone lines of a company who uses Sedgwick to handle their claims. I finally pinpointed what company was liable in December and filed my claim. Sedgwick took a MONTH to even assign my claim to an examiner, and only did so after I tried calling many different numbers for a week. My claim was finally assigned to *********************************. ***** is nice and friendly but when he initially called me he said "give me two weeks maybe a little more to get this taken care of". That was in January of 2023 and it is now May. ***** is impossible to get a hold of. He has never responded to any of my many emails and I have probably called his phone totaling over 50 times and I have actually been able to speak to him TWICE out of all of that. The last time we spoke was TWO MONTHS ago and I have had zero updates on my claim and I cannot reach him on the phone or email. I am about ready to pursue filing a bad faith lawsuit or whatever I can actually file against this company because they are simply not taking care of over $10,000 of damage that they are liable for. I just need somebody to investigate my claim and give me a settlement please.Initial Complaint
Date:05/12/2023
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.
On April 10, 2023 I had an appliance delivered through a ********** vendor. The vendor did damage to my property upon delivery. I contacted ********** and they notified me that their claims are handled through Sedgwick, and they would respond to me within ***************************************************************************** to Sedgwick, where they stated that they would get back to me within ****************************************************************************************** spoken to anyone at Sedgwick regarding my claim. In fact, they still have not asked for information about my claim. I have asked to speak with a Supervisor, and still have been ignored. I notified them that the repairs must be done by the end of April (for an event I am having at the property), but there has been absolutely not response except for them continually telling me that someone would get back to me within 24 hours.Initial Complaint
Date:05/11/2023
Type:Customer Service 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.
Last year tire kingdom had an oversight on my vehicle leading to total loss of use for said car, Sedgwick the insurance company found that they were liable and offered to settle but only after many weeks of me calling and emailing with no response. The only reason they contacted me with a settlement was because tli emailed saying I would. Be forced to seek legal representation if no one called me back by weeks end. They offered an unfair settlement as due to the fact that they would not respond to calls or emails I was forced to aquire several rentals on my own dime as well as a tow service to a repair shop of their preference for them to look at vehicle. Which never got done and said car is still parked at dealership with 0 response from this insurance claims agency. I explained to them that I wanted them to cover the cost for rentals as I had to rent said cars due to the fact that they would not answer phonecalls of emails and I could make no move forward as I was awaiting their response. Once I informed them and sent over the receipts to several months worth of rentals they again stopped answering emails and phonecalls. Even though they called and emailed me pressuring me to sign the settlement they had offered me all while ignoring the other cost. Today I got a hold of a coworker of person working on my claim, this co worker emailed me back with in an hour of me reaching out to her. Meaning that my claims rep and her superiors are actively ignoring my calls and emails in hopes that I will cave in to their pressure or go away. This is not right on any level. I reach out to you as I have been stonewalled from contacting them as I only get voicemails and no response to emails. Please help. The dealership want a response from me but I have none. And the **************** requires me to claim this car as a loss but I can't because they refuse to contact me back and or settle and I have no paperwork documenting settlement or total loss of vehicle, what can I do?Initial Complaint
Date:05/10/2023
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 have been dealing wi*h *his company since January. They mailed me a packe* and when I called abou* my claim only *hen was I *old abou* *he packe* *ha* was placed in *he mail. I have no* been able *o speak wi*h anybody, bu* a call cen*er who passes on *he messages *o *he person who I wan*ed *o *alk. I was going *o my doc*or for my issues bu* *hey wan*ed me *o go *o a cer*ain doc*or, which I did, bu* *hen *wo or *hree mon*hs la*er *hey wan*ed me *o see *heir doc*or. They keep reques*ing paperwork *ha* I have faxed more *hen one *ime and now *he call cen*er person *ha* I *alked *o is saying *he paperwork has no* been faxed. I have called and complained *o my ********** and I was *old *here has been numerous calls complaining abou* *his company. I also asked if *his cer*ain paperwork was required and she *old me i* was no* needed bu* *his sedgwick place *old me my job requires i*, so *hey are also no* being *ru*hful. The address on *he paper I have is PO Box ***** *********, ** *****, I am looking a* *he address *o *he righ* of my screen and i* was a ********* address, I don' * wan* *o file on *he wrong place. The lady's name is ****** S and she does no* even have a email address on any*hing she sen* *o **** have *he le**er *ha* *hey have sen* *o me bu* I am no* sure if i* would help.Business Response
Date: 05/31/2023
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, *****************.
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:05/10/2023
Type:Customer Service 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.
January 13, 2023 My wife got T-Boned by a vehicle being driven by someone who rented a car from from **** Rent A Car.**** was found to be at fault 100%. March 21, 2023 I got an email stating my car was a total loss. The ************* IAA received the letter of Guarantee on April 6, 2023. Sedgwick Insurance now has my car. They have everything they need. They are refusing to send me my money owed from totaling my vehicle. They need to cut me a check immediately. I'm still making payments on this car that was totaled on January 13th! This is unacceptable. They will not return my calls or emails. I'm not sure what to do at this point. It is Sedgwick Claim ********* - Total Loss. The status on this claim states PAYMENT AUTHORIZED COMPLETED but I still have no money! ***************************** is who I have been dealing with. His email is ******************************************* His phone number is ************. Please help! This has been ongoing for 4 months which is unacceptable.Initial Complaint
Date:05/08/2023
Type:Delivery 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.
Had dryer delivered on 05/03/23.Delivery men damaged wall and door in my residence.I am unable to speak with anyone, get hung up on, or no response to all my attempts at contacting anyone. This is apparently an ongoing issue as the complaints are all over the internet regarding *******.Initial Complaint
Date:05/05/2023
Type:Order 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 work for a company that uses Sedgwick as their disability insurer. This is my first time getting injured in my 11 years with the company. I have never contacted Sedgwick before. The process since I have been injured has been a nightmare! The company continually asks for documents. I have submitted everything I have from my physician yet they still need more. They are not clear what is actually needed and the process to submitting documents takes at least 8 hours to submit. This is 2023, it should not take 8 hours to submit documents. They do not contact you right away to tell you any of this you have to contact them or you get alerts many days later saying you need more documents from you. I do not understand why they dont just contact the medical facility and the doctor them selves if they need more info. It doesnt feel like the company really want to help people that pays their checks.Initial Complaint
Date:05/03/2023
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 am an **** Preferred customer who completed a damage form and provided **** with an **************** Claim number and police report in December **************************************************** *******, *******. Most importantly, the required information was promptly provided to the **** rental agent at the ************* location, and I rented another vehicle shortly after the incident. Five months later, on May 1st of, 2023, I received a call from Sedgwick regarding the incident. Previously, an unknown person from the **** claims department attempted to file a claim with my primary insurance company in March of this year. I advised Esurance, my insurance company, of the previously filled claim with **************** and that I did not provide my direct insurance information to **** and was not contacted regarding a claim. Esurance was advised to notify **** of the claim with ****************. As stated, an adjuster from Sedgwick contacted me regarding the claim on May 1st, and at the time of the call, I did not have the requested claim information from five months ago readily available. I informed her that the ************* **** location had documents with the requested information. I asked if she had contacted *****, and her answer was no. In an attempt to exert her power, she stated a threat that if I didn't give her the **************** Claim number I did not have, she would send the account to collections.Unfortunately, I have attempted to contact someone from **** regarding this incident to no avail. I have had so many disconnected calls and received shocking carelessness from agents. I have tried to contact Sedgwick but can not reach anyone because I was not provided any information about the adjuster on my case. During our call, when I questioned the adjuster about someone contacting me via phone about the incident five months later, I was told by the adjuster that the file had just reached her desk. It is now May 3, 2 days after speaking with the adjuster for the first time and receiving follow-up information about the incident, and the account is now in collections at Viking. My rental agreement lists **************** Platinum **. I called **************** and was told that no one from **** had reached out or sent over a damage claim. **************** stated that everything was completed, and all **** had to is contact the company. **** dropped the ball, and the treatment I received about the claim was horrific. The adjuster made threats and acted unprofessionally. In a customer service role, you should never allow your personal feelings or biases to cause you to treat people unjustly.Initial Complaint
Date:05/03/2023
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 have tried repeatedly to speak with a supervisor and have requested one to call me on 3 occasions and not once have they returned my call. My issue is how or why are they denying my disability claim for lac of paperwork but approved my FMLA request which I submitted the paperwork that they claimed they didn't get??? The customer service and the constant ignoring of my request for call backs are unprofessional and unacceptable. They have also neglected my PCP' s instructions concerning my return date again claiming they have not received the paperwork. These tactics seem calculated and discriminatory as my claim is a mental health claim and not a physical injury.
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