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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

Find a Location

Sedgwick CMS has 24 locations, listed below.

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    Customer Complaints Summary

    • 538 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.

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    Complaint status

    Complaint type

    • Initial Complaint

      Date:01/17/2023

      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.
      I work at ATT as an in home expert and drive a company car, on 7/12/22 I got into a car accident and went through my lawyer to resolve the case. My workers comp is through Sedgwick, it has been the absolute worst experience I have ever dealt with. From the girl, ***** handling my claim and never responding to emails and mispaying me at first to now trying to close out the case with my lawyer, my paralegal has been reaching out to the new case worker ******, during this time they have not responded or taken anything seriously. We have actively been reaching out and trying to get an email stating that it is okay for State Farm to release the funds and that they understand we are going to pay them back out of my settlement for paying me during workers comp. I have actively tried calling and reaching out as well as my paralegal. This company is a complete joke and at one point underpaid me and took 2 months to resolve it. I need someone to get on them to do their jobs so I can settle out my case and end this nightmare Ive been dealing with since it happened.

    • Initial Complaint

      Date:01/14/2023

      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.
      On 05/10/22, delivery representatives for Best Buy/Sedgwick delivered a washer and dryer. While installing the washing machine, one of the delivery men was trapped behind the washing machine and used the utility sink as a step to get out from behind the washing machine. He stepped into the utility sink, placing his full weight into the sink while doing so and stepped out onto the floor. This action caused the utility sink to break and crack and continues to leak water. I then proceeded to follow instructions and file a claim. Today is 01/13.23 and the claim has yet to be resolved. Two delivery employees (*********************** and ********************* provided zero assistance and zero empathy over the situation). I visited the *********************, ************************, OH Best Buy location and spoke to a couple of employees who washed their hands of the situation and only provided this man's email address (*************************) who never responded to my email. I have reached the following Sedgwick employees who also provided no assistance (*****************************, ***********************, *********************, *****************************, *************************************). And worst of all is Sedgwick employee ***************************. ********* is supposed to be the individual managing my claim, however she has not sent the check for restitution, nor has she returned my recent emails or phone calls. I have sent photos of the damage caused by the delivery men and an official estimate of damage as was requested. I have done everything that has been asked to help resolve the issue and Best Buy/Sedgwick has done nothing. The amount of stress and anxiety this has caused is immeasurable. I want help in resolving this matter, please.

    • Initial Complaint

      Date:01/13/2023

      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 sprained my knee at work and filed a complaint with **** of America they sent my claim to sedgwick. Sedgwick called me from ************ and ************ It was frim a Bri Yound I was called twice on January 3rd and I miss the call. I called back maybe 100x times so far and it goes straight to voicemail.I was injured in my knee and I limp in my leg and I cannot handle walking on my leg I am also out of work and homeless which is really bad. Again, this is what they do to try to get me to go away but I am severely injured and I need surgery for the knee pain. I demand a respectful phone call and get this taken care of asap!

    • Initial Complaint

      Date:01/12/2023

      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.
      Sedgwick Claim #********* I rented a moving truck from Budget Truck Rentals along with a tow dolly. The dolly damaged my personal vehicle. When renting the truck from Budget, they ask what kind of vehicle you are driving and make equipment recommendations based on the vehicle. You can either get a tow dolly or a ride on trailer. The tow dolly was rented at their recommendation. When making that recommendation, they are telling the consumer that the equipment will be compatible with the vehicle. My vehicle (2019 ****** Corolla Hatchback XSE), is all stock, there is no lower kit on the vehicle. I attached the tow dolly to the truck and followed all the instructions easily that were provided on the equipment. When I went to go drive the car up on the dolly, the bottom of my vehicle scraped at the top of the ramp and damaged the front fender and trim. I have been quoted for about $1800to replace and paint the fender and fender trim.Sedgwick has claimed that it was user error that caused the damage to my vehicle and denied my claim. The lady on the phone *******************, gave a reason for denial that I never said when initially filing my claim. She claimed that I said a protruding bolt on the trailer was the cause of the damage. I requested my phone record of that initial claim conversation, but to no avail. I have tried to get a hold of Sedgwick for about 12 business days as of this posting and have never got one call back. I started with the claims agent, ******, his supervisor *** and ***'s boss ****. Never got a single call back and only an email of denial. My vehicle never even made it up the entire ramp on the tow dolly. The wheels of my vehicle did not make it into the wheel well. The tow dolly itself was completely incompatible with the vehicle. The damage would have occurred regardless if it was done by me or a professional. I do not know if the damage is goes beyond the fender. Their recommendation for equipment was wrong, this is something they need to fix.

      Business Response

      Date: 02/18/2023

      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, Budget Truck.

      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:01/09/2023

      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 11/3/2022, a Best buy driver hit my car and tried to pull off. My neighbor stopped the driver police was called and they exchanged insurance info. I have reached out to the adjustor handling the claim since November. I have left messages, emails and voicemail and no one has attempted to contact me. I'm going to have to personally *** the truck driver for repairs to my car

    • Initial Complaint

      Date:01/09/2023

      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 have been dealing with these people for over 2 years, was told they have 60 days to reimburse mileage, and food that I pay for during work comp travels, are you guys lazy or just selfish?? Its been over 3 months since my last reimbursement and this one is over 2 and a half months for the most recent one, why is it so hard to get in contact with them? And why is it so hard to get reimbursed for $100?? Injured workers don't matter to you guys at all, and you prove that every day. Maybe you guys should close down or quit

      Business Response

      Date: 01/17/2023

      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, QBE Americas, 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:01/06/2023

      Type:Delivery 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 submitted required forms to Sedgewick per my employers requirements for CareGiver LOA to begin 2/1/2023. To date I have not received confirmation of receipt of these forms and am unable to reach anyone via phone nor to receive a response to my emails. I advised my employer of the unresponsive actions and that I am trying to avoid delay in approval prior to 2/1/2022. I was told today that someone would get back to me. But I have been told this all week. Can you please assist with having the company respond to my request. My concerns are that I have seen numerous complaints about this company either delaying or denying requests.Thank you.

      Business Response

      Date: 01/17/2023

      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, ***************** ***** & Co.

      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 ******* Browns complaint.

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

    • Initial Complaint

      Date:01/05/2023

      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.
      Please see enclosed emails that I sent to Best Buy after they gave a claims representative and a claim number. I have tried to communicate with them by emails, phone messages, and had called their direct customer service line but the person stated that she has "no access" to my claim number. It is appeared that they blocked my cell phone when I've tried to communicate with them on one occasion. Then I made a phone call through my desk phone at work I was able to talk a customer representative who stated that she has " no access" to my claim record.

    • Initial Complaint

      Date:01/04/2023

      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 12/19/22 I had a motor vehicle collision with an Amazon delivery van. Short story delivery driver was at fault. I only have comprehensive coverage on my insurance , so I had to go through Amazon. Later I was able to find their insurance provider Sedgwick. I filed a claim with them and said they have an adjuster take a look at my vehicle where it was towed to. Today is 1/4/22 and they now say they have an adjuster to see my vehicle. I have been out of a car ever since. Its been difficult to get back and forth to work. I was told to and had a letter sent to me on 12/27/22 to move my vehicle elsewhere where there are no storage fees. They would only pay storage fees five days from the letter sent 12/27/22 and anything after that I would have to pay out of pocket. Or they would deduct it from any settlement that they offer. They have prolonged this claim far too long. I visited the shop where my car located and they were also left clueless because an adjuster had not come to claim. The storage fees and tow were nearly $800 by 1/2/22.

    • Initial Complaint

      Date:01/02/2023

      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.
      Aloha I haven't had contact either by email or correspondence by Sedgwick **** I would like to receive treatment for the injury I sustained while shopping at the ********* store in ******** ,** .My injury has caused mental and physical suffering. Thank you for your consideration in this matter.

    Sedgwick CMS is NOT a BBB Accredited Business.

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