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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.

*This company may be headquartered in or have additional locations in another country. Please click on the country abbreviation in the search box below to change to a different country location.

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    Customer Complaints Summary

    • 519 total complaints in the last 3 years.
    • 146 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: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.

    • Initial Complaint

      Date:12/31/2022

      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.
      We purchased a washer dryer from *********** when their installer came to install he has set your laundry room on fire! We had the fire department over and they took care of the fire but it had damaged the room and obviously ********** has to pay for the repairs. ********** sent the case to Sedgwick , their insurance adjuster, to take care of! It has been 3 months and Sedgwick has not done anything except telling us that they are waiting for a report from the fire department! After 2 months of waiting I have decided to get the fire report myself and send to Sedgwick, they then said the report does not confirm the cause of fire! On the report its stated that the installer said when he was installing the fire started and the pattern of the fire matches the description of the installer! But Sedgwick says this is not enough and they need another report from fire department confirming exact cause! *************** did not carry out any further investigation so there is no other report other than the one I got them from fire department. Now for 3 months they keep saying they are waiting to hear from fire department for another report! Even though the report they want does not exist, every time they keep saying we are still waiting it has been 3 months and they are asking for a report that does not exist and dont want to pay for the damages they have done nothing at all and they are just trying to ask me to wait indefinitely hoping that Ill give up at some point chasing them.They didnt even get the fire report, after telling me for 8 weeks that they are waiting for report, which then took me only 3 days to get.They are absolute liars and will do anything they can to avoid paying you its shameful I will never buy again from any company that works with Sedgwick ever again

      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, The Home Depot.

      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 Raha Mojabs complaint. 

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

    • Initial Complaint

      Date:12/27/2022

      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 went on short term disability leave on October 27, 2022. It has been nothing but failure to send paperwork in a timely manner and no communication on the claim handlers part this entire time. Now it is December 27, 2022 and I have no money, maxed out credit cards, and no way to pay my bills because they have failed to do their part. Even though it was not sent on their end, they have placed a deadline of todays date to receive the paperwork that they JUST sent. I cant seem to get ahold of anyone and my doctors office has once again, had to send the paperwork with no one to review it in a timely manner.

      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, Walgreen 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 ***************************** complaint. 

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

    • Initial Complaint

      Date:12/22/2022

      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 was rented a truck on Jun 3 to 8,2022 from "Budget truck rental" company which caused me a lot of damages during my long moving. The truck has a leak and other issues but their clerk never told me and I was rented with whole insurance coverage which it is under partnership with Sedgwick. As we had hard ************ during my moving in WA & OR, The truck leak caused a lot of damages in my stuffs' My expensive Mattress became very wet, colorful with bad smell, My Tv was damaged, my books became wet & not usable, Some of the dishes were broken, some of the bases of my furniture were broken, as well. I contacted to budget & they mentioned you need to contact our insurance partner. I contacted over 10 times with budget & they transfer me to the Sedgwick long line which sometimes you need stay online between 1 to 2 hours. The first time, Sedgwick rep. after heard my story, drop the line. Second rep. told me I have to call after 60 days (when I called after two weeks). Third person wants details information about my rental truck which I have to go to the ************* & getting that VIN # & any info they asked me. Again for the forth time, I called & Sedgwick rep. wants another info like which state truck has tag or so .I told her last person told me I need these *********** got all of ********** you want other info, How I need to know that & you just jerking customers around with difference excuses as you don't want take any responsibilities when I bought full **************** inside the truck ********* informed from the first day when I returned the ************** people knew about that very well. But she said I can not help you at all. I contact with Budget couple times & explained them that their insurance company is not caring for our damages when the caused of my damage also was from Budget careless & they hide the leak from me. But none until this moment care about my damages when I paid for full cover and it was Budget fault. My con # is *************.

    • Initial Complaint

      Date:12/15/2022

      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.
      This company is inconsiderable, no compassionate, unprofessional and unworthy of being truthful to the client. They are suppose to send out something on a weekly basics but it's always a week or two late. They don't return phone calls when you leave a message and when you request someone higher in authority when they do reach out to you, they never provide that information. When you ask for a second opinion, it is never done. They are very slow with all of their services. They are getting paid to do a service and their service is not appropriate or acceptable.

    • Initial Complaint

      Date:12/12/2022

      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.
      Filed a damage sprinklers report April 6 2022 with **** and they sent ** to Sedgwick. We received a claim number and never heard back from them. We tried calling, leaving voicemails, emailing for 7 months and nothing there is no way to even get a real person on the phone with them. Scam company with thousands of complaints online.

    Sedgwick CMS is NOT a BBB Accredited Business.

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