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
- 538 total complaints in the last 3 years.
- 155 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:12/01/2022
Type:Customer Service IssuesStatus:UnresolvedMore 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 calling the company for 7 days now. One time I was hung up on another time I was sent to the wrong person. I left 6 voicemails and nobody has called me back. My case worker left a voicemail Last Wednesday and stated she would be calling me back on Monday or for me to call on Monday. Never talked to her. My check was short, and nobody can help me but my case worker.Initial Complaint
Date:11/30/2022
Type:Service or Repair IssuesStatus:UnresolvedMore 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 refrigerator delivered Oct 1 2022. The product is good. Our wood laminate flooring was damaged in the installation. I called Best Buy Total Tech, explained the issue. Was emailed a claim number for the damage and was told Sedgwick insurance would handle the claim. And to call them with any issues. And also within three days, a third party, the logistics company who delivered and installed the product would contact me. The company who contacted me was ****************, and ********************* was my contact. I sent him pictures of the damage. He said to contact three contractors and get an estimate on a company letterhead and submit to him. I contacted numerous contractors, and three were interested. Once I explained that I needed an estimate on a letterhead, I did not get a response back from anyone of them. I explained this to ***** and gave him the names and contact numbers of the contractors. Weeks went by and ***** emailed and asked what dollar amount would be fair for the cost of the repair. After getting input from a friend, they said the floor would need to be removed from one end of the room to the damaged area. Which included removing molding, the toilet, the toe kick under the cabinets, the stove and the refrigerator. Then four damaged boards need to be replaced, which I had extra from initial install of floor. Then reinstall the floor, move fridge, stove, and toilet. Then the toe kick and molding. It would be an 8 to 10 hour job and without redamaging the floor while repositioning the fridge and stove. So we came up with an amount of $1300. In that amount we added some for the inconvenience. I submitted this to *****, and I have not heard back in over two weeks.Initial Complaint
Date:11/30/2022
Type:Service or Repair IssuesStatus:UnresolvedMore 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 refrigerator delivered Oct 1 2022. The product is good. Our wood laminate flooring was damaged in the installation. I called Best Buy Total Tech, explained the issue. Was emailed a claim number for the damage and was told Sedgwick insurance would handle the claim. And to call them with any issues. And also within three days, a third party, the logistics company who delivered and installed the product would contact me. The company who contacted me was ****************, and ********************* was my contact. I sent him pictures of the damage. He said to contact three contractors and get an estimate on a company letterhead and submit to him. I contacted numerous contractors, and three were interested. Once I explained that I needed an estimate on a letterhead, I did not get a response back from anyone of them. I explained this to ***** and gave him the names and contact numbers of the contractors. Weeks went by and ***** emailed and asked what dollar amount would be fair for the cost of the repair. After getting input from a friend, they said the floor would need to be removed from one end of the room to the damaged area. Which included removing molding, the toilet, the toe kick under the cabinets, the stove and the refrigerator. Then four damaged boards need to be replaced, which I had extra from initial install of floor. Then reinstall the floor, move fridge, stove, and toilet. Then the toe kick and molding. It would be an 8 to 10 hour job and without redamaging the floor while repositioning the fridge and stove. So we came up with an amount of $1300. In that amount we added some for the inconvenience. I submitted this to *****, and I have not heard back in over two weeks.Initial Complaint
Date:11/29/2022
Type:Service or Repair IssuesStatus:UnresolvedMore 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 rejecting this response because:
I was last followed up with on November 11th. I have provided everything once again, and have been left without a response.My claim is still at a stand-still and has not been completed since September.
Business Response
Date: 11/20/2022
To Whom It May *************************** you for bringing this matter to our attention. First of all, we are very sorry to hear of the customer's setbacks when dealing with this matter.
Please know that we have reached out to this customer and have also forwarded the complaint to Sedgwick who handles all liability claims for Best Buy and it is our understanding that the customer has been contacted. We will be in contact with the customer and will provide and update once this is fully addressed.
Thank you,Customer Answer
Date: 11/29/2022
On September 8, 2022 I had a scheduled delivery through Best Buy for my washer and dryer to be delivered. Upon my knowledge these delivery men were Best Buy employees. I was not aware that a contractor would be delivering my order. They did not arrive during the time frame I scheduled from 12pm to 6pm. They arrived at about 10am. They asked where we wanted the washer and dryer put. We did not pay for installation, so we asked the two men working to put the washer in the laundry closet. We had just moved in on September 1st and inspected the entire apartment for any damages, and there were none or else they would have been reported to our leasing office right away. My husband *******, came home and immediately noticed the damages on the dryer. It was dented on the side. Since he was going to install the dryer he went to the washer, which was also cosmetically damaged in the front. He went to move the washer out from the laundry room but before he moved it he noticed damages to the flooring. At that point he and a friend pulled the washer out carefully to find major floor damages from the installers. We had been staying with my mom for the week before we moved in and I needed to get laundry done so we opted to install the washer and dryer before dealing with the damages. In that same week my son was diagnosed with hand, foot, mouth disease so although I wanted to report the damages immediately I had other personal things going on, as I am a mother of 3 children. Thankfully, ***************************** with ************* (again at this time I thought she was with Best Buy, as she mentioned on the phone) reached out to see how our delivery went. I let her know of the issues we had with the delivery and she let me know she would send out the installation team to inspect the damages. Upon arrival, the gentlemen started speaking in Spanish, which I also speak and understand fluently. After getting on the phone with a Best-Buy representative named *********************** she asked genuinely seemed concInitial Complaint
Date:11/28/2022
Type:Service or Repair IssuesStatus:UnresolvedMore 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.
Details are as follow:I filled a claim for a property damage on 09/11/22 due to flooding in my storage unit. The company that i filled a claim was through ******************* Insurance Program which i signed up for when i rented at the Public Storage. Person who is responsible for processing the claim is , ************************* who is a Claims Associate at Sedgwick Claims Management Services, Inc. It took 2 months for them to process my claim and finally the claim was approved on the October of this year for the amount $5000. Apparently the amount was deposited in my account on 11/14t/2022, i called my bank multiple times to see if they have received any wire transfer and they said NO. I have been trying to call the Sedgwick multiple times and there is no answer or reply to my emails from the company or there associate. Every time i call the generic number i am told to contact ****, and **** never calls back and if she does she will leave a message and then when i try to call her back she does not pick her phone. This whole process has been really frustrating because i have not received the money for my loss and i can't get an answer out of no one at Sedgwick. Please see the attached emails that i sent ****, and you will see that no attempt was made by her to call me back. I am really frustrated and annoyed, as i have been paying this company a monthly premium and no one has tried to call me back with an answer to what is going on and what is the status of my direct deposit. PLEASE HELP!Company Details: *******************-Heard | Claims Associate Sedgwick Claims Management Services, Inc.Direct ************ | Fax ************ Email ****************************************** www.sedgwick.com | Caring counts?Initial Complaint
Date:11/23/2022
Type:Sales and Advertising IssuesStatus:UnresolvedMore 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 purchased (2) **** day passes with Vail Resorts in ********. Unfortunately, on the first day of my trip I had to have emergency surgery due to breaking my jaw and was no longer able to utilize the passes we purchased. We immediately contacted **** to initiate the refund process under the **** coverage and they sent us this sketchy and unprofessional looking email that had to be completed by my physician. To even get the email into fillable format I had to convert it to a document from the email. The "form" had no letter head, used slang (abbreviated words), and on top of all of that used confusing wording which caused the mishap I am filing the complaint about. One of the questions on the form asked "Do you recommend the patient not travel and/or perform physical activity for at least 30 consecutive days?" And like myself, the physican read that as "Do you recommend the patient travel and/or perform physical activity for at least 30 consecutive days?" And they put NO in that section. A Sedgwick rep ********************* emailed us requesting the document again... there was no explanation or statement on what was wrong with the original submission so that it could be corrected. This person send the exact same email 3 times. My jaw is wired shut and I cannot speak and I had to call in to inquire and that was when we found out about that part of the form. I explained to the representative (***************************) that the wording is confusing on the form and she was very agrumentative and cold with me. I asked for the corporate number and she continued to tell me that, it didn't matter who I called no one would assist me. I find that to be extremely disturbing, that you all are handling health claims and treating people like that during their lowest moments. I would like someone to contact me regarding this incident. I do plan to escalate this further if this situation is not rectified. I can provide supporting documents upon request.Initial Complaint
Date:11/22/2022
Type:Customer Service IssuesStatus:UnresolvedMore 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.
Hello,My name is ************************* and my car was stuck from behind by a DHL driver on 07 November 2022. The other driver was found at fault and received a ticket. I received a letter from Sedgwick Claims Management Service that they will be handling my property damage claims (4A2211BHNC8-0002). I have contacted ********************* (the Adjuster) several times, but he will not answer and return my calls.Can you possibly assist with this matter or help with identifying a more *************** claims representative.Thanks for your assistance,******Initial Complaint
Date:11/21/2022
Type:Customer Service IssuesStatus:UnresolvedMore 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.
Feb 2 2022 an and e damaged a dishwasher to the point it doesnt work. Claim was filed with their insurance company Sedgwick. They have kept giving me excuses as to why they havent settled this for months. I want this resolvedInitial Complaint
Date:11/20/2022
Type:Service or Repair IssuesStatus:UnresolvedMore 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.
Claim number ***********. My loss took place at the end of August, I first heard from ***********************, our assigned claims rep, on September 12th, 2 weeks after my loss. I've submitted all photos, documents, estimates and paid for water remediation,all as he requested. We met w/ his third party adjuster(Custard) in September. ***** and his manager ***************************** do not answer phone calls and rarely do they return phone messages or emails. We have called/emailed on many occasions. He initially offered us approximately 25% of our loss, only to raise it to appx 45% for the cost of remediation because they said that they forgot to include it. Then, once again they admittedly left things off from the third party estimate when we pointed it out. They said that they forgot again so they raised the offer to about 75% of what is required to repair our home to it's original condition. Our home was flooded due to negligence by Home Depots installers. My new tile floor was damaged in the process. ***** is acting unprofessional and unethically. He stated ******* would negotiate with my contractor, yet when I spoke with ***** at Custard he said they don't negotiate. ***** asked that my contractor speak w/ Custard and he was told the same thing- that ***** makes the determination of how much they will offer. Weve been sent in circles. It has been about 2 weeks since I last spoke we with ***** on Tuesday Nov. 8th. He promised a follow up on Thursday the 10th. My emails/phone calls since then have gone unanswered again. Conversations with his colleagues ****** and *********, who also promised follow **** have not occured either. It seems to be company wide that employees make empty promises and provide poor, unacceptable service/communication.Sedgwick's slogan is "taking care of people is at the heart of everything we do", This is the furthest from what we experienced. I just want to be made whole for the costs to repair my home. estimate to repair was for slightly over 9kInitial Complaint
Date:11/18/2022
Type:Service or Repair IssuesStatus:UnresolvedMore 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 filed a claim with *********. The woman in charge of my case ***************************** has ignored my MANY requests for information regarding my claim. The few times she has decided to respond was only because I had to ask my employer to make her. I was behind on taking initial steps regarding my claim because intentionally failed to respond to any communication from me. I was never given any reason why my case was closed. Her behavior is UNACCEPTABLE and she should be removed from her position
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