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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

    • 538 total complaints in the last 3 years.
    • 155 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:11/16/2022

      Type:Delivery Issues
      Status:
      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 received a letter concerning a claim submitted to sedgwick. the letter was dated 11/09/22, and i received it two days ago. it says in thirty days they will close the claim, and that they have been unable to reach me by phone. i have no voicemails from sedgwick or calls from the number provided. i tried emailing the email provided twice without response, as well as several calls to the number provided and a voicemail i left for them. claim #4A2205J2P79-0001
    • Initial Complaint

      Date:11/15/2022

      Type:Service or Repair Issues
      Status:
      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.
      They are supposed to handling a workers comp claim. I received a letter from *************************** and have been attempting to contact him for FOUR week. I was given the number for his supervisor, *********************, and have been attempting to contact her for THREE WEEKS. No one picks up or returns phone calls!!! I also left a message on their main answering service and no one has called back. Basically I'm stuck with a $2000 bill because these fools can't pick up a ---- phone!
    • Initial Complaint

      Date:11/14/2022

      Type:Service or Repair Issues
      Status:
      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.
      Going through drive through pharmacy at ********* on *********************** in *************** ******** on September 27th, 2022 at approximately 3:15 pm for a Covid test. As I pulled up to window the tray was opened from inside by a ********* employee. The tray hit my outside driver mirror and as I was reaching inside of tray to get my Covid test, the employee pulled tray back. My ring finger on my left hand became stuck on side of tray I said wait, my finger is stuck and I tried to get my finger out. My finger was sore and swollen. I chalked it up as a mistake by the Walgreen employee. A few days later my finger was still sore and bruised and when I looked at my wedding ring I noticed a diamond was loose. I contacted the wall greens on wildcat Nature Parkway, and they directed me to corporate. I was unable to have anyone help me at the location where the accident occurred. I was finally able to connect with someone named ***** who I spoke to one October 5 at 3 oclock and a claim was created for my incident. Claim number ********. On October 11 at approximately 11:13 AM I spoke with someone named ******** who directed me to Sedgwick and gave me the phone number **************. I called on October 11 and got the voicemail so I left a message. I have not heard anything back so on November 14 at 10:45 AM I called one *********** and spoke with ******. She told me the claim was closed and given to Sedgwick now and she gave me the number ************* Which I called and was directed to voicemail again. I left a message again. Nobody seems to be able to either help me or return calls or answer phone calls. It seems a little confusing to me because they say that they are from ********* ******** but they are located in ********* ********. Is there any chance you can help me resolve this issue please? Thank you for your time
    • Initial Complaint

      Date:11/14/2022

      Type:Service or Repair Issues
      Status:
      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 currently on temporary leave from work because pf a stroke, and sedgwick is withholding my payments,and making it hard to comply with what they are recuiring in order to pay me. ihave not been payed for a month.
    • Initial Complaint

      Date:11/14/2022

      Type:Service or Repair Issues
      Status:
      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 had a car accident where I was hit by a van that did not stop at the red light. I filed the claim with this insurance and they keep delaying calling the witness. I keep chasing the agent and her manager, but still nothing. It has been almost a month now and I can't have my car repaired.
    • Initial Complaint

      Date:11/10/2022

      Type:Service or Repair Issues
      Status:
      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.
      On 10/18/22, **************** *************************** struck my **** ************* C220 on its right side, & it sustained damage to its right fender, right front door, right rear door, rear bumper, & right unibody/frame. In addition, *********** are entering gap at right front door. ****************** claimed he had no ********** ***** vehicle was a rental. He also admitted hitting my car with his & said he was sorry. A woman, *************************, claiming to be ********************** mother, arrived on-scene & stated she would "pay for everything", which did not happen as of the filing of this complaint. When I asked about a rental car, **************** stated she gave my name & number to an agency called Getaround (a car-sharing/rental type) whose liability company it seems is Sedgwick Claims. On 10/27/22, ***************************** stated she was from Sedgwick Claims & asked me questions about said accident & said that she would call me with her determination. As of this date (11/10/22), there has been no response from Sedgwick Claims despite repeated phone calls & emails.
    • Initial Complaint

      Date:11/10/2022

      Type:Customer Service Issues
      Status:
      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.
      On October 13th at approximately 2:00 - 2:30PM - my husband and were driving on I75 heading North - in the farthest right lane we were forced to swerve in an attempt to avoid a piece of muffler and associated vehicle debris that was in the lane. The muffler hit our car causing damage to the lower panel, wheel and tire. We were forced to exit the ******/********** exit. Prior to exiting we were aware a large Pepsi truck with its driver on the shoulder looking underneath the carriage of the truck. We obviously were not in a position to get the license plate or anything else on the truck as we were concerned about the condition of our car, especially the tire.Pepsi should have an incident report on this situation. We assessed the damage at a nearby **** Club - whereby we noted a slit along the tire as well as the gashes to the wheel and the lower panel scraped. We asked the auto department to come out and assess the tire as we were 2.5 hours from our home in North *******. **** did not have the correct tires for our car and would not for several days. We were then forced to drive with our spare tire on I75 until we could reach our exit en route to our home in ************.October 27, 2022I phoned several Pepsi numbers as no one seemed to know who I should speak with at Pepsi.Finally called liability number - to receive call back which has not happened.On November 7, 2022 I was told to contact Sedgwick in ****** ***** to get an incident report. Also left several message for Ext ***** at this location with no response. In addition, I emailed to Sedgwick their email address - copied ******* and provided supporting documentation.
    • Initial Complaint

      Date:11/09/2022

      Type:Service or Repair Issues
      Status:
      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.
      This business is full of liars and people that hang up on you. This company also does not care to give all of the facts until you are desperate calling them many times a day. They lie and say that they will get you to who you need to be with or leave them a message. Then to find out that the person you need to talk to isn't even here today. i send my paperwork to them on 10/26/2022 to go back to work with a go back date of November 7th. They FINALLY got to my stuff November 2 and failed to tell me that I was missing a standard doctors note (like a work or school release and a date to come back.)On November 8th I called to see what is happening, getting conflicting information. "****" was terrible, does not know who to do her job, AND HUNG UP ON E WHEN SHE DID NOT KNOW HOW TO HELP!!!!Then I called back and got someone else who got me to ****, a manager, who told me that all I needed was a doctors note and then they can email my employer that I can go back. I called my doctor and got the note emailed to me, in which in my 3rd call was given an email address to email it to.November 9th I called them to see if they got it and to talk with a case manager. I was told that they did and that the case manager will call me in a few hours A few hours later I called back with no call and was told that they will have a case manager's manager. Never got a call back and called for a 3rd time to find out that **** ****** who is my case manager isn't even in today!!!!!
    • Initial Complaint

      Date:11/08/2022

      Type:Service or Repair Issues
      Status:
      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.
      We have a refrigerator with an ice maker that flooded our floor twice. We have an extended warranty. They advised us to file a claim with Sedgwick to be reimbursed for the flooring a labor. Contacted Sedgwick and received a letter from ************* on Sept 28 with a file no(L2209235011-0001). Since then she has not returned 1 call and I called numerous times. I then called KatieCody .Sup ********** and she left a VM on 10/14 stating they would contact me. No one has followed up. Can you help me?Thank youThe claim is for new flooring and labor. Thank you *******************************

      Business Response

      Date: 11/11/2022

      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:11/03/2022

      Type:Service or Repair Issues
      Status:
      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:  ****** from Best Buy corporate has contacted me and he said Sedgwick should be contacting me; however, I still have not received any communication from Sedgwick.  Since Sedgwick is the one who can make a settlement offer and they haven't even contacted me, I am very dissatisfied with what actions have been taken thus far. 


      Business Response

      Date: 11/01/2022

      Dear BBB,

      Thank you for bringing this customers concerns to our attention. We apologize for any frustration or inconvenience this may have caused. 
      We have contacted the customer with their supplied information and are working towards a resolution for their concerns.  

      We have reached out to our contacts at Sedgwick and have escalated the customers claim and ask they contact their customer


      The customer also has our direct contact information for further questions regarding their complaint.
      Best Regards, 

      Customer Answer

      Date: 11/03/2022

      went to *********************, for a car radio installation. I was there from 1 pm to 4pm. The auto tech was unable to get the factory radio removed. Upon him giving up I noticed damage to my car's dashboard and a cracked bezel that goes around the radio. Also, upon putting my car in reverse to leave, the factory radio no longer powered on. Made tech aware of all damage and asked to speak to manager. After waiting quite awhile the manager, *****, came to see what was going on. Best Buy filed a claim for my damages but I've been unable to get communication from Sedgwick regarding status of claim. I am going on three weeks with no radio and driving with a damaged dash and cracked bezel on my car. Please help me with getting a resolution to these issues.

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