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:11/01/2022
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.
On June 6th, my daughter and I were riding my motorcycle when we were stuck by a person driving an **** rental car. Police reports were filed that day and in the days following numerous attempts were to coordinate with **** to file a claim with the insurance the driver had. After several weeks (approx. 2 months), I was informed by the driver who hit us that she had turned in her rental and was back where she lived. More attempts to contact **** lead to a call from Sedgwick saying they had taken over our claim. Great! We've got movement! Or not. Voice mails to the *** and her management to give them requested information remained unanswered FOR WEEKS. Finally the first week in SEPTEMBER there was a fruitful discussion with a *** who paid out bodily injury payments for my daughter and I on 9/7. At that time there was also discussion (at my repeated asking) as to when an adjuster would be out to look at the damage to my motorcycle. At this point, we are 3 months into this and no one as even seen it. They came and took pictures on 9/14. After leaving more voice mails and emailing the only contacts I had, I was told the bike was declared a total loss and case was sent to "*********" in the loss department. She emailed 10/5 requesting a picture of my clear title. "Once received I can issue payment" Title pic emailed the same day. 10/7 & 10/12 emailed her to make certain she received the picture; voicemails left (unreturned) 10/21 & 10/25. Today is 11/1. This has been going on since the beginning of June all because of the lack of response from Sedgwick. My motorcycle is a total loss. Yet, I cannot do anything with it until this is resolved. There were no medical bill submitted, no lawsuits filed, nothing that would require 5 months of limited action/inaction on their part.Initial Complaint
Date:11/01/2022
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.
In July of this year, our washing machine stopped spinning. I called ***** who we have a warranty through, they came and "fixed" it; in reality the technician broke it in a different way. When we used our washing machine that same night, it flooded our basement. Over 2 inches of water sat in our finished basement for which we had to call First Call Disaster Services to extract the water, take up the carpet and carpet pad, and dry out walls and floors. After that incident, it took weeks for someone from ***** to come actually fix our washing machine. Since then, we have been attempting to get in touch with Sedgwick (the insurance for ****** to get our basement fixed. We have called multiple times a day, everyday, along with a multitude of emails that have ALL gone unanswered. First Call Disaster Services are now sending the bill to us of over $6,000 because they have also not been able to get in touch with Sedgwick. ***** has been no help at all and ******* is dodging our calls and emails.Initial Complaint
Date:10/31/2022
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.
On July 17th my son went into ********* and had a horrible issue there when administering his covid vaccine Sedgwick is assigned to handle the claim. The claims is being handle by a rep there name ***********************. She has been unresponsive to ALL calls, I've asked for a manager about 8 times she refuses to allow me to speak to anyone. Also The claims paper work is incorrect and I've had to send it back multiple times to correct. I dont feel like we are being treated fairly as all. When you call the **** phone number the automated system sends you to voicemail and no one ever calls back.Initial Complaint
Date:10/31/2022
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.
On August 17, 2022, Best Buy sent installers to our home to install a washer and a dryer. The installers did not hook the wash machine drain pipe up correctly, causing water to pour all all around the washer (second floor) and pour down to the first floor.Best Buy took full responsibility for the matter, and referred us to their insurance carrier, Sedgwick. Sedgwick advised me to seek and hire a restoration company to start mitigation. I hired **********************. Mitigation started several days after the flood. Providence submitted the invoice mitigation invoice to Sedgwick on 9/9/22. Sedgwick has not paid the invoice, and despite an inordinate number of attempts to contact them (email and phone), I can not get ahold of anyone nor any response. Additionally, Providence submitted their repair estimate to Sedgwick on 9/6/22 and Sedgwick has not responded/approved the work. My floors have been torn up for over two months now waiting for Sedgwick to pay the mitigation invoice and approve the repair. I have filed a complaint with the the ************** Insurance Commissioner and BBB against Sedgwick.For the past two weeks I have been calling and emailing Best Buy to enlist their help in trying to get ahold of someone at Sedgwick to pay the outstanding invoice and approve the repairs so that my house can be put back together. I have spoken to at least 10 individuals in the past two weeks, and no one has taken action to help resolve this matter: in every instance they ultimately transfer me to Sedgwick who, again, does not answer their phones or respond to **** am furious that I have had to spend countless hours trying to resolve this issue that was no fault of my own. And to add insult to injury, Best Buy is not helping. This is their responsibility to resolve, not mine, and they are doing absolutely nothing.I am attaching only a fraction of the email exchanges. There are many more. I am not attaching call logs at this time, but I can provide those, as well.Business Response
Date: 11/09/2022
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 Pepper ******** filed against our client, ************ 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 Pepper Starobins complaint.
Again, thank you for the opportunity to respond and clarify,as able.Initial Complaint
Date:10/31/2022
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 a decorated ******* Veteran and totally disable with PTSD. My complaint with ********** and Sedgwick Claims Management has caused me a lot of anxiety and anger. I bought a large 3 door refrigerator from ********** and felt secure that everything would work out find, The worker showed up with no help and was struggling to get the through the front storm door, he took the bottom hinge off and we suggested the top hinge but he said it wasn't necessary, the struggle went on now he is inside and the refrigerator tilted and it left a deep scrape on my Parka wooden floor. He finally was able to installed the refrigerator upon leaving replaced the hinge on the storm door and left. It was until I tried to shut my main door and it wouldn't shut their was a problem, the frame around my storm door was damaged when the top hinge was not removed and the door was force open wider and would give because of the hinge being emplace. I had to ridge the frame to shut my from door to activate my security. I went to ********** to report the damages and file a claim and the manager stated that it was a 2 man job and should not have taken on the job alone. She filed my claim and told me to contact Sedgwick Claim Management Service which I did on several occasion and my door and floor still has not been repaired. I ask that they do right by me and take care of their responsibility to help clean up the mistake cause by an employee. I expect full compensation and a written apology for the pain and suffering that has been caused by this ordeal. I pray in the name Of ***** that they do right. Hopefully the BBB can help me get this done and thank you for your time. My claim# is ***********, Date of Loss 09-07-2022 and store # ****.Initial Complaint
Date:10/27/2022
Type:Order 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.
Best buy had people come deliver a TV and soundbar to my house and they messed up the install and my drywall integrity was compromised and the drywall needs to be fixed to hang the soundbar now. This happened almost 6 months ago now and Sedgewick is the insurance company handling the claim. They literally approved the claim on **** and said they'd be mailing me a check and nothing was ever mailed and when I call them, I get the same runaround that a manager is waiting to sign off on it. It feels like the classic 'make it difficult' so he goes away approach that insurance companies have. If I don't get the check this week i'm going to file a complaint with my state insurance regulatory agency and seek further damages in small claims court. i filled out the release form they requested upon the offer immediately on **** so it's been 67 days since then and nothing. I've attached the offer from their claims associate.Business Response
Date: 11/17/2022
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, Best Buy Co.,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:10/27/2022
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.
Ive been trying to settle a complaint I had against target. They show no concerns to me and I act like my issue dont matter. I was assaulted at target and they picked up the case. Ive been trying to reach someone for a month and havent been able to hear back from anyoneBusiness Response
Date: 11/09/2022
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, Target 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:10/26/2022
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.
In June I had **** fiber installed and they had to run a new fiber optic line from the street to my home. **** sent out a contractor from DCOMM to bury the line. In the process, the gentleman cut my neighbor's recently ran fiber line and broke my just ran fiber line, and a **** tech had to come out immediately to run new fiber lines. I came to find out a few weeks later that he cut multiple wires to my sprinkler system, making 3 zones inoperable.. I reached out to the **** Risk dept and they filed a claim with Sedgwick, claim #**********-01. I initially had some quick responses where I was informed by claims associate **************************** they've had several claims and they would handle either by repair, or reimbursement if using my own company or needing to repair sooner. My yard began to burn up, about to lose half my yard due to heat and no water. I had to have the zones repaired before further damages were done. This was repaired in early August, where I have an invoice of $589.96 and dated 8/12/22. I emailed ******** 13 pics of how they trenched yard for the line and where they cut the sprinkler wires and the repair had to be made. I also sent the invoice, which Noted: "troubleshoots and repairs due to multiple water sprinkler zones that no longer work due to the controller wires being cut by **** while burying fiber optic cable" as per her request. I've had no response since Sept 20, where she said she was again waiting another week to hear from DCOMM and then would escalate back to ****'s Risk Management **** for next steps. I keep getting the run around with a different excuse each time and now I cannot get any response or update on my claim. In checking the status claim online, none of the pics/invoice were uploaded by her. I emailed, as well as called, for an update on the status 10/03, 10/13 and again today 10/25 for an update. I mentioned I would be raising complaints and writing reviews of this experience for all 3 companies if I there was no status update.Initial Complaint
Date:10/26/2022
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.
claim # ********* I rented a truck and auto trailer from Budget rental truck on September 28, 2022. When loading my car onto the trailer, the ramp on the trailer broke and damaged my car. I have been trying to deal with their insurance (Sedgwick) for 3 1/2 weeks to get my car repaired and have not been able to speak to anyone about it. Yesterday, ***** they just denied my claim. Their reason for denial doesn't match my story (claim mixup maybe)? They say that they deny my claim because I drove the broken trailer to **, I did not. I left the trailer in ** and drive my car to **. The trailer was in an unusable condition. When I tried to talk to them about it they said now I'm denied because the story doesn't match & hungup on me. I have tried reaching out to the company multiple times. I have tried to contact them and explain the mixup and that the reason for their denial does not fit my case. I cannot get ahold of anyone to talk to. All I want is to get my car fixed, I have photos, I have witnesses, it can easily be confirmed that I did not take the trailer with me, it was broken. And this faulty piece of equipment damaged my car. I even paid for the extra insurance - this should be a cut and dried case.Business Response
Date: 11/09/2022
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, 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 Zeta Kilbrides complaint.Initial Complaint
Date:10/17/2022
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.
On Jan 8th 2022 ***** delivered a new refrigerator and installed it. During that install they damaged our floors in numerous places. We contacted the store right away and got a claim started which is handled by *********. We got a quote to replace the floor, per our adjuster as the flooring we just installed is no longer available. We submitted the estimate, and did not hear back from them. I was able to finally get ahold of our claim adjuster, who said he did not receive it. I sent it again, confirmed he got it and was told because of the amount they needed to send someone out to the house to verify. That person came out saw the damage double checked the sq footage and we have not been able to contact anyone who could help us since then. Our adjuster will not return phone calls or emails, their phone system will not allow us to get in contact with anyone who can help. I even reached out on their website where they have an area to be contacted and selected the option where our claims adjuster is not responding. I received the automated email saying they received my message and I would be contacted in 48 hours. That was one week ago. ''Claim number **************** Adjuster ******************* Adjuster phone # ************
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