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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

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Sedgwick CMS has 24 locations, listed below.

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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:06/02/2025

      Type:Product 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.
      Sedgwick was brought in by **** to solve a dispute regarding damages by **** to my property for $395. Date of loss was 4/13/25, Claim was created on 4/29/25 and the number is: 4A2504W6BFH-0001. I have sent them all the proof and required documents on 4/29/25. I have called and emailed several times to ********************* who is the claims examiner. Unfortunately I have no response from him.Your cooperation is greatly appreciated.
    • Initial Complaint

      Date:06/01/2025

      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.
      A claim was filed with ********** on May 7, which is now being handled ( very poorly) by Sedgwick. Attached are documents referring to the claim. I received a text from Sedgwick in i replied within the form provided.Since receiving a letter from Ms. ******* of Sedgwick (attached) and responding by phone every day, we have not received any call. ******* that organization is frustrating. Our driveway that is used every day by me and my family is in a very bad condition due to the delivery company using machinery with blades and wheels to move a pallet of 30 bags of mulch onto an asphalt surface. (photos attached) It is barely useable.The claims manager at ********** is very cooperative but is not able to get any information for me.Attached are copies of correspondence between Sedgwick and **** apologize for reaching out to principals at **********, but, I don't know where else to turn.Respectfully,******* ************************************************************************** 851-4937driveway2.jpgdriveway damage.jpgsedgwick response to matteo.jpgsedgwick text.jpg
    • Initial Complaint

      Date:05/30/2025

      Type:Order 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 April 7, 2024, I was involved in an accident while riding a rental car return shuttle at the ************************************ in **************. The driver of the shuttle, employed by Budget, collided with the exit barricade while transporting passengersincluding myself and members of my party. The incident resulted in injuries and required the involvement of local authorities. A police report was filed around 5:00 a.m. that same day.Despite our efforts to engage Budget Rent-A-Car, we encountered significant communication delays and were ultimately referred to Sedgwick Claims Management Services. On April 21, 2024, I provided all requested information to Mr. **** *******, a representative at Sedgwick. At that time, I was informed that the claims process would proceed.However, as of May 30, 2024, Mr. ******* has now stated that I cannot file claims on behalf of others in my partysomething that could have and should have been clarified weeks ago. This abrupt shift in communication and lack of responsiveness appears to be a tactic to delay or avoid fulfilling Sedgwicks responsibility to investigate and process valid claims in good faith.We have submitted both medical documentation and clear accounts of the incident. We have made every effort to engage respectfully and cooperatively with both Budget and Sedgwick, and have fulfilled all obligations on our end. In return, we have received slow responses, unclear guidance, and dismissive communication.I am filing this complaint to formally call out the unacceptable handling of our case by Mr. **** ******* and Sedgwick. We were passengers in a vehicle operated by a company that caused an accident in which we sustained injuries. We are not at fault, and yet we are being treated as if our claims are an inconvenience.We are requesting that Sedgwick address our concerns promptly, process our claims fairly, and improve transparency and communication with affected customers going forward.

      Business Response

      Date: 06/02/2025

      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, (Avis).

      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:05/29/2025

      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 January 24, 2025, I filed an insurance claim (Claim #4A25022HMVW-0001) with Sedgwick Claims Management Services, acting on behalf of ************, for personal property damage involving a rented Public Storage unit. This insurance coverage was purchased through Public Storage when I rented the unit, with the understanding that it would cover theft, vandalism, or damage to stored ************* of today, it has been over four months since the claim was submitted. Despite multiple follow-ups by phone and emailincluding with the assigned adjuster, ******* *****, and her supervisor, ******** RogersI have not received a clear explanation, timeline, or resolution. I have been repeatedly told the claim is pending approval, but no progress or accountability has been provided.Sedgwick has not fulfilled its responsibility to review and resolve my claim in a timely or professional manner. The extended delay and lack of communication have caused unnecessary financial stress and emotional frustration. I have filed a complaint with the ********************************** and escalated to Public Storage corporate due to Sedgwicks inaction.I am requesting that Sedgwick and ************ fulfill their obligation and finalize the claim payout in full without further delay.

      Business Response

      Date: 06/02/2025

      Thank you for the opportunity to respond to the complaint filed by Junkee ****** ***. 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 Junkee ****** *** filed against our client, (Public Storage).

      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 Junkee ****** Ahns complaint. 

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

      Date:05/23/2025

      Type:Sales and Advertising 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 purchased a Bestway item that had a recall. I followed all the recall steps and still have not received my money. When I have contacted Sedgwick, it has been nothing but run around. Here's the confirmation:XEDQY5L3 I want the money I am owed.
    • Initial Complaint

      Date:05/20/2025

      Type:Service or Repair Issues
      Status:
      ResolvedMore 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 was hit by a ********* truck on April 23th. 2025, he broke my right rear passenger side. I called the police we exchanged information. I filed a claim with **************** that same afternoon. After a couple days a called them to know the status of the claim and Zurich sent me with Sedgwick insurance. Sedgwick transferred me with five more people with no information about my claim.I filed a claim with my Insurance Geico and they contacted the adjuster for Sedgwick which I have called her (Mrs. ***** ****** phone number **************) and I have left messages which she has no return any of calls. I just want them to fix/repair the door of my vehicle.I will appreciate your help in this matter.

      Business Response

      Date: 05/28/2025

      Thank you for the opportunity to respond to the complaint filed by ***** Aubret. 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 ***** Aubret 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 ***** Aubrets complaint. 

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

      Customer Answer

      Date: 05/31/2025

      The company contacted us after we reached their corporate office. The incident was addressed and they are working on it.

      Thank you 

      Customer Answer

      Date: 06/02/2025

       
      Date Sent: 5/31/2025 9:10:56 AM

      The company contacted us after we reached their corporate office. The incident was addressed and they are working on it.

      Thank you


    • Initial Complaint

      Date:05/16/2025

      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.
      Had damage to my home during delivery of new appliance that I spend over 3k for. It was done on May 7th since I have called 3 times and each time been told no complaint has been filed by **********. ********** has confirmed they did filed the claim. I dont understand how hard is to help a customer who has major damage to my kitchen that will cost a lot to fix all. If that a thank you I get for being a loyal customer for years? Just to be told no claim was filed? I told the agent I would Iike to speak management and she just routed be back to ********** line again. Clearly can see the damages in the photos and I will go to court if I have too.
    • Initial Complaint

      Date:05/14/2025

      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've been going back and fourth with Sedgwick for a couple weeks now. My claim was terminated because they said I needed paperwork from my doctor. And an examiner would reach out to me. I never received a call or email about the issue. I had no idea until I didn't receive my benefits. Now every day it's something new. I was told the paperwork was faxed to my doctor he never received it. He then gave me his email to have them send it I was told that it was sent that wasn't true. I had to reach out again and finally last week he got it and sent it back. Along with me going to see him and my stress level is high again due to this whole nonpayment thing going on week three. He gave me a letter with the date of visit on the top along with a new return date last Thursday I uploaded that. Then it's call medical records they want after visit summaries I got them from ******* and uploaded them as well. I called several times and asked for a new examiner. And I also called yesterday and today asking to speak to a supervisor to try and get this resolved. I was hung up on the first time and the second time I was told they left a message for me to get a call back. Today I called again asking for a supervisor and I was sent to her voicemail. It's past the 24 hours and I haven't received any call. This is very unprofessional.
    • Initial Complaint

      Date:05/12/2025

      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.
      Since June of 2024 Ive been getting continuous back flow of water into my home when I finally called a plumber to fix the issue in December of 2024 the plumber notice the issue is due to a hole in my pipe cause my a drill (drill marks was evident on the pipe). Earlier that *** installed a cable box on my property. I do it services with ATT so Im not sure why this box was installed in the first place. This box is in close proximity to my water pipe. When I realized the problem i contacted **** and they file two claims and both have been denied without any explanation. Ive provided all the evidence and pictures of the damages. Ive called and email and I cant get in contact with anyone. The first claim number is 2412002137-01, examiner contact Puradonna *********, ************.The second claim number is 2502000093-01, examiner contact ****** ******, ************, ******************************************

      Business Response

      Date: 05/13/2025

      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, (AT&T Services).

      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:05/10/2025

      Type:Sales and Advertising 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 filling a complaint due to Sedgwicks mishandling of my short-term disability claim while I was on approved **** leave from my employer ***************. Despite submitting all required documentation, including medical records and a signed release form, ********************** issued a final denial of my appeal before they received proper authorization to access my medical information. My signed release was submitted on April 15, 2025 but their final decision is dated April 15, 2025. This is a potential privacy violation. Thoughout the claims process, communication from Sedgwick was inconsistent and disorganized. I was repeatedly asked to resubmit documentation I had already provided. I also contacted Sedgwick and HR multiple times regarding my appeal and received no assistance. As a result, I was left without income for months while managing a serious medical condition and mental health crisis. This caused significant emotional and financial harm, including risk of eviction, vehicle loss, and inability to support my children. I am seeking accountability for how my case was handled and believe Sedgwick acted in bad faith by denying a valid claim and mishandling sensitive personal information.

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