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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.
    • 154 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:05/06/2025

      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.
      Subject: Formal Complaint Against Sedgwick Mishandling of Workers Compensation Claim To whom it may concern,I am writing to file a formal complaint against Sedgwick Claims Management Services regarding their poor handling and delay of my workers compensation claim (Claim Number: 4A2503FW14X-0001).On March 4, 2025, I was injured while working at Amazon Warehouse VIL4. I submitted my injury claim promptly to Sedgwick, and since then I have provided all necessary documents. I have also been in contact with Amazon Incident Response, specifically Mr. **** ********, regarding this claim.However, as of today, I have not received a response confirming the compensation process or timeline. I have followed up multiple times and have not received any meaningful updates or resolution. This ongoing delay has caused me financial hardship and emotional distress, especially during my recovery.I request that this matter be investigated and that Sedgwick be held accountable for fulfilling its duty to manage claims promptly, transparently, and fairly.Thank you for your assistance.Sincerely,****** **********

      Customer Answer

      Date: 05/07/2025

      Subject: Follow-Up Regarding Complaint ID ******** Supporting Documents Attached
      To whom it may concern at the Better Business Bureau,
      I am writing to follow up on my complaint submitted on May 6, 2025, against Sedgwick CMS, which has been assigned Complaint ID ********.
      I have compiled and organized all relevant supporting documents into three main categories:
      Medical Reports (from both hospital and charitable clinic)
      Email Correspondence with Sedgwick
      Email Correspondence with Amazon Incident Response Team
      These files clearly demonstrate my efforts to report the injury, obtain medical treatment, and cooperate with both Amazon and Sedgwick.
      I am attaching the file titled "BBB_Complaint_23294801.rar" containing all documentation related to the incident. Please confirm that you have received the attachment, and let me know if any additional information is needed.
      Thank you for your support in addressing this matter.
      Sincerely,
      ****** **********

      Customer Answer

      Date: 05/07/2025

      Subject: Follow-Up Regarding Complaint ID ******** Supporting Documents Attached
      To whom it may concern at the Better Business Bureau,
      I am writing to follow up on my complaint submitted on May 6, 2025, against Sedgwick CMS, which has been assigned Complaint ID ********.
      I have compiled and organized all relevant supporting documents into three main categories:
      Medical Reports (from both hospital and charitable clinic)
      Email Correspondence with Sedgwick
      Email Correspondence with Amazon Incident Response Team
      These files clearly demonstrate my efforts to report the injury, obtain medical treatment, and cooperate with both Amazon and Sedgwick.
      I am attaching the file titled "BBB_Complaint_23294801.rar" containing all documentation related to the incident. Please confirm that you have received the attachment, and let me know if any additional information is needed.
      Thank you for your support in addressing this matter.
      Sincerely,
      ****** **********

      Business Response

      Date: 05/12/2025

      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, (Amazon).

      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 Ahcene Saadeddines complaint. 

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

      Date:04/29/2025

      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.
      Sedgwick Claims Management Services provides claims management for **** Budget Rentals. One of **** Budget Rentals drivers crashed into my car turning into my lane from a non turning lane on the way onto ********************. I made a report to the military police. I was able to get a photo of the license plate and car, but the driver did a hit and run. The military police saw the accident and ran the license plate and determined **** owns the vehicle. My case went to *******. My wife and I have left countless voicemails and emails for our representatives, and we keep being assigned a new representative. The driver who hit our car and **** by extension is at fault, and **** is responsible for paying our deductible to get our car fixed along with our costs to rent a car while it is being fixed. This is California state law. Sedgwick has been completely non responsive and has been ignoring us. At this point I am considering taking them to small claims court, but I would like to see if we can get help on a resolution from the Better Business Bureau first.
    • Initial Complaint

      Date:04/28/2025

      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.
      Sedgwick won't answer any of my emails and calls. They continue to cause me harm in violation of the law. Sedgwick is responsible for handling claims for **** budget group but they refuse to handle it in accordance of the law. Claim number is ********** (Date of loss is 10/19/2024). Lead is ******* *******.

      Business Response

      Date: 04/30/2025

      Thank you for the opportunity to respond to the complaint filed by ***** Georgian. 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 ***** Georgian 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 ***** Georgians complaint. 

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

      Date:04/20/2025

      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.
      A claim has been filed for auto damage at a gas station through this organization and I've not heard from my examiner or nothing has been resolved in this matter it's been over 45 days I ended up having to pay for the repair out of my own pocket .

      Business Response

      Date: 04/24/2025

      Thank you for the opportunity to respond to the complaint filed by Montana ******. 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 Montana Knight filed against our client, (*************.).

      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 Montana Knights complaint. 

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

      Date:04/20/2025

      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.
      7-25-2024 On the job injury. ************ non compliant employer. Claim turned over to sedgwick after investigation. Claim accepted in Dec2024. One month benefit check paid for time loss. No payment since and my life has fallen apart . I am unable to work and the claim adjuster is imposible to deal with. I have no means to seek another Dr.that suits her because i live 30 miles from one and am broke . Hence 1 check in 10months. I dont see how they think this is acceptable treatment.

      Business Response

      Date: 04/24/2025

      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, (State of Oregon/DCBS,Non-Complying Employers).

      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:04/16/2025

      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.
      I filed a claim with Sedgwick on march 12th 2025 with my first day missed from work of march 14th 2025. I was given false information, misleading information and the worst possible experience ever. My ** sent in restrictions that my job were unable to accommodate. I should have been placed on short term disability immediately, instead i was off work with no pay while Sedgwick processed my claim for a whole month. I had to call every single day because nobody was doing their job. I finally got an approval on April 10th 2025 and was told it would be sent to my job. As of Monday April 14th i still hadnt received payment so i called again and was told it would be pushed through. Yet again the examiner didnt do their job and was unaware it needed a supervisors approval. So here we are April 16th and i still have not been issued payment. I am now 30 weeks pregnant and very stressed. I have another child at home and unable to maintain because of this prolonged process that could have been avoided had the agents did their job or even knew how the process worked.

      Business Response

      Date: 04/18/2025

      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, (********************.).

      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:04/12/2025

      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.
      My short term disability ended 12/16/24. My long term disability began at at that time. I am only receiving about 25% of my benefits because Sedgwick Examiner ***** **** ************** has not given me my Ending Letter Statement showing my short term disability has ended. I have been requesting it for 1 1/2 months and have not had any response back and everyone in her office says only she can do it. It has caused major stress to my family and I , and I cannot pay my bills.

      Business Response

      Date: 04/14/2025

      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, (**********).

      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 ***** Moberlys complaint. 

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

      Date:04/11/2025

      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.
      I've been trying resolve a liability issue with Sedgwick Claims but their Adjuster has consistently been avoiding me. Not returning emails or calls. The Adjuster is ***** ******. According to previous class actions against this company this is a tactic they use to delay the process. I am a disabled veteran who has been patient but something has to be done asap. Her email is *************************************** and the only contact number I have is ************. Please help.

      Business Response

      Date: 04/14/2025

      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, (**************************************************).

      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:04/08/2025

      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.
      want to escalate my concerns regarding the negligent handling of my claim (#4A2410G30TY-0001) a semi-truck accident on October 10, 2024. Despite my cooperation and adherence to Sedgwicks requirements, the prolonged delays, lack of communication, and inadequate settlement offer have caused catastrophic financial and operational harm to my business.### Summary of Key Issues 1. Unjust Delays:- Despite submitting all requested documentation (photos, video evidence, invoices, and trailer plate details) promptly after the incident, Sedgwick took six months to issue a settlement decision. This delay directly prevented me from covering critical business expenses, including a $2,500 deductible, and forced me to secure a Penske rental unit at significant personal cost after 15 days of waiting for liability confirmation.2. Failure to Honor Commitments:- Sedgwick representatives repeatedly assured me that rental expenses and lost income would be reimbursed upon claim resolution. However, the $10,000 settlement offer grossly disregards documented losses exceeding $50,000, including:- Lost contracts due to canceled broker agreements.- Penske rental fees incurred to mitigate operational disruptions.- Income shortfalls from business closure.3. Bad Faith Claims Handling by ** ******:- Mr. ******* the Liability Claims Team Lead, has consistently ignored submitted evidence, failed to communicate updates, and refused to acknowledge the financial impact of Sedgwicks delays. This conduct violates basic standards of good faith claims processing under Florida insurance regulations.

      Business Response

      Date: 04/10/2025

      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, (AIPSO).

      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 Thamer Moqdadys complaint. 

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

      Date:04/07/2025

      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.
      Floor was damaged when a refrigerator was delivered by RentaCenter. Their insurance company requested info which was sent. Then I emailed and called repeatedly and cannot get ANY help!

      Business Response

      Date: 04/10/2025

      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, (Rent-A-Center).

      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 ***** Battaglias complaint. 

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

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