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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

    • 543 total complaints in the last 3 years.
    • 168 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.

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    Complaint status

    Complaint type

    • Initial Complaint

      Date:06/07/2025

      Type:Service or Repair Issues
      Status:
      Unresolved
      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.
      Filed a claim almost 9 months ago and adjuster continues to drag the process out claiming they are unable to get information they need. They rarely respond now and I fear they are simply waiting this out. We have asked for this to be escalated and were refused.This appears consistent with other complaints which warrants investigation.

      Business Response

      Date: 06/17/2025

      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, (Equity Residential).

      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:06/07/2025

      Type:Service or Repair Issues
      Status:
      Unresolved
      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 put in a request per my doctor's orders on April 24, 2025 for a leave to start on April 30, 2025 from my job as an inside sales *** at ***************** and end on May 26, 2025. I have still not been paid out for these benefits. My doctor provided all information requested by May 23, 2025. This included my HIPAA release forms for Sedgwick to receive the information. I have been going to the doctor weekly since 04/24/2025 to make sure I was ready and able to come back to work. The determination had an end date which I have never heard of before. I then received a call on May 29, 2025 when I returned to work and the nurse named **** (no last name provided) faxed my doctor's office over an order for questions to be filled out the same day. I am able to attach documents of proof if needed if this is in the right place. My doctor sent in more documentation on 06/02/2025 and 06/05/2025. As of today, June 6, 2025, I still have not received a payment, which I am owed. I have requested help from a supervisor at Sedgwick on 06/02/2025 and today on follow up again 06/06/2025. I have been treated unjustly by Sedgwick, and payment delayed in hard *************** as is with the economy we are experiencing in the last few years. I would like for Sedgwick to do the right thing and pay me my back disability pay.

    • Initial Complaint

      Date:06/05/2025

      Type:Service or Repair Issues
      Status:
      Unresolved
      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 had a claim with Sedgwick for 3 months. I have never spoken to anyone. I have called about 25 times and left 19 voice mails. I have never gotten a call back or heard a word. They have taken me out of work (per my employer) and I want to know why or get some information on the claim. I have been calling for weeks and have no information. When you call you can only leave a VM and they call you back (maybe). How can they take you out of work. Not answer their phones and not even call you back. This is infuriating. They have taken me out of work with no reason. No accountability. More importantly, no explanation. This has been going on for months! They have a 1.3 rating on ****** for all the reasons listed above. Please look into this matter. There are thousands of people just like me out in the wild. Just read the comments. They are all exactly this scenario!

    • Initial Complaint

      Date:06/04/2025

      Type:Customer Service Issues
      Status:
      Unresolved
      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.
      Pfml claims not being properly handled examiners not returning calls back affecting being paid while on leave

    • Initial Complaint

      Date:06/02/2025

      Type:Service or Repair Issues
      Status:
      Unresolved
      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 25th a geek squad Tec was sent to my home to repair our washing machine the tec flodded our laundry room causing a water damage and flooding in our basement and water damage on the floors and walls of the laundry room and connected bathroom we contacted best buy and sedgwick was to handle the claim I sent photos of the damage aswell as a quote for repairs on sedgwicks website as instructed buy the ******** the claims adjuster on April 16th. After that I was told they would send a adjuster out to also assess the damage this happend on April 22nd after the adjuster came out to assess and i have heard nothing i have sent multiple emails and I have gotten no replys I have property damage to my home and I would like this to be taken care of

      Business Response

      Date: 06/12/2025

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

      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 ***** Holeys complaint. 

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

    • Initial Complaint

      Date:06/02/2025

      Type:Product Issues
      Status:
      Unresolved
      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 visited Mister Car Wash on June ****** and while there an unruly and difficult employee decided he would be combative and argumentative and pray me in the face with a chemical while my window was down speaking with him as he sprayed the front of my vehicle with what the Mister Car Wash management stated was bug repellant. I contacted the business immediately and it took 18 days for them to respond and another week or so to file a claim and have Sedgwick Claims adjuster contact me. Upon them contacting me initially they advised that they received the claim and it would be another delay to wait to assign it to another adjuster -******* ******. Upon my first contact with ******* I asked him to provide what the contents were in the spray, so I may share them with my physician because I am highly allergic to some chemicals- to date no response. ******* asked me to complete consent forms to obtain my medical records and send him any out-of-pocket costs. Which I have completed to date, when I advised him my follow up appt for my face would be May *******, I have not heard anything from him further since April *******. ******* is supposedly to obtain the medical records and bills based on the consent forms he had me complete and return to him, of which he acknowledged he received upon request. I have called and left messages and sent emails - no response although his voicemail states he has a 24 hour turn around. The last email received from ******* advised me once i collect bills, records he would review with his client and then set up a time to talk about finalizing my claim. I have NOT authorized his client to review my HIPPA information nor should they decide on my claim. If that is the case I need to confirm this and have legal representation. If the employee they terminated didn't spray me in the face there wouldn't be a need for a claim. It was completely reckless and disrespectful. This experience has traumatized me and stressed me unnecessarily.

      Business Response

      Date: 06/12/2025

      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, (Mister Car Wash).

      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:06/02/2025

      Type:Product Issues
      Status:
      Unresolved
      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:
      Unresolved
      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:
      Unresolved
      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:
      Unresolved
      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.

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