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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

    • 546 total complaints in the last 3 years.
    • 170 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:09/28/2024

      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.
      My Jeep was damaged from Best buy during a stereo install. I was referred to Sedgwick from Best buy. Claim 4A2408TMCHD-0001 . My adjustor ******* ****** is the most unprofessional person I've ever spoken with. She never returns phone call or emails and its been over a month with the claim still open and no updates. Terrible company!

      Business Response

      Date: 10/02/2024

      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 Lauren ******* complaint. 

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

    • Initial Complaint

      Date:09/28/2024

      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.
      I filed a claim with Sedgwick and have supplied all requested documentation of the claim and no one from the company replies to telephone or email messages.

      Business Response

      Date: 10/02/2024

      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, (Simply Business).

      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 **** Constables complaint. 

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

    • Initial Complaint

      Date:09/16/2024

      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.
      Sedgwick handles medical leave for Whole Foods Market . Every time I go on medical leave for my COPD condition Sedgwick lies to me repeatedly about mailing me to necessary forms I must fill out and return to them. They do this knowing I have no printer and cannot print out anything they email me . This abuse which happens every time I file for medical leave makes me miserable needlessly and causes me to have suicidal thoughts . Sedgwick needs to be corrected and I think it should be put out of business .

    • Initial Complaint

      Date:09/11/2024

      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.
      Fell down the escalator,guard saw everything .He did not shut it down.I fell backwards going on the up escalator,my shopping fell down my money fell out of my bag.he never shut the escalator down.never called an ambulance or police.I made reports and have photos.These people from Sedgwick Do Not Answer phone calls ever.They have a video of the accident and I never got a copy .They are giving me the runaround for more then a year.This happened on August 3 /2023 . At the Target on *************************************************** and no end in sight.They won't speak with me on the phone.Guard made eye contact and continued playing on his phone A crowd started to form around me He never moved.Please help me.Thank you ******* ***** ************

      Customer Answer

      Date: 09/25/2024

      I have a report with the escalator rep.who called me.They threw my file at him and told him to handle it.Sedgwick said key to escalator to shut off was in a locked office at other end of store.        Mr. ******* ****** stated that they lied.There is a switch on top and bottom of escalator to shut off.Guard was to busy playing on his phone to even bother to shut off.Mr.******* ****** phone is ************************* never answered their phone .Please help me.Thank you ******* *****

    • Initial Complaint

      Date:09/03/2024

      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 7/25/2024 my storage unit was damaged due to water and everything was mildewed. I was contacted by my claims adjuster reached out on 8/2/2024 I turned in all of my documents and photos as requested on 8/11 and was asked to allow 24 hours for the stuff to be added to my claim. I have called and sent messages daily since the 10 day waiting period. Finally got a reply from a supervisor named **** who said that it would be expedited well I called today and was told that they didnt start the review until 8/28 which is 14 business days after the documents were uploaded to my claim. Every day with them is something different. They never have any real answers for whats going on. This is a sick joke to pay for insurance for a storage unit and then be dragged around and played with.

      Business Response

      Date: 09/09/2024

      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, ***************************** Program.

      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:08/30/2024

      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.
      November, 2022 a US Food truck made an illegal U-turn, entered my lane, struck my vehicle and dragged me south down ***************** in *********************, *******. Sedgwick managed the claim represented by *************************. **************** provided a rental car through Enterprise car rental. I was tasked with finding an Auto Body repair shop. I called many of the reputable body shops such as **************** collision center. CC initially stated they were backed up and it would be after the holidays to check back in February. Then they asked who was the ****************** upon hearing it was Segewick there was an immediate I experienced the same reaction as I literally went down the phone book. I had a cousin who also refused however , he recommended ************************* of What color paint. I asked him would he take it for a few days until I worked out the details with ********. The next day ******* said he spoke with **************** and he works for them and I was trying to commit Insurance fraud and upon ********* direction he had torn down the car. I requested my car be sent back to me and I called the wrecker to pick it up. I was told I owed ******* money and the car could not be picked up. I emailed *************** and asked him to pay 300 dollars to ******* to have my car sent to another shop. **************** refused. He also canceled my rental and just now in August of 2024 agreed to pay the rental a past due balance of ******. Prior to this **************** pretended as if he was going to have the car sent to ********* Auto repair. ******* and Mr. ******* refused to cooperate with ********************** and he backed out. In the meantime my car was left on the side if the road wrecked beyond any parts being salvageable. I want the price of my car. I had just bought in 2021. It was wrecked in 2022. Also, emotional damage for being yelled at manipulated and bullied. I had just earned a doctorate degree and did not have transportation nor could I rent a car because **************** had refused until 8/2024 to pay.

    • Initial Complaint

      Date:08/29/2024

      Type:Sales and Advertising 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 has had my ********* comp claim for the past year. They sent me to doctors who were incompetent. They admitted they had had problems with the ** I was assigned to. When I was prematurely released per "my primary" ( which I didn't have) and I went to the ** treating me, the treating ** said he did not authorize the release but that he wasn't allowed to. So I went for 4 months with no pay but couldn't work. My case worker from ********* said they couldn't dispute a medical professional's evaluation but then sent me to another **. The new ** put me immediately back on no work and now ********* ( who "couldn't dispute a medical professional) is now disputing the new ** (that THEY sent me to) and telling me I have to find another ** on my own for a second opinion to back up the current ** they sent me to. So, they couldn't dispute the premature release from a medical professional that they hired and admitted they had issues with but they can dispute the non work status of the new medical professional that they hired.

      Business Response

      Date: 09/04/2024

      We have received the below BBB complaint.  However, there is not enough information to assist (namely, the Sedgwick client who was involved, claim number, name of the party of the moving vehicle, etc.).  We would need to be provided with that information to help her/him get in contact with the proper parties. 

      Please ask the complainant to provide this information, so we can not only respond to the complaint, but get the proper person in touch with *****************************.   

      Thanks!

      Sedgwick Legal 

    • Initial Complaint

      Date:08/28/2024

      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 was involved in a severe vehicle accident on 07/16/2024. I submitted a claim with the insurance provider listed on the police report. I received an email from claims adjuster from Sedgwick on 07/29/2024 informing me that my "new vehicle" had been declared totaled and that they are responsible for the claims process. I was given a settlement offer in which I declined due to the offer being low compared to other comps in my area. I also declined the offer due to me having over $5,000 in customizations done to the vehicle in which the settlement offer did not account for. On 07/31/2024, I submitted local comps in my area that were more realistic in the *** of my vehicle, I submitted a breakdown from my local dealership on the *** of my vehicle before the accident occurred, I included the receipt of the customizations done to my vehicle as well. I have sent several emails to the claims adjuster asking for updates on when I would receive a counter claim. After several attempts, I emailed the Supervisor asking for an update. Supervisor returned my call on 8/15. She advised me that I would receive a counter offer the following day or at the latest on Monday 08/19. It is now 8/27/24 and no offer has been received. More than a month since the accident occurred and I'm still left in the position where I have no vehicle, I am unable to purchase a new vehicle until a counterclaim offer has been received. I was told by the adjuster that the rental needed to be returned on 08/02. I returned the vehicle and was left without a way to and from work. I was not offered another rental until a week later. Nearly 2 months later and there has been no progress made. Each day I am being told through email that I will be receiving an offer the following day. According to Delaware state law, an insurance settlement should be satisfied within 30 days from the claim submitted. It has now exceeded that statute of limitation in resolving this claim.

      Business Response

      Date: 09/03/2024

      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, Navigator Captive Arch.

      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:08/28/2024

      Type:Sales and Advertising 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 was placed on short term disability and have had several issues getting my weekly payment. I have put in numerous calls to my *** with not a single call back. I have even left messages with their supervisor with no results. I have been missing a check for over two weeks and I cannot get anyone to even talk to me to try and resolve it.

      Business Response

      Date: 09/04/2024

      We have received the below BBB complaint.  However, there is not enough information to assist (namely, the Sedgwick client who was involved, claim number, name of the party of the moving vehicle, etc.).  We would need to be provided with that information to help her/him get in contact with the proper parties. 

      Please ask the complainant to provide this information, so we can not only respond to the complaint, but get the proper person in touch with *******************.   

      Thanks!

      Sedgwick Legal 

    • Initial Complaint

      Date:08/28/2024

      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.
      We had **** dig a fiber line in my yard and cut the sprinkler line. After being referred to multiple different departments, **** notified me that a 3rd party company dug the line and Sedgwick would create and handle the claim. I was told they would contact me within three business days and have not heard anything from them. I've left 4 messages with the claims representative and heard nothing back. I cannot find any other recourse other than posting on the BBB forum for Sedgwick. Please contact me.

      Business Response

      Date: 09/04/2024

      We have received the below BBB complaint.  However, there is not enough information to assist (namely, the Sedgwick client who was involved, claim number, name of the party of the moving vehicle, etc.).  We would need to be provided with that information to help her/him get in contact with the proper parties. 

      Please ask the complainant to provide this information, so we can not only respond to the complaint, but get the proper person in touch with ***********************.   

      Thanks!

      Sedgwick Legal 

    Sedgwick CMS is NOT a BBB Accredited Business.

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