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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.

    Sort by

    Complaint status

    Complaint type

    • Initial Complaint

      Date:05/23/2025

      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 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:
      Resolved
      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:
      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.
      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:
      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'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:
      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.
      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:
      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 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.

    • Initial Complaint

      Date:05/06/2025

      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.
      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:
      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 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:
      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 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:
      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 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.

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