Cookies on BBB.org

We use cookies to give users the best content and online experience. By clicking “Accept All Cookies”, you agree to allow us to use all cookies. Visit our Privacy Policy to learn more.

Manage Cookies
Share
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

Find a Location

Sedgwick CMS has 47 locations, listed below.

*This company may be headquartered in or have additional locations in another country. Please click on the country abbreviation in the search box below to change to a different country location.

    Country
    Please enter a valid location.

    Customer Complaints Summary

    • 497 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:03/26/2025

      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.
      Employee *************************************** ****************** Compensation - 4A240655YZN0001 I have contacted this employee regarding the claim above. I have insurance with metlife and cannot file my claim due to missing information, I attached the letter from ******* and still no response from her or her supervisor via email. Was injured at work and Sedgwick is holding me up from my filing my claim. I amrequesting for someone to reach out to me and recitify this issue as soon as possible please

      Business Response

      Date: 03/31/2025

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

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

      Date:03/26/2025

      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.
      I started a short term disability claim with Sedgwick in December 2024. They asked me for documentation from my doctor. I gave it to them 2 at. Tell me the documentation so mean about my doctor did not have a date so I need to go back to my doctor and get another date. I did that it was charged another office visit fee for them to then not go by the date of March 3 that my doctorput on the paper, they they approved my claim for two weeks to end on February 14 even though they asked me for a date and I was charge another office visit. They still did not approve it to the date that they asked for from my doctor, I reached out to a supervisor over about three months and still have not gotten any sort of resolution. I was told that my doctor updated my chart directly with Sedgwick however that wasnt sufficient enough evidence. Im confused. How is the information directly from my doctor not sufficient enough if my doctor istelling you I cannot work. I feel is still there withholding my funds without any sort of probable cause I cannot get anybody on the phone can help me. Im always sent to voicemails. My issue has not been sold and I have not been able to handle what I need to handle on my leave because Im too busy trying to ensure that my job is still intact at the end of being sick. This is absolutely ridiculous. It should not be this hard to file a claim that I am paying for out of my check every twoweeks. The doctor has the final say and whether I can work or not, somebody sitting behind a desk at a computer doesnt I need somesort of resolution ending with my claim being approved because they already have all the evidence they need from my actual doctor.

      Business Response

      Date: 03/31/2025

      Thank you for the opportunity to respond to the complaint filed by Kalona *********. 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 Kalona ********* 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 Kalona McClammeys complaint. 

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

    • Initial Complaint

      Date:03/25/2025

      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.
      My car was parked in a parking lot at my workplace, and the Pepsi delivery man backed into me with the Penske truck he was driving on February 21, 2025. He filed a claim with Sedgwick, and I have received a check to cover some of the repairs to my bumper. I was told that I should contact the claims representative so they can reserve a rental car for me, once my repairs were scheduled. I was scheduled to have my car repaired yesterday (3/24/25), but I have been unable to reach anyone to setup a rental car for me, so I had to cancel. I have been attempting to contact ***** *********, the claims adjuster for a week, with no luck. The phone number I have for her, goes to a recording which prompts me to enter an extension number, which I don't have and when I hit * for the company directory, it asks for a mailbox number. There is never an option to speak with a representative. I also emailed Ms. ********* on 3/20/25, but I haven't received a response.After doing a ****** search, I was able to get in touch with the auto liability department at Sedgwick. ****** gave me the manager, ******** ********** contact information ************. I have left her several voicemails, and I have sent her an email message as well. Yesterday, another Sedgwick representative told me that she thinks that ***** ********* is no longer with the company. She sent Ms. ******** an email as well, but I haven't received a response.I have also tried the online chat, but haven't gotten a response there either. I would really like for someone to call me back who is able to set up a rental car for me so that I can get my car fixed as soon as possible.Thank you!*******

      Business Response

      Date: 03/26/2025

      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, (PepsiCo).

      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 ******* Chandlers complaint. 

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

      Customer Answer

      Date: 03/28/2025

      ******** ******** from Sedgwick contacted me on the afternoon of 3/27/25. She has now set up a rental car for me for next week so I can get my car repaired. I had left her at least 3 voicemails and sent 2 or 3 emails to her directly as well as to many other Sedgwick claims management employees within the past week, but I believe that she was responding to the BBB claim since she used the my former last name (********) instead of my current last name (******) as is on the original claim. The response from Sedgwick on this complaint also had my former last name. 

      I really believe that this helped in getting my them to contact me and finish the job. Thank you so much!!

      Sincerely, 

      ******* ******

    • Initial Complaint

      Date:03/20/2025

      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.
      Wow what a scam. Best buy cut a wire and they use this company for claims. I have tried emailing, calling multiple times with no answer from the representative who was supposed to help me.
    • Initial Complaint

      Date:03/17/2025

      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.
      ********* was notified about damaged items and injuries from a package held by them ********* had my package for several days on December ******* an investigation was open to locate the package the carrier was notified that package was dropped off December ******* I picked the package of between December ***** 2024 while opening the box a candle fell out into my hand injuring /cutting my hand the shipper bath and body works was immediately notified and then I notified ********* I received a phone call from the ********* store manager who dismissed the injuries and immediately blamed ***** and dismiss the injuries to my hand I then contacted ******** support on December ******* and explained how I was treated regarding the damaged candles and my injuries once again I was ignored nobody reached until submitted a complaint with the bbb and the district manager was informed of the injuries me being our of work for three weeks due to the injuries he said he had to solutions the first was to offer a customer service gesture due the way I was treated and to go into the store and the store manager would take the info and submit it over to their liability team which was completed on March ****** I wad told by march ****** I should receive a phone call it never occured I had to reach out to the store manager and district manager multiple times I was being lied to by both I was told they had no claim number no case number and no phone number for the company and that I had to wait for a phone call on March 1****** I received a phone call and then explained what happened I wad told the claim was opened March 11 2025 and I was then contacted by sedgwick the person was very rude and unprofessional and argumentative talking over me and when I asked what was the purpose of her call she told ne to take it up with ***** and started repeating the same exact things the district manager and store manager said when I reported this to ***** they told me neither company reported
    • Initial Complaint

      Date:03/12/2025

      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 family and I got sick off of chicken purchased at ***** club on February 2nd. The sickness we experienced was severe vomiting, diarrhea, and other flu-like symptoms. The brand of the chicken was Pilgrim's Stand Alone. I created a claim with ***** and was eventually put into connection with this company, *********. I was assigned to an associate by the name of ****** ******* and given the claim number of #4A2502CW9MH-0001. We spoke early February and I explained the situation to ******. After the conversation, Kaysia told me she would send me an email to receive the receipt and my brothers contact information (he was the only one seen by a doctor, and so, Kaysia wanted the documents from his visit). I never got an email and called multiple times to notify her I hadn't received an email. She didn't responded after numerous voicemails until early March She called me stating that she had my email wrong and would be sending me another email for the same information. She gave me her email as well. After that call, I didn't get an email so I emailed her on March 5th providing the needed information. Since that email, I didn't hear back from her, so I contacted her supervisor. I left a voicemail on her supervisors phone on 3/6, 3/7, and 3/10. It's been over a month since the incident occurred and I'm very disappointed that this claims company hasn't taken it more seriously.

      Business Response

      Date: 03/19/2025

      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 claim ******* *******  filed against our client, (Pilgrim's Stand Alone).

      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 ******* ******* s complaint.  
    • Initial Complaint

      Date:03/11/2025

      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 am writing to file a formal complaint regarding the handling of my case (#*********) with Sedgwick Claims Management Services. This case involves an incident with a heating patch product purchased from ****** in 2022, which caused significant burns and scars.Since initiating my claim, I have experienced considerable delays and inadequate communication from Sedgwick and their attorneys. Despite providing photographic evidence of the injuries, my case has not been properly addressed, and I have yet to receive any compensation or a satisfactory resolution. Instead, I have been passed between different representatives and attorneys, effectively being ignored and denied proper ************ a consumer, I expected a more diligent and respectful approach to my case. Sedgwick's handling of this matter has been deeply frustrating and disappointing. I am requesting that the BBB assist me in reopening my case and ensuring that I receive the compensation and resolution I rightfully deserve.Please find attached the relevant documentation and photographs related to my case for your reference. I would greatly appreciate your prompt assistance in resolving this matter and holding Sedgwick accountable for their lack of proper service.

      Business Response

      Date: 03/18/2025

      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 ***** Greens complaint. 

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

      Date:03/03/2025

      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 am dealing with a nightmare situation regarding incorrect info being entered for my maternity leave. My examiner, who has been IMPOSSIBLE to get ahold of, put an incorrect payout percentage that has resulted in me getting about 30% of the pay I am owed. I have spoken to numerous phone **** and have been dealing with this for 3 weeks straight. My examiner has been *** and only a couple of the phone **** have been helpful. This is unacceptable and the last thing a brand new parent should have to worry about. This company is horrendous.

      Business Response

      Date: 03/10/2025

      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 Maddison ******** 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 Maddison Mccombers complaint. 

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

      Date:03/03/2025

      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 filed a property damage claim in September 2024. Unfortunately, Sedgwick and the company they represent denied liability for the incident. However, after submitting the requested paperwork, we were offered a good faith gesture of $200. Now, its March 2025, and we still have not received the promised payment. As with many other complaints about Sedgwick, neither the adjuster nor any representative has responded to me. Ive made countless attempts to contact my adjuster via email and phone, but there has been no response. Calls to the main office have proven equally unhelpful, with promises of return calls that never materialize. While $200 may seem like a small amount, its frustrating to be offered a payment that never gets fulfilled.

      Business Response

      Date: 03/10/2025

      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, (The Parking Spot).

      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 *******/**** Beaverss complaint. 

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

      Date:03/03/2025

      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.
      1. Attached are conflicting documents from the current case manager for my work place injury that she sent to my work email address, and included a HIPPA protected medical document that she sent to my supervisors. 2. When I filed the claim in Sedgwick, I did not include an email address and stated that I prefer text messages. I have received zero text messages from Sedgwick. **** ********* has sent me a variety of short email messages to my work email saying "are you at work", "you need to fill in a Return to work form first", and the attached message demanding that I should be a work, despite the fact that I was at the hospital for hours on Feb 26, 2025 and learned that there is a new problem with my neck. My work email address is subject to FOIA, and our employer said to not use it for personal reasons, therefore, no matter what, **** ********* from Sedgwick should not be sending my HIPPA protected medical information to my job. Furthermore, on Feb 28 2025 she forwarded the tru health note, she wrote to my employer the opposite of the content of the note and stated that I should report to work on Feb 25, 2025 (a date in the past that contracts the work note). Again, I did not give Sedgwick permission to contact me via email and, effective immediately please have her cease and desist emailing me on my work email and please have her cease and desist sending my medical information to my employer. 3. She sent me a message on Feb 25, 2025, after I had gone to an urgent care, to only go to doctor's on your list. Feb 28, 2025, she sent me a contradictory message saying I should not have gone to your listed urgent care and PT at ********* Sterling, ** on Feb 28, 2025. 4. **** ********* sends incoherent messages, without regard to proper punctuation that left me wondering if she's working from home, unsupervised, is drinking on the job, or another issue. Please see the attached example. Please notice how she contradicts herself.

      Business Response

      Date: 03/04/2025

      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 ***** LaRues complaint. 

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

    BBB Business Profiles may not be reproduced for sales or promotional purposes.

    BBB Business Profiles are provided solely to assist you in exercising your own best judgment. BBB asks third parties who publish complaints, reviews and/or responses on this website to affirm that the information provided is accurate. However, BBB does not verify the accuracy of information provided by third parties, and does not guarantee the accuracy of any information in Business Profiles.

    When considering complaint information, please take into account the company's size and volume of transactions, and understand that the nature of complaints and a firm's responses to them are often more important than the number of complaints.

    BBB Business Profiles generally cover a three-year reporting period. BBB Business Profiles are subject to change at any time. If you choose to do business with this business, please let the business know that you contacted BBB for a BBB Business Profile.

    As a matter of policy, BBB does not endorse any product, service or business. Businesses are under no obligation to seek BBB accreditation, and some businesses are not accredited because they have not sought BBB accreditation. BBB charges a fee for BBB Accreditation. This fee supports BBB's efforts to fulfill its mission of advancing marketplace trust.