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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

    • 544 total complaints in the last 3 years.
    • 169 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:11/10/2022

      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.
      On 10/18/22, **************** *************************** struck my **** ************* C220 on its right side, & it sustained damage to its right fender, right front door, right rear door, rear bumper, & right unibody/frame. In addition, *********** are entering gap at right front door. ****************** claimed he had no ********** ***** vehicle was a rental. He also admitted hitting my car with his & said he was sorry. A woman, *************************, claiming to be ********************** mother, arrived on-scene & stated she would "pay for everything", which did not happen as of the filing of this complaint. When I asked about a rental car, **************** stated she gave my name & number to an agency called Getaround (a car-sharing/rental type) whose liability company it seems is Sedgwick Claims. On 10/27/22, ***************************** stated she was from Sedgwick Claims & asked me questions about said accident & said that she would call me with her determination. As of this date (11/10/22), there has been no response from Sedgwick Claims despite repeated phone calls & emails.
    • Initial Complaint

      Date:11/10/2022

      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.
      On October 13th at approximately 2:00 - 2:30PM - my husband and were driving on I75 heading North - in the farthest right lane we were forced to swerve in an attempt to avoid a piece of muffler and associated vehicle debris that was in the lane. The muffler hit our car causing damage to the lower panel, wheel and tire. We were forced to exit the ******/********** exit. Prior to exiting we were aware a large Pepsi truck with its driver on the shoulder looking underneath the carriage of the truck. We obviously were not in a position to get the license plate or anything else on the truck as we were concerned about the condition of our car, especially the tire.Pepsi should have an incident report on this situation. We assessed the damage at a nearby **** Club - whereby we noted a slit along the tire as well as the gashes to the wheel and the lower panel scraped. We asked the auto department to come out and assess the tire as we were 2.5 hours from our home in North *******. **** did not have the correct tires for our car and would not for several days. We were then forced to drive with our spare tire on I75 until we could reach our exit en route to our home in ************.October 27, 2022I phoned several Pepsi numbers as no one seemed to know who I should speak with at Pepsi.Finally called liability number - to receive call back which has not happened.On November 7, 2022 I was told to contact Sedgwick in ****** ***** to get an incident report. Also left several message for Ext ***** at this location with no response. In addition, I emailed to Sedgwick their email address - copied ******* and provided supporting documentation.
    • Initial Complaint

      Date:11/09/2022

      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.
      This business is full of liars and people that hang up on you. This company also does not care to give all of the facts until you are desperate calling them many times a day. They lie and say that they will get you to who you need to be with or leave them a message. Then to find out that the person you need to talk to isn't even here today. i send my paperwork to them on 10/26/2022 to go back to work with a go back date of November 7th. They FINALLY got to my stuff November 2 and failed to tell me that I was missing a standard doctors note (like a work or school release and a date to come back.)On November 8th I called to see what is happening, getting conflicting information. "****" was terrible, does not know who to do her job, AND HUNG UP ON E WHEN SHE DID NOT KNOW HOW TO HELP!!!!Then I called back and got someone else who got me to ****, a manager, who told me that all I needed was a doctors note and then they can email my employer that I can go back. I called my doctor and got the note emailed to me, in which in my 3rd call was given an email address to email it to.November 9th I called them to see if they got it and to talk with a case manager. I was told that they did and that the case manager will call me in a few hours A few hours later I called back with no call and was told that they will have a case manager's manager. Never got a call back and called for a 3rd time to find out that **** ****** who is my case manager isn't even in today!!!!!
    • Initial Complaint

      Date:11/08/2022

      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.
      We have a refrigerator with an ice maker that flooded our floor twice. We have an extended warranty. They advised us to file a claim with Sedgwick to be reimbursed for the flooring a labor. Contacted Sedgwick and received a letter from ************* on Sept 28 with a file no(L2209235011-0001). Since then she has not returned 1 call and I called numerous times. I then called KatieCody .Sup ********** and she left a VM on 10/14 stating they would contact me. No one has followed up. Can you help me?Thank youThe claim is for new flooring and labor. Thank you *******************************

      Business Response

      Date: 11/11/2022

      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, ************** Corporation.

      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:11/03/2022

      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.
      went to *********************, for a car radio installation. I was there from 1 pm to 4pm. The auto tech was unable to get the factory radio removed. Upon him giving up I noticed damage to my car's dashboard and a cracked bezel that goes around the radio. Also, upon putting my car in reverse to leave, the factory radio no longer powered on. Made tech aware of all damage and asked to speak to manager. After waiting quite awhile the manager, *****, came to see what was going on. Best Buy filed a claim for my damages but I've been unable to get communication from Sedgwick regarding status of claim. I am going on three weeks with no radio and driving with a damaged dash and cracked bezel on my car. Please help me with getting a resolution to these issues.

      Business Response

      Date: 11/01/2022

      Dear BBB,

      Thank you for bringing this customers concerns to our attention. We apologize for any frustration or inconvenience this may have caused. 
      We have contacted the customer with their supplied information and are working towards a resolution for their concerns.  

      We have reached out to our contacts at Sedgwick and have escalated the customers claim and ask they contact their customer


      The customer also has our direct contact information for further questions regarding their complaint.
      Best Regards, 

      Customer Answer

      Date: 11/01/2022

       I am rejecting this response because:  ****** from Best Buy corporate has contacted me and he said Sedgwick should be contacting me; however, I still have not received any communication from Sedgwick.  Since Sedgwick is the one who can make a settlement offer and they haven't even contacted me, I am very dissatisfied with what actions have been taken thus far. 


    • Initial Complaint

      Date:11/01/2022

      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.
      On June 6th, my daughter and I were riding my motorcycle when we were stuck by a person driving an **** rental car. Police reports were filed that day and in the days following numerous attempts were to coordinate with **** to file a claim with the insurance the driver had. After several weeks (approx. 2 months), I was informed by the driver who hit us that she had turned in her rental and was back where she lived. More attempts to contact **** lead to a call from Sedgwick saying they had taken over our claim. Great! We've got movement! Or not. Voice mails to the *** and her management to give them requested information remained unanswered FOR WEEKS. Finally the first week in SEPTEMBER there was a fruitful discussion with a *** who paid out bodily injury payments for my daughter and I on 9/7. At that time there was also discussion (at my repeated asking) as to when an adjuster would be out to look at the damage to my motorcycle. At this point, we are 3 months into this and no one as even seen it. They came and took pictures on 9/14. After leaving more voice mails and emailing the only contacts I had, I was told the bike was declared a total loss and case was sent to "*********" in the loss department. She emailed 10/5 requesting a picture of my clear title. "Once received I can issue payment" Title pic emailed the same day. 10/7 & 10/12 emailed her to make certain she received the picture; voicemails left (unreturned) 10/21 & 10/25. Today is 11/1. This has been going on since the beginning of June all because of the lack of response from Sedgwick. My motorcycle is a total loss. Yet, I cannot do anything with it until this is resolved. There were no medical bill submitted, no lawsuits filed, nothing that would require 5 months of limited action/inaction on their part.
    • Initial Complaint

      Date:11/01/2022

      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.
      In July of this year, our washing machine stopped spinning. I called ***** who we have a warranty through, they came and "fixed" it; in reality the technician broke it in a different way. When we used our washing machine that same night, it flooded our basement. Over 2 inches of water sat in our finished basement for which we had to call First Call Disaster Services to extract the water, take up the carpet and carpet pad, and dry out walls and floors. After that incident, it took weeks for someone from ***** to come actually fix our washing machine. Since then, we have been attempting to get in touch with Sedgwick (the insurance for ****** to get our basement fixed. We have called multiple times a day, everyday, along with a multitude of emails that have ALL gone unanswered. First Call Disaster Services are now sending the bill to us of over $6,000 because they have also not been able to get in touch with Sedgwick. ***** has been no help at all and ******* is dodging our calls and emails.
    • Initial Complaint

      Date:10/31/2022

      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.
      On July 17th my son went into ********* and had a horrible issue there when administering his covid vaccine Sedgwick is assigned to handle the claim. The claims is being handle by a rep there name ***********************. She has been unresponsive to ALL calls, I've asked for a manager about 8 times she refuses to allow me to speak to anyone. Also The claims paper work is incorrect and I've had to send it back multiple times to correct. I dont feel like we are being treated fairly as all. When you call the **** phone number the automated system sends you to voicemail and no one ever calls back.
    • Initial Complaint

      Date:10/31/2022

      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.
      On August 17, 2022, Best Buy sent installers to our home to install a washer and a dryer. The installers did not hook the wash machine drain pipe up correctly, causing water to pour all all around the washer (second floor) and pour down to the first floor.Best Buy took full responsibility for the matter, and referred us to their insurance carrier, Sedgwick. Sedgwick advised me to seek and hire a restoration company to start mitigation. I hired **********************. Mitigation started several days after the flood. Providence submitted the invoice mitigation invoice to Sedgwick on 9/9/22. Sedgwick has not paid the invoice, and despite an inordinate number of attempts to contact them (email and phone), I can not get ahold of anyone nor any response. Additionally, Providence submitted their repair estimate to Sedgwick on 9/6/22 and Sedgwick has not responded/approved the work. My floors have been torn up for over two months now waiting for Sedgwick to pay the mitigation invoice and approve the repair. I have filed a complaint with the the ************** Insurance Commissioner and BBB against Sedgwick.For the past two weeks I have been calling and emailing Best Buy to enlist their help in trying to get ahold of someone at Sedgwick to pay the outstanding invoice and approve the repairs so that my house can be put back together. I have spoken to at least 10 individuals in the past two weeks, and no one has taken action to help resolve this matter: in every instance they ultimately transfer me to Sedgwick who, again, does not answer their phones or respond to **** am furious that I have had to spend countless hours trying to resolve this issue that was no fault of my own. And to add insult to injury, Best Buy is not helping. This is their responsibility to resolve, not mine, and they are doing absolutely nothing.I am attaching only a fraction of the email exchanges. There are many more. I am not attaching call logs at this time, but I can provide those, as well.

      Business Response

      Date: 11/09/2022

      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 Pepper ******** filed against our client, ************ Inc.

      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 Pepper Starobins complaint. 

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

      Date:10/31/2022

      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 a decorated ******* Veteran and totally disable with PTSD. My complaint with ********** and Sedgwick Claims Management has caused me a lot of anxiety and anger. I bought a large 3 door refrigerator from ********** and felt secure that everything would work out find, The worker showed up with no help and was struggling to get the through the front storm door, he took the bottom hinge off and we suggested the top hinge but he said it wasn't necessary, the struggle went on now he is inside and the refrigerator tilted and it left a deep scrape on my Parka wooden floor. He finally was able to installed the refrigerator upon leaving replaced the hinge on the storm door and left. It was until I tried to shut my main door and it wouldn't shut their was a problem, the frame around my storm door was damaged when the top hinge was not removed and the door was force open wider and would give because of the hinge being emplace. I had to ridge the frame to shut my from door to activate my security. I went to ********** to report the damages and file a claim and the manager stated that it was a 2 man job and should not have taken on the job alone. She filed my claim and told me to contact Sedgwick Claim Management Service which I did on several occasion and my door and floor still has not been repaired. I ask that they do right by me and take care of their responsibility to help clean up the mistake cause by an employee. I expect full compensation and a written apology for the pain and suffering that has been caused by this ordeal. I pray in the name Of ***** that they do right. Hopefully the BBB can help me get this done and thank you for your time. My claim# is ***********, Date of Loss 09-07-2022 and store # ****.

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