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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:10/27/2022

      Type:Order Issues
      Status:
      Unresolved
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      Best buy had people come deliver a TV and soundbar to my house and they messed up the install and my drywall integrity was compromised and the drywall needs to be fixed to hang the soundbar now. This happened almost 6 months ago now and Sedgewick is the insurance company handling the claim. They literally approved the claim on **** and said they'd be mailing me a check and nothing was ever mailed and when I call them, I get the same runaround that a manager is waiting to sign off on it. It feels like the classic 'make it difficult' so he goes away approach that insurance companies have. If I don't get the check this week i'm going to file a complaint with my state insurance regulatory agency and seek further damages in small claims court. i filled out the release form they requested upon the offer immediately on **** so it's been 67 days since then and nothing. I've attached the offer from their claims associate.

      Business Response

      Date: 11/17/2022

      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, Best Buy Co.,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 ***************************** complaint. 

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

    • Initial Complaint

      Date:10/27/2022

      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.
      Ive been trying to settle a complaint I had against target. They show no concerns to me and I act like my issue dont matter. I was assaulted at target and they picked up the case. Ive been trying to reach someone for a month and havent been able to hear back from anyone

      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 ***************************** filed against our client, Target 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:10/26/2022

      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.
      In June I had **** fiber installed and they had to run a new fiber optic line from the street to my home. **** sent out a contractor from DCOMM to bury the line. In the process, the gentleman cut my neighbor's recently ran fiber line and broke my just ran fiber line, and a **** tech had to come out immediately to run new fiber lines. I came to find out a few weeks later that he cut multiple wires to my sprinkler system, making 3 zones inoperable.. I reached out to the **** Risk dept and they filed a claim with Sedgwick, claim #**********-01. I initially had some quick responses where I was informed by claims associate **************************** they've had several claims and they would handle either by repair, or reimbursement if using my own company or needing to repair sooner. My yard began to burn up, about to lose half my yard due to heat and no water. I had to have the zones repaired before further damages were done. This was repaired in early August, where I have an invoice of $589.96 and dated 8/12/22. I emailed ******** 13 pics of how they trenched yard for the line and where they cut the sprinkler wires and the repair had to be made. I also sent the invoice, which Noted: "troubleshoots and repairs due to multiple water sprinkler zones that no longer work due to the controller wires being cut by **** while burying fiber optic cable" as per her request. I've had no response since Sept 20, where she said she was again waiting another week to hear from DCOMM and then would escalate back to ****'s Risk Management **** for next steps. I keep getting the run around with a different excuse each time and now I cannot get any response or update on my claim. In checking the status claim online, none of the pics/invoice were uploaded by her. I emailed, as well as called, for an update on the status 10/03, 10/13 and again today 10/25 for an update. I mentioned I would be raising complaints and writing reviews of this experience for all 3 companies if I there was no status update.

    • Initial Complaint

      Date:10/26/2022

      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.
      claim # ********* I rented a truck and auto trailer from Budget rental truck on September 28, 2022. When loading my car onto the trailer, the ramp on the trailer broke and damaged my car. I have been trying to deal with their insurance (Sedgwick) for 3 1/2 weeks to get my car repaired and have not been able to speak to anyone about it. Yesterday, ***** they just denied my claim. Their reason for denial doesn't match my story (claim mixup maybe)? They say that they deny my claim because I drove the broken trailer to **, I did not. I left the trailer in ** and drive my car to **. The trailer was in an unusable condition. When I tried to talk to them about it they said now I'm denied because the story doesn't match & hungup on me. I have tried reaching out to the company multiple times. I have tried to contact them and explain the mixup and that the reason for their denial does not fit my case. I cannot get ahold of anyone to talk to. All I want is to get my car fixed, I have photos, I have witnesses, it can easily be confirmed that I did not take the trailer with me, it was broken. And this faulty piece of equipment damaged my car. I even paid for the extra insurance - this should be a cut and dried case.

      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 ********************* filed against our client, Budget Truck.

      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 Zeta Kilbrides complaint.  

    • Initial Complaint

      Date:10/17/2022

      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 Jan 8th 2022 ***** delivered a new refrigerator and installed it. During that install they damaged our floors in numerous places. We contacted the store right away and got a claim started which is handled by *********. We got a quote to replace the floor, per our adjuster as the flooring we just installed is no longer available. We submitted the estimate, and did not hear back from them. I was able to finally get ahold of our claim adjuster, who said he did not receive it. I sent it again, confirmed he got it and was told because of the amount they needed to send someone out to the house to verify. That person came out saw the damage double checked the sq footage and we have not been able to contact anyone who could help us since then. Our adjuster will not return phone calls or emails, their phone system will not allow us to get in contact with anyone who can help. I even reached out on their website where they have an area to be contacted and selected the option where our claims adjuster is not responding. I received the automated email saying they received my message and I would be contacted in 48 hours. That was one week ago. ''Claim number **************** Adjuster ******************* Adjuster phone # ************

    • Initial Complaint

      Date:10/17/2022

      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.
      Note: Please find attached detailed complaint letter.

    • Initial Complaint

      Date:10/14/2022

      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 6 month old and I were in a car crash 03/1022. She got chiropractic care and the adjuster was rude, said she did not medically need the care, the care was at minimum, excessive and questionable even though he has no medical degree. Would not fairly negotiate with me. Reported him to the ***********************, will be sending a bad faith letter as he said he wanted proof from her pediatrician this was necessary and after we gave it to him he did not raise his offer. I asked why gas, mileage and time was not considered and got no response. Horrible communication

    • Initial Complaint

      Date:10/13/2022

      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.
      Dear sirs, Claim # 4A2207G0R4W-0001 I had a work related injury on 6/20/22 regarding COVID-19 infection from a patient as reported on this claim above. I reported this injury or infection to my employers, I paid with 80 hours of my own PTO time, and was denied any compensation from getting covid from a patient that was confirmed to have a COVID-19 infection at hospital two days after seeing him and was notified by this patient's son one week later that I was exposed. I tested positive for COVID-19 using 10 at home Covid testing, of different brands, within seconds and had all major symptoms ( including no taste x 4-6 weeks), Have multiple witnesses of my sickness and was isolated in one of my fathers homes X2-3 weeks. I even passed COVID-19 to my father and he went to his ******* Dr. ***** and also tested positive for Covid and was given packs of it. They prescribed Covid medication that is very difficult to come by.The agent assigned that Mishandled my claim was ***************************. Not only was she hard to Get a hold of, showed bad faith with a bias toward racially denying my claim, over a month for results of her "investigation " that resulted with her telling me that " the claim was denied because she didn't believe I had covid or sick". As if the following wasn't enough: my 10 positive covid tests , multiple witnesses, in home isolation with other neighbors aware, passed it to my father, and have a confirmed medical test, SARS-COV-2 (covid-19) IGG- serology), proving that I was in fact infected with COVID-19 as originally claimed. I personally paid financially and physically for getting sick with covid directly from a patient from work and lost over 5K and would like another agent to review this claim. I again ask for this claim to be reviewed by another agent that will complete the process in a fair manner that it deserves. Thank you in advance.

    • Initial Complaint

      Date:10/10/2022

      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 had a storage that was compromised on 4/21/2021. I filed a claim. I sent the ******************** as requested by first adjuster, ***************************. I emailed & called ***** numerous times. My calls & emails never have been answered. I called the main number to Sedgwick asking for her supervisor information. I phone supervisor left messages after a month of leaving messages I received a package in the mail requesting information for my claim again. I provided requested information to expedite claim. I continued to email ************* asking for feedback on claim. On 8/27/22 I received letter in mail requesting information for claim from a new adjuster *******************. I uploaded the information into Public Storage link provided in the letter I received from *******************. I begin to email and call ***** leaving messages asking for a return call. As of today, 10/7/22, I have not received a call nor email from *******************. I called Cissys supervisor as well and she also has not reached out to me. I would like help in getting better service customers like myself whom have filed a claim. *** suffered the anguish of some items stolen from my storage that I cant replace. To have the to file a claim for insurance I pay monthly and no one to reach out is mental exhaustion.

      Business Response

      Date: 10/12/2022

      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, Orange ********************** 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:10/09/2022

      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.
      Worst company to deal with. Dozens of unanswered calls and emails and refusals to pay out on claims that they have approved. The ineptitude of my "case manager" has already costed me thousands in missed work and added expenses that could've been avoided by Sedgwick simply doing their job. What an absolute joke.

      Business Response

      Date: 10/12/2022

      Sedgwick has received the BBB complaint filed by ************************  However, there is not enough information to assist (namely, the Sedgwick claim number, client, etc.). We would need to be provided with that information to help *********************** 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 complainant in touch with the proper parties, if needed.   


      Thanks!


      Sedgwick Legal 

      Business Response

      Date: 10/12/2022

      Sedgwick has received the BBB complaint filed by ***********************. However, there is not enough information to assist (namely, the Sedgwick claim number, client, etc.). We would need to be provided with that information to help *********************** 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 the proper parties, if needed. 


      Thanks!
      Sedgwick Legal 


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