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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.

*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.

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    Customer Complaints Summary

    • 498 total complaints in the last 3 years.
    • 167 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:06/09/2022

      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.
      Sedgwick was responsible for taking care of a Best buy damage claim to my home. This occurred back in February and since, they continually refused to return any communications by a phone, email, or otherwise. The vice president of claims even had to be contacted which resulted in the claims administrator, *****************************, re-contacting me one time only and not since the end of march. The entire company refuses to return any calls or emails at this point and they owe for damage on a claim to my home in february.
    • Initial Complaint

      Date:06/08/2022

      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.
      I was injured at work on 3/25. Sedgwick is my insurance company handling the case. It has been over a month and a half since I was last able to contact them. I've been blocked from calling on my personal number, and any emails I send I never get a response. I'm owed close to $1100 and have documentation showing I've done everything they've asked of me and that I've tried reaching out time and time again.

      Business Response

      Date: 06/17/2022

      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, XPO Logistics,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 ****** Clarks complaint. 

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

      Date:06/08/2022

      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 bought a refrigerator from ***** (Kenmore Elite) and the pump that sent water to the ice maker and water dispenser broke. The leak caused our floor to buckle ruining the floor. The complaint was sent to Sedgwick and handled by *********************** **************************, ***************************************** ***** said the complaint was sent to Dongbu Daewoo Electronics ************ I have tried with emails and phone messages to try to find away to resolve my complaint. The estimate to replace the floor is $9,100.00. ***** stated one estimate was sufficient and I had done everything that I needed to do. I would like to resolve the situation and repair my floor. Thank you.
    • Initial Complaint

      Date:05/31/2022

      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.
      I've had the unfortunate experience I've dealing with Sedgwick twice in 2 years.With the recent pandemic I've had to leave my employer on short term disability due to ******* causing cardiomyopathy.My employer **** uses Sedgwick to handle all medical documentation for **** employees.Sedgwick has the ability to approve medical leave pay for **** employees.This allows **** to not be sued for any medical disputes by employees while out on disability leave. My experience with Sedgwick is they have given me the same case manager for 2 different claims in 2 years.This is very odd,this same case manager denied my claim 2 times after 12 weeks of short term disability.Sedgwick has also said for both claims they didn't receive medical documents to support my leave.I know this is untrue because my doctors have proof of the many times they faxed documents to Sedgwick.The unethical problems with Sedgwick is they overlook your medical documents but in reality they're not qualified.None of the case workers or managers are doctors or medical professionals.But some how they're making l decisions based on medical documentation they very much don't understand.This should be illegal just as a paralegal pretending be a attorney. My Cardiologist *********** K. ****, whom has used medical tests to diagnosed me with heart failure and Postural orthostatic tachycardia syndrome.Sent in all supporting documents which was ignored and said not to be enough to support my time off to be paid.This is impossible because my cardiologist explained to the heart to heals very slow if ever.Sedgwick employees aren't cardiologists and can possibly have the same medical credentials as a doctor. I asked to fill many complaints with the company none were filled.This is a very unprofessional corporation and should be shut down immediately.

      Business Response

      Date: 06/14/2022

      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, ****.

      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. 

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

      Date:05/26/2022

      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 filed a damage complaint with Best Buy back in November 2021 for a delivery that ended up causing water damage to our wood floors. After multiple attempts20211228 - *********************** from Sedgwick contacts me about the damage to our floors. I sent her pictures, a video and background on what happened. I was asked to have a water mitigation company come to the home to check for water damage. Claim Number 4A21120NCM6000120220105 - Anytime Restoration came out to the house to inspect the damage. I provided *********************** a follow email that day that damage was found and a quote would be provided20220202 - Anytime Restoration provided me their findings and quote via email. I forwarded the email to *********************** at Sedgwick the same day.20220211 - ****** from Sedgwick responded back to my email that an adjuster would be coming to my house to look at the damage.20220215 - I emailed ****** that ***** from frontier Insurance would be coming to our house on the 17th.20220217 - ***** from ****************** came to our house at the request of Sedgwick to look at the damage and provide Sedgwick information.20220311 - Emailed *********************** at Sedgwick for status on our claim. No response.20220322 - Emailed *********************** at Sedgwick for status on our claim. No response.******** - Called Sedgwick to talk to ***********************, no success20220407 - Emailed *********************** at Sedgwick for status on our claim. No response.******** - Called Sedgwick to talk to ***********************, no success20220502 - Called and complained for 31 minutes20220506 - Called and complained for 22 minutes20220509 - *********************** finally called me back, said she so would provide a follow up call.******** - ******** colleague called me said she was sick and would call me with more information.No communication as 17 May 2022, I do not know that status on our claim and feel that the company is leading me on. I feel that this is the only way I will get my issue resolved.

      Business Response

      Date: 06/14/2022

      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, ************* 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:05/26/2022

      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.
      My complaint is regarding an unresolved insurance claim. In January 2022 my house was damaged by the delivery employees at Best Buy during an appliance delivery. I filed a claim, submitted all necessary information via email to Sedgwick and never heard back. I have called them 7 times since April 2022. Every time I've called I've been told the same thing - that an email will be sent to a supervisor and I should receive a phone call within ***** business hours. I have received zero communication from them and still have not received the money I am supposed to get for my claim.

      Business Response

      Date: 06/03/2022

      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, ************* 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:05/25/2022

      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 April 10th, 2022, at approximately 1615 hours, I parked my vehicle at the ******* curbside pickup number 5. I was picking up part of an order I placed online. After several minutes of waiting for my item, I decided to go inside ******* to retrieve it. After I picked up my item, I exited the front of *******, and I observed the ******* curbside pickup sign #5 had fallen onto my vehicle's front bumper and hood. The damage the sign caused to my vehicle were deep scratches on the front center of the bumper, and several paint chips to the hood. The damage mentioned above was not on the vehicle before the damage. I contacted a ******* employee by the name of Paul who reviewed the surveillance cameras facing the front of *******. The Surveillance footage showed the ******* curbside pickup sign #5 fall onto my vehicle at 1628 hours. **** *** manager, ( I forgot his name), stated that he will submit a claim taking responsibility for the damages. A few days later I received an email from a claims representative. (Sedgwick administers the General Liability policy for XL America on behalf of **** *** Co. My name is ******* ***** and I am the examiner assigned to your claim). I have submitted every document ******* has asked me to submit. Over the past month, I have contacted ******* through email, left several voice messages, and sent her messages through the Sedgwick app. I called Sedgwick's general number and spoke to several other representatives who tell me they will have a manager contact me in the next 24 hours. I have not received a call or email from Sedgwick. PLSE HELP

      Business Response

      Date: 06/03/2022

      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, **** *** 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 **** *****'s complaint.

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

      Date:05/25/2022

      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.
      A claim was filed for reimbursement of my TV ($949.99 and my wall mount $199.99) on 5/12 for my TV and mount that fell off my wall after Best Buy installed it. Sedgwick is the insurance carrier for Best Buy. I submitted all supporting documentation to my claim associate ************************* on 5/18. Since this time I have requested update on my check payment for TV and wall mount three times and I am not receiving any type of response. I received a phone call from Best Buy corporate office that they are wanting to work with me to replace my TV/mount when Sedgwick sends me the payout check. I called Sedgwick this morning and ***** would not get on the phone with me, instead she would relay messages through the rep that answered the phone when I called. ***** stated to the rep that Best Buy was going to replace my TV/mount and that there was nothing more Sedgwick needed to do. This is NOT true. I made myself clear in the email that I sent to ***** (attached) just yesterday that Best Buy is working to replace my items and I need an update on the check status so I can pay for these items. This is absolute unprofessionalism that I cannot even at the least get a phone call after now 4 attempts to ***** and one email to her supervisor *********************************. I need resolution immediately on this and my payment sent out. I am without a TV and have been since 5/12

      Customer Answer

      Date: 05/25/2022

      See Attachment/File: email.jpg

      Business Response

      Date: 06/03/2022

      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, ************* 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:05/22/2022

      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've filed a damage claim months ago with ATT that was sent to Sedgwick as they carry out their damage claims. I've already filed a complaint and was finally able to get in contact with someone from Sedgwick. I was offered a settlement and wanted to firstly get a contractors estimate on damage costs to make sure the settlement would take care of damages. Since I didn't accept the settlement offer that day I have not been able to get into contact with anyone at Sedgwick since then. Seems to be how they operate as a company.

      Customer Answer

      Date: 05/23/2022


      Dear [primary pre name] [primary last name]:

      We have received a complaint in our office that appears to apply to a business in your service area. We have informed the consumer that we have forwarded his/her concerns to your BBB and that all further communication regarding this matter will come from your office. Details of this complaint may be found on the reverse side of this letter or at:

      [business cbi link]

      Any scanned documents associated with this complaint are accessible through this link.

      {/ul CONSUMER}
      [PreName] [FirstName] [LastName]
      [Street1] [Street2]
      [City], [StateProv] [PostalCode]
      Home : [HomePhone]
      Work: [WorkPhone]
      Fax: [Fax]
      email : [Email]

      {/ul BUSINESS}
      [bname]
      [bstreet1] [bstreet2]
      [bcity], [bstateprov] [bpostalcode]
      Phone:[bphone]
      Fax: [bfax]
      Email: [bemail]


      Sincerely,

      [cstaff name]
      [cstaff title]
      [cstaff phone]
      [cstaff email]
      /page
      [merge complaint form.cf.rtf]

      Business Response

      Date: 06/14/2022

      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, AT&T.

      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:05/19/2022

      Type:Billing Issues
      Status:
      AnsweredMore 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 March I filed a claim with Sedgwick due to a installation from BestBuy that caused my home extensive water damage. I have provided all required information. I have attempted to reach my claims rep *************************** who continues to give me the run around 5/7, 5/10, and 5/16 have been my latest attempts. I have also called 5/17 and 5/18 requesting to speak to Sheronda's manager *********************** and have still heard nothing regarding my claim.

      Customer Answer

      Date: 05/19/2022

      See Attachment/File: Attachments

      Business Response

      Date: 05/31/2022

      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, ************* 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.

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