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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

Find a Location

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:05/16/2022

      Type:Billing Issues
      Status:
      Unresolved
      Resolved:
      The complainant verified the issue was resolved to their satisfaction.
      Unresolved:
      The business responded to the dispute but failed to make a good faith effort to resolve it.
      Answered:
      The business addressed the issues within the complaint, but the consumer either a) did not accept the response, OR b) did not notify BBB as to their satisfaction.
      Unanswered:
      The business failed to respond to the dispute.
      Unpursuable:
      BBB is unable to locate the business.
      Sedgwick represents ***************** Ga ***** damaged my property. I was sent a letter by Sedgwick on behalf of GA ***** saying that they would resolve the damage issue. They gave me a phone number and email of their representative. I have attempted contact via email, and telephone. I was unable to make any type of contact. I went to their website, and attempted their chat feature, but I believe it is some type of crude AI instead of a person because it only gives a menu and again I am unable to make contact with a real person. Any help would be greatly appreciated.

      Customer Answer

      Date: 05/16/2022

      See Attachment/File: IMG_6452.JPG

      Business Response

      Date: 05/20/2022

      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, ********** Communications, 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.

      Business Response

      Date: 05/23/2022


      Dear [ccontact]:

      Thank you for providing our office with a response to this consumer's complaint. The BBB does not require that the consumer is always satisfied. However, we do review company responses to determine whether or not a reasonable effort has made to address the complaint issues.

      This case has been reviewed and we do not believe that your response has addressed the customer service issues described in the complaint. We are closing this complaint as unresolved. This will affect your rating with BBB. You can view the details of this complaint at the following internet site:

      [business cbi link]

      We regret that we were unable to bring parties to amicable resolution in this matter.

      Sincerely,

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

      Customer Answer

      Date: 05/23/2022

      (The consumer indicated he/she DID NOT accept the response from the business.)
      I absolutely agree that I should not have to go to the better business bureau to attempt to resolve this issue. They are right that this is not the forum to discuss the damage. However, that is not the issue I was filling a complaint about. My complaint is that Sedgwick is such a lackluster business that they do not do their do diligence in answering or returning calls. It is the fact that they are not even able to be reached for resolution which is the issue. Should they actually make contact with me I would feel no need to file a complaint.

    • Initial Complaint

      Date:05/16/2022

      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.
      Their plumber caused flooding in kitchen and damage to floor. I sent all estimates, etc. to them in February. Made over 8 calls, never got *******************, always left messages. He called me 3 times out of the 8 to 10 times I called him.He keeps saying he can't see damage to the floor. I sent him information 5 times. I told him to send an adjuster, he said he cannot send adjuster. I am very upset to be treated this way from a major company.

      Business Response

      Date: 05/20/2022

      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.

      Customer Answer

      Date: 05/23/2022

      (The consumer indicated he/she DID NOT accept the response from the business.)
      It looks like they are passing the buck. Who is going to pay me.

      Business Response

      Date: 05/23/2022


      Dear [ccontact]:

      Thank you for providing our office with a response to this consumer's complaint. The BBB does not require that the consumer is always satisfied. However, we do review company responses to determine whether or not a reasonable effort has made to address the complaint issues.

      This case has been reviewed and we do not believe that your response has addressed the customer service issues described in the complaint. We are closing this complaint as unresolved. This will affect your rating with BBB. You can view the details of this complaint at the following internet site:

      [business cbi link]

      We regret that we were unable to bring parties to amicable resolution in this matter.

      Sincerely,

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

    • Initial Complaint

      Date:05/12/2022

      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.
      I opened claim **************** with Sedgwick on 3/26/22 to repair damage done by ******** during an appliance delivery/installation. Since then, I have complied with their request for photographs and an initial estimate of repair costs with the urgency that the situation required. From that point on, I have received no communication from Sedgwick regarding my claim, and every time I reach out for an update, I am told that it has been forwarded to my adjustor and someone would reach out to me directly. I have had a damaged door frame and less than fully functional bathroom door for longer than I consider reasonable, and every attempt I have made to be indemnified by Sedgwick have been met with radio silence and platitudes. I have reached out to the SCC in VA to file a complaint with the Insurance Commissioner only to find out that they are not a licensed insurance provider and therefore not subject to the SCC's oversight.

      Business Response

      Date: 05/24/2022

      Business Response /* (1000, 11, 2022/05/23) */ 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.

    Sedgwick CMS is NOT a BBB Accredited Business.

    To become accredited, a business must agree to BBB Standards for Trust and pass BBB's vetting process.

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