Complaints

This profile includes complaints for Sedgwick CMS's headquarters and its corporate-owned locations. To view all corporate locations, see Find Local Branches.

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• 

  Sedgwick CMS

  1100 Ridgeway Loop Rd Ste 200 Memphis, TN 38120-4057

• 

  Sedgwick Claims Management Services, Inc.

  3 Executive Park Dr Bedford, NH 03110

• 

  Sedgwick CMS

  P.O. Box 190670 Atlanta, GA 31119

• 

  Sedgwick CMS

  3700 Crestwood Pkwy Nw # 600 Duluth, GA 30096

• 

  Sedgwick Claims Management

  1800 Bayberry Court # 200 Richmond, VA 23226

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.

• Initial Complaint

  Date:12/11/2024

  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.

  I have had an active Workers Compensation claim since 09/18/2024. During this time period I have had multiple issues with the handling of my claim. My claims manager on multiple occasion has misrepresented the settlement offer presented to me by my employer. Ignored my attempts to negotiate with my employer. Which has delayed the settlement process for over a month.Refused to take my calls/ respond to my messages. I have in prior months escalated it to the appropriate supervisor, with no resolution being reached. I have not been paid any of my Compensation benefits and I am suffering financially because of the negligence of my claims manager. The subsequent financial hardships have led to me being unable to continue the proper medical treatment recommended for my condition. I have been left liable for all medical bills associated with my work related injury. Most recently I asked for the corporate office contact information and was denied the right to reach out to Sedgwick **************** with my concerns. It is evident that Sedgwick has acted in bad faith and I am looking forward to hearing their responses and reaching a resolution on the matter.

• Initial Complaint

  Date:12/03/2024

  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 rear ended by a cement mixer and Sedgwick handled the claim from the cement mixers insurance. They suggested that I go through my insurance and they would reimburse my insurance. As a result, I had to pay my deductible. Its been four months and they have not reimbursed me for my deductible and have not responded to emails. My insurance just told us Sedgwick has not responded to their requests to reimburse me for my deductible either.

  Business Response

  Date: 12/20/2024

  Thank you for the opportunity to respond to the complaint filed by Yaella ********. 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 Yaella ******** 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 Yaella Aronhimes complaint. 
  
  Again, thank you for the opportunity to respond and clarify,as able.
  

• Initial Complaint

  Date:12/02/2024

  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.

  Dear Better Business Bureau,I am filing a formal complaint about Sedgwicks mishandling of my claim, which has caused severe physical, emotional, and financial hardship. I filed a claim related to a Sephora incident that resulted in a medical emergency requiring an appendectomy. Despite providing all necessary documentation, Sedgwick delayed responses and failed to process my claim promptly.This negligence has caused me extreme pain, dependency on medication, and psychological distress. My spouse has missed work to care for our children, causing financial strain, and I am unable to perform daily tasks or care for my family. My follow-ups with Sedgwicks ***** ****** have gone unanswered, delaying the resolution further.I request $450,000 in compensation for medical costs, emotional distress, lost income, and long-term impacts on my quality of life. I urge the BBB to hold Sedgwick accountable and ensure this matter is resolved fairly and promptly.

  Business Response

  Date: 12/20/2024

  Thank you for the opportunity to respond to the complaint filed by Neahndi *******. 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 Neahndi ******* 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 Neahndi Batistes complaint. 
  
  Again, thank you for the opportunity to respond and clarify,as able.

• Initial Complaint

  Date:12/02/2024

  Type:Customer Service Issues
  Status:

  ResolvedMore 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 issued a damages report from ******* in relation to an **** rental on 10/18/2024 in the amount of nearly $27,000. However, the car was damaged at the time of pickup and I informed **** of that within minutes of the start of my rental. I was told told by **** not to worry, the pre-existing damages was noted in my file. However, that was clearly not the case.I have been in contact with **** and ******* for over a month, provided photographic timestamped evidence and am prepared to submit witness statements attesting to the pre-existing damage (I shared the car with other passengers). Every time I speak with someone at **** or Sedgwick -- and have over a dozen times -- I am assured this will be resolved soon, but it has been over a month and no one with authority will respond to me. Instead, I got a letter saying I owed nearly $27,000 to ****.**** now says they did not communicate my lengthy correspondence to Sedgwick. When I was able to finally speak with someone at Sedgwick, I was informed I was emailing the wrong email address--EVEN THOUGH I WAS USING THE ***** ADDRESS SET FORTH IN THE LETTER FROM SEDGWICK. **** is now saying because the claim was turned over the Sedgwick it is out of their hands (even though **** customer service refuses to transfer me to a supervisor with any real level of authority). Sedgwick does not respond via email and there is a several hour hold time to speak to a low level customer service agent. I sent **** and ********************** the attached letter detailing my correspondence and evidence, and making clear not to destroy any evidence that would show their knowledge of the damage at the time of rental. Both businesses are next to impossible to work with. I appreciate the BBB providing an avenue to assist customers in these types of situations.

• Initial Complaint

  Date:11/21/2024

  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.

  We moved into our new construction home in July 2022. **** came out after everyone's driveways were poured to run their fiber lines in the neighborhood. We don't have any above ground power in the neighborhood, so they had to run their lines under the driveways. When they got to ours, they managed to dig deep enough they caused a stress fracture in our newly poured driveway - a crack all the way across our double-wide driveway. We spent the next year trying to get our builders to fix this issue. They said it was ****'s fault, and that **** didn't want to give the builders any answers either. The builders finally told us to reach out to **** since I was constantly asking them when this issue would be resolved. After trying to contact **** about this (without having any services through ****, either) I spent about an hour on the phone for them to tell me they've forwarded me onto some company called Sedgwick that handles ****'s claims. Well, Sedgwick and **** apparently take absolutely no responsibility whatsoever. I mentioned in the claim that the date I had given was a general idea of when it would have occurred. Sedgwick's reply was that **** was not in our neighborhood on the "exact" date I provided. After seeing this reply, I obviously tried to contest this and tell them this was an estimate, not an exact date. I've heard nothing since this. It's now the end of November and I haven't heard anything from them since mid September, 2024. Basically, if **** damages any of your property, they're not taking responsibility for it and you end up having to pay for it.

  Business Response

  Date: 12/09/2024

  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 Services, 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.

  Customer Answer

  Date: 12/20/2024

  I'll add that Sedgwick is very unresponsive to any attempt at getting ahold of anyone, including the designated representatives for specific cases. I had attempted to reach out several times with no reply. When they finally replied, it was a notice that they would not be looking any further into my issue because they used the date I had given as a specific date when I clearly specified it was an estimated date. They didn't even bother to look at any other dates that AT&T could have been in the neighborhood. Sedgwick claims AT&T was not here destroying my property when I saw them with my own eyes, and watched them run fiber under everyone's driveway on my street. Maybe I don't know the exact date because it was a long time ago. Sedgwick and AT&T are in the business of making it seem like they care about clients, when all they really do is s**** people like me over. Sedgwick needs to take initiative and look for other possible dates around the date I provided to see if there was an AT&T technician in the area within a month (before or after) the date I provided. When I say it's an estimated date, that doesn't mean look at the claim, see the date, reply to the client that nobody was in the neighborhood on that specific date, and throw the case out without asking for any additional info or clarification on anything. The whole process that Sedgwick has for claims is a joke.

• Initial Complaint

  Date:11/14/2024

  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 4/12/2024 with an open claim and have been medically off work through the doctor since. Sedgwick has taken extremely long times ( months ) to get anything approved, I haven't been able to reach my adjuster and they don't reply to communications sent through their site that states they will get back to you in 48 hrs. Now my adjuster hasn't updated my end date since my last doctor's appt which the doctor still has me off work until at least 12/4/2024. I have messaged them and even uploaded my last doctor's paper to them. My problem is now I have stopped receiving my payments due to this and still can't get ahold of anyone to straighten this out and I have bills to pay. Claim #4A2404CMKSJ0001

  Business Response

  Date: 12/02/2024

  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, (Universal Health Services, 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:11/11/2024

  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.

  I have been trying to reach my claim examiner and her supervisor over a month trying to pay back a hospital bill that workers comp paid. I have money thats now sitting an escrow because the examiner hasnt returned any of my phone calls, emails nor of my attorney. This has lead me down a dead end an unfortunately I cant move on from this process until we receive documentation. Theres never a phone call back or a direct line from whom I can speak to a person regarding my bill.

  Business Response

  Date: 12/02/2024

  We are unable to locate a claim matching the customer's name using the information provided. We need additional information in order to respond.

  Customer Answer

  Date: 12/20/2024

  My claim number is 4A2210DQ3430001

  The claim adjuster name is ***** **** ***** and her supervisor is ******* *******. 

  Customer Answer

  Date: 12/20/2024

  The claim adjuster is ***** **** ***** and Her supervisor is ******* *******. I spoke to ***** twice and she never sent over the documents we requested. There no communication from her or her supervisor. No returns calls after several attempts since October. 

  Customer Answer

  Date: 12/24/2024

  We have send several emails requesting final lien documents and have not received a phone call, email or letter. Its been two months with no documentation sent over.

  Business Response

  Date: 12/26/2024

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

• Initial Complaint

  Date:11/10/2024

  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.

  Back on September 14th, 2024, my vehicle was was damaged by a metal display rack falling on the hood of my car at The Dollar Tree. The company took responsibility for what happened, and they provided me with their insurance department in order to get things resolved. ***** *******, the claims examiner, reached out to me to get all information about the incident, and to provide me with the next steps. I supplied her with an estimate of my damages from my preferred shop. She agreed on the amount, and agreed to cover rental fees for the duration of the repairs listed on the estimate. I also asked for compensation to cover my inconvenience and the expenses this has caused me already, in addition to the future expenses. ***** didn't agree to my request. I asked to speak to someone above her after going back and forth with her. I spoke to her boss, ******* ******, who agreed to the estimate fees and $100 for my inconvenience. I let both know that I didn't agree to her offer. In fact, ***** ultimately rescinded the additional $100 that ******* suggested. I have serval issues with them. They refuse to budge on their offer, they have been very sarcastic in some of their responses towards me, they are demanding I sign a Release Form before receiving any funds, and now they are no longer responding to my emails. They have acted in bad faith as it relates to this claim. We are going on 2 months, and I still have no resolution. I just want them to agree to repair my vehicle, pay for the rental, compensate me for my trouble and expenses incurred due to this, and I do not agree to signing off on anything until my vehicle is repaired to my satisfaction.

  Business Response

  Date: 11/12/2024

  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 ***** Harpers complaint. 
  

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

  Business Response

  Date: 11/13/2024

  Date Sent: 11/12/2024 11:48:48 AM
  

  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 ***** Harpers complaint. 
  

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

• Initial Complaint

  Date:11/05/2024

  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 trying to get my long term disability from Absence One. I have exhausted my short term disability due to not being able to work since March 2024. I worked from November 2023 to March 2024. Before November I went under esophageal cancer and had major surgery. Now I am unable to work due to weight loss and strength. My short term disability ended September 14, 2024 and was supposed to automatically be put into long term disability according to the letter I received. My wife has been on the phone 2 to 3 times a week with Absence one trying to get it straightened out and gets absolutely no where with the company.

  Business Response

  Date: 11/19/2024

  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, (Cornerstone Building Brands).
  
  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:11/04/2024

  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.

  Was hurt at work and filed a workers comp claim. Followed all instructions and have not been able to contact Sedgwick since the initial claim. Have tried to called and left voicemails multiple times to verify information and see next steps. Found that my claim was denied with no reason or details about the denial. I have an orthopedic surgeon who says I need an MRI. I would like the company to contact me and give me details as to why my claim was denied considering I have zero information.

  Business Response

  Date: 11/08/2024

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