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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.

Reviews

This profile includes reviews 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 Review Ratings

    1/5 stars

    Average of 108 Customer Reviews

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    Review Details

    • Review fromJeanette L

      Date: 08/07/2024

      1 star
      My injury was 5/20 I had also tried reaching out to Sedgwick through emails to phone calls. I complain but I got zero response.I can continue talking about the lack of follow up With referrals. I cant believe my ******* got this Workers ***** ******* to represent them . I need surgery and theres no response. The surgery is already scheduled. I need a lot of preop Sling. I email them on August 1 with all the forms but yet no response and today is August 7. Case manager doesnt respond, her supervisors rude calls me up at 8 oclock at night like Im gonna do all the stuff for you give you a nurse. The nurse is out of the office until August 9. What the h*** meanwhile, Im afraid to go out on leave because if youre doing this with my health and my surgery and my visits, what are you gonna do with my money?
    • Review fromZack B

      Date: 08/06/2024

      1 star
      Sedgwick is terrible on the inside and outside their claim process is terrible they pay your claim late and when they have an employee who actually cares to do their job they punish them by making them do their piers jobs as well Sedgwick can go to hell!
    • Review fromJessica R

      Date: 07/02/2024

      1 star
      I have a son with rare genetic disorder. There is a ****** D that works there that is so very rude and unprofessional. I opened claim on 5/15/24 told I needed 80 hours to qualify for fmla . I worked got more than 80 hours. I opened new claim 6/10/24 then told I needed 95 hours ...huh???. I've worked 3 more weeks and have over 95 hours . I opened new claim 7/22/24 to just be denied with no reason why. I'm escalating this to as high as I possibly can The ppl are rude ,uncaring, unreachable, they don't communicate and you can never speak to someone in charge.
    • Review fromDuchess R

      Date: 06/27/2024

      1 star
      The company is horrible. I am putting this on the Better Business Bureau because I want people to be aware of it. I receive short term disability. I was harassed sexual harass and the job that I was working for was Asension st. ******* Hospital and I had short-term disability. They took me through h*** I almost lost my apartment complex. They did not help me at all. I barely made it with 50% disability. It took them forever forever to approve me, but before they did that they took all of my PTO time for me and I pay for this it comes out of my paycheck ???? I am truly traumatized to the point. I want to file a lawsuit against both of them for unfair work practice and then theyre forcing me to try to come back to work well I guess I will wait for them to fire me because I am too traumatic damage to the point I cannot return right away and the representative that I talk to they reopen my case. She was horrible then show no care and what my situation is.
    • Review fromRobert T

      Date: 06/17/2024

      1 star
      I will try to keep a long story short. On 2/23/24 my truck was rear-ended by an individual in a Budget rental car. After attempting to deal with my insurance and was told they were going to put a used frame on my truck, I attempt to deal with Sedgwick who represents Budget. They admitted fault. I opened the claim on 3/8/24 and told my story about not being comfortable with a used frame as well as getting it from a non BBB accredited company with a 3 star rating on ****** and Yelp. After 3 months without a rental and over ********************************************* she was not certified to approved that, I finally got in touch with a supervisor. She was very rude, disrespectful and unprofessional. She proceeded to tell me they would not do anything else for me and that this is all they are legally required to do. When I brought up the fact that this could of been addressed 3 months ago she said oh well. They Wasted my time and putting me out a vehicle for even more time than needed.I am sure I will most likely get the same response as most of these that we have done what is legally required blah, blah, blah but the amount unprofessionalism, inefficiency and lack of respect for others time has cost me a great deal of time and money. I had also tried reaching out to Sedgwick through email to complain but got zero response.I can continue talking about the lack of follow up and blaming it on being overworked and then telling me they didn't want to deal with me and I should go back to my insurance provider. Hopefully this can help spark some type of change.
    • Review fromZachary S

      Date: 06/06/2024

      1 star
      I blame this company for costing me my job. My FMLA claim for CADASIL related medical appts. was approved in 2023, and in 2024 I asked them if I could renew it, since nothing had changed. The process in 2023 was difficult, convoluted and marred by poor communication, and simply renewing my claim would be so much easier. They said they'd get back to me, but they never did. I called and left messages twice and after two weeks, received my claim denial in the mail. A week later I was fired. For going to the doctor. For a serious medical condition. That had previously been approved. A condition that my employer was well aware of and even provided reasonable accommodation for. This company is not acting in good faith. They are not paid to facilitate FMLA claims, they are paid to discourage and deny them, and they're hurting good, hardworking people every day they're in business. They're soulless and should be ashamed of themselves.
    • Review fromJerome B

      Date: 05/16/2024

      1 star
      Basically. Don't get hurt. You are not covered. You may get medical bill paid, but that's it. They are just legal scammers.
    • Review fromDenise B

      Date: 05/09/2024

      1 star
      I have had so many problems with Sedgwick! They closed my case before I could get to the doctor. At one point their claims person tried to send me some cheap knee brace instead of the carbon fiber brace I had been fitted for. Worst customer service ever...even worse than Amazon!System won't allow zero stars.
    • Review fromAshley H

      Date: 04/25/2024

      1 star
      Impossible to connect with adjuster, pretended to not hear me everytime I said who was calling. Does not respond to emails.
    • Review fromAriel O

      Date: 04/24/2024

      1 star
      0 Stars, 1st off the company isn't accredited but the BBB,2ndly I filed for short term disability on 03/03/2024, it's now 04/24/2024, I've calling every 3-4 days to see what documentation they need, what the status of my claim is & why no one has contacted me like I was promised. I just today got a denial call from the RN for "insufficient paperwork" though I've provided them with the last 12 months of my medical history from several doctors. At this point they told me I can appeal the decision but deemed that I can return to work, which is talking on the phone for 8 hours a day, but esophageal spasm are causing me to not be able to speak or breath correctly for 8 hours a day, thus making my job impossible. Per my my doctor's decisions I am not to return to work yet. I've been approved for disability through ******** which is a maximun taxable income of $170 a week. What am I paying Sedgwick for out of each paycheck for short term disability income protection if they plan on stealing money & having an RN on Sedgwick's payroll to override what 3 PhD medical specialists have said & 2 primary care physicians?..

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