Complaints

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:04/08/2025

  Type:Service or Repair Issues
  Status:

  UnansweredMore 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.

  want to escalate my concerns regarding the negligent handling of my claim (#4A2410G30TY-0001) a semi-truck accident on October 10, 2024. Despite my cooperation and adherence to Sedgwicks requirements, the prolonged delays, lack of communication, and inadequate settlement offer have caused catastrophic financial and operational harm to my business.### Summary of Key Issues 1. Unjust Delays:- Despite submitting all requested documentation (photos, video evidence, invoices, and trailer plate details) promptly after the incident, Sedgwick took six months to issue a settlement decision. This delay directly prevented me from covering critical business expenses, including a $2,500 deductible, and forced me to secure a Penske rental unit at significant personal cost after 15 days of waiting for liability confirmation.2. Failure to Honor Commitments:- Sedgwick representatives repeatedly assured me that rental expenses and lost income would be reimbursed upon claim resolution. However, the $10,000 settlement offer grossly disregards documented losses exceeding $50,000, including:- Lost contracts due to canceled broker agreements.- Penske rental fees incurred to mitigate operational disruptions.- Income shortfalls from business closure.3. Bad Faith Claims Handling by ** ******:- Mr. ******* the Liability Claims Team Lead, has consistently ignored submitted evidence, failed to communicate updates, and refused to acknowledge the financial impact of Sedgwicks delays. This conduct violates basic standards of good faith claims processing under Florida insurance regulations.

• Initial Complaint

  Date:03/20/2025

  Type:Service or Repair Issues
  Status:

  UnansweredMore 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.

  The motherboard went out on my washer, and I contacted ***** to replace it. What I discovered once a repair man were gone, was that they had cracked a part of the washer. I contacted ***** and discovered that they use Sedgwick for claims against their business. I contacted Sedgwick and ***** ******, as I was told, to discuss the issues. She asked me to send her photographs of the cracks which I did. After going back-and-forth quite a few times, ***** informed me that she would have to get in contact with the technicians from ***** to discussthe issues from their point of view. This entire process has been going on for close to a year. With ***** specifically, its been going on for more than six months. She is extremely hard to get hold of I discovered that it would be easier contact her if I left her an email which I have on many many occasions. She has chosen not to respond to me My machine still has cracks in it from the technicians that were here to repair the motherboard and nothing is being done. What I expect is either the part be replaced or they provide me compensation for that part. As I stated previously, they already have pictures.The claim number is L ************** ***** ****** is the contact. Her phone number is ************. Her email is ***** ***********************************

• Initial Complaint

  Date:02/06/2025

  Type:Service or Repair Issues
  Status:

  UnansweredMore 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 represents a company that ran me off the road that caused damages. They accepted responsibility, but now unless I accept their low ball offer, they are going to rescind liability. I feel like Im being threatened when Im the victim here. ****** ******* is the culprit. Claim number 4A2405QTSYG-0001

• Initial Complaint

  Date:02/03/2025

  Type:Service or Repair Issues
  Status:

  UnansweredMore 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.

  Absolutely horrifying experience. I was doing their job calling the doctor offices and confirming faxes of paperwork sent to Sedgwick. The doctors did what they needed to do, Sedgwick did not. Got to a point where I was legitimately doing their job, with no correspondence from them at all. There was no guidance, help emails or calls or even communication center message responses from the Examiner. Complete catastrophe. I got abdominal surgery, my whole abdominal wall was reconstructed and they wouldnt even give me 6 weeks for recovery. Complete failure. I wish more companies would handle everything in house and not venture out to Sedgwick as a third party. Such a failure, and the sad part is I cant even heal and recover properly running the risk of the same medical issue recurring because of their negligence and complete disregard for care.

• Initial Complaint

  Date:01/31/2025

  Type:Sales and Advertising Issues
  Status:

  UnansweredMore 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.

  They are supposed to be a workers comp claim insurance company to my understanding, the way they operate should not be legal though.. I've been waiting 2-3 weeks since my first comp check arrived (i broke my leg at work and have been unable to perform my job as a delivery driver, for obvious reasons. There was no way for me to get in contact with anybody until a few days ago besides their online chat, which they are supposed to reply to in one business day (i went at least 3-4+ days between getting responses from them every time i sent a message.) Apparently they are unable to direct deposit my checks to me, for what reason i still have beyond no idea and the company is treating me as if its my fault no one ever replied to me/i never had contact info for my examiner to report i wasn't being paid, now with all my bills due i have to wait who knows how long to actually receive any of the money this company **** me. I have been doing literally everything in my power to get in contact with them. As i explained to every single person i talked to on the phone i would love to be able to deal with this myself and set up direct deposit and not make their jobs harder; unfortunately its not an option for anyone. my examiner changed halfway through my case and neither one of them have had any interest in talking to me, i cant even get one of them on the phone; only other people from the company.

• Initial Complaint

  Date:01/30/2025

  Type:Service or Repair 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.

  Sedgwick is very slow and not responsive to process Mastercard claim from 10/01/2024 3.5 months have passes and they did not complete it yet.

  Business Response

  Date: 02/14/2025

  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: 02/19/2025

   
  Complaint: 22878421
  
  I am rejecting this response because: 

  Claim Number: ********* from 10/01/2024 was clearly provided.

  Mastercard is very slow and not responsive to process Mastercard claim Number: ********* from 10/01/2024 4.5+ months have passes and they did not complete it yet.
   Poor service may be related to outsourced to 3rd party poor customer service in order to cause suffering to card holders.
  

  Customer Answer

  Date: 02/24/2025

  Complaint: 22878421
  
  I am rejecting this response because: ************ and 4+ months of delays of Sedgwick and ******* ****/Sedgwick Claims Associate

  Claim Number: *********
  Date of Incident: 10/01/2024
  ******* **** Claims Associate Consumer Sedgwick Claims ************************* 
  
  Sincerely,
  
  ***** Husne 

  Business Response

  Date: 03/10/2025

  As previously stated,Sedgwick is a third party claims administrator. Sedgwick CMS respectfully maintains that the Better Business Bureau online complaint resolution system is not the proper forum to respond to CLAIMANTs allegations.  The COMPLAINING PARTY should contact the assigned adjuster on the claim to discuss.  

• Initial Complaint

  Date:01/10/2025

  Type:Service or Repair Issues
  Status:

  UnansweredMore 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 recently found out by Sunrun Solar my solar panels were installed incorrectly, which damaged my roof and structure. The walls and ceiling have huge cracks, one technician mentioned there may be damage to the tress. ****** opened a case, Case #******** and reported the issue to their insurance company (Sedgwick insurance). Sedgwick sent out a Structural Engineer and Building Consultant to assess the damage on October 28th, 2024. **** ******* (Claim Manager with Sedgwick) advised me when the report is available, I would get a copy. On November 5th, 2024, the report was complete from the Engineer and Building Consultant per **** and Sedgwick and Sunrun were reviewing the report. I should receive a copy within a week. I sent emails to **** on several occasions asking for an update and a copy of the report, my last email was December 13th, 2024 where she responded, Sedgwick and Sunrun were still reviewing the Structure Engineer/Building Consultant's Report. I sent an email to **** on January 6th, 2025 requesting an update, she has not responded as of January 10th, 2025 Sunrun told me it was out of their hands once Sedgwick Insurance took over.I would like my ceiling, walls and roof repaired as promised by Sunrun. Repairs were scheduled for October, but were cancelled because Sedgwick wanted an assessment from a Structural Engineer. The Structural Engineer and Building Consultant assessed my home on October 28th, 2024, report was available on November 5th, 2024. We are now in January, there's absolutely no transparency on status my claim with Sedgwick. Meanwhile, I now have a leak spot on my ceiling from the recent rain, which may have escalated the existing damage.

• Initial Complaint

  Date:01/08/2025

  Type:Product Issues
  Status:

  UnansweredMore 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 **** This is a formal complaint about Sedgwick Company, monthly i pay $59.00, In the event of a repair, i pay $100.00 to fix the issue. Under this program, should anything go wrong with the appliance, they would repair or replace. so my microwave door had a defect and stopped closing properly on 08/2024 I reached out to ***** and they sent a technician who checked and confirmed that the door is defective and he will have to order the parts which takes two weeks. Two weeks later he came to replace the parts and discovered that the entire door needs to be replaced. He removed the door and discarded it and submitted a order for a replacement door. He was unprofessional i spoke to him about his unprofessionalism and he apologized. I called ***** and told them about his unprofessional conduct and requested another technician to complete the job. I called ***** a month later after no response and was told that they did not get the replacement door work order. Two weeks later, I was told by ***** because I was forthright about his behavior, the technician changed his original findings to not replacing my microwave door. When i reached out to *****, they told me that I should fix the door, the defect is not covered by the program. After explaining that was not the original decision and that i don't have the microwave door because it was taken off by their technician and discarded with the intention to come back in two weeks with a new door they told me they are going to get in touch with the technician about my microwave door. Three days later no response from ***** i reached out again letting them know that their technician had taken off my microwave door, discarded and even damaged my microwave in the process. I was told that they will not replace my microwave door. My microwave is without a door. after weeks of communication ***** told me Sedgwick company is responsible. I am kindly asking you to intervene in this matter. Thanks. 

• Initial Complaint

  Date:12/12/2024

  Type:Order Issues
  Status:

  UnansweredMore 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.

  Filed a claim for short term disability and was denied for lack of medical evidence. My physician and I both feel that the medical evidence submitted supports my claim. In addition this medical documentation appears to directly address the points the Sedgwick claims were missing from the documentation. Sedgwick is also requesting medically inappropriate treatment be done to support my claim for disability. I directly addressed these issues with my claims adjuster who seemed to completely ignore me. To be specific they stated that I needed to see other specialists. For my medical conditions I see a specialist and other specialist are not appropriate or needed. I went through the claim with a different Sedgwick employee and she also seemed confused as to why the claim was denied.

• Initial Complaint

  Date:11/26/2024

  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 hit on the head by a large shelf of snow with a piece of ice in it as it fell off the roof as I entered the Target store in *****************, ** on Thursday November 21. I spoke with a store manager and they filed an incident report. I was contacted on November 25 by an agent with Sedgwick who was supposed to discuss the incident but she started off by laughing at the case. I asked her if she thought this was funny. You can tell she had no interest in reviewing any details as she spent the 2-3 minutes trying to suppress her giggling. Target or Sedgwick evidently have no interest in the safety or well being of their customers if this is level of care they show. They should be made to answer to some authority that regulates public safety to prevent potential accidents to customers or pedestrians.

  Business Response

  Date: 12/11/2024

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