Insurance Claims Processing
Sedgwick CMSHeadquarters
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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
Customer Complaints Summary
- 498 total complaints in the last 3 years.
- 171 complaints closed in the last 12 months.
If you've experienced an issue
Submit a ComplaintThe 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 IssuesStatus: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.
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.Business Response
Date: 04/10/2025
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, (AIPSO).
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 Thamer Moqdadys complaint.
Again, thank you for the opportunity to respond and clarify,as able.Initial Complaint
Date:04/07/2025
Type:Service or Repair IssuesStatus: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.
Floor was damaged when a refrigerator was delivered by RentaCenter. Their insurance company requested info which was sent. Then I emailed and called repeatedly and cannot get ANY help!Business Response
Date: 04/10/2025
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, (Rent-A-Center).
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 ***** Battaglias complaint.
Again, thank you for the opportunity to respond and clarify,as able.Initial Complaint
Date:04/01/2025
Type:Customer Service IssuesStatus: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 are a couple who moved all our things into a:Public Storage ******************************************************************************** 01/28/2024 into Space # *****We own two cars: ************ Tundra and a ************ Civic.Our unit was broken into on 08/14/2024.Claim was filed the same day. Preliminary paperwork was filled out and sent in.We've provided documentation of our vehicles. Our lock was tampered with and unit was burglarized and as of today(02/10/2025) the claim is still showing open and pending investigation.We've made multiple calls and Sedgwick-***** ****** who was assigned to our claim *************]- states they needtwo get a hold of the detective (Detective ****** of the ************************** Phone: ************) to answerquestions. We've called the detective multiple times and he's mentioned he's called them back and that it would be betterif they left a message with the questions).Business Response
Date: 04/02/2025
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, ****************************** Program).
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:03/31/2025
Type:Service or Repair IssuesStatus: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 rented a storage unit from Public Storage for the past four years. ********************************************************************************************************* October when I was retrieving two pieces of furniture I noted that a majority of items in my unit had mold damage. I was paying $560 a month for a climate controlled unit so I immediately contacted the owner of Public Storage and was encouraged to file my claim with Sedgwick at the end of October and I moved all my items out of the unit (most had to be donated or taken to the dump) since they were damaged. I also discovered rat droppings at the front of the unit and damage to two chairs from the rats. I documented everything and submitted to Sedgwick back in October but continue to receive the run around as to why my claim has not been processed. I have contacted Sedgwick at least a dozen times and asked to have my case reviewed by a manager but have never received a call back despite leaving numerous messages. The last call I made the customer service representative indicated that they had not been able to get ahold of the owner of Public Storage to verify the date of damage. I indicated to them that I moved out of the unit on October 15th and most of the damage was discovered then. I want to make sure that another customer does not have to go through what I have these past 5 almost 6 months. I am just asking to be reimbursed for the amount of insurance that I had taken out, despite the fact that my damage exceeded the $5,000 of insurance value.Business Response
Date: 03/31/2025
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, ****************************** Program).
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: 04/01/2025
They absolutely are handling the complaint and I have talked to 12 different individuals about it! When I filed my loss claim, it was assigned to an agent with Sedgwick, so you are clearly misinformed.Initial Complaint
Date:03/26/2025
Type:Service or Repair IssuesStatus: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.
Employee *************************************** ****************** Compensation - 4A240655YZN0001 I have contacted this employee regarding the claim above. I have insurance with metlife and cannot file my claim due to missing information, I attached the letter from ******* and still no response from her or her supervisor via email. Was injured at work and Sedgwick is holding me up from my filing my claim. I amrequesting for someone to reach out to me and recitify this issue as soon as possible pleaseBusiness Response
Date: 03/31/2025
Thank you for the opportunity to respond to the complaint filed by Stevlisa ********. 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 Stevlisa ******** 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 Stevlisa ********* complaint.
Again, thank you for the opportunity to respond and clarify,as able.Initial Complaint
Date:03/26/2025
Type:Order IssuesStatus: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 started a short term disability claim with Sedgwick in December 2024. They asked me for documentation from my doctor. I gave it to them 2 at. Tell me the documentation so mean about my doctor did not have a date so I need to go back to my doctor and get another date. I did that it was charged another office visit fee for them to then not go by the date of March 3 that my doctorput on the paper, they they approved my claim for two weeks to end on February 14 even though they asked me for a date and I was charge another office visit. They still did not approve it to the date that they asked for from my doctor, I reached out to a supervisor over about three months and still have not gotten any sort of resolution. I was told that my doctor updated my chart directly with Sedgwick however that wasnt sufficient enough evidence. Im confused. How is the information directly from my doctor not sufficient enough if my doctor istelling you I cannot work. I feel is still there withholding my funds without any sort of probable cause I cannot get anybody on the phone can help me. Im always sent to voicemails. My issue has not been sold and I have not been able to handle what I need to handle on my leave because Im too busy trying to ensure that my job is still intact at the end of being sick. This is absolutely ridiculous. It should not be this hard to file a claim that I am paying for out of my check every twoweeks. The doctor has the final say and whether I can work or not, somebody sitting behind a desk at a computer doesnt I need somesort of resolution ending with my claim being approved because they already have all the evidence they need from my actual doctor.Business Response
Date: 03/31/2025
Thank you for the opportunity to respond to the complaint filed by Kalona *********. 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 Kalona ********* 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 Kalona McClammeys complaint.Again, thank you for the opportunity to respond and clarify,as able.
Initial Complaint
Date:03/25/2025
Type:Service or Repair IssuesStatus: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 car was parked in a parking lot at my workplace, and the Pepsi delivery man backed into me with the Penske truck he was driving on February 21, 2025. He filed a claim with Sedgwick, and I have received a check to cover some of the repairs to my bumper. I was told that I should contact the claims representative so they can reserve a rental car for me, once my repairs were scheduled. I was scheduled to have my car repaired yesterday (3/24/25), but I have been unable to reach anyone to setup a rental car for me, so I had to cancel. I have been attempting to contact ***** *********, the claims adjuster for a week, with no luck. The phone number I have for her, goes to a recording which prompts me to enter an extension number, which I don't have and when I hit * for the company directory, it asks for a mailbox number. There is never an option to speak with a representative. I also emailed Ms. ********* on 3/20/25, but I haven't received a response.After doing a ****** search, I was able to get in touch with the auto liability department at Sedgwick. ****** gave me the manager, ******** ********** contact information ************. I have left her several voicemails, and I have sent her an email message as well. Yesterday, another Sedgwick representative told me that she thinks that ***** ********* is no longer with the company. She sent Ms. ******** an email as well, but I haven't received a response.I have also tried the online chat, but haven't gotten a response there either. I would really like for someone to call me back who is able to set up a rental car for me so that I can get my car fixed as soon as possible.Thank you!*******Business Response
Date: 03/26/2025
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, (PepsiCo).
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 ******* Chandlers complaint.
Again, thank you for the opportunity to respond and clarify,as able.Customer Answer
Date: 03/28/2025
******** ******** from Sedgwick contacted me on the afternoon of 3/27/25. She has now set up a rental car for me for next week so I can get my car repaired. I had left her at least 3 voicemails and sent 2 or 3 emails to her directly as well as to many other Sedgwick claims management employees within the past week, but I believe that she was responding to the BBB claim since she used the my former last name (********) instead of my current last name (******) as is on the original claim. The response from Sedgwick on this complaint also had my former last name.
I really believe that this helped in getting my them to contact me and finish the job. Thank you so much!!
Sincerely,
******* ******
Initial Complaint
Date:03/20/2025
Type:Service or Repair IssuesStatus: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.
Wow what a scam. Best buy cut a wire and they use this company for claims. I have tried emailing, calling multiple times with no answer from the representative who was supposed to help me.Initial Complaint
Date:03/17/2025
Type:Sales and Advertising IssuesStatus: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 notified about damaged items and injuries from a package held by them ********* had my package for several days on December ******* an investigation was open to locate the package the carrier was notified that package was dropped off December ******* I picked the package of between December ***** 2024 while opening the box a candle fell out into my hand injuring /cutting my hand the shipper bath and body works was immediately notified and then I notified ********* I received a phone call from the ********* store manager who dismissed the injuries and immediately blamed ***** and dismiss the injuries to my hand I then contacted ******** support on December ******* and explained how I was treated regarding the damaged candles and my injuries once again I was ignored nobody reached until submitted a complaint with the bbb and the district manager was informed of the injuries me being our of work for three weeks due to the injuries he said he had to solutions the first was to offer a customer service gesture due the way I was treated and to go into the store and the store manager would take the info and submit it over to their liability team which was completed on March ****** I wad told by march ****** I should receive a phone call it never occured I had to reach out to the store manager and district manager multiple times I was being lied to by both I was told they had no claim number no case number and no phone number for the company and that I had to wait for a phone call on March 1****** I received a phone call and then explained what happened I wad told the claim was opened March 11 2025 and I was then contacted by sedgwick the person was very rude and unprofessional and argumentative talking over me and when I asked what was the purpose of her call she told ne to take it up with ***** and started repeating the same exact things the district manager and store manager said when I reported this to ***** they told me neither company reportedInitial Complaint
Date:03/12/2025
Type:Customer Service IssuesStatus: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 family and I got sick off of chicken purchased at ***** club on February 2nd. The sickness we experienced was severe vomiting, diarrhea, and other flu-like symptoms. The brand of the chicken was Pilgrim's Stand Alone. I created a claim with ***** and was eventually put into connection with this company, *********. I was assigned to an associate by the name of ****** ******* and given the claim number of #4A2502CW9MH-0001. We spoke early February and I explained the situation to ******. After the conversation, Kaysia told me she would send me an email to receive the receipt and my brothers contact information (he was the only one seen by a doctor, and so, Kaysia wanted the documents from his visit). I never got an email and called multiple times to notify her I hadn't received an email. She didn't responded after numerous voicemails until early March She called me stating that she had my email wrong and would be sending me another email for the same information. She gave me her email as well. After that call, I didn't get an email so I emailed her on March 5th providing the needed information. Since that email, I didn't hear back from her, so I contacted her supervisor. I left a voicemail on her supervisors phone on 3/6, 3/7, and 3/10. It's been over a month since the incident occurred and I'm very disappointed that this claims company hasn't taken it more seriously.Business Response
Date: 03/19/2025
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 claim ******* ******* filed against our client, (Pilgrim's Stand Alone).
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.
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