Insurance Claims Processing
Sedgwick CMSHeadquarters
This business is NOT BBB Accredited.
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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
- 542 total complaints in the last 3 years.
- 157 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:08/20/2025
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.
I created an online account regarding my claim, I no longer have access to my account becausr my email was removed from my account. I have sent messages online and had the option to upload documentation. An agent told me he could delete my account and that I could create a new one, which I was against.
It's been months and I have not been able to reach a claims analyst to update my claim. The claims analyst can update my email and I can move forward with my claim.Business Response
Date: 08/21/2025
We
are unable to locate a claim matching the customer's name using the information
provided. We need additional information in order to respond.Initial Complaint
Date:08/20/2025
Type:Billing 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.
Better Business Bureau:
I have reviewed the response made by the business in reference to complaint ID# ********, and have determined that my complaint has NOT been resolved because:[Your Answer Here]
Payment by Sedgwick has not been received
In order for the BBB to appropriately process your response, you MUST answer the question above.
Sincerely,
***** *****
Business Response
Date: 07/31/2025
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, (*********************************).
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 ***** Whites complaint.
Again, thank you for the opportunity to respond and clarify, as able.
Best,
Customer Answer
Date: 08/20/2025
Date of Loss: August 12, 2024Your Insured: Traffic Management, Inc.Driver: ******* ******* MolinaYour claim #: 4A2408D6JC10001Adjuster: ******** ****** ************* Sedgwick (handles claims for ************** Fire Ins of PittsburghClaimant: (me) ***** WhiteClaimant's Ins: State Farm. Traffic Management's driver ****** was responsible for an accident involving my vehicle. My insurance co (**********) has received reimbursement for the damages ($8000+); Sedgwick included my deductible and the rental $ paid by ********** under my coverage. However, I had $198.59 in out-of-pocket expenses for the rental. I provided Sedgwick all the documents. I've contacted Sedgwick insurance over 10 times in the last year and still have not received reimbursement.Initial Complaint
Date:08/06/2025
Type:Product 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 went on disability for three months from work due to being very sick. I signed up for a leave of absence and disability through Sedgwick which is who I have to go through per my job. I put my direct deposit information in their portal and started receiving pays while I was on disability. From 5/9/2025 - 6/29-2025 I never received my paychecks. I did receive the deposit statement saying the payment was deposited into my account but it wasnt. I called and the examiner gave me three trace numbers to verify with my bank to see if they had any record of them. My bank is ****************. They didn't have those numbers on file. I called Sedgwick back and explained this and they told me they would investigate where the money was deposited to. They called a few days later and said the money was deposited into a chime account. I dont have a chime account and I have no clue what a chime account is. I've continued to call every week and its the same response. They will look into it and call me within 48 hours. Days go by with no call and no money deposited into my bank account. I called last week and was guaranteed the money would be deposited into my account by Aug ********. I never received the funds. I waited till today August 6th just incase it was delayed and called Sedgwick to find out what was going on. I was told today that they need the money back from the chime account before they can issue the money back to my account. I told them I dont have a chime account to be able to check this. Now they are telling me they are going to investigate the issue and dont have a time of when I will receive this money. I've been fighting with them since June and they are extremely hard to deal with and get in contact with. I just want my paycheck to pay my bills that I wasnt able to pay while I was out on leave.Business Response
Date: 08/15/2025
We are unable to locate a claim matching the customer's name using the information provided. We need additional information in order to respondInitial Complaint
Date:07/31/2025
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.
I had ankle surgery about 5 weeks ago. The state of ******************************* provide my short term disability benefits. I started the process several weeks before my surgery so my benefits would be there for me when I was off work. It has been a nightmare getting this accomplished. The two do not communicate with each other & when Oregon finally approved of my disability benefits I thought Sedgwick would too because on their website they said they had all the paperwork they needed. However when i called them they said they had to have a copy of Oregons approval letter to get approved by them. How is a person supposed to know all of this & take care of all this when you are recovering from a surgery or an illness? Also Sedgwick was supposed to fax a copy of the paperwork they needed filled out to my physician after surgery. They sent me a text stating that they had not received the filled out paperwork from my surgeon. When I called Sedgwick they stated that they had faxed it twice to my surgeons office. When i inquired where had they faxed it too they told me they faxed it to a 203 area code. My surgeons office is in *****. The fax should have gone to a 208 area code. By the time the paperwork got to my surgeons office he was on vacation, so there was another delay. Im not sure if any of my personal information was on those forms or not. This has been a maddening and very disappointing process.Business Response
Date: 08/05/2025
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, (************************).
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 ****** Ellisons complaint.
Again, thank you for the opportunity to respond and clarify,as able.Initial Complaint
Date:07/24/2025
Type:Product 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 am filing this complaint due to AbsenceOne's failure to provide clear, timely, and actionable communication regarding the process for submitting required medical documentation for my California Voluntary Plan (CVP) short-term disability claim.I was approved for benefits through June 29, 2025, and was informed that additional medical documentation was due by July 20, 2025. However, I was never clearly instructed on how, where, or to whom to submit the updated medical documents. I reached out for clarification from both AbsenceOne and ******** (my insurance provider), but received no definitive guidance. As a result, I missed the deadline and was denied continued benefits, which has caused significant financial hardship and emotional distress.I had obtained medical notes from my psychiatrist, Dr. ******* ****, confirming that I remained unable to return to work. But due to the lack of clear instructions from AbsenceOne, I did not know how to properly submit this information.This situation represents a serious breakdown in basic customer service and duty of care, particularly given the vulnerable state many disability claimants are in. It is unacceptable that a benefits administrator could let a claim lapse due to internal communication failures.What resolution would you like?:I request that my case be reopened and that my additional medical documentation be accepted for reconsideration.I request a written explanation and acknowledgment from AbsenceOne/Sedgwick regarding their communication failure in this matter.I request assurance that internal communication and instruction procedures will be reviewed to prevent similar harm to other claimants.Why this matters:This incident has not only resulted in the loss of expected pay but also contributed to heightened anxiety and worsening mental health. I am seeking fairness and accountability, and I sincerely hope BBB will assist in facilitating a response and resolution.Initial Complaint
Date:07/22/2025
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 am working for *****. I had a fall accident occurring on June 18. It took a whole month to get to even schedule and appointment with a doctor, and to this day, over a month later, no any funds have been paid and it does not seem anything will. It is complete non responsiveness, glacier speed and avoidance, and completely disrespectful attitude. I receive some generic texts and can not get a hold of anyone whenever trying to contact back.Business Response
Date: 08/01/2025
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, ****** Services).
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 **** Svitkos complaint.
Again, thank you for the opportunity to respond and clarify,as able.Initial Complaint
Date:07/21/2025
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 was involved in a motor accident on April 12, 2025. I made contact with Sedgwick a few days after the accident as this is the third-party administrator for the at-fault drivers insurance.The other driver was deemed at fault per the crash report I obtained. I provided all necessary documents within a week of the accident and have made multiple attempts to reach my adjuster since. The last time I made contact with the adjuster was around the last week of April. I called Sedgwick and someone other than my adjuster was able to provide an update. They indicated they were still working on whether they would accept liability even though the crash report indicates their driver was at fault. This update was provided over a month ago. Overall, I have been unable to reach my adjuster after multiple calls and an email. I have left my number and contact information on voicemail but have not heard anything back.Business Response
Date: 08/01/2025
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, (********************).
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:07/18/2025
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.
****: *********************************** has defaulted on the contract. This is a result of a breach of duty in the closure and settlement of all obligations. Employee ***** **** of Sedgwick Claims Management has been very dishonorable. There hasn't been any communication after the demand has been set. We wouldn't advise any further business with this company or employee after closure and settlement. It is our utmost duty as the people to establish an equitable ground. This is a final demand for Delivery. REDEEM FOR LAWFUL MONEY 12 U.S.C. Subsection 411Customer Answer
Date: 08/04/2025
GREETINGS
This message is to request document of signature drafted by BBB. The next step is printing this document and signing it as the lawful party. We thank you for you help and owe gratitude to your services. BBB of the ************** has been very helpful. Look forward to notifying you about any updates.
This document has signature space with price of claim at the bottom.
Initial Complaint
Date:07/16/2025
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.
On May 19th i discovered my storage unit had been broken into, I had several items taken. I immediately filled a claim with my insurance company, Sedgwick. A few days later I missed a call from **** ***** who left a voicemail stating she was going to be my claims manager. I got together all the paperwork that was requested and emailed everything to the appropriate individuals. After that, I never heard back from an actual person regarding my case. I called Iman at least 5 separate times and left 3 voicemails asking her to call me back. I also followed up wither several emails but never heard back. I got a letter in the mail on July 7th stating that my claim was denied due to "lack of evidence" of forced entry. I attempted to explain that my lock was cut clean and removed, but again no one ever reached out to me. Last week I also contact the District Manager for Public Storage in an attempt to gain access to the surveillance footage. The DM told me that Sedgwick is constantly denying claims due to "lack of evidence". I believe Sedgwick is acting in bad faith and I deliberately denying claims to refuse paying out their costumers. I want them held accountable for this gross practice and to see my claim appealed.Business Response
Date: 07/21/2025
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 ****** ****-Ramirezs complaint.
Again, thank you for the opportunity to respond and clarify,as able.Initial Complaint
Date:07/14/2025
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.
This all started in September 2024. Sedgwick is the insurance company for **********. The claim was submitted and the insurance has not followed through. The claim was assigned and that person moved to another department.. This was never communicated with me. Someone else eventually made contact and they have not followed through. My counter top could not be repaired, only replaced, due to being a laminate. Laminate cannot be repaired. ********** was very good in this process. Sedgwick has dropped the ball.
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