Insurance Claims Processing
Sedgwick CMSHeadquarters
This business is NOT BBB Accredited.
Find BBB Accredited Businesses in Insurance Claims Processing.
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
- 495 total complaints in the last 3 years.
- 172 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:05/26/2022
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 filed a damage complaint with Best Buy back in November 2021 for a delivery that ended up causing water damage to our wood floors. After multiple attempts20211228 - *********************** from Sedgwick contacts me about the damage to our floors. I sent her pictures, a video and background on what happened. I was asked to have a water mitigation company come to the home to check for water damage. Claim Number 4A21120NCM6000120220105 - Anytime Restoration came out to the house to inspect the damage. I provided *********************** a follow email that day that damage was found and a quote would be provided20220202 - Anytime Restoration provided me their findings and quote via email. I forwarded the email to *********************** at Sedgwick the same day.20220211 - ****** from Sedgwick responded back to my email that an adjuster would be coming to my house to look at the damage.20220215 - I emailed ****** that ***** from frontier Insurance would be coming to our house on the 17th.20220217 - ***** from ****************** came to our house at the request of Sedgwick to look at the damage and provide Sedgwick information.20220311 - Emailed *********************** at Sedgwick for status on our claim. No response.20220322 - Emailed *********************** at Sedgwick for status on our claim. No response.******** - Called Sedgwick to talk to ***********************, no success20220407 - Emailed *********************** at Sedgwick for status on our claim. No response.******** - Called Sedgwick to talk to ***********************, no success20220502 - Called and complained for 31 minutes20220506 - Called and complained for 22 minutes20220509 - *********************** finally called me back, said she so would provide a follow up call.******** - ******** colleague called me said she was sick and would call me with more information.No communication as 17 May 2022, I do not know that status on our claim and feel that the company is leading me on. I feel that this is the only way I will get my issue resolved.Business Response
Date: 06/14/2022
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, ************* 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:05/25/2022
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.
A claim was filed for reimbursement of my TV ($949.99 and my wall mount $199.99) on 5/12 for my TV and mount that fell off my wall after Best Buy installed it. Sedgwick is the insurance carrier for Best Buy. I submitted all supporting documentation to my claim associate ************************* on 5/18. Since this time I have requested update on my check payment for TV and wall mount three times and I am not receiving any type of response. I received a phone call from Best Buy corporate office that they are wanting to work with me to replace my TV/mount when Sedgwick sends me the payout check. I called Sedgwick this morning and ***** would not get on the phone with me, instead she would relay messages through the rep that answered the phone when I called. ***** stated to the rep that Best Buy was going to replace my TV/mount and that there was nothing more Sedgwick needed to do. This is NOT true. I made myself clear in the email that I sent to ***** (attached) just yesterday that Best Buy is working to replace my items and I need an update on the check status so I can pay for these items. This is absolute unprofessionalism that I cannot even at the least get a phone call after now 4 attempts to ***** and one email to her supervisor *********************************. I need resolution immediately on this and my payment sent out. I am without a TV and have been since 5/12Customer Answer
Date: 05/25/2022
See Attachment/File: email.jpgBusiness Response
Date: 06/03/2022
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, ************* 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:05/25/2022
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 April 10th, 2022, at approximately 1615 hours, I parked my vehicle at the ******* curbside pickup number 5. I was picking up part of an order I placed online. After several minutes of waiting for my item, I decided to go inside ******* to retrieve it. After I picked up my item, I exited the front of *******, and I observed the ******* curbside pickup sign #5 had fallen onto my vehicle's front bumper and hood. The damage the sign caused to my vehicle were deep scratches on the front center of the bumper, and several paint chips to the hood. The damage mentioned above was not on the vehicle before the damage. I contacted a ******* employee by the name of Paul who reviewed the surveillance cameras facing the front of *******. The Surveillance footage showed the ******* curbside pickup sign #5 fall onto my vehicle at 1628 hours. **** *** manager, ( I forgot his name), stated that he will submit a claim taking responsibility for the damages. A few days later I received an email from a claims representative. (Sedgwick administers the General Liability policy for XL America on behalf of **** *** Co. My name is ******* ***** and I am the examiner assigned to your claim). I have submitted every document ******* has asked me to submit. Over the past month, I have contacted ******* through email, left several voice messages, and sent her messages through the Sedgwick app. I called Sedgwick's general number and spoke to several other representatives who tell me they will have a manager contact me in the next 24 hours. I have not received a call or email from Sedgwick. PLSE HELPBusiness Response
Date: 06/03/2022
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, **** *** Co., 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 **** *****'s complaint.
Again, thank you for the opportunity to respond and clarify, as able.Initial Complaint
Date:05/22/2022
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've filed a damage claim months ago with ATT that was sent to Sedgwick as they carry out their damage claims. I've already filed a complaint and was finally able to get in contact with someone from Sedgwick. I was offered a settlement and wanted to firstly get a contractors estimate on damage costs to make sure the settlement would take care of damages. Since I didn't accept the settlement offer that day I have not been able to get into contact with anyone at Sedgwick since then. Seems to be how they operate as a company.Customer Answer
Date: 05/23/2022
Dear [primary pre name] [primary last name]:
We have received a complaint in our office that appears to apply to a business in your service area. We have informed the consumer that we have forwarded his/her concerns to your BBB and that all further communication regarding this matter will come from your office. Details of this complaint may be found on the reverse side of this letter or at:
[business cbi link]
Any scanned documents associated with this complaint are accessible through this link.
{/ul CONSUMER}
[PreName] [FirstName] [LastName]
[Street1] [Street2]
[City], [StateProv] [PostalCode]
Home : [HomePhone]
Work: [WorkPhone]
Fax: [Fax]
email : [Email]
{/ul BUSINESS}
[bname]
[bstreet1] [bstreet2]
[bcity], [bstateprov] [bpostalcode]
Phone:[bphone]
Fax: [bfax]
Email: [bemail]
Sincerely,
[cstaff name]
[cstaff title]
[cstaff phone]
[cstaff email]
/page
[merge complaint form.cf.rtf]Business Response
Date: 06/14/2022
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.
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:05/19/2022
Type:Billing IssuesStatus:AnsweredMore 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.
In March I filed a claim with Sedgwick due to a installation from BestBuy that caused my home extensive water damage. I have provided all required information. I have attempted to reach my claims rep *************************** who continues to give me the run around 5/7, 5/10, and 5/16 have been my latest attempts. I have also called 5/17 and 5/18 requesting to speak to Sheronda's manager *********************** and have still heard nothing regarding my claim.Customer Answer
Date: 05/19/2022
See Attachment/File: AttachmentsBusiness Response
Date: 05/31/2022
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, ************* 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:05/16/2022
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.
Their plumber caused flooding in kitchen and damage to floor. I sent all estimates, etc. to them in February. Made over 8 calls, never got *******************, always left messages. He called me 3 times out of the 8 to 10 times I called him.He keeps saying he can't see damage to the floor. I sent him information 5 times. I told him to send an adjuster, he said he cannot send adjuster. I am very upset to be treated this way from a major company.Business Response
Date: 05/20/2022
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, ************** Corporation.
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: 05/23/2022
(The consumer indicated he/she DID NOT accept the response from the business.)
It looks like they are passing the buck. Who is going to pay me.Business Response
Date: 05/23/2022
Dear [ccontact]:
Thank you for providing our office with a response to this consumer's complaint. The BBB does not require that the consumer is always satisfied. However, we do review company responses to determine whether or not a reasonable effort has made to address the complaint issues.
This case has been reviewed and we do not believe that your response has addressed the customer service issues described in the complaint. We are closing this complaint as unresolved. This will affect your rating with BBB. You can view the details of this complaint at the following internet site:
[business cbi link]
We regret that we were unable to bring parties to amicable resolution in this matter.
Sincerely,
[cstaff name]
[cstaff title]
[cstaff phone]
[cstaff email]
/page
[merge complaint form.cf.rtf]Initial Complaint
Date:05/16/2022
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.
Sedgwick represents ***************** Ga ***** damaged my property. I was sent a letter by Sedgwick on behalf of GA ***** saying that they would resolve the damage issue. They gave me a phone number and email of their representative. I have attempted contact via email, and telephone. I was unable to make any type of contact. I went to their website, and attempted their chat feature, but I believe it is some type of crude AI instead of a person because it only gives a menu and again I am unable to make contact with a real person. Any help would be greatly appreciated.Customer Answer
Date: 05/16/2022
See Attachment/File: IMG_6452.JPGBusiness Response
Date: 05/20/2022
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, ********** Communications, 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.Business Response
Date: 05/23/2022
Dear [ccontact]:
Thank you for providing our office with a response to this consumer's complaint. The BBB does not require that the consumer is always satisfied. However, we do review company responses to determine whether or not a reasonable effort has made to address the complaint issues.
This case has been reviewed and we do not believe that your response has addressed the customer service issues described in the complaint. We are closing this complaint as unresolved. This will affect your rating with BBB. You can view the details of this complaint at the following internet site:
[business cbi link]
We regret that we were unable to bring parties to amicable resolution in this matter.
Sincerely,
[cstaff name]
[cstaff title]
[cstaff phone]
[cstaff email]
/page
[merge complaint form.cf.rtf]Customer Answer
Date: 05/23/2022
(The consumer indicated he/she DID NOT accept the response from the business.)
I absolutely agree that I should not have to go to the better business bureau to attempt to resolve this issue. They are right that this is not the forum to discuss the damage. However, that is not the issue I was filling a complaint about. My complaint is that Sedgwick is such a lackluster business that they do not do their do diligence in answering or returning calls. It is the fact that they are not even able to be reached for resolution which is the issue. Should they actually make contact with me I would feel no need to file a complaint.Initial Complaint
Date:05/12/2022
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 opened claim **************** with Sedgwick on 3/26/22 to repair damage done by ******** during an appliance delivery/installation. Since then, I have complied with their request for photographs and an initial estimate of repair costs with the urgency that the situation required. From that point on, I have received no communication from Sedgwick regarding my claim, and every time I reach out for an update, I am told that it has been forwarded to my adjustor and someone would reach out to me directly. I have had a damaged door frame and less than fully functional bathroom door for longer than I consider reasonable, and every attempt I have made to be indemnified by Sedgwick have been met with radio silence and platitudes. I have reached out to the SCC in VA to file a complaint with the Insurance Commissioner only to find out that they are not a licensed insurance provider and therefore not subject to the SCC's oversight.Business Response
Date: 05/24/2022
Business Response /* (1000, 11, 2022/05/23) */ 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, ******** Co., 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 **** *******'s complaint. Again, thank you for the opportunity to respond and clarify, as able.Initial Complaint
Date:04/29/2022
Type:Service or Repair IssuesStatus:AnsweredMore 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 Company is absolutely the worst. I have been trying to get ahold of my claims rep for over a month. I have sent several emails, messages threw website and calls. Their site says I was issued a payment on 4/15/22 for my workers comp and then again on 4/29/22 and I still haven't received a dime. The phone numbers listed just rind no one answers. I have read a lot of complaints online about this company. I may have to *** them if I don't receive my workers comp payments soon.Customer Answer
Date: 05/02/2022
Dear [primary pre name] [primary last name]:
We have received a complaint in our office that appears to apply to a business in your service area. We have informed the consumer that we have forwarded his/her concerns to your BBB and that all further communication regarding this matter will come from your office. Details of this complaint may be found on the reverse side of this letter or at:
[business cbi link]
Any scanned documents associated with this complaint are accessible through this link.
{/ul CONSUMER}
[PreName] [FirstName] [LastName]
[Street1] [Street2]
[City], [StateProv] [PostalCode]
Home : [HomePhone]
Work: [WorkPhone]
Fax: [Fax]
email : [Email]
{/ul BUSINESS}
[bname]
[bstreet1] [bstreet2]
[bcity], [bstateprov] [bpostalcode]
Phone:[bphone]
Fax: [bfax]
Email: [bemail]
Sincerely,
[cstaff name]
[cstaff title]
[cstaff phone]
[cstaff email]
/page
[merge complaint form.cf.rtf]Business Response
Date: 05/10/2022
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 for Employees.
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.Business Response
Date: 05/12/2022
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 for Employees.
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.
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