Sedgwick Claims Management Services
Reviews and Complaints

After my work injury, this company has been a nightmare to work with. The progress was very slow and now, I discover that they did not pay the 3 co-payments for my hospital visits. This debt has already been turned over to collections and may impact my credit.

Absolutely unacceptable. They are also very difficult to contact for any attempt of resolution.

Avoid if possible!

Please take the time to read this - I believe sedgwick is being illogically bashed! I have had three - count them - three - separate extended leave claims through sedgwick as a lowes employee, and i've only been their employee for two years! First, a proper shout-out to them for putting up with my apparently hazard lightning-rod life! The first accident, a rather odd pallet lifting and stacking incident in which I partially tore a tendon in my right forearm! This required surgery, a month and a half of recovery and physical therapy! Next, a winter, right shoulder ligament injuring trip-and-fall in the parking lot of my apartment complex. This occurred over a mid-parking lot cement "parking guide" with no raised markers. This structure disappears when it snows more than 6 inches! I'm still addressing the safety hazard this poses! Again, over a months rehab and recovery! Thirdly, and worst, a severe auto accident involving a practically head-on collision with a cement embankment! (i'm starting to feel that murphy is somehow a relative of some kind!) this fractured my sternum, and though no treatment could help, I was again out for over a month! Each and every time sedgwick immediately accepted my claim, expediently processed it and kept me updated through their my sedgwick website! By the way, all claiments have 24-hour access to this site, and are informed of this in the snail mail and emailed claims documentation! This is how to contact your case manager with any questions you may have! Sometimes I must wait a day or so for a response, but I simply consider how many injured people there are - then this becomes totally acceptable! Remember; patience is a virtue folks! You are not the only claimant they have! Also, I have always been paid by sedgwick no later than two weeks after my claim was approved, and that only takes, at most, a week - as long as you provide the understandably required documentation! My goodness! A three week wait - to me, that's a pretty fast response to an unpredictable and processing-required occurrence! Face it - they are a health-care business, ever heard of hipaa?!? It's a paperwork nightmare that they must correctly follow to protect you! In the future, look more closely at whether you are actually working "properly" with them — or simply, judgmentally, and selfishly, against them! Please think about it! Sedgwick is not evil or out to get you - just an insurance company filling a much needed. Service! Thanks to anyone who reads this in it's entirety - I hope it helps! Thanks sedgwick for all you've done for me!🫡👍

I filed a claim with this company because they are affiliated with my job Whole Foods
They never waited for the information from the doctors office
They rushed the claim through and they denied it without any verification
They never really did any work and never waited to verify any of the documents
They closed my case the same day that I faxed them the medical records
They made 9/2/2024 (holiday) the deadline for submitting the documents

I had a fence installed that I purchased from Lowes in August of 2023. The contractor Chris Smay shorted me two panels of fencing totaling 4 feet. I have asked numerous times for him to come back and complete the installation of my fence. This was after he and his crew & stole my materials to complete it. He did so much damage in the yard and now to the fence. He didn't measure properly. Causing numerous damages. I will send pictures. I had to send all of this to the Attorney General's office just to get a copy of my contract. I never did receive a copy of any receipt until just recently that I had never seen before. Mr. Chris Smay and Lowes stole fencing materials from me and expect that I have to pay for that and accept this eyesore of fence. I have pictures of the guy that came and took my materials. I want my fence, all of it, and my underground drainage system repaired.

On March 15, 2024 my vehicle was damaged while parked at the lot of one of their clients. Their client filed a claim on my behalf. I waited over a week with no contact from Segwick. Finally, there was communication via US mail acknowledging the loss and requesting that I reach out to my adjuster to discuss details. After a few attempts to reach her, I emailed her with no response. Finally I do receive a call but from an office assistant not the adjuster, conveying a message denying the claim. I ask for assistance from the client but to no avail, they won't respond to their own client. Icing on the cake, 3 weeks in I receive a single paragraph letter from Segwick claiming that they don't feel their client responsible (they are) and suggesting that I could call if there were any further questions. ..right?! This is not claims management.

Sedgwich Claim# A24004104

Date of Incident 10/18/2023

Rental Agreement/File#[protected]

Hertz Rental Company Claim #: [protected]

We filed a claim for the damage to the windshield due to a rock or something on the road. Hertz filed a claim for $761.10 for the replacement

Allstate paid $61.10. They would not pay the $200 admin fee Hertz added and I had a $500 deductible on my Comprehensive.

I settled with Hertz for the $500 and they dropped the additional admin fee.

Sedgewick is refusing to pay the $500 deductible claiming my Allstate Insurance should pay it all under my liability coverage. That coverage is the minimum required in Texas and only covers the other party damaged if the accident is my fault. I think most know that. Collision and Comprehensive are addons that we pay for to protect the car we are driving.

They claim Texas requires Alllstate to pay which is wrong. I posted the Texas Department of Insurance information for them to read.

I have a claim with Sedgwick for about $2000 in lost damages. I had 2 professionals look and they agreed with me. So I thought I would have no issues. But Sedgwick has treated me like a criminal! Refuses to let me appeal.

Refuses to help me prove my case to them

And on top of all this -

They never came in person to look at the damages! So u tell me - how can they deny my claim without looking in person?!? While I had 2 professionals at my place?!

They have been rude. And suggested I see a lawyer. How can I? I just list over $2000 in damages. I contacted BBB - they refused to respond to the them. This shows what kind of company this is! And by their reviews - I’m not the only one complaining. This would be a company where I would REFUSE to work at!

unresolved slip and fall 6/6/22 11/23 sopke with someone refered to sedwick claims communications always stop been a year never spoke to no one in department at all no return phone call emails complaints.un resolved slipand fall unprofessional decision with out knowing were i fell and didnt look at camera asking me were i fell when thats the camera job i dispute discission unprofessional make on 6/15/22 splip and fell on bank of america parking lot grass looking over my injury disable not professional. refered 12/25/23 for camera details no response regarding details have called emailed person .making this a neligent complaint.

I Cassandra Smith Had a Unresolved Claim File starting 6/15/22 never were resolved are camera pull of slip and fall 7/16/22 a sign complaint and still unresolved not responding to complaint a online complaint with Board online last 12/23 still unresolved been 1 year with complaint and unresolved on my slip and fall in the parking lot. back in Nov reopening with new complaints that I were told were going to pull camera and refered to a person for details on case nonthing yet months later management claims noth responding I has contas and names spoke with and comlaints conf no.

First they don't list any phone numbers for you to call. Second their Chat bot is useless. I got hurt due to my employer fault, back in October 2023. I had to pay out of pocket for the ER visit. I was told by Sedgwick rep I would get all my money back. Over 3 months later I get a check from the hospital for less than 30 percent of what I paid. Rep then tells me I have to fight with the hospital to get my money back, hospital claims Sedgwick shorted them. Sedgwick rep never returns phones calls, gives misleading information. Employer at the time is even more useless than the rep. Had to call the technical support line to get another number that eventually led me to the the reps supervisor, no one answers their phones, message on system is very vague and you are not sure if you reached the correct person, their motto is "we care". [censored] they don't care.

On January 27, 2020 I fell at work. I have been dealing with Sedgwick since then and it takes them way too long to approve any treatment that the doctors want. My doctor wants to do an SI injection. as up-to-date it has been two weeks and I have not heard anything about the approval. This is not a one time occurrence I’ve had to contact my Workmen’s Comp. attorney several times to get them to approve treatment or medication.