Sedgwick Claims Management Services
Reviews and Complaints

I also agree that Sedgwick doesn't care about anyone but themselves. I've been dealing with them since Feb of this year and it's the same run around like everyone else has complained about. They feed you false information to cover their own butt. It takes forever to get an approval from them. I was told by an employee of their that to get workman's comp paid you have to be gone 3 days...which is a lie...you have to be gone 4 for them to pay out. So they denied my workman's comp claim and screwed me out of money I could have used while off work two weeks. They do play dumb and act like their are totally trying to help you out, but it's like a warranty from a company. The warranty protects them not the consumer. They do stab you in the back every chance they can get. And when I did get hurt on the job in Feb, she told me that I had to file a workman's comp claim with the company insurance where the incident took place. That is the biggest BS I've ever heard. You can't file a workman's comp claim with a company that you don't work for. She should have known that as an employee of Sedgwick, but yet...she's trying to place the blame on someone else and not take responsibility. So if you deal with Sedgwick in Texas and you get claim representitive by the name of Devon McLeod...DON'T trust her. False truth and lies come from her lips. I just hope these people understand on what they are doing to those in need of help. I can sleep at night...can they?

Omg i work for United Health Care and my job title is customer service. I lost my voice and was diagnosed with laryngitis which lasted almost 2 months and during the process i had to get my tonsils taken out well they denied my claim stating that it wasn't enough medical information to cover the claim which i don't understand i talk to customers and set up deliveries for pt's now how can I do my job if i can't speak to the patient it's not like i can just go to work and file papers and the thing that hit me the most was that they approved it and denied it all in the same day smdh wth i lost my home my car and i have 4 children this company is a crock of bull and my company needs to invest into another company.

My wife had a short-term disability with Sedgwick CMS that continues to be ongoing, to this day, despite her having returned to work weeks ago. Constantly changing stories about the status of the claim, poor communication, poor training, and an overall attitude that you are a criminal and that nothing provided is going to be sufficient for them to pay your claim. Charles Schwab and Company claims to care about their employees financial health, but don't mind if one of their employees doesn't get paid for five to six weeks because of negligence and a bottom-line is our only concern attitude. Shame on any company that uses Sedgwick CMS in any capacity, you didn't do your homework.

This is a horrible company. I got hurt at work back in October last year and have had nothing but a horrble time with these people. Your calls always go to voice mail and then they never call you back. I was suppose to have some of my lost time pay by the 13th of april but that never happened and now i Keep calling and no one will get back to me! I cannot live off of no cash! this company should be looked into for their practices. Time to get rid of them!

SInce the accident date of February 10, 1989 this insuarance company has given me the run around. They have sent me to sub-standard chiropractors and a neurologist who said my back pain was because I drank one (1) Smirnoff Ice Malt Liquor a night. That due to the slip and fall accident I sustained in the bottom of AT&T's parking lot, injuring my left knee, left thumb, lower back and neck and back and spinel cord is the reason I am in horrible pain. I can't walk right and am off balance and my back goes in horrible spasams. My attorney has done little or nothing. I am scheduled for a deposition over 100 miles away on Monday March 26, 2012. The pain is so bad, I walk on glass every day and I am not a diabetic. This insurance company has failed to provide proper health care according to the Florida State Statutes and stalled so that I can't go before a Judge.

I've been dealing with sedgwick for approximately 2 1/2 months. They did not begin my payments within their legally allotted timeframe, and continue to "oops, we don't know what happened, so sorry, it won't happen again"; in the past couple of months... "forget" to send my checks. There was a 3 week unpaid span the 1st time, and currently i'm into the 2nd week of the same "oops" on their part. My adjuster won't return my calls, aside from the taped interview at the beginning (Well, 18 days into this, anyway) and last week after like 7 vm from me. I'll get to that. Last month, I fought until I was able to speak with the adjuster's supervisor, whom promised me it wouldn't happen again... It did, and he isn't returning my calls this time either. 2 supervisors, my adjuster, and some type of "higher" supervisor, none will respond to my voice or email.in fact, this time around with the missing checks, adjuster promised me last week that i'd have my checks sent immediately that day via fedex. Liar. It didn't happen. And still, no one will return my calls. Ah, and they calculated my payments incorrectly as well, shorted me quite a bit. I'll bet that was an accident, same as the adjuster entering fictional back to work dates that never existed which continue to stop my checks. They're crooks, I believe, because no one can be that stupid and qualify for hiring at an insurance company. Gonna start calling attorneys today. Did I mention they keep putting off paying my med bills and prescriptions? It's been coming out of my own pocket prescription wise, and stacked bills going into collection. Adjuster said there'd be a separate adjuster for the medical, which is apparently non-existent as well. This is unbelievable. And illegal... I'm going for the guts on this at this point. I've got a family to support on this 2/3rds of my income.

I fell in a hole in the parking lot (not lit very well considering right at doors) at Walgreens on September 02, 2011, while an employee on a smoke break was watching. That employee got a manager and they took pictures, and my info. Sedgwick contacted me later that day, all happy to help me. I have submitted all bills and called numerous times. I leave a message and write down the date and time, but no one returns my calls. It maybe only a serve ankle sprain/strain, but I was off work and lost all my holiday pay. I only ask for my medial bills, lost wages, fuel costs, and for the hole to be fixed before someone gets hurt really bad. Total came up to a little over $5, 000.00. I am now getting bills, It wasn't my fault I fell in the hole that still (to my knowledge) has not been fixed.

Brought all new bathroom... Shower, sink, toilet, vanity, faucet, etc... At home depot... After a few weeks my contractor noticed that the faucet had a manufactures defect. Returned it to home depot along with the vanity & took pictures of the damage to my new bath room... This was aug. 2011, this is the end of nov. 2011 & i'm still dealing with sedgwick cms as a claim svc for home depot. Bunch of liars, cheats, and everything above. Their tactic is to delay, delay, delay!... I havent had a bathroom in my house since aug. 2011 & i'm a returning veteran.
Home depot takes no responsibility for their vendors. I will not shop at home depot ever again in my life, neither will my children, their children.

I had a workers comp claim with sedgwick cms. They and the company chose to play dumb and ask like the claim wasn't really happening. "they were all confused about the situtation". Go figure... That's management. Asked me to use my short term disability in the mean time. We all know what that's about... Keep the claim off workers comp. Gave me grief from the beginning. Don't have this form... Got to send that form. They seem to think everyone has an office with fax, e - mail, built in their home. Most of us just average blue collar people and want it taken care of thru a phone call. Not with this company better be signed with your blood. Keep every fax conformation and every letter in a folder. Sedgwick pays you when they feel like it or calls leaves a message but doesn't tell you what they need... Just to call them back. So calling in is hell in its self. We all know the automated game... But when they answer you have to say all the claim numbers again anyway. I found... I just yell the numbers back to them and they seem to want to get you to "the adjuster". What a real piece of work they are. They fumble thru papers on their desk... Not yours of course. They bluh... Bluh... Bluh. Pretty much about nothing and you wonder why you just called the "devil" himself. The whole sedgwick cms should be shut down but these companies like crooked insurance companies cause it doesn't fall on their books. [ not now anyway ] someday those of us that have been thru the fraud, greed, lothing, #, heartless, # they are... We will be wactching one of those news programs and say "yep they did it to me". Keep fighting and never cave to the cowards they are.

I feel, SELF-insured says it all... Sears Holdings, AT&T, Coke, Pepsi and quite a few other large companies use Sedgwick Claims Mgmt Services. And that is exactly what they do...insure the company they work for (self-insured). They are supposed to follow state L&I laws, but with all the loopholes available to their legal team, the laws are pointless to enforce. And the saddest part of all is that these companies have loyal customers who are blind to the fraud committed by the shareholders everyday with the money spent by the consumer on their products. I will never be a consumer of any product from any company that pays Sedgwick enormous sums of money to destroy the lives of the faithful employees who keep the cash flow going. Google it...Nationwide abuse of our laws, our money, our trust.

Never work for a company that is "self insured" as you will have Sedgwick to deal with if you get hurt. They will pretend to be so helpful and then will stab you in the back. They will do anything legal or not to win the case for the employer. It is just a very bad experience.

I went on FMLA on 1-24-11 through 3-14-11. Sedgwick CMS's claims agent, Christima Muchow, denied the claim from [protected], stating it was not medically necessary for me to be off of work for knee pain caused by a blood clot. My medical doctor is the one who kept me off of work all this time, thereby making it medically necessary as he felt I should not return until 3-14-11. I filed an appeal, the appeal's officer being Stephanie Fontanez. She denied the appeal stating that on 2-26-11 I was seen by a dr for a bladder infection, not a sinus infection. That date was a SATURDAY & I've never had a bladder infection. This information was used to help with the denial. I called this to her attention & she wrote a corrected letter, this time stating that their doctors, one a gastrointerologist, the other an opthalmologist, reviewed my claim & tried to get in touch with my eye dr, who didn't respond. Yet in the corrected letter, she stated that there was nothing wrong with my eye to begin with. Then why did I have to see my eye dr every Monday until an abscess cleared up. She stated that there were not signs of reddness or tenderness. Any time an abscess is present, there is always reddness & tenderness. I appealed her denial, and received a letter from Christina Muchow stating that she had received my appeals letter. Why is she reviewing my case on the 2nd level appeal when she is the one who denied it in the 1st place? All she's going to do is let it collect dust until 7-27-11 & then write the denial letter. Furthermore, I have requested the medical records which they stated I'm entitled to but refuse to send them. Why is they can get away with this stuff? And when I complained to the Director of Insurance, they said they couldn't handle the complaint, the BBB couldn't handle the complaint & referred me back to the Director of Insurance for TN. The company sending the letters is in KY. My complaint was also sent to the Department of Labor, again they wouldn't touch it. Who is over a company that is this bad & who puts fraudulent information in their claim letters, thinking a corrected letter with more fraudulant information will fix the problem? I want to know who to turn to so I can go after them full force for stuff like this. It is legally & morally wrong.

Sedgewick is the worst company to have to deal with. I have been attempting to apply for short term disability and have been turned down both on the initial application and the appeal, even though my physician has informed them that in my current condition I can not return to work. No one at Sedgewick bothered to inform me that they did not receive what they consider adequate information from my physician even though they themselves informed me that they spoke directly with him. Now since they have denied my appeal they tell me there is nothing more I can do and I am out of luck. Well I will continue to fight this until I can fight no longer. Sedgwick is wrong !

I began a workers compensation leave 7/18/08 to have a number of orthopedic procedures that would allow me to regain the use of my mobile parts injured over the years as I also have a number of multiple chronic illnesses, the 2 issues clashed. Sedgwick CMS approved my first 2 years of LTD benefits, although not paying money as my workers comp ttd benefits exceeded the ltd, I remained eligible. As the workers comp injuries and my personal illnesses clashed I went into delayed recovery. In June 22/10 I was informed they would be beginning their review for ltd under the social security guidelines that would begin 1/18/11 if approved. I had actually physically worsened in 10/10. I discovered my examiner had never requested records needed for the review to continue my benefits LTD/LTDH and they would rush it. I offered to help, alll they really requested was ortho, not my personal medical records with multiple diagnosis' covered under social security with the ortho injuries included. The local government I work for CEO's high risk management section oversees the 3rd party administrator and got extremely inappropriate with me today when she said the IME's decision was not favorable and asked about my medical treatment for one of my medical conditions while demeaning another, but they would send me to an orth IME regardless that I saw the workers comp AME yesterday. My doctors give 51% current TTD to ortho and 49% current TTD to my personal medical they are treating the 2 as if they are in 2 diffferent bodies. Without th egregious distress their refusal to request current medical records and take the report of their IME whose physical exam of me consisted of poking me in numerous pressure points on my body and talked about having an illness not in my diagnosis and questioning my knowledge of what my doctor reports I have. I am not a doctor. I have multiple issues and am being treated like a bothersome autopsied "red-tape traumatized" by a maze of loopholes used to destroy our health instead of enhance it to return to a meaningful, honored career.

They play games, lie, and the benefits are sporatic. They don't take care of business in a professional manner, takes a llooonnngggg time for them to approve mri's, therapy, doctor appts., etc... They just don't care about anyone, but themselves. They suck and are the ins. company out there!

I had a roof installed by Home Depot, and it soon began to leak causing damages in my home.
Home Depot took responsibility at the time, and said the leaks were due to faulty flashing around my sky lights, and they gave me their claim Dept to contact, Sedgwick Claims Management.
It has been 6 months of hell dealing with Sedgwick, and I received nothing but stall tactics, and listen to lies.
At first Sedgwick offered us a fraction of their own insurance adjusters estimate. After we declined weeks later they decided to not pay anything, ignore our calls. After hiring a lawyer, they finally replied saying they are sending an engineer to make a determination. That phone call took them a month to make.
After numerous calls following up with Sedgwick to solve this issue, they said they did not like their engineers report, and were sending out yet another engineer. That was pretty obvious as to why.
Clearly the first engineers report was not what they hoped for.
Engineer number two comes out, and his report is an absolute joke and complete nonsense. In this report it reads the damages to my floors is due to the rotting doors. Meanwhile the doors did not rot until the water was coming through the flashing from above! This fact I know because I sat and watched this with my own eyes, and so did Home Depot when putting water hoses all over my roof to find the leaks.
With this bogus report, now Sedgwick claims zero responsibility. It is crystal clear the faulty flashing by Home Depot casued the leaks and damages.
This company intentionally stalls, are grossly unprofessional, and clearly unscrupulous.
All that is written about them online is true. How does the attorney general and INsurance board allow this criminal behavior?!
I am pursuing exposing Sedgwick, and I will fight for my thousands of dollars of damages.
Their hoping I will get exhausted will not work, I am actually looking forward to getting justice for myself, and so many others. online, in court, and in the media.
Shame on Home Depot for allowing them to represent them when they pride themselves on customer service!
And shame on you for knowing the truth, and not having the integrity to stand behind your product!

My car was hit in the front right passenger corner on January 4th of this year, by a gentleman that drove a 7-11 company car. My car was undriveable. A police report was filed and the gentleman resumed full liability for the accident. Unfortunately, the car was insured by Sedgwick CMS. On January 4th, approximately 10am I filed the claim to my insurance company, Progressive. I was informed by my agent that since I only have liability on my car, that I was unable to obtain a rental car until Sedgwick was contacted and a claim was filed. I am 24 years old and in the state of New Jersey, most rental companies will not rent a car to you unless you are 25 or older. This was a huge problem seeing as I had no transportation. Anyway, both my insurance agent and I tried time and time again to contact this company and for reasons unknown, they were elusive. I could not get through to a person, all I could get were machines. After a week of trying, I finally had enough. I mailed and faxed a letter to their main office stating: if they were not going to give me the time of day, I was simply going to contact an attorney. I suppose that sparked some interest and I received a call the very next day. The call was from a man named Nabeel Nasir and he was extremely rude. I was treated like the accident was my fault and I was being bothersome. When in reality, they were assuming responsibility. The only up-side was that Nabeel was able to get me a rental car within a day of speaking to him. I obtained the rental from Enterprise on January 19th. I was told I needed insurance on my rental, again since I only have liability insurance. The gentleman at Enterprise was very accomodating and assured me that Sedgwick should be able to cover the insurance fee. He then tried to contact Nabeel... to no avail. I had no choice but to take his advice and take their rental insurance. I was not directed otherwise by Sedgwick, so I did not see it as a problem. About 2 days go by and I am contacted by Nabeel stating that my car was totaled and that he will contact me the next day with further instructions. No call and no answer when I tried to call until the following week on the 25th. I was told on the 25th by Enterprise that Sedgwick called them and told them they will only pay for one more day on my rental. I was beyond livid at this point. I received no information on my totaled car until I called Nabeel about 6 times in a row that same day. I asked to speak to his supervisor and I was not put on hold, I was hung up on. I never got a call back and could not get a hold of Nabeel for the rest of that day. The next day I took my car back to Enterprise, not wanting to use any money out of pocket. The gentleman at Enterprise explained that he was unable to contact Nabeel or anyone from Sedgwick and unless he could I was going to be charged the $160 for rental insurance. After waiting an hour in Enterprise calling Sedgwick, we finally got him on the line and asked for the reimbursement. He informed us that Sedgwick does not pay for rental insurance and would not explain further. We finally spoke to his supervisor to which she explained they will not pay for insurance, however they will lend me the rental until I had received my payout for the totaled car... but they still WOULD NOT pay the rental insurance. Thankfully, the gentleman at Enterprise had a heart and told me I did not have to pay for the insurance.

Overall, I felt I was ignored and treated very poorly by Sedgwick CMS, even though the accident WAS NOT MY FAULT. I hope no one ever has to deal with them again.

Although I have two notes from physicians releasing me from work due to knee pain after having hospital tests and cortisone shots, Sedgewick denied my disability claim . I pay monthly for short term disability which I will cancel soon as it apparently is a waste of money. I had an excellent work record until they refused to acknowledge my medical release notes for this physical pain experience.

This company has given us nothing but grief with it's constant delays, lies, and failure to pay claims. My previous doctor dropped me because they could not get payment for services / medications. The claims worker claimed for 4 years that she could not find my file everytime I called. I finally had to go to previous doctors and track down all the records myself and give her the information in order to get medical treatment for a back and neck injury that left me at risk for quadriplegia.

Once I got the OK, I could not find a doctor to take my case and they finally supplied me with a list to search for a doctor. I have had 5 surgeries on my back and neck and anticipate more in the near future. EVERY TIME I go to the designated pharmacy for my prescriptions, I am told that Sedgwick has denied payment and I have to call the worker to get a response from the company. Some medications require continued use or weaning, or the patient can suffer serious consequences. I have suffered nerve damage, loss of feeling, limited use of limbs, and as I said earlier am in severe pain and at risk for quadriplegia. They don't care. I am lied to constantly and my communication is ignored until the point of frustration and feelings of hopelessness.

My claim was settled to provide me with lifetime medical in leiu of a cash settlement, yet I was deprived of treatment from them for 4 years and had to pay myself at Urgent treatment centers and county med clinics and county hospital. It's unfortunate that I must file this complaint and pay from my limited income and taxpayers paid for the treatment that Sedgwick is responsible for.

I have been lied to so many times. They say after all this time that I need a prescription card. They said they had sent it to me at my parents address. (A lie) I have received other correspondence from them at my current address where I have lived for over 5 years.

I have confirmed my correct address over and over again. I waited for these cards and what happened? They sent a letter to my parents address asking if I wanted my scrips sent to me by mail 3 months at a time; no prescription cards like they said they were sending. More lies and tactics to thwart my treatment. Why did I not receive any prescription card? Why did the pharmacist say that they have problems with Sedgwick all the time? The pharmacy had never asked or required a card from me in the past.

Now I try to reach my claim worker and of course she is out of the office until the end of the month. I sent e-mails, and was advised of this. I then sent it to her supervisor and she too was out of the office. Their lies and efforts to delay and thwart my treatment is very stressful, which increases pain and impedes my recovery. (My last cervical spine surgery being only 2 months ago).

I looked online to find a number where I could reach someone to OK my medication. I found page after page of complaints against this company.

I also discovered that my brother in law has this same company and he has been suffering greatly for years trying to get approval for treatment and surgery. Because of his disability and the poverty that follows, he lives in a travel trailer at a campground, and in winter rents a room, needing help from family to survive while he waits and hopes to be able to work again someday.

Something must be done about these greedy insurance companies that fail to have any compassion towards people who are sick or injured and need help. Instead their tactics cause needless stress and additional pain and suffering to those who depend on them for help.