Sedgwick Claims Management Services’s earns a 1.4-star rating from 396 reviews, showing that the majority of claimants are dissatisfied with claims handling process.
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accident claim being stonewalled
I suffered an accident in a Target store on August 17th, 2019. A ceramic mug fell and shattered on the floor and sliced my foot, even though I was completely on the other side of the aisle. I required stitches and follow-up care. My sandals, rather pricey because I need the support due to health issues, were ruined. I am on a very limited income and asked for my costs to be covered. It initially took about six weeks from the time of the incident and getting a decision from Target, but at that point I was told that my claim was valid and would be covered. I was told that I needed to send in my bills in order to get a settlement. I emailed them immediately. Now, almost a month later, I cannot get a response. The claims adjuster, Mercedes Oquist, went on at least two vacations during the initial investigation phase and told me in extremely rude tones that no one else could help me while she was gone and that she herself wouldn't handle it until the end of the legally mandated thirty day period. Now she won't answer phone calls or respond to emails. My initial medical bill is past due and the later bill is due in a week. I am not asking for anything more than reimbursement, which is approximately $500.
claims for loss of over $10,000 of furnitures
I sent in my claim and on July 30, 2019. Alyssa Thiessen was assigned to claim, I have 2 storage which I have insurance on both of them and was paying my fees, when I return from my trip from Miami, I found out there both unit at the public storage Union in Los Angeles at 2500, w sixth st, has suffered loss (burglary) damages, I bring that to the attention of the property and they informed me about what step to take, which is to file claim with my insurance, I did that right away, get the police involved, get the copy and send all the inventories, and pictures and info that was ask of me and I got a reply acknowledging the receipt of my documents but they said the copy of police report that was given to me is not valid, we have to file for the official police report, according to the LAPD website, it says abstaining a police report takes 3-5 weeks, but since I sign the documents they sent me to obtain the report, it been over 2 months now, anytime I asked about updates, Alyssa Thiessen won't have any for me, both claims nothing, so I am asking and beginning for your help with my case, I have loss everything have worked for, for 4 and half years coming to America.
property damage
This is the worst company when it come to fix a mess up from amazon. I have been real patience with this issue and the more I wait the worst this gets. I do not get call backs - emails - in a reasonable time frame I have 2 months with this issue . This are the persons that are giving me the run around . I think that getting and attorney will be faster.
Means, Deeann
Casey Kerwood | Claims Examiner II - Liability
Sedgwick Claims Management Services, Inc.
Direct 503-412-3956
Fax 503-412-3990
Email Casey.Kerwood@sedgwick.com
www.sedgwick.com | The leader in innovative claims and productivity management solutions
Dear Montoya Family,
Did you get your situation resolved? I'm having similar issues with sedwick.
T
cannot get info on my claim
Aug 7, is the day of my injury. I spoke with my claim advisor and told her what had happened and all the doctor information. she was suppoed to call me back to let me know how much and when i would recieve my first check. its been 3 weeks, i have no check and also iam waiting for her to approve my MRI. Which the dotor has tried serveral times to reach her to get the MRI approved and no answer and also no call back. I have also tried several several times to reach anyone with the company but still no answer from anyone. I just need to know what is goin on so i can do what i need to to get back to work.
handling of lowe's fmla by sedgwick claims
Employee with Lowe's
Harrington A. Henry
Claim # 301930763920001IFN
Re the above referenced number, my son & I have sent in 3 completed FMLA forms from Sedgwick within the last month. Same exact forms have been completed by my son's Nephrologist & emailed, mailed & fax to Sedgwick multiple times.
Today 8/19/2019, we received the same form saying the forms need to be completed a fourth time.
The Nephrologist isn't just sitting in his office waiting to complete forms for my son's job. This is beyond ridiculous, Sedgwick staff needs to learn what FMLA paperwork is about and learn how to do their jobs. This has now become harrassment & it needs to stop. We have submitted all forms, doctor notes & hospital papers, enough already.
Is this a tactic of Sedgwick & Lowe's to frustrate their employees to the point of quitting their jobs?
This is harrassment & discrimination by Sedgwick Claims. This issue must be addressed immediately.
I am a paralegal social worker & I work for the State government, this is not how FMLA works. We are sick & tired of dealing with crap from Sedgwick. Fix the issue already, my son is trying to recover from his recent hospital stay due his CHRONIC ILLNESS, which he has to deal with every single day of his life. I will continue to file complaints with governing boards until this issue has been resolved.
I'm am having the same issues with Sedgwick. It seems to me that they are making it more difficult to take time to care for your family and potentially trying to bypass the rights afforded to workers via the FMLA. It makes me wonder if businesses are asking them to do this.
insurance claim
mk/3/bn/[protected]) Broker ref: 6541592 Sedgwick ref: 6983879/LBCJ-PLPD-HUB Dear Sir/Madam I am absolutely disgusted and appalled by the service that I have received from Sedgwick Uk and Andy Cook, Casualty Adjuster. Aqualisa, a client of Sedgwick, provided me with a shambolic service which caused plenty of damage and cost. To put the story a...
Read full review of Sedgwick Claims Management Services and 1 commentshort term disability claim/appeal
I began short term disability on May 5, 2019. All office notes were sent over after each office visit. I have been continuously contacted to send more information and promised that a decision would be made as soon as new office notes were received. I have called my case worker over and over and have been promised a decision would be made, but days and days turned into weeks. When a decision came, a month later, my claim was denied. I immediately appealed, although the appeal worker claimed that he didn't receive the claim until more than a week later. I have spoken to my appeal worker, his supervisor and all they can say is that they need more and more and more information from my provider. This is ridiculous. I am a single mom and have not received ANY form of pay since April 2019. HCA is paying for Sedgewick to pay out on short term disability claims and Sedgewick is deliberately not paying out on claims. I work in a medical office and we have never seen a short term disability claim take longer than a week to be settled. Employees deserve to be treated with respect and to have their claims taken seriously and settled in an efficient manner. This is a disservice to me and my family.
communication
NAME: Kenneth Yescas DOB : 04/10/1942. Claim Number [protected] DOT 12/1996 - 09/1998 - 01/1999. Disability retired Oct 2000 from the Los Angeles County Public Defender's Office.
Since the transition from TRISTAR TPA to Sedwick, I have tried numerous times to call and find out who my adjuster will be. I have yet to have someone to pick up the phone. My issues are time sensitive since I need to refill medications for my heart and back, and my Pharmacist has to know who to call for authorization. In addition I need authorization to see a pain management doctor in the Lake Tahoe/Truckee area. I also need your mileage claim form emailed to me in pdf form at: [protected]@outlook.com.
This is Saturday 07/06/2019. Please have someone with a modicom of intelligence and knowledge of their job at (775) 220-6344
loss of my private medical information
I have done above and beyond what they have asked for. My last primary Dr was harassed by them. She kept filling out same documents over and over and to be certain my husband also faxed the same information. I've been on leave dealing with degenerative disc in upper and lower back. As well as cyclic vomiting, Complex PTSD and of course severe depression. Sedgwick has denied me over and over again. I just had surgery on my neck on June 17 and will be having surgery on my lower back later this year. I was belittling for sending in a very huge medical file that living on 1 budget I couldn't afford the printing nor the postage. They have been extremely harassing and refuse to listen. I still cant believe that even with surgery pictures etc is still denied
denial of my std disability claim b825024715-0001-02.
Hello. My name is Cleveland. I work for AT&T. Sedgwick CMS is my employers disability carrier.
Recently I've experience some very bad health news. My Kaiser doctor requested a modest amount of time off of work for me from 5-3-19 to 7-3-19, and provided all clinical notes, blood test ect., so that I can manage this serious health issue of mine, Stage 5 Kidney failure. At present, I have difficulty walking and am in constant pain. I've undergone PD catheter surgery and will need to start dialysis in a week (for an indefinite amount of time), once I'm healed up a bit more.
AT&T IDSC / Sedgwick CMS only approved my claim from 5-13-19 to 5-29-19. That's not nearly enough time for me to regain my ability to work.
I've requested on several occasions, a call back from a manager at Sedgwick and I've yet to hear anything. My next step is to obtain the assistance of lawyer.
ctw3@pacbell.net
Wasnt there a big lawsuit that was filed against AT&T and Sedgewick? Google it
workers compensation insurance claims check for $8000 I have still not received via mail or direct deposited.
Date of injury: 11/13/2019. My name is Jennifer Elaine Patterson. My claim number is [protected]-0001. I was injured working at Amazon.com, INC. @ 4185 Temple City Boulevard SUITE D. In El Monte, CA 91731.
I have been getting worker's compensation perfectly every 2 weeks since November 21/22, 2019 Thanksgiving 2019 when I was injured. My checks that were mailed to me at both of my residences were never lost in the mail.
They always arrived on time every 2 weeks; while I attended physical therapy for my 513 knee injury; & after I attended physical therapy for my knee. From Sedgewick Walnut Creek in Lexington, Kentucky and American Zurich Insurance Company P.O. Box 66946 Chicago, Illinois 60606.Jennifer Garvey Claims Adjuster.
On April 03, 2019 I won my Settlement with Amazon and Amazon court ordered that a check for $8000 be sent to my residence on April 03, 2019. The check never arrived. So the check was cancelled on April 11, 2019 and re- issued. To be sent to my work at LA Fitness at 920 Freemont in Alhambra, Ca. I also made an account t on mysedgewick.com for my check to be directly deposited into my account on April 11, 2019; and Jennifer Garvey requested that the check be directly deposited on April 11, 2019. The check was not directly deposited. The check was re-issues on April 23, 2019; which Jennifer Garvey told me over the phone on April 23, 2019; plus she sent me an email verifying this on my gmail.co
Account. She said over the phone and email that the check would be sent to my job at La Fitness. Amazon worker's compensation also approved and said my check would be federal expressed to my job on April 24, 2019. I still have not received my settlement check and my other worker's compensation checks were never ever lost in the mail at both of my prior addresses. I want someone to expedite the process of my settlement check to be sent to my job at La Fitness. This is embarrassing for all three companies when an injured worker doesn't receive the settlement check like the court documents stated on the specific date I should have received it; especially when all of my other check from November 2018 have never been lost in the mail or compromised. Please help me. Today is April 24, 2019 Wednesday. Thank you. Jenny Patterson❤️👍✌️😭🏦🏦🏦🏦🏦🏦🏦🏦🏦🏦🏩🏩🏩🏩🕍🕍🕍🏛🏛🏛🏛🏛🏛🏛🏛🏛🏛
auto claim, i'm not getting any help at all with my claim. will not return phone calls.
On Mar 4th I was involved in an auto accident with one of your clients. I call his insurance company Old Republic Ins Comp policy # MWTB 313946 and filled a claim, # [protected]. I was connected with Sedgwick the agents name is Dewane Wimbley out of Pompano Beach Florida. In the last five weeks I've called him about ten times he never answers the phone and I have left a message every time with my name, ph # & claim #. He has returned one call and was of no help. I need to get my car repaired but Mr. Wimbley won't return my phone calls. I called and asked to speak to a supervisor, I was told to leave a voice mail with a person named Robin, I did and have not received a response from her. Its been over five weeks and I am getting no help what so ever from Mr. Wimbley or Robin the supervisor. I have contacted my insurance and they have tried to help me with this problem, AAA agents name is Jennifer Clapp ph # [protected]. She said the same thing that she called Mr. Wimbley and was not getting any response from him.
I would appreciate any help in this matter.
Kurt Schwab
Ph# [protected]
E-mail [protected]@yahoo.com
Segwick manager and staffs has some working ethic and working attitude problems. They had no sense of what the world is moving on. They only worked in their own small group and hang out with the actress Goldie Hawn and Actor Tom cruise.
Last time, I asked to advise and information of visit the doctor or not that was invited by sedgwick. They said is covered, but it is not later on receiving a bill. A lot of people did much better than them. This is a waste and delay of time. They just open the arms and later is wrong and you pay the bill? I don't think so. I think if you make wrong instruction and advise. Depend on the incident lost. YOU go to jail. They are very careless. And always waste people money for not listening well enough of people/or adult questions? During his /her job duties. They just pretend peace like a kid and get pay check.
Then who do the job. If they kept on take wages and make a party of their own and do it every working day pretend is there house at home.
process claims handling and denial
Was on short term disability, Doctor released me to go back to work 4 days after leaving his office.
My claim was denied because agent indicated that the doctor had not indicated why I could not return the following day instead of the 4 days late he wrote on my release to work papers.
I was not informed that the doctor had to indicate this nor was I notified of this until after I had returned to work 4 days later.
This occurred on Tuesday February 5th, 2019 with a return to work on Monday the 11th. I was notified of the denial on the evening on Tuesday the 19th of February.
This is activity continued all during the time I was off, with customer representative during the entire time I was off on medical.
With them telling I had to stay in contact with their offices because they were short handed.
I feel this is unfair how this claim was handled and the 4 days I'm being denied was unfairly handled. I was never informed I had to inform my doctor of what to indicate with Sedgewick.
On November 6th I had surgery to have might right knee replaced at Bountii Clinic in Effingham, Illinois. I feel I was unfairly harassed by the office of Sedgwick during this time, while trying to recover. I tried to keep them informed of my progress as best I could not knowing that I had to supply information in a particular format.
Have re-contacted my doctor and asked if he would resubmit the information this time with the reason why I could not return to work immediately and explain why a 66 year old man need 4 more days to recover from a total knee surgery.
Sedgwick I feel harassed my the entire time I was off, for no good reason but to let me know they were watching me
delivery
Sears delivered a refrigerator. 1 1st delivery broke my screen. Forced the screen opened and pulled the screws out of the doorway. At the same time fridge came dented.
Delivery people came back after fighting with then about the sent. New delivery people took of freezer door and replaced it. When replacing the door they broke water line under the door. I complained about the leak. Deliery company was suppose to order the part. They did not tell me if ordered. They said fridge was out of stock. After fighting with Sears they brought another refrigerator. When removing the refrigerator we found the pantry was damaged from the water. Sears will not handle it. Sends me to delivery company who will NOT return my calls. I am now fixed to use my insurance and pay my deductible and increased rates. On top of the stress and b.s. they put me through. There was not a way to shut off fridge water so we had to turn off main kitchen water which was a major inconvience. Sears does not care. People speak broken English and hard to get my point across to them. They offered pints for dented refrigerator. What a joke that is. I wont be back!
wc claim
I was injured on the job at Family Dollar, store # 3432, in West Point, MS. and a manager was suppose to file an injury report on Dec. 4, 2018. I had called the nurse help desk, which is required, and they told me that I could not file the report myself, and that a manager would have to. She was suppose to have done it that day. The nurse help desk told me to go the ER at OCH, Starkville, MS, which I did. I need to know if you have that report. Thank you. Kathy Santana [protected]
car starter installation gone terribly wrong
Appointment was on Thursday January 17, 2019 at 9:00am At Best Buy #434
4707 Valley View Blvd, NW Roanoke, Va 24012 Phone 1-540-362-4080
Arrived before 9:00 I was the first appointment scheduled The technician checked my ticket and saw that the car starter that he was to use was not in stock so he went into the store and got a different starter and said this would work. I told him I could reschedule he said no this one would be fine. He said it should take about an hour so I left for about 45 min and when I returned I noticed the frustration in him as he was trying to get it to work. I sat for another hour and who I assumed was the manager of the department started trying to help. Both of the technicians kept going back and forth to check the computer for information and also tried calling the number for the car starter help line. I told him if there was a problem to stop and I could order the one I was originally suppose to get he said he would figure it out. Now it's about 12:00 pm the next thing I knew he started throwing tools out of the car and started putting the car back together. He informed me the side camera was not working and I needed to take it to dealership get them to fix it cause he had broke a connection he said to bring him the receipt that Best Buy would pay for it. The remote to the car also wouldn't work. Trusting his word he gave me a refund for the car starter he couldn't install and I paid for another kind and made an appointment for Jan 24, 2019 I called Haley Toyota the first appointment I could get was Monday Jan 21, 2019. My car has been there since Jan 21, 2019 at Haley Toyota 1530 Courtland Road Roanoke Va 24012 Phone 1-540-345-1666 waiting on someone (adjuster) to come look at the damage needless to say there has been no communication from either the Insurance or Best Buy to let us know what's being done to resolve this major problem. Toyota found that the main wire to the computer had been cut along with other wires and said that it was the worst they ever seen someone do trying to install a starter. Toyota and myself have made many attempts to try and get answers but no one ever returns our calls. My claim no. is [protected] Susan Barton 615 Thornblade Way Blue Ridge Va 24064
phone no. [protected]
The pictures enclosed are of the actual damaged parts and wires. They haven't been touched or replaced waiting on Insurance adjuster so I've been without my car since Monday Jan 21, 2019
Thank you
customer service
Absolutely HORRIBLE customer Service. HORRIBLE
Claim # L1818145054.
Since Dec 14th it has been silent on Sedgwick customer service. When you do FINALLY speak to someone, they tell me that she will email or call us the next day with a update. NOTHING. I called a few days later to speak to her supervisor left the supervisor a voice message for a return call, NOTHING. 3 days now of leaving a polite message with the supervisor and a HOPE for a call back. NOTHING.
The motor went out of our dishwasher & it is still under warranty. I called SEARS & set up an appointment for a tech to come & troubleshoot the problem. He then orders the parts & says he will be back. When the parts come, I schedule a new appointment with a SEARS tech. The tech comes to my home & proceeds to damage my property & my dishwasher! 1st, he breaks the wooded trim beside the dishwasher door by pulling it off & a nail went through the woodwork trim, 2nd, he doesn't lower the dishwasher down far enough under the counter to easily pull the dishwasher from it's spot under the cabinet, so instead of it easing out, this guy wrestles/manhandles it from its spot! In doing this, he broke the water copper compression fitting that goes into the dishwasher! He then proceeds to scratch the front door of my dishwasher! How in the world he does this is beyond me as my husband & I didn't stay in the kitchen to watch him work, (something we wished we had done now). So now we have a leak, broken trim board & scratches on the front of my dishwasher ALL caused by this technician that SEARS hired to come to my home! I had to call a plumber immediately as the leak needed fixed ASAP. Oh & this tech guy, who said he doesn't know a thing about plumbing, proceeds to try & tell us what we need to fix the problem!?! I mean seriously?! You broke the copper fitting & said you don't know how to fix it, but yet you want to give us advice on how to fix it?! So I get a hold of SEARS & make a formal complaint. This Sedgwick company calls me after a week & starts a claim. Now, at the time I originally called, I didn't know about the broken trim board or the scratches, so when I talked to Sedgwick, they stated that these items weren't in my original complaint, so they didn't believe the tech caused the problems!?! WTF?! They are willing to pay for the plumber, but not the broken trim or replace the front of the dishwasher! Basically these people are calling myself & my husband liars for saying what this guy damaged! We are NOT LIARS! We work hard for our money & demand respect to our home & property! By Sedgwick not honoring, or believing me, I will have to figure out a way to fix the trim & just live with the damage to the front door of my dishwasher. I WILL NEVER BUY ANOTHER SEARS APPLIANCE AS LONG AS I LIVE & I WILL DENOUNCE ANY SEARS PRODUCTS TO ANYBODY WHO ASKS ME! What good is a warranty if the guy who comes to fix it, damages it worse than what it was to begin with? I will also never buy another extended warranty that uses Sedgwick as their insurance carrier as they think everybody are liars! Oh & the tech ordered 2 parts to fix the dishwasher & then proceeds to only install 1 of the 2 parts he ordered? So what, may I ask, did he do with the other spare part? Keep it for himself? If my dishwasher didn't need this spare part, why did he order it to begin with?! So now, in September when my warranty runs out, & this part that the tech took with him goes bad, I will be screwed again!
refrigerator
A claim was filed on a refrigerator delivered to me by Sears. The I.D. # is -3633754. We requested a discount for a large, visible scratch. It was reported same day of delivery. My name is Anne Marie Ray. Phone number is [protected]. It was the second damaged refrigerator deliverd to us. The first one was returned but we had to take the second one as our old fridge completely conked out and we wanted to save all our food
wrongfully denying my claim
I went out of work with United Heathcare for severe depression on 10/17/2018. Later that month after I was still feeling down I went to see my physiologist who kept me out of work until 12/04/2018. I reached out to Sedgwick to start my disability leave and my dr filled out all of the required paperwork right away, sent medical notes and also sent visit notes after every visit. Sedgwick took their sweet time reviewing my case and after it had been over a month they then decided to deny my case stating my medical info did not support my disability. My dr informed Sedgwick that when I am severely depressed I become very lethargic, moody, I am unable to focus orthink clearly, teary and soft spoken, and have severe migraines while under stress. They stated that with these symptoms they didn't see a reason I was unable to do my job .. which includes speaking on the phone all day with providers handling sensitive member info.. I then filed an appeal to further explain my symptoms with that one of their drs attempted to call my dr just one time and was not able to reach her . He left a message for her that was unclear she was not able to understand the drs name or the call back number to reach him and discuss my case. She then reached out to me to see if I could get a call back number from Sedgwick but when I called them they didn't know anything ! My appeal was then denied stating they didn't have enough info because they were unable to speak to my dr. This is so unfair I was out of work for 6 weeks and did not get paid a dime.
personell property
This company refuses to pay the full value of my personnel property and out of pocket expenses due to their negligence. I have provided all documents and pictures for my personnel property and I am getting the run around about my claim. Accident date 11-01-18 sedgwick is handling this matter and agree to pay only 250.00 for my personnel items. I payed out of pocket over exceeds that amount. Pease look into this matter asap. I can be reached at [protected]
Marlene jones
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Sedgwick Claims Management Services emailssedgwick@sedgwick.com100%Confidence score: 100%Supportpatrick.lunn@sedgwick.com94%Confidence score: 94%management
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Sedgwick Claims Management Services addressP.O. Box 171816, Memphis, Tennessee, 38187-1865, United States
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Sedgwick Claims Management Services social media
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Checked and verified by Janet This contact information is personally checked and verified by the ComplaintsBoard representative. Learn moreSep 06, 2024
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Slip and fall case unprofessionaly handle management claims departmentRecent comments about Sedgwick Claims Management Services company
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