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Business Profile

Insurance Claims Processing

Sedgwick CMS

Headquarters

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

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Sedgwick CMS has 47 locations, listed below.

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    Customer Complaints Summary

    • 497 total complaints in the last 3 years.
    • 169 complaints closed in the last 12 months.

    If you've experienced an issue

    Submit a Complaint

    The 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.

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    Complaint status

    Complaint type

    • Initial Complaint

      Date:04/20/2025

      Type:Service or Repair Issues
      Status:
      Unresolved
      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 has been filed for auto damage at a gas station through this organization and I've not heard from my examiner or nothing has been resolved in this matter it's been over 45 days I ended up having to pay for the repair out of my own pocket .

      Business Response

      Date: 04/24/2025

      Thank you for the opportunity to respond to the complaint filed by Montana ******. 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 Montana Knight 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 Montana Knights complaint. 

      Again, thank you for the opportunity to respond and clarify,as able.

    • Initial Complaint

      Date:04/20/2025

      Type:Customer Service Issues
      Status:
      Unresolved
      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.
      7-25-2024 On the job injury. ************ non compliant employer. Claim turned over to sedgwick after investigation. Claim accepted in Dec2024. One month benefit check paid for time loss. No payment since and my life has fallen apart . I am unable to work and the claim adjuster is imposible to deal with. I have no means to seek another Dr.that suits her because i live 30 miles from one and am broke . Hence 1 check in 10months. I dont see how they think this is acceptable treatment.

      Business Response

      Date: 04/24/2025

      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, (State of Oregon/DCBS,Non-Complying Employers).

      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:04/16/2025

      Type:Service or Repair Issues
      Status:
      Unresolved
      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 claim with Sedgwick on march 12th 2025 with my first day missed from work of march 14th 2025. I was given false information, misleading information and the worst possible experience ever. My ** sent in restrictions that my job were unable to accommodate. I should have been placed on short term disability immediately, instead i was off work with no pay while Sedgwick processed my claim for a whole month. I had to call every single day because nobody was doing their job. I finally got an approval on April 10th 2025 and was told it would be sent to my job. As of Monday April 14th i still hadnt received payment so i called again and was told it would be pushed through. Yet again the examiner didnt do their job and was unaware it needed a supervisors approval. So here we are April 16th and i still have not been issued payment. I am now 30 weeks pregnant and very stressed. I have another child at home and unable to maintain because of this prolonged process that could have been avoided had the agents did their job or even knew how the process worked.

      Business Response

      Date: 04/18/2025

      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:04/12/2025

      Type:Customer Service Issues
      Status:
      Unresolved
      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.
      My short term disability ended 12/16/24. My long term disability began at at that time. I am only receiving about 25% of my benefits because Sedgwick Examiner ***** **** ************** has not given me my Ending Letter Statement showing my short term disability has ended. I have been requesting it for 1 1/2 months and have not had any response back and everyone in her office says only she can do it. It has caused major stress to my family and I , and I cannot pay my bills.

      Business Response

      Date: 04/14/2025

      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 ***** Moberlys complaint. 

      Again, thank you for the opportunity to respond and clarify,as able.

    • Initial Complaint

      Date:04/11/2025

      Type:Product Issues
      Status:
      Unresolved
      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 been trying resolve a liability issue with Sedgwick Claims but their Adjuster has consistently been avoiding me. Not returning emails or calls. The Adjuster is ***** ******. According to previous class actions against this company this is a tactic they use to delay the process. I am a disabled veteran who has been patient but something has to be done asap. Her email is *************************************** and the only contact number I have is ************. Please help.

      Business Response

      Date: 04/14/2025

      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:04/08/2025

      Type:Service or Repair Issues
      Status:
      Unresolved
      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.
      want to escalate my concerns regarding the negligent handling of my claim (#4A2410G30TY-0001) a semi-truck accident on October 10, 2024. Despite my cooperation and adherence to Sedgwicks requirements, the prolonged delays, lack of communication, and inadequate settlement offer have caused catastrophic financial and operational harm to my business.### Summary of Key Issues 1. Unjust Delays:- Despite submitting all requested documentation (photos, video evidence, invoices, and trailer plate details) promptly after the incident, Sedgwick took six months to issue a settlement decision. This delay directly prevented me from covering critical business expenses, including a $2,500 deductible, and forced me to secure a Penske rental unit at significant personal cost after 15 days of waiting for liability confirmation.2. Failure to Honor Commitments:- Sedgwick representatives repeatedly assured me that rental expenses and lost income would be reimbursed upon claim resolution. However, the $10,000 settlement offer grossly disregards documented losses exceeding $50,000, including:- Lost contracts due to canceled broker agreements.- Penske rental fees incurred to mitigate operational disruptions.- Income shortfalls from business closure.3. Bad Faith Claims Handling by ** ******:- Mr. ******* the Liability Claims Team Lead, has consistently ignored submitted evidence, failed to communicate updates, and refused to acknowledge the financial impact of Sedgwicks delays. This conduct violates basic standards of good faith claims processing under Florida insurance regulations.

      Business Response

      Date: 04/10/2025

      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, (AIPSO).

      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 Thamer Moqdadys complaint. 

      Again, thank you for the opportunity to respond and clarify,as able.

    • Initial Complaint

      Date:04/07/2025

      Type:Service or Repair Issues
      Status:
      Unresolved
      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.
      Floor was damaged when a refrigerator was delivered by RentaCenter. Their insurance company requested info which was sent. Then I emailed and called repeatedly and cannot get ANY help!

      Business Response

      Date: 04/10/2025

      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, (Rent-A-Center).

      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 ***** Battaglias complaint. 

      Again, thank you for the opportunity to respond and clarify,as able.

    • Initial Complaint

      Date:04/06/2025

      Type:Service or Repair Issues
      Status:
      Unresolved
      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 for Short Term Disability. I wasnt paid initially at 80% and I told this to *******, who was the examiner. I received an email from ******* on 2/27 stating I needed to turn in additional medical records by 3/4. I responded about the email and how should I do this. Never heard from ******* from that day or this one. I later received an email from ***** stating my benefits were denied bc I didnt turn in documents. Which was a Holiday in my state so no one was open to assist me. ***** stated I could appeal the decision. I submitted an appeal and later received a letter stating I was actually denied bc my health records didnt show that I couldnt perform my job. Since that time, I have sent it records over 10 times. Only to constantly be told they didnt receive the records. I have been hung up on, not transferred to management and given the run arounds. I was told by another examiner ****, that my records were in fact received but no one checked all of the documents. I have been stressed out due to this job, hair loss and other health issues. This has further exacerbated my symptoms. Im now told by ******* that there is a process and I still have go wait. Despite, their mess up. I havent been paid since Feb 20th. Im tired of being inconvenienced. Not to mention I was given more than one fax number. ******* stated she has no idea about those fax #s so I have my personal records out in limbo land. Ive reached out to management several times and nothing has been done to process my claim expeditiously, considering they have had my records for the last 3 weeks and said they didnt.

    • Initial Complaint

      Date:04/01/2025

      Type:Customer Service Issues
      Status:
      Unresolved
      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.
      We are a couple who moved all our things into a:Public Storage ******************************************************************************** 01/28/2024 into Space # *****We own two cars: ************ Tundra and a ************ Civic.Our unit was broken into on 08/14/2024.Claim was filed the same day. Preliminary paperwork was filled out and sent in.We've provided documentation of our vehicles. Our lock was tampered with and unit was burglarized and as of today(02/10/2025) the claim is still showing open and pending investigation.We've made multiple calls and Sedgwick-***** ****** who was assigned to our claim *************]- states they needtwo get a hold of the detective (Detective ****** of the ************************** Phone: ************) to answerquestions. We've called the detective multiple times and he's mentioned he's called them back and that it would be betterif they left a message with the questions).

      Business Response

      Date: 04/02/2025

      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 ***** ****** complaint. 

      Again, thank you for the opportunity to respond and clarify,as able.

    • Initial Complaint

      Date:03/31/2025

      Type:Service or Repair Issues
      Status:
      Unresolved
      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 have rented a storage unit from Public Storage for the past four years. ********************************************************************************************************* October when I was retrieving two pieces of furniture I noted that a majority of items in my unit had mold damage. I was paying $560 a month for a climate controlled unit so I immediately contacted the owner of Public Storage and was encouraged to file my claim with Sedgwick at the end of October and I moved all my items out of the unit (most had to be donated or taken to the dump) since they were damaged. I also discovered rat droppings at the front of the unit and damage to two chairs from the rats. I documented everything and submitted to Sedgwick back in October but continue to receive the run around as to why my claim has not been processed. I have contacted Sedgwick at least a dozen times and asked to have my case reviewed by a manager but have never received a call back despite leaving numerous messages. The last call I made the customer service representative indicated that they had not been able to get ahold of the owner of Public Storage to verify the date of damage. I indicated to them that I moved out of the unit on October 15th and most of the damage was discovered then. I want to make sure that another customer does not have to go through what I have these past 5 almost 6 months. I am just asking to be reimbursed for the amount of insurance that I had taken out, despite the fact that my damage exceeded the $5,000 of insurance value.

      Business Response

      Date: 03/31/2025

      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, ****************************** 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 ******** ***** complaint. 

      Again, thank you for the opportunity to respond and clarify,as able.

      Customer Answer

      Date: 04/01/2025

      They absolutely are handling the complaint and I have talked to 12 different individuals about it! When I filed my loss claim, it was assigned to an agent with Sedgwick, so you are clearly misinformed.

    Sedgwick CMS is NOT a BBB Accredited Business.

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