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Business Profile

Insurance Claims Processing

Sedgwick CMS

This business is NOT BBB Accredited.

Find BBB Accredited Businesses in Insurance Claims Processing.

Reviews

Customer Review Ratings

1.04/5 stars

Average of 104 Customer Reviews

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Review Details

  • Review fromLaronda W

    Date: 10/29/2024

    I don't know who this company is but I'm about to file a complaint with several entities on this company. They are used by ***************** for short-term disability. I have been dealing with them for the last 5 months trying to get them to repay my FMLA and my short-term disability. After they had messed up their representatives put reports and case information and wrong cases and reports. this has been a nightmare and then I get this off bill from ******** stating that I have to pay back $142 and I am not a New York citizen. I'm in a different state, there's something really off and wrong about this company and they should really be
  • Review fromRick E

    Date: 10/25/2024

    If their computers could talk to others They may be more productive And professional If they had the skills to do their jobs correctly and be willing to do their skills to their fullest More people would have a better understanding
  • Review fromTim P

    Date: 10/15/2024

    Absolutely the worst company I've ever dealt with. Every phone number in my state is not in service or disconnected and the wait time to file a complaint with my workers comp claims adjuster was upwards of half an hour. NEVER use this company's services. I've called my adjuster 9 times over the last month and I'm sent to voicemail every time. I've left messages politely asking to be called back along with clearly stating my number and my phone has been silent since I filed the claim. If I could give this company less that 1 star it wouldn't be enough. I have spent the last 3 hours calling any number related to Sedgwick I can find and every number has been a dead end. Absolutely atrocious customer service as well given that they hung up on me after their phone rang once. There is no one to contact and they clearly dont give a s*** about their clients.
  • Review fromRita W

    Date: 10/08/2024

    Contacted me to investigate a Shipt shoppers fake complaint that I damaged the door, but wasnt going to actually do any investigation at all; they wanted my information and assumed I had damaged a garage door. I would 100% remember if I had been in an accident, plus there is zero damage to my vehicle. Complete sheisters.
  • Review fromjames s

    Date: 08/27/2024

    Awful is such an understatement. When I have to bill other MCOs, they simply pay within 3 weeks. With Sedgwick, it takes a month or two to find out that they are fabricating a reason NOT to pay, if they indeed respond at all. This can go on for a year of making up new nonsense every time, then they try not to pay since it's been a year. 100% of the time, there are problems. Even if they pay, they only partially pay or act like the same date is listed for each billing date- when they don't even look a little alike. The hope is that you won't notice or bother to resend the bills. Complaining to *** won't help, either. They are simply allowed to behave this way with impunity. It's literally criminal.
  • Review fromChris F

    Date: 08/16/2024

    Do not ever work for this company. They have inexperienced ppl on place trying to tell a seasoned adjuster how to do a claim.. for example, the policy lang is the same lang with other carriers for some reason Sedgwick ppl doesnt comprehend that.. **** poor leadership.. a very unethical company. You cant follow policy lang thats against law.
  • Review fromJeanette L

    Date: 08/07/2024

    My injury was 5/20 I had also tried reaching out to Sedgwick through emails to phone calls. I complain but I got zero response.I can continue talking about the lack of follow up With referrals. I cant believe my ******* got this Workers ***** ******* to represent them . I need surgery and theres no response. The surgery is already scheduled. I need a lot of preop Sling. I email them on August 1 with all the forms but yet no response and today is August 7. Case manager doesnt respond, her supervisors rude calls me up at 8 oclock at night like Im gonna do all the stuff for you give you a nurse. The nurse is out of the office until August 9. What the h*** meanwhile, Im afraid to go out on leave because if youre doing this with my health and my surgery and my visits, what are you gonna do with my money?
  • Review fromZack B

    Date: 08/06/2024

    Sedgwick is terrible on the inside and outside their claim process is terrible they pay your claim late and when they have an employee who actually cares to do their job they punish them by making them do their piers jobs as well Sedgwick can go to hell!
  • Review fromJessica R

    Date: 07/02/2024

    I have a son with rare genetic disorder. There is a ****** D that works there that is so very rude and unprofessional. I opened claim on 5/15/24 told I needed 80 hours to qualify for fmla . I worked got more than 80 hours. I opened new claim 6/10/24 then told I needed 95 hours ...huh???. I've worked 3 more weeks and have over 95 hours . I opened new claim 7/22/24 to just be denied with no reason why. I'm escalating this to as high as I possibly can The ppl are rude ,uncaring, unreachable, they don't communicate and you can never speak to someone in charge.
  • Review fromDuchess R

    Date: 06/27/2024

    The company is horrible. I am putting this on the Better Business Bureau because I want people to be aware of it. I receive short term disability. I was harassed sexual harass and the job that I was working for was Asension st. ******* Hospital and I had short-term disability. They took me through h*** I almost lost my apartment complex. They did not help me at all. I barely made it with 50% disability. It took them forever forever to approve me, but before they did that they took all of my PTO time for me and I pay for this it comes out of my paycheck ???? I am truly traumatized to the point. I want to file a lawsuit against both of them for unfair work practice and then theyre forcing me to try to come back to work well I guess I will wait for them to fire me because I am too traumatic damage to the point I cannot return right away and the representative that I talk to they reopen my case. She was horrible then show no care and what my situation is.

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