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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 fromBurt K

    Date: 08/20/2023

    We have tried to reach this company and their adjuster ******************* to no avail. Sitting with a broken storefront window puts my business, its employees and clients at risk. A contractor we employ has admitted to their responsibility and all we want is some direction as to the next steps to have glass replaced as well as tinted film and signage replaced. The contractors insurance company selected this company to be their representative shame on both of them. For now I will direct my displeasure publicly at this organization the next will be at the insurance company for knowingly choosing this terrible business. Just look at their BBB ratings and the number of complaints filled against them
  • Review fromChrista H

    Date: 08/15/2023

    Wish I could give 0 stars! I was out on leave for 8 weeks due to massive reconstruction surgery due to cancer side affects and kidney failure. I have had nothing but issues getting payment and they are currently denying last week of pay because I dont have a chart note. My doctor repeated my labs and did not release me until we verified kidney function but due to not being seen in office and just having a phone call, they are denying that week. The stress of a critical illness is enough. The fight for pay is ridiculous!
  • Review fromRe M

    Date: 08/01/2023

    AWEFUL Do not use them. The call center is nice and they pick up but you can never get past the call center. They do not know what to do and when they try no one is available. Getting your PFML is beyond easy, takes weeks after a claim is submitted to get paid. They do not care about people. I am sure UHG uses them as they are cheaper then other places. Stay away from this company.
  • Review fromUnhappy C

    Date: 07/29/2023

    Worst company ever to deal with! Very confusing and overwhelming process because of someone elses negligence. Representative not at all helpful and extremely abrupt. I ha e lost tons as was not released to go back to work and in one week was forced to see 5 different ******************************* cards they give you for prescriptions do not work, No empathy, no desire to help, no communication.
  • Review fromDan M

    Date: 06/20/2023

    Sedgwick starts their webpage talking about empathy and care for people. Yet, in practice, they show zero empathy and care.I lost my leg in a work accident. The physician wont release me now because he prescribed physical therapy and the Sedgwick adjuster wont get it setup and approved. I have tried for months to get into physical therapy.At the same time, they have been absolutely horrible about paying my weekly wages as the law requires. They clearly have me listed as being out under workers compensation, but they havent paid me 4 out of the last 5 weeks. Is this empathetic? Is this what my employer pays for?Their own attorney has said they should be paying me but he cannot get the adjuster to respond. I already have lost more than 1/3 of my income so going a month without pay is brutal. Were it not for friends, family and a couple very understanding creditors, I would be homeless. As it is, because of their frequent missed payments, I have paid hundreds in late penalties and bank fees. Do they have any empathy or concern for the employees of their clients? A company is only as good as its people and I see no empathy or concern in an adjuster who will not even talk to the companys own attorney or follow through with post operative physical therapy for a doctor they required a person to use.
  • Review fromMaryann W

    Date: 06/15/2023

    I was an insurance underwriter for years, and I have never dealt with such an inept company. You can't get in touch with anyone. They never return your call. I have been trying for weeks. The operator even has a full mailbox. Terrible company!
  • Review fromMatthew G

    Date: 06/11/2023

    It should be a crime to be this bad. If you want anything done, I suggest you do it yourself. Just leave your adjuster out of it. They will just lie about what they have accomplished on your case and say they've emailed your employer or doctor, but in reality they haven't. They'll s**** up your claim in every possible way and then stop communicataing with you. And if your adjuster gets changed, they won't notify you. They'll just keep letting you send emails to the same address and leave phone calls on the same number with out advising you they are no longer monitored. There is nothing positive to say about Sedgwick in the least. 0 stars if I could.
  • Review fromAngelia P

    Date: 06/05/2023

    If there was a no star rating this would give them this definitely. This is a real joke its a call center with a bunch of people that act is if they fell from the sky bumped their head and are suffering from a severe concussion. Terrible Terrible big companies should not be able to resort to this company to meet the governments requirements for accommodation and FMLA benefits.
  • Review fromDonna K

    Date: 06/05/2023

    I have never had to use short term disability before in all of my years of working. Sedgwick is an absolute nightmare! When I first filed for short term disability they misfiled it and made it an intermittent leave. It took 4 calls to them to correct that. They had sent forms for intermittent leave and my PCP filled them out and faxed them 3 times and Sedgwick kept saying they didn't get them. I took the forms to my employer and they faxed them. Then Sedgwick acknowledged they had received them. Sedgwick then sent me forms for short term disability and once again I had to go to my PCP, have them filled out and once again faxed them for me. I received a text from Sedgwick they had received the forms. I also received a text my leave had been approved. I thought finally! I was wrong! The very next day I received an email from Sedgwick with the exact forms they had received and told me I needed to have them filled out by my PCP again! I have never dealt with a company that was as disorganized as this company! I'm through dealing with them. I have turned it over to an attorney. Now they can deal with him.
  • Review fromSummer H

    Date: 05/31/2023

    I am currently going on going on a year since a Kroger delivery van hit my home. I have not received my check. I cannot get ahold of anyone at Sedgwick CMS. ***************************** is the agent on my case and he has not returned my calls or responded to my emails.

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