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Sedgwick CMS Complaints & Reviews

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Sedgwick CMS - Wrongly denied claim

Posted: 2014-06-28 by    James_Y
Complaint Rating:  100 % with 1 votes
I found there are a lot of complains and even lawsuits against Sedgwick CMS. Just wanted to express and share my own experience with Sedgwick. They seem not responsive during the claim period, not able to contact the case owner directly via phone or email and I have to call 800 # to go through the options everytime just to talk to someone. After about two weeks, got an email the case is being denied. They seem not sensitive or really care about people too.

When we already have health issues to face with, the last thing we need to deal with company like Sedgwick. May I ask if anyone...
Complaint comments Comments Complaint country United States Complaint category Medical Negligence and Deficiency

Sedgwick CMS - Kentucky, Lexington - Unprofessional

Posted: 2014-01-14 by    J WIllMS
Complaint Rating:  75 % with 4 votes
This company is International Papers disability and Fmla claims administrator . I have dealt with so many different people there it is not funny. They are the most unprofessional group I have ever had to deal with. These people do not have any common sense and think it is fun to disrespect people with disabilities such as myself. This company has no knowledgable people to help with you claims. This company also hires people with NO last names. I personally had to deal with them recently and they pissed me off really bad. People like the ones who work at Sedgwick Cms have no rights to exist!!! This...
Complaint comments Comments Complaint country United States, Kentucky, Lexington Complaint category Telemarketing

Sedgwick CMS - Virginia, Roanoke - denial of short term disability

Posted: 2013-10-17 by    R. Als
Complaint Rating:  100 % with 8 votes
I had complex foot surghery on 8/1/2013 and was granted 3 weeks of FMLA having to return to work on 8/28 where I requested an extension since I was still in my post-operative bandages having to keep my leg raised above my heart however, Sedgwick CMS who is the Leave Administrator for my employer, UnitedHealthGroup, denied my FMLA along with short term disability request saying that drving was not part of my job duties so that I can come to work (even though I drive to work, Sedgwick maintains that it doesn't matter - driving is not part of my job duties so they cannot consider that). They have...
Complaint comments Comments Complaint country United States, Virginia, Roanoke Complaint category Employers

Sedgwick CMS - Alabama - Sears tech caused water damage

Posted: 2013-04-20 by    Vaneaster Robertson
Complaint Rating:  100 % with 1 votes
I had my appliances insured through American Home Shield. My wash machine was making a loud noise and I called American home Shield. They sent a Sears tech out and he stopped the noise but when he left I put a load of clothing in the washer. I turned the wash machine on and left the laundry room and returned a few minutes later to find the kitchen flooded with water. The water ruined my kitchen floor and went down into the basement and ruined my ceiling tiles. I called Sears back and they came out the next day. The tech guy claim that he could not find where the water was coming from. I believed...
Complaint comments Comments Complaint country United States, Alabama Complaint category Building, Construction

Sedgwick CMS - Ohio, Lima - Terrible Service

Posted: 2013-01-20 by    readysetgo
Complaint Rating:  100 % with 4 votes
I recently had back surgery Nov. 8th. At first everything seemed fine the first wave of claims were approved and all was good. Then I went to my second Dr. appointment and it went to( H3LL ). My Doctors office made a slight error by saying that “he has been able to return to work” rather than saying “has not” So Sedgwick denied the claim. When I called they said that I was able to return to work. Even though I have a work slip that says return February 4th 2013. After the dr. corrected that error and sent it to Sedgwick they found something else wrong, just trying to keep...
Complaint comments Comments Complaint country United States, Ohio, Lima Complaint category Health & Life Insurance

Sedgwick CMS - Kentucky - deception by agent

Posted: 2013-01-15 by    Lee Hardy
Complaint Rating:  0 % with 0 votes
Tyan Nanka Bruce claims examiner is very deceptive, mean spiritired, combative and not to be trusted. After requesting purchasing documentation she reduced the replacement cost of my families HD television by $1800.00 making it impossible to get the replacement for my set destroyed by AT&T 'S cable wrong equipment installed in my home. No cost for overload strip, electrical outlet and replacement labor of $500.00 were never received. A $2300.00 lost was never paid....
Complaint comments Comments Complaint country United States, Kentucky Complaint category Consumer Electronics

Sedgwick CMS - Employer

Posted: 2012-12-03 by    Annonymous 2
Complaint Rating:  100 % with 6 votes
Sedgwick CMS is one of the worse companies to work for. They will promote people not because of the skills they may have to do the job, but because of popularity. The supervisor was horribly abusive and had even poked me in the shoulder one day while yelling at me. I worked an average of 15-18 hrs per day and at the end of the week I was still told what I had not done. Abusive comments about the way the claim was handled was placed in the actual claim file, which is discoverable by a court of law as well as the client. I pushed to a nervous breakdown. When I filed a formal complaint against the...
Complaint comments Comments Complaint country United States Complaint category Bullying and Harassment at Work

Sedgwick CMS - California - Workmans comp

Posted: 2012-09-14 by    Californa Now MN
Complaint Rating:  82 % with 17 votes
Search the Department of Insurance or Department of Industrial Relations and file a complaint. Be sure to document every call and message you leave. I've been trying to see a Physician for about 8 months now and all I get is the run around. I've had 3 different adjusters and they never call me back although they do answer their phone most of the time. I've had just about enought and will be filing a complaint. As a person that works for a major insurance company with no relation to Sedgwick we do not like to hear from the DOI and I'm sure it goes the same for Sedgwick. These...
Complaint comments Comments Complaint country United States, California Complaint category Other

Sedgwick CMS - Ridiculous company

Posted: 2012-07-30 by    Paula PayPal employee
Complaint Rating:  100 % with 5 votes
I have been on disability due to a heart attack and two heart sugeries. Sedgwick CMS has been horrible to work with and even though I have tried to jump through all their hoops, even while at death's door, I still can't get my payments properly. My doctors have sent stacks of forms as Sedgwick requested, I have spent hours on the phone, and STILL.. my last 2 payments have been for about 1/5 what they should be. I just now called Sedgwick to see if everything was in order for my August 10 payout so I could pay my rent and bills (all LATE already, penalties on all of course!), and was told...
Complaint comments Comments Complaint country United States Complaint category Health & Life Insurance

Sedgwick CMS - South Carolina, Charleston - liability for auto damage

Posted: 2012-07-11 by    David M. RAiche
Complaint Rating:  0 % with 0 votes
The valet attendant damaged my car by driving over a parking block (twice)--in and out of the parking space. We filed a claim with the Embassy Suites hotel and subsequently their claims processor (Sedgwick) determined no liability on their part. Pictures of the damage were sent and pictures of the car "strattling the parking block". There is no doubt that they damaged my vehicle and are liable. I have contacted Embassy suites to dispute this finding by Sedgwick cms....
Complaint comments Comments Complaint country United States, South Carolina, Charleston Complaint category Cars, Parts & Vehicles

Sedgwick CMS - rude, unprofessional,liars

Posted: 2012-06-29 by    sedgwick cms hater
Complaint Rating:  91 % with 11 votes
I have been on workers comp due to a lowes injury I incurred last may while working, and was assigned to claims adjuster Maryanne Morgan. She recently told me on 6/28/12 that she is no longer my claims adjuster, and gave me an email for someone else, which is apparently fake. I am an i/t student who just graduated with my associates, and know when an email comes back as permenatly failed to send that its a phoney. I needed to know how to set up my mileage reimbursement again since its been almost a year, and also to get approval for more physical therapy, but get the same reply, "I'm no...
Complaint comments Comments Complaint country United States Complaint category Health & Life Insurance

Sedgwick CMS - Colorado, Littleton - False information

Posted: 2012-05-30 by    OfficeDepotEmployee
Complaint Rating:  80 % with 10 votes
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...
Complaint comments Comments Complaint country United States, Colorado, Littleton Complaint category Other

Sedgwick CMS - Do you have to die to get you money or what?

Posted: 2012-05-17 by    michelle needs her money
Complaint Rating:  21 % with 24 votes
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...
Complaint comments Comments Complaint country United States Complaint category Bad Business Partners

Sedgwick CMS - Pennsylvania - can't get loss time pay

Posted: 2012-04-23 by    LoriL
Complaint Rating:  100 % with 6 votes
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!!!...
Complaint comments Comments Complaint country United States, Pennsylvania Complaint category Other

Sedgwick CMS - Illinois, Chicago - Law Breaking Heartless Scammers

Posted: 2011-12-14 by    meliorism?
Complaint Rating:  88 % with 8 votes
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...
Complaint comments Comments Complaint country United States, Illinois, Chicago Complaint category Business & Finances

Sedgwick CMS - South Carolina, Rock Hill - US VETERAN GETS SCREWED

Posted: 2011-11-22 by    CMS BASTARDS
Complaint Rating:  0 % with 0 votes
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...
Complaint comments Comments Complaint country United States, South Carolina, Rock Hill Complaint category Plumbing Services

Sedgwick CMS - Texas, Irving - Denial of Disablity

Posted: 2011-11-11 by    WW**
Complaint Rating:  100 % with 10 votes
I recently had back surgery(lumbar fusion), recovery was extremely painful and long. After my doctor provided valid info that due to the trauma I would need approx 2 more months to recover fully, as well as physical therapy, Sedgewick CMS denied my extention of my claim. My employer ATT then uses the time I was off from work to build a case for termination. This is clearly a case of 2 major corp in bed together and together both manipulate and lie to find ways to terminate long term employees from their payroll. Unless hard working middle class American take back our country and shutdown these big...
Complaint comments Comments Complaint country United States, Texas, Irving Complaint category Employees

Sedgwick CMS - Oregon - SHIT FOR BRAINS

Posted: 2011-11-07 by    guns ablazin'
Complaint Rating:  100 % with 7 votes
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...
Complaint comments Comments Complaint country United States, Oregon Complaint category Law & Civil Rights

Sedgwick CMS - Horrifying Experience

Posted: 2011-08-01 by    jbgoldcanyon
Complaint Rating:  75 % with 16 votes
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....
Complaint comments Comments Complaint country United States Complaint category Products & Services

Sedgwick CMS - Kentucky, Lexington - disability fraud

Posted: 2011-05-17 by    catmom43
Complaint Rating:  90 % with 10 votes
I went on FMLA on 1-24-11 through 3-14-11. Sedgwick CMS's claims agent, Christima Muchow, denied the claim from 2-28-11 - 3-14-11, 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...
Complaint comments Comments Complaint country United States, Kentucky, Lexington Complaint category Other

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