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Sedgwick CMS Complaints - Disability Benefits

Review all Sedgwick CMS complaints

Sedgwick CMS

Posted: 2009-02-08 by   eric marquardt
Disability Benefits
Complaint Rating:  100 % with 5 votes
Company information:
Sedgwick CMS
California
United States

AT&T offers disability coverage for their employees administered by Sedgwick CMS. Their plan exploits many loopholes in the Federal Law regulating these plans. They will and have terminated benifits for reasons not related at all to the recipients disability or ability to be gainfully employed. Claiments are held under "virtual house arrest" and are not allowed to accomany thier family on even short day trips without obtaining "permission" which is cannnot be obtained in a timely manner if at all. They have and will schedule the claiment for multiple Independant Medical Exams and the doctors in these plans know better than to "bite the hand that feeds them" and do everthing i thier power to find the "claiment" fit to return to work (somewhere else as AT&T has terminated thier employment after one year on disability). This plan is nothing short of a "scam" as AT&T has little intention of prividing the benefits as promised. Sedgwick ruthlessly administers the loophole clauses in Federal Law the plan is designed to exploit and deny benefits to those that are, in fact, genuinely disabled.

Eric Marquardt
Simi Valley, Ca.
Comments United States Health & Life Insurance
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 286 days ago by   ciloveeggs +1 Votes
i agree completely im alson in a fight with sedwick claims though wal-mart its a struggle i know and my claim has gotten so bad ive had to get a lawyer 9 months and counting so hopfully it will be resolved soon and btw i got fired from wal-mart got injured march 22nd 2007 and 2wks later got the boot for getting injured

signed
disatified worker
 266 days ago by   AngryPerson +1 Votes
I am having the same problem. Sedgwick is refusing to pay on my claim, claiming that they do not have enough information to conclude that I am disabled. They have the information. They are just doing what they can to not pay the claim. You can tell I am disabled by just looking at me. There is no question. Sedgwick is a terrible company.
 205 days ago by   dhrealtor +1 Votes
I agree with you. I am being unfairly denied temp medical benifits by Sedgwick because of their tyrannical practices of exploiting the law to exploit people. I currently work for AT&T and they are a joke along with their bed partners Sedgwick. The more money they save from every claim they deny is more money for the Sedgwick. They want everything done in a way that makes it easy for them to deny justifiable claims. AT&T and Sedgwick are both a joke.
 137 days ago by   slickdrumstix +1 Votes
WOW, I am not alone. Sounds like an outside un-biased entity such as the television program 20/20 or similar needs to conduct a serious investigation into Sedgwick & their on going dirty corrupt tactics.
I am going thru the same thing as many I have read about here.
I am not receiving benefits and I am stuck at home & unable to drive
as directed by doctors. It's been 2 1/2 months since my injury and my
good credit is ruined and I am being harassed by bill collectors.My once thriving savings account has dwindled down to nothing.
My family & I have had to do all the leg work & the majority of retrieving medical documentation for sedgwick.Only to be informed by them later that they are in need of the very same documents that I have already submitted many times already. They do not know how to pick up the phone and contact the medical provider. Instead they ask me to get the information myself to expedite the process. That obviously saves them money by retrieving documents for them. On at least one occasion, I faxed a document twice & mailed the very same document also twice. I could go on & on. My claims mgr has become rude and evasive to the point I don't care to ever talk to her again. Frankly, I've seen more courtesy on a tiny sliver of fried bacon. They have been trying to deny my claim stating that having a revoked driver’s license & that does not qualify for benefits. {I HAVE NOT HAD MY LICENSE REVOKED} Their is a complete difference from being ordered by doctors not to drive and having had it revoked. I have gone around and around with them on this issue. I feel sorry for anyone stuck dealing with the corrupt incompetence of Sedgwick CMS.
GOOD LUCK...
 111 days ago by   eksmith66 +1 Votes
Hello all hope you are following this posting still, my name is Elizabeth Smith and I am a union steward with CWA and working on a committee to gather all the employees having issues with Sedgwick and or ATT (especially those who have been fired) to share information for possible future action; please contact esmith66@sbcglobal.net and in subject place sedgwick
 100 days ago by   doubleA -1 Votes
Boo hoo hoo, read your disability guide and learn how to work the system you cry babies. Yes you have to get permission to travel but come on, if you are going somewhere that's important, I bet you already knew of the trip and should have told your case manager way ahead of time. The policy says YOU MUST GET PERMISSION to travel overnight or beyond 60 miles FIRST before doing the travel, if you don't, your benefits are terminated. It says that right in the plan book that is mailed to you when you first file your claim. READ IT
 34 days ago by   ubetcha +1 Votes
It difficult enough to go through all of testing, appointments and physical therapy without having to go through RED TAPE with at&t/sedgewick's mess. (you notice that RED TAPE is in caps...I shall not give at&t/sedgewick that honor)
I've given them the best and healthiest years of my life, including appearing for work with a fever, etc. Realizing that these two companies have my life in their hands is downright frightening.
Yes, we know that travelling is not allowed while on short-term disability benefits. Is it necessary to resort to name-calling? (cry babies) Sounds like someone is having a "juvenile & schoolyard bully" moment, of which is required of pretend sedgewick doctors and some management.
You bet I am fed up with this mess and will contact my CWA office and our attorney. It is ridiculous to think that we would jeopardize our jobs after all of these years. Argh!!
 15 days ago by   tennessee1 0 Votes
I also agree with what you say about Sedgwick. They don't return phone calls ninety percent of the time, they are slow to pay mileage, and they spend more time and money trying not to pay a claim than just doing the right thing. The doctors do not look out for the best interest of their patients, they look out for Sedgwick. The only way to work for a company like that is not to have conscience and be.aware you will burn in hell for the way you have treated people. For the ignoramous that says boo hoo, you obviously have never had an injury or dealt daily with an injury that has ruined your life or dealt with a company cheating you, but your day will come. One word of advice, don't trust Sedgwick and don't trust your doctor. They are not looking out for yor best interest. Only you and a lawyer can do that. Regards, Tennessee

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