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Sedgwick Claims Management Services
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1.4 389 Reviews

Sedgwick Claims Management Services Complaints Summary

41 Resolved
347 Unresolved
Our verdict: With Sedgwick Claims Management Services's very poor resolution rate, careful consideration is needed. Research their service comprehensively, and read up on how they handle customer disputes. If you face issues, be prepared for potential challenges in obtaining resolutions and explore other service providers as backups.
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Sedgwick Claims Management Services reviews & complaints 389

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4:13 pm EDT

Sedgwick Claims Management Services horrible service

This insurance company is literally the WORST! They ignore your calls and never really get back to your voicemails. They don't give you even the descent amount of money you deserve for the damages and most of the time they aren't even in the office! Even if you call and stay on the line on hold they will eventually hang up on you. They are the worst company I've ever dealt with they DO NOT care about your damages and will find any excuse to give you the least amount of money you deserve.

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Readingfoolsallday
, US
Jun 01, 2016 9:51 pm EDT

Sedgwick is not an insurance company lol. Do your research.

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10:34 am EDT

Sedgwick Claims Management Services dishonest

They do not tell you the proper procedures nor how to obtain workers compensation benefits. They get personally annoyed as if you were Prank calling them verses asking for help. They are dishonest and do not explain paperwork properly. They will do anything to get out of paying. Legally or illegally.

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8:52 am EDT

Sedgwick Claims Management Services stall tactics

Sedwick is just a 3rd party adjuster for Ace American who insures Gen Auto Parts. Ace is known for their stall tactics and apparently they passed those skills onto Sedwick. It took them over 2 weeks before an appraiser even looked at my car, which btw was totaled. Then they claim a new transmission is a wear & tear item, not a major repair. So I'm basically out 3/4 of the cost of the transmission I'd put in my car less then 45 days prior to the accident. Here is it, a month after the accident and I still have no check for the car. That little bit of interest they get for holding onto money makes a big difference when they do it to eveyone. Oh yeah, now my rental car is due back today, no check, no vehicle, and no satisfaction. Ace has been sued & lost countless times and fined countless times for stall tactics...Sedgwick is about to become next on the list for this behavior too. So be warned everyone...this company is one of the worst to deal with and I've been dealing with a workers comp case for 14 yrs that hasn't aggrevated me this much. Get a good lawyer ...if you deal with Sedgwick...you"ll need it!

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11:17 pm EDT

Sedgwick Claims Management Services refusal to pay damages by sears auto

I purchased a lifetime alignment policy on my truck many years ago. Several times sears has screwed up alignments on this and other vehicles. This time a mechanic attempted to perform caster and camber adjustments without lifting the front end off the ground. He used a pipe on a wrench eventually bending over the adjustment tabs on the frame, sears turned it over to sedgwick and their claims adjuster / appraisers. They attempted to avoid paying by labelling my vehicle old and rusty. These ears have no history on dodge vehicles of rotting out or becoming weak. This was clear negligence by the mechanic who refused to follow proper protocol. Sears' reliance on a company who so blatantly
Attempts to ignore duty of care to resolve damage to citizens' property by the employees of companies they are paid to resolve
Damages for, is ludicrous; as is sedgwick's attempts to ignore obvious damage caused by employees of said companies. I am filing
A tort action including not only compensatory, but also punative and exemplary damages and can only urge others to utilize their civil rights to seek justice in the same manner. Also they should contact their legislators about attempts by these large corporations to hide from responsibility for negligence by their employees by using companies such as sedgwick who ignore the obvious to create a shield to liability for these coporations. Perhaps several large awards of damages against them in civil actions would halt these practices. [protected]

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11:45 am EDT
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Sedgwick Claims Management Services denial of benefits

I was on Short Term Disability following an extensive GI surgery and needed to continue due to ongoing medical and psychiatric issues. My claim was denied in appeal, even though I have been approved for Social Security Disability. The people in the appeals department are rude and extremely unhelpful, and don't believe that they care.

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11:45 am EST

Sedgwick Claims Management Services payments

Payments Mrs Fleming will not mailbox out my weekly check I use to get it on thursdays now I might receive it on monday of the next week or not it all all this started after I informed my attorney about receiving my checks he talked to her and there is no change please tell me why she's seems to be making this personal I don't understand

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11:27 am EST
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Sedgwick Claims Management Services fmla

I have breast cancer. I am an RN and have worked for the same hospital for 18 years. I filled out all my Sedgwick paperwork and signed and gave them access to my medical record to verify that the information was consistent with the days off requested. They did not give me enough time to gather the information needed to put forth an honest and reliable request for my leave. In this order I had my diagnosis, my surgery, my recovery, my tumor send out, and then my oncology appt. The forms asked questions that could not be answered by anyone but the oncologist. Sedgwick said they could only give me an extension until 02.15. My oncology appt. was 02.24. Therefor my surgeon had to "guess" as to my treatment plan. Then they approved my 6 weeks of radiation therapy (of which I do not even plan on using any time off unless absolutely necessary) but they denied the actual date of my radiation MD appt. RIDICULOUS! I cannot believe the red tape required in such a stressful time in my life. I do not know how anyone can have the heart to even work for Sedgwick.

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12:20 pm EST

Sedgwick Claims Management Services poor business practice

It seems this company's services are based on avoidance and protecting the businesses they represent from having to take responsibility for wrong actions. I am writing this review so other consumers that have experienced dealing with this company will know that it is their practice to treat their claim clients by avoiding and declining complaints.

Unfortunately when dealing with a problem with a business that is using their services you are unaware that they are clients of this company until it is too late.

Be aware that short of using a lawyer or advocate they do little for the person's who file claims. As a consumer you must accept that you have been taken and move on, because you are helpless against these guys. The companies that use them have to take some responsibility for using a company like this is based on dodging responsibilityty to do the right thing.

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melod28
, US
Jul 10, 2015 10:49 am EDT

I agree this is so bad the way they find a loop hole, now wonder Kroger gets sued. They are so wrong and dodge their responsiblity. I am done with Kroger hope they go bankrupt.

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11:57 pm EST

Sedgwick Claims Management Services run around answers/ineffective/uncooperative

To whom it should concern:
After having to quit my job at Starbucks I have been having to play phone tag with Sedgiwck company for about a month in regards to my leave of absence that took place almost four months ago. The people who "helped" me over telephone were not friendly nor helpful. They then told me I had a deadline to get in paperwork which is in 6 days. I really don't understand why they didn't communicate this with me. Furthermore, they did not answer any of my questions and I called about 7 times for information. Every time I called they told me to call this person and then call that person and then another person. When I asked for an extension date on my deadline for the paperwork they denied it because they picked up the phone 4 times. Yet they didn't help me once. This company needs to re-consider how it treats its customers.

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10:04 am EST

Sedgwick Claims Management Services workers comp

On December 8th, 2013 I had an accident at hertz. I was a cleaner, it was snowing, wet, icy, and very cold. Head management wanted us to keep the car wash open, even though we are supposed to clean the inside and leave it at that when its slushy outside. But they wanted us to keep cleaning the cars. Lucky for me, one of the lower manages wanted us to close the wash early, she even knew it wasn't safe. Well as I was closing the wash, I stepped wrong and slipped on the tire alignment bars and landed face first into the ground. By the time they found me I was already dropping into hypothermia, and my head felt like a meat cleaver was in it.

Needless to say, my memory was not much after that, but if you forget little things like forgetting fuel or the windows are not right or you forget something in the car. You get punished... well, I was doing great for a while, but I forgot fuel in on of the tanks earlier in 2014 and needless to say, it happens. But for some reason, they only went after me.

I had to get a lawyer to get the Insurance to do ANYTHING for me, but that seem to upset Hertz upper class, and for some reason the harassment got worse. Even the guys I worked so closely with noticed there targeting me. But as luck would have it, I forgot to fuel a car again, but this customer didn't complain, but we brought it back, fueled it up and they went on there way. But, they went ahead and fired me anyway, and I still get upset to this day how far gone my memory has gotten. Even when I am driving, I forget where I am going, miss my exits all the time, even simple things around the house. I just can't hold it together any more.

Now there insurance is giving me the run around, they are treating me like trash making me run in circles getting denied treatments even when they first approve it, and then denied it at the end. I would give anything to see those two pay for what they had done to me. It was not ALL my fault I forget things... such simple things too. Things that only take a quick min to fix, but they just fired me even knowing the problems I had. Well, it was my fault I didn't point it out to them in the first place. I was trying not to point fingers and blame, but at this point... they have put me so far into a hole, I am having such a hard getting back to my feet. I want them to know this can NOT happen to people. I work so hard picking up peoples FILTH and then they turn around and treat me even worse.

I want the management at this Hertz to PAY for what they have done.

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1:45 am EST
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Sedgwick Claims Management Services workman comp claim

I have been out on a claim since Jan 2012, I have been working all my life since I was 16 yrs old, I have been working ethically my whole life. I was injured on the job due to a back injury and after all these years I am now being treated like I am a bad employee. I have committed my life to 2 employers and take pride in the job I do everyday. All I want is to get fixed and back to work as I do not enjoy sitting at home everyday as I have a family I need to take care of as well as setting an example for them as I am he man of the house. Sedwgick has dragged their feet far too long to the point I could have already been back to work. They are not paying for my bills nor approving my surgeries so I am able to return to work, now it is getting to the point I am getting high anxiety and depression from this entire situation. If Sedwgick would get off here ### and help people like me then they would not be paying claims as long as they are as they could have approved and paid for the services so it did not drag on and on which is losing companies money and making peoples lives miserable mentally and financially . The CEO has been informed of the situation and here I still sit, I think my next stop should be the TODAY SHOW or any other network that will listen to me as I have so much time on my hands due to the lack of them doing nothing to get me back to work.

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12:13 pm EST
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Sedgwick Claims Management Services workmans comp

I was injured on the job while employed as a CDL driver. My lower back and neck, twisted my spine. I have been dealing with Sedgwick, or i should say my Attorney has, since 2007 when they stopped all medical treatment then back billed all the doctors i had seen. after appearing in front of Washington State workmans comp judges a few time and winning each one, they, Sedgwick appealed each time and got it over turned on technicalities. My Attorney appealed the last time in which it went in front of Superior Court in Snohomish County Washington and we yet again won which finally re-opened my claim and Sedgwick paid the "back billed" doctor payments but not after it killed my credit :-( Now, here in November 2014, they are flying me up to Seattle yet again for another IME which I already know will not be for me. Because they did this in 07, ive been getting care through VA since and they got free care for me, until now. VA will be billing them for 7 years of treatment, pain meds and Doc Visits. Maybe had they treated me in the beginning, i wouldn't have a herniated disk and several bulging disks. What started as 4 disks (2 in lumbar and 2 in cervical) has turned into somewhere around 9 or 10 with problems. Thankfully, i have SSDI but that doesnt cover what im loosing each month and wont replace my Stock i had to sell to make ends meet. Im 50 yr old now and my livelyhood is gone. Its sad that they just dont work to fix you from the start and play deep pockets. The Stress, depression and anxiety ive obtained since then is driving me nuts. Until 2 years ago, my wife was pulling my 230 lb @ 6' 4" (her at 5 ft and 100 lb) butt out of bed and chairs when VA gave me a trapeze to enable me to get out of bed. How degrading is it when you have to roll out of bed to use the bathroom so as to not wake your wife every few hours... and the lack of sleep due to pain... oh boy. VA has had me on Methadone, Morphine and now im on a Fyntanal patch along with a few other pain meds. All i can say to anyone that has to deal with this company is, Lawyer Up!

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8:41 am EDT
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Sedgwick Claims Management Services workmans comp

Watch out for Sedgwick, they are cruel people anyone that they work for they will do anything to protect them and screw you in the process. So sad I thought I was apart of such a great company but as soon as you are hurt they turn on you. Very long story short I begged to have a M RI, finally after all most 3 weeks I finally got approved for one for a possible tear in my shoulder, due to over working it. The Dr. Called me and said there is no tear and it should feel better soon. 3 to 6 weeks. Told to go back to work and do what I can. 2 days later the day I was to start physical therapy I was turned down for workmans comp. At that point I was behind on my truck payment and pushed myself to go back to work told myself I am fine. Worked one full weekend everything started all over again. Pain in my shoulder and neck burning in my arm and numbness in my thumb and index finger. I went to HR. And said I needed a letter saying I got turned down for workmans comp so I am able to go to my own Dr. She told me I have to call my case manager for workmans comp and get the letter myself. Also she told me after working at Lowes with the same hrs. For over a year now that I have to have open availability on the weekends or they will have to let me go. I walked out of there crying and not sure what to do. Anyway my Dr. Requested all of my recorders from the workmans comp Dr. And to my surprise he didn't tell me everything that was on my report. My Dr. Said my MRI shows a bone spur that could be pressing on my nerve and that could me the numbness in my fingers. Also if it doesn't get better I might need to have surgery to fix it and shave it down. I was shocked❗️One of the reasons for a bone spur is over working the shoulder I am a cashier I work my shoulder all the time. Also I found out a bone spur that goes untreated go lead to nerve damage or a full tear in the rotator cuff. I know they work for Lowes but that was my MRI I have rights too.

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hza54
, PR
Oct 08, 2010 12:12 pm EDT
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I JUST RECEIVE A DENIAL OF MY APPEAL. IAM A PHARMACIST. I HAVE FIBROMARGIA WITH SEVERE
DEPRESSION. THEY UNDERSTAND THAT I CAN WORK.
i HAVE PAINS, LOSS OF SHORT MEMORY, LACK OF CONCENTRATION. wHAT I CAN DO?

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Darryl Easley
2304 Howell ave, US
Feb 26, 2015 11:57 am EST

I am going through the same problem I finally had the operation but I keep having problems with Mrs Tina Fleming. mailing my check, for 4 months I receive my chicks on Thursday every now and then on a Friday now is coming the next week after I called my lawyer to have him take care of it seems to me she has made it personal now I don't know when I will receive payment so I decided to put in a complaint you are right they seem to want to screw you and they all stick together I just don't understand its not like I am getting thousands of dollars a week I am just trying to keep the utilities on and pay my bills but they make this virtually impossible let's see what will be done about this situation Sincerely Yours Darryl Jesse Easley?

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Wawawa
seattle, US
Apr 08, 2014 8:39 pm EDT

Terri Smith is a very rude supervisor. I needed help with my disability claim and she was rude and would not listen to me. She transferred me to Chari Ayala and she did not know anything and she was hired to take over Kylee Hezseltine who was more rude. You are at their mercy and they are very mean.

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hza54
, PR
Oct 08, 2010 12:15 pm EDT
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is sedgwick company

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9:17 pm EDT
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Sedgwick Claims Management Services auto liability claim

A commercial bus driver crushed my car. It was one of those double-decker busses that take riders to D.C. and New York for pretty cheap. It was pure negligence on the bus driver's part. I have already been to court as witness to find the bus driver guilty of
an improper lane change. It has been 29 days since I lost my car. The bus driver provided her insurance listed as Greenwich Insurance on the exchange of crash information report that both drivers involved received. It took many phone calls just to get the right state for the Sedgwick insurance that would eventually be the only people I can talk to for help in this matter. Initially they even wouldn't tell me what car rental company they use. So now that 29 days have passed, it's not surprising to know that Sedgwick CMS has not gotten the police report yet. They have another party that handles the acquiring of the police report. Or so they say. The claims agent gave the number of the police report they were waiting for, but when I called the police department, it was in fact the same number found on my exchange of crash information report. Not the one they had given me. So I am waiting and being very polite when I talk to them, but I feel that I am losing and things will only get worse. Get hit by somebody else, it's their fault, and then their insurance company uses every tactic in the book to try and steal from you. I have contacted the Attorney General for my state following a recommendation I found on one of the numerous complaints listed against Sedgwick CMS. Wish me good luck.

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Ribbie Allen
, US
Mar 16, 2016 8:06 am EDT

I am dealing with a situation similar to yours. I was hit by a school bus last year around this time, and sad to say I'm still dealing with Sedgwick insurance company. When the accident first happend it took them over a month for me to get a car rental. I tried and tried and tried to contact them myself, but I had no luck in that area. So, I had to get in contact with a lawyer for them to contact this insurance company. Mr. Willis from the Sedgwick insurance company is one of the worst to work with. He lies and continue to lie and stall this settlement. It's so frustrating having to deal with such a horrible company that suppose to look out for the needstate of people

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6:09 am EDT
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Sedgwick Claims Management Services wrongly denied claim

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 has the similar experience with Sedgwick that is not very responsive, don’t really seem know what they are doing and denied legitimate claims? Or, if they have better “performance” for their own benefits if to deny more claims?

If Sedgwock denied claims and we have to go back to work. If health situation gets worse or something happens to us, if we have the right to sue Sedgwick? Or if is it worth it to fight with Sedgwick when health is the priority. But, we need to stand up against unethical company to protect others too.

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Gregg1720
Chandler, US
Jan 02, 2015 3:15 pm EST

I worked for Lowe's who uses Sedgewick to handle there work comp claims as they are self insured. After asking for all kinds of information that had nothing to do with my injury or claim, they refused to pay for the medication the doctor ordered. About two weeks after the injury I received an email from the claims examiner who had cut and pasted a section of my MRI report into the email saying my claim was denied. She stated this was because I had a pre existing condition / injury according to the MRI. This was completely untrue as the part of the MRI she was quoting had nothing to due with what and where my injury was. She had no idea how to read an MRI report yet she denied my claim. Also there is no pre existing in work comp if you injure or re injure something while working for a new employer. I tried contacting the claims person by email and phone but she would not respond to me nor would she respond to my request for an appeal or review by a medical doctor. I then tried contacting her supervisor who also refused to respond to me. They cut off treatment I was having and refused to cover refills on meds ordered by my doctor. My doctor went so far as to write a letter to Sedgewick and tell them they were not reading the MRI results correctly and that there denial was incorrect. She also got no response. I found a law firm who specializes in this area of insurance company bad faith claims. They took my case immediately on retainer so it cost me nothing up front. They have sued Sedgwick and the parent insurance company along with Lowe's several times for the same type of case and won. My advise to anyone fighting with Sedgwick is to Google Doyle & Raizner law firm. Sedgwick is like the company in the movie the Rainmaker, they never pay out. Just deny, deny, deny. I agreee with the comment above Lawyer up.

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Lowe's - Sedgwick dont care
Cherokee Village, US
Nov 14, 2014 12:00 pm EST
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I was injured on the job while employed as a CDL driver. My lower back and neck, twisted my spine. I have been dealing with Sedgwick, or i should say my Attorney has, since 2007 when they stopped all medical treatment then back billed all the doctors i had seen. after appearing in front of Washington State workmans comp judges a few time and winning each one, they, Sedgwick appealed each time and got it over turned on technicalities. My Attorney appealed the last time in which it went in front of Superior Court in Snohomish County Washington and we yet again won which finally re-opened my claim and Sedgwick paid the "back billed" doctor payments but not after it killed my credit :-( Now, here in November 2014, they are flying me up to Seattle yet again for another IME which I already know will not be for me. Because they did this in 07, ive been getting care through VA since and they got free care for me, until now. VA will be billing them for 7 years of treatment, pain meds and Doc Visits. Maybe had they treated me in the beginning, i wouldn't have a herniated disk and several bulging disks. What started as 4 disks (2 in lumbar and 2 in cervical) has turned into somewhere around 9 or 10 with problems. Thankfully, i have SSDI but that doesnt cover what im loosing each month and wont replace my Stock i had to sell to make ends meet. Im 50 yr old now and my livelyhood is gone. Its sad that they just dont work to fix you from the start and play deep pockets. The Stress, depression and anxiety ive obtained since then is driving me nuts. Until 2 years ago, my wife was pulling my 230 lb @ 6' 4" (her at 5 ft and 100 lb) butt out of bed and chairs when VA gave me a trapeze to enable me to get out of bed. How degrading is it when you have to roll out of bed to use the bathroom so as to not wake your wife every few hours... and the lack of sleep due to pain... oh boy. VA has had me on Methadone, Morphine and now im on a Fyntanal patch along with a few other pain meds. All i can say to anyone that has to deal with this company is, Lawyer Up!

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M. L. Lopez
Denver, US
Aug 25, 2014 5:00 pm EDT

I have been taken out of work since 7/11/14. Sedgwick has denied my claim due to "not enough medical evidence". I am going to see my PCP as well as 2 specialists. All have submitted detailed medical records for me. This is not the first time I have been denied. I am a single mother with 2 small children. I have no income. My cell phone has been turned off, car repossessed and I have been served a demand letter for rent. I am to avoid all stress. HA HA How can I do that when I can't provide for my family and face homelessness? As of today, my doctors are not sure when I can return to work. I was also advised today that my FMLA is exhausted and we need to find an "accommodation" so I can keep my position.

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2:33 pm EST
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Sedgwick Claims Management Services - unprofessional

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...

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Sedgwick Claims Management Services 3rd denial

Dear mr. david north,

Just wanting to say I hope you (mr. north) and your family are having a very good christmas, as your company has ruined ours, two very wonderful kids of ours “didn’t” get a christmas this year thanks to your pos company and un-knowledgeable staff who dose the claims, its just wrong that you teach your employees to deny 95% of claims, (http://www.gesupplydiscrimination.com/files/htm1/david%20north%20sedgwick%20cms.htm, plus many others…
Coming from what I have read on the net). we are now on the 3rd appeal waiting for a decision from sedgwick, again.. we are about to lose our house as we are 2 months behind, our lights are about to be turned off, as well as the water and gas, so as for the moneys my wife is due, I hope you used it to buy your loved ones all the gifts they wanted while we are here waiting for another answer and about to be homeless, I just don’t see how you can sleep at night knowing what your doing to people who really need this money to make it in life, it seems as if you are a heartless man. my wife has paid for this insurance, its not like she getting it for nothing, it makes me very angy and I now see why people do stupid things in this world to get even! my wife has been pretty much bed ridden for the past 3 and a half months due to lupus, and failing kidneys (which sedgwick know nothing about), my wife is a nurse and had to leave work due to this illness as she couldn’t do what was asked of her and had to be put on a short term leave, and possibility longer as she’s not getting any better! her “3” doctors have written note after note to sedgwick stating that my wife “can not” work due to her illness and bad side effects of these hard meds she has to take. why do you treat people like this and leave them hanging and suffering? you should man-up and do what’s right and care for those who really need this to survive as your getting older and your time is coming and karma is a, you know what. my wife is a wonderful person/nurse who has always helped the sick, but now that she’s sick we have to deal with your company (how the heck is she supposed to get better when all she’s doing is worrying about weather or not she going to get denied again), she doesn’t deserve this at all, as well as the thousands of other people who are constantly getting denied. it’s the holidays and cause of the pain your company has caused we suffer and don”t get one, thanks to your deny rate, … how do you see this is fair mr. north? i’m sure if it where “you” or “one” of your family members it would be a way different story….. things need changing, time for you to stop being the grinch/scrooge and change your ways for the better, as when its time you will go up not down. like I said I hope you have a wonderful christmas while we are crying and suffering thinking how are we going to put a roof over our heads and food on the table. you should know that our two kids didn’t get one christmas gift under the tree this year thanks to sedgwick, and that’s sad mr. north and that puts a big grudge towards you. the effects your company puts on good people are not good ones but god is the #1 who will judge you.

God bless you mr. north and hope to hear from you, but that I truly doubt, as this is like the 6th letter I have sent trying to get a hold of you.

M. tyler

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Wawawa
seattle, US
Apr 08, 2014 10:00 pm EDT

Gregory McPherron is not truthful and lied to get my claim shut down. He does not return phone calls ever and when you do reach him, he acts like an attorney and wants to argue. Do not trust Sedgwick!

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Sedgwick Claims Management Services denial of short term disability

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 continually denied my FMLA and STD claims although after they found they could not bully me back to work with the threat of losing my job, they did approve my FMLA a month later but are still denying my short term disablity - I have now lost my home phone, computer access, have NO food (i'm now living on cereal, jello, pineapple chunks, water and hot tea to fill me up) and am also facing eviction where my lanldlord has issued a 5 day pay or quit notice - that was 2 weeks ago. My provider has complied with everything that Sedgwick has requested but my request for short term disability is still denied. The provider wanted to keep me out for an additional 4 weeks but I dare not let him do that, even though I'm still under his care thru 11/30/2013; I feel I was forced back to work earlier than I needed to be (10/15/2013) even though Sedgwick says I could request an extension, I know I'm not going to get it. I am in pain, and am very very distraught over the fact that here I am unable to fully walk, I have NO food nor do I qualify for any assistance since according to the "state" I have means of employment, I have no way to call anyone should I have an emergency (I do not have a cell phone and even if I did, that too would be cutoff) and now I'm faced with having a court ordered judgement against me with request to vacate my residence - all because Sedgwick is crazily denyingi my short term disabiility. They denied my request for an FMLA extension but then upon appeal, that was granted however they are still denying my short term disability and that baffles me - my FMLA is directly linked to my STD request and this is a travesity. I know I'm malnourished at this point and I'm always nauseousI and of course now waiting to become homeless as well. Who lets this happen to an employee? Why am I having to sit here at work in pain, hungry, and crying because of my impending homelessness as well as not knowing where my next meal is coming from, To make matters worse, I can't even heal properly/follow the doctor's order because I don't even have the money to pay for all of the medication and medical supplies I require.. Who lets this happen to their employee's? Unitedhealthgroup was tauted as being "the best place to work" but if you ask me, that's a laugh and it's not a very good laugh. This has caused my so much stress that I am now under care for PTSD (post traumatic stress disorder) but guess what - I can't get the medication I need to treat that so my nerves are on end, I'm a basket case, and I'm hollering, screaming and crying. If my appeal with Sedgwick is denied again then that's it for me - homelessness for me means the end - I might as well jump. I have never felt so much hate in my llife and this just makes more upset; I just want to die.

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What more can you do
Milwaukee, US
Feb 21, 2015 1:24 pm EST

I was denied Family Medical Leave Act (FMLA) due to paper work not being receive. I contact my mother nurse she fax the information again (2xs). I was denied FMLA because paper work wasn't receive in time. How can a company get away with this.
Milwaukee.

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francy510
, US
Jan 22, 2014 5:59 pm EST

I to had complex foot surgery. Sounds like what they are doing to me. Though I haven't gotten denial of the FML just nothing is approved so I have not done the appeal process. Hope things get better. Have you tried a lawyer.

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Sedgwick Claims Management Services monthly medications

It seem like they like to cut my monthly medications off every few months, that I have been prescribed for over 12 years.
Always need prior authorization. How many times do they need this? Take care of the issue.
My claims adjuster Jonathan Accardi should find a real job. I cannot imagine how he sleeps at night knowing what he is doing to people who are injured!
I never had any problems with the other ins. companies, ex.(Kemper, etc.)
They purchased my file, I did not ask them to. Take what you get.
If these guys families had a injury would they treat them that way?

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reggie b
Spring, US
Aug 19, 2013 9:02 am EDT
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I too had problems with Sedgwick in Houston Texas, samething happened to me what is it with this company, something needs to be done about this.

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Sedgwick Claims Management Services denied relapse claim

My name is Beverly Anderson .I am a re-hire since 10/2/2011. In December 2012 I had an injury that triggered an underlying medical issue called Degenerative Cervical Disc disorder. It created pain so severe because of 2 damaged spinal discs, my entire upper right extremities, and could not sit, or type for long periods . I was**approved for FMLA on the initial claim # B225012754000-10. In February 2013, I had a relapse and was ** approved for short term disability, claim # B2250127540001-11, and was under Orthopedic care 2 weeks physical therapy. I returned to work, as my Dr said, too soon and had to leave work early on 3/10/13, I was rushed to after hours urgent care . The issue had worsened, a Surgical Nerve Block was ordered, by the same Ortho Physician, for the recurring, worsened issue. . I was ordered to be off work prior to the surgery, , follow-up and PT was ordered for an additional 2weeks, I was not released to return to work until 4/4/13. (documented )ATT IDSC agent advised this would be considered a relapse because it happened within 45 days of the last claim. My claim was denied, stating the Dr did not provide enough clinical evidence that I should be approved for short term disability . I have appealed and included the US Department of Labor Law 29. CFR 825.306 & 29 CFR 825.307 that states: Under regulations issued by the Dept of Labor, an employer cannot require the diagnosis of the employee or covered relative . Furthermore, once medical certification is provided, the employer **may not** request additional information from the healthcare provider. While the employer may contact the employees healthcare provider for purposes of clarifying and authenticating the medical certification, the contact must be made by the healthcare provider representing the employer "only". 29 CFR 825.307. Not only did they deny a claim that was recurring, it was at a more serious level, and they had the case worker contact the hospital staff before I was even out of recovery, the day of the surgery, the agent Monica Brewer, called my phone before the anesthesia wore off and threatened to deny my claim if they did not get the surgeons clinical notes by the end of 3/20/13, ( the same day of the surgery ) I was off 3/10 thru 4/3/13. and my claim is still in denial. I am of again because the surgery failed and I am scheduled for yet another and am afraid I may lose my job now. This is not legal or fair, Please help Beverly Anderson

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Sedgwick Claims Management Services In-depth Review

Company Overview:

Sedgwick Claims Management Services is a leading claims management company that has been operating for several decades. With a rich history and background in the industry, Sedgwick has established itself as a trusted provider of claims management solutions. The company operates on a global scale, serving clients across various industries and sectors.

Services Offered:

Sedgwick Claims Management Services offers a comprehensive range of services to meet the diverse needs of its clients. The company provides claims management solutions for industries such as healthcare, retail, manufacturing, and more. Their services include claims administration, risk management, and loss control. Sedgwick is known for its expertise in handling complex claims and providing tailored solutions to meet specific client requirements.

Customer Experience:

Customer satisfaction is a top priority for Sedgwick Claims Management Services. The company strives to provide an exceptional customer experience by delivering efficient and effective claims management services. Clients have expressed high levels of satisfaction with Sedgwick's professionalism, responsiveness, and attention to detail. Testimonials from satisfied clients highlight the company's commitment to delivering excellent customer service.

Expertise and Industry Knowledge:

Sedgwick Claims Management Services is recognized for its expertise in the field of claims management. The company's team of professionals possesses extensive industry knowledge and understanding, allowing them to effectively navigate complex claims. Sedgwick's experience in various industries enables them to provide valuable insights and solutions to clients, ensuring optimal outcomes for their claims.

Efficiency and Timeliness:

Sedgwick Claims Management Services is known for its efficiency in processing claims. The company has streamlined processes in place to ensure timely handling of claims, minimizing any potential delays. Sedgwick's commitment to prompt and accurate claims management is reflected in their impressive response time and high resolution rates.

Technology and Innovation:

Sedgwick Claims Management Services leverages technology to enhance their claims management processes. The company utilizes advanced tools and solutions to streamline operations and improve efficiency. Sedgwick is at the forefront of innovation in the industry, constantly adapting to technological advancements to deliver cutting-edge claims management solutions.

Communication and Transparency:

Sedgwick Claims Management Services prioritizes effective communication and transparency with their clients. The company maintains open lines of communication, providing regular updates and information throughout the claims management process. Clients appreciate Sedgwick's accessibility and responsiveness, as well as their commitment to keeping them informed every step of the way.

Cost and Value:

Sedgwick Claims Management Services offers competitive pricing for their services. The company's pricing structure is transparent and reflects the value they provide to clients. Compared to competitors, Sedgwick's value proposition is highly regarded, as they consistently deliver cost-effective claims management solutions without compromising on quality.

Reputation and Trustworthiness:

Sedgwick Claims Management Services has built a strong reputation in the industry for their exceptional track record and successful claims management. The company's commitment to ethical practices and trustworthiness is widely recognized. Clients trust Sedgwick to handle their claims with integrity and professionalism, making them a reliable partner in the industry.

Overall Rating and Recommendation:

Based on the comprehensive evaluation of Sedgwick Claims Management Services, the company receives a highly favorable overall rating. Their expertise, efficiency, and commitment to customer satisfaction make them a top choice for clients seeking reliable claims management solutions. It is highly recommended that potential clients consider Sedgwick Claims Management Services for their claims management needs.

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