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Sedgwick Claims Management Services
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Sedgwick Claims Management Services
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1.4 392 Reviews

How responsive is Sedgwick Claims Management Services's customer service?

41 Resolved
349 Unresolved
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Sedgwick Claims Management Services is a rare visitor on ComplaintsBoard, so the pace of resolving complaints leaves much to be desired. We believe they should spend more time and effort on reviews to naturally grow customer loyalty. As for reviewers, we'd advise carefully reading existing reviews to understand what to expect. It's also helpful to go through the few complaints that Sedgwick Claims Management Services has already resolved to get a clear picture of their customer interaction and potential challenges in resolving your personal issue.
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Sedgwick Claims Management Services reviews and complaints 392

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Newest Sedgwick Claims Management Services reviews and complaints

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Sedgwick Claims Management Services - playing games

I injured my back while working for Kohl's. Luckily, I had Sedgwick CMS as my worker's comp carrier *insert sarcasm*. The injury happened at the end of August 2009, it is now the beginning of May 2010. The adjusters at Sedgwick will do everything in their power to delay any medical care needed and deny coverage of doctor/specialist visits + medications. The...

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Sedgwick Claims Management Services - public storage insurance

This is regarding the Claim Number [protected]-0001, We have taken insurance when we stored our luggage at Public Storage and all of our good got spoiled when we took out public storage. When we contacted the public storage, they have given the number to claim the value for our goods. So we filed a compalint in August and send all the required documentation...

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Sedgwick Claims Management Services house destroyed by fire

My home burned to the ground along with everything I owned. I had a security and fire early warning monitoring system which was supposed to alert you of fire and also report fire to fire department. My home somehow caught fire in the rear of my home while I was home. I was not in an area of home to realize the on coming destruction. The fire system never went off all the way up to the point where the home began to fill up with smoke. ADT employee who was in a management position sent me a letter stating that she apologized that ADT FAILED me and that basically her company ADT had no liability. After that they put Sedgwick insurance on me and after requesting and my sending them 2 times by email and hard copies, they continued to say they did not receive my claim. Eventually they even attacked me personally saying I was negligent and caused the fire. They used any and all ways to discredit me even though fire was investigated by 2 county fire marshalls and a private fire investigator from my insurance company. They eventually just told me go away. Yes insurance paid me for my losses but so many things were lost that could not be replaced. All of my photos, my cat, just imagine 50 years of your lifetime belongings burning. I am still alive but had I been asleep like ADT I would not be. I am still scared to leave my dogs home alone and at night do not sleep well. ADT is a joke and I even discovered from their insurance company that they do not follow NFPA code and he also stated they do not have to follow code. There is also furbish in their contracts you should read that states they have no liability.

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Sedgwick Claims Management Services medical treatment incomplete/transfer of claim to liberty mutual/no responce since 1/14/09.

1) November 11, 2008, injured at workplace, driven to E.R. by supervisor. Treated for scalp laceration and (2) bilateral fractures to left and right thumbs were xrayed and referred to specialist.
2) December 03, 2008, Letter authorizing surgery issued to treating surgeon.
3) December 23, 2008, Surgery center calls to schedule a 12/24/08 procedure and sees me for pre-sugery at 2:30pm. Surgeon advises that the surgery is at best "highly unlikely to correct deficiencies in either thumb due to extensive scar tissuing and delayed treatment". I postpone at surgeon's advice.
4) January 14, 2009, Sedgwick issues letter transferring management of my claim to Liberty Mutual/Helmsman.
5) January 20, 2009, The Home Depot announces the closing of its Irving facility and I am suseqently laid off.
6) February 05, 2009, Followup appointment. Surgeon performs impairment exam to both thumbs and issues report to Sedgwick/Home Depot that clinical maximum medical improvement had been reached and that permanent impairment of 6% total body existed.
7) February 20, 2009, Final day of employment at THD.

SUBSTANCE OF COMPLAINT:

I have never heard from any of the parties involved in this claim since my last medical appointment on 02/05/09. My complaint is that I now suffer with severe joint pain and swelling as a result of the (42) day delay in scheduling my surgery for pin placement originally agreed to on 11/11/08. That I have been treated with callous disregard by The Home Depot, Sedgwick, CoCentra and Liberty Mutual. That I intend to pursue all civil and medical remedies available. That I am currently looking for legal representation. That I have all documents including original xrays from E.R. to substantiate all claims.

David VanCompernolle
[protected]@tx.rr.com

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Sedgwick Claims Management Services delay in medical care

Sedgwick has there hands in the work related injury drs. Wallets and fill them up as long as the drs dismiss your injuries, delay timely and proper medical care. The drs are rude, incompetent, make up lies and forward the info to sedgwick as facts. Sedwick and the drs. Can not be trusted with your care. If your injured at work get a lawyer the same day your hurt, if sedgwick is the carrier. They deny claims prolong treatment, then drs tell you enough time has gone by your not in pain, mentally get on down the road dismiss you like trash or gum on there shoe. The drs. Walk out of the office before you can discuss your injury. Sedwick drs dont listen and dont care as long as there wallets are full for there ski trips and fishing outings. Dont trust the drs fancy website claims. Its bunk. I was injured several months ago havent received any treatments for severly injured back. I was told your fine your not in pain get over it, and full duty at work! I had to pay for my own mri, from my private dr showing the full injury.
Sedgwick is a huge joke. Companys who use them dont care about there employee and companys hide behind the erisa hipe!

Read full review of Sedgwick Claims Management Services and 6 comments
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Screwed by Sedgwick
Casa Grande, US
Sep 22, 2010 9:27 pm EDT
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Sedgthugs deny your claim or deny or delay proper medical care. This is usually at the request of your employer. Every state has statutes that you can file under for unfair claim processing and bad faith... File!

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2toddlermommy
, US
Jun 24, 2010 1:05 pm EDT

My hubby is currently getting the run around from sedwick. He was hurt 12/09 at work, and he has two herniated disks and a bulged disk in his lower back. (he is 24years old) Long story short, after seven months the only treatment he got was a ridicoulusly high dosage of narcotic main meds, and he went to one [censor] dr after the next. Two MRI's were done so none of the dr's tried to deny he was injured, they just didnt do anything about it. Last week we finally saw a dr who cares, but he says that since it has been so long with no treatment that surgery is now the only option! That is the last thing he wants, buut thanks to sedwick and their [censored]head adjusters, he will have to go under the knife. the drs are saying there is a 50% chance that he will not be able to walk after the surgery and it will take him up to 5 years to relearn basic skills such as walking. We have two toddlers, they may have a daddy who can not walk because someone in an office didnt feel like doing their job! Doesnt seem fair to me, much less legal. We have been working with the attorney on long term compensation. For anyone that gets hurt...GET A LAWER! it wont cost you anything unless you recover, but if you try to fight them on your own, it could cost you your life!

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edhump
Annandale, US
Apr 27, 2010 10:15 pm EDT
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I completely AGREE! I was hurt on the job in december 2003. I tried with laywers and on my own. However, after 4 YEARS. I got a call back and found out that they owned me close to $25, 000.00 in awards and life time medical. Now, comes an issue of life time medical. I was told by VA workers' comp. that they still own me more. Now, I wonder how long this will take?

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ScrubBrush
, US
Feb 24, 2010 12:46 pm EST

I agree completely. I was injured June 2009 and the doctor gave me pills for two months and the third month decided to send me to theraphy. My initial diagnosis was a lumbar strain, yeah right! I was in ridiculous pain every time I bent, got out of bed, got off the couch, you name it. Therapy was hurting me since they didnt know what they were really treating... I got angry and threatened to go see my own doctor and finally was given an MRI showing 2 buldged disks with a pinched nerve, and of course some arthritis which was likely the cause of the pain?... So said Segwick and the company doctor... I went to see my doctor and she is in complete disagreement with how the Company doc treated me and then went to a specialist who also disagrees with the company about the minuteness of my initial injury... Now everything has been covered with a wait in between of course.. Its 8 months later and still in discomfort and have been waiting two weeks to get more therapy approved for during the span that I will be given 2 cortisone injections... The therapist just called me irritated with the amount of time they are taking to make this decision... The company doctor does put lies in the medical files and I would encourage everyone to get a copy of your files every time you see the doctor so you can take care of the lies right then... Since my pain typically happens when I sit for long periods such as car rides and in school, or from standing too long it is a PERSONAL injury...lol So pretty much if you have pain outside of work then its a personal problem... The lawyer said the company doctors notes and IME notes aren't worth the paper they are written on in front of a judge and that is why they dont want you to see your own doctor.

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ToddOsty
Portage, US
Feb 18, 2010 1:02 pm EST

does anyone know what address you would serve small claims papers on for Sedgwick? I had a rediculously small incident happen at walgreens...their sliding door caught and tore my jacket. They of course will not return my calls. It's been 4 months, so I am prepared to name Walgreens and Sedgwick in a small claims suit. I just need to know where to send the papers.

Thanks,

Todd

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sara
Chandler Heights, US
Oct 01, 2009 9:54 pm EDT
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i agree with you i got hurt at Walgreens a box of waters coming off conveyor belt rammed into me. i never did a truck i was new third day on the job so i didn't complain until my next shift and i didn't feel immediate pain i cotinued working that day. anyway i had to report to Sedgwick insurance so i can be seen my shoulder and back were hurting me. i went throught the process the guy was rude to me and said stories dont match up and i was sent a denial letter that i wasn't goint to be covered! this was so unfair now i know no matter what if you get hurt at work report immediatly you have 24 hrs to report. Walgreens also lied and said i didn't get hurt at work they didn't want to take responsiblility the manager saw the box hit into me. And asked me if i was ok! i said yes . He didn't even offer to do an incident report. But this company is just awful finally i went to have an Mri with my own insurance and i had a rotator cuff tear 60% so i had to go to therapy for shoulder and back.

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Sedgwick Claims Management Services insurance automotive

Sedgwick CMS claims adjuster Tina Parks is a lying, calculating dishonest person and of all the claims adjusters I have ever dealt with I got the worst. She lied from day one trying to get me to have my insurance pay for vehicle damages sustained from getting hit by one of their clients trucks. She lied and delayed for more than 30 days, only to tell me she didn't see how their truck could've hit me, my first thought was; gee were you there? I didn't knock my bumper off, but what goes around, comes around and only a judge will have the last say.

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Sedgwick Claims Management Services - false complaint service

DO NOT Contact the person listed below at Sedgwick CMS. This person is not interested in helping you, this person's sole responsibility is to collect information about you so that Sedgwick CMS can terrorize you and your family at a later date. Guy DeRosa Guy.[protected]@SedgwickCMS.com work mobile [protected] work phone [protected]... File your complaints with the Department of Justice or the Attorney General in your state.

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Sedgwick Claims Management Services fraud and cheating

Sedgwick CMS is a third party administrator of Disability Claims for many large and small organizations across the country. They are liars and cheats! They will deny claims for virtually any reason, true or not. Their compensation schedules are such that the more claims they deny the more money they make.

They will harass you, lie to you, change their requirements, and do everything possible to deny a claim regardless of if it is a legitimate claim or not.

They will deny you rights provide you in State Laws and in case law in Federal Courts and say these 'rights' are 'not authorized under the plan'. Ratna Bagwe and Rick Hernandez in their Chicago office are among the best of their liars.

Do not trust these people to give you a fair shake!

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wjupper
Eden, US
Aug 29, 2014 12:42 pm EDT
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Cut off service in my area, Will not honor minutes, will not refund for phones or unused minutes

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sedgwick scams
lexington, US
Aug 27, 2014 11:19 pm EDT

https://www.youtube.com/watch?v=s285VyKhbiM&feature=youtu.be

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Sedgwick Claims Management Services - disability benefits

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...

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Sedgwick Claims Management Services dicontinuation of lifetime medical benefits

Dear Sir:
I was informed by Walgreens Drug Store that my life time medical benefits have been denied by Sedgwick CMS, the insurance company representing Los Angeles Unified Scool District.
My Claims file # with Sedgwick is WC648024232LM.
I have called Sedgwick multiple times with no response.
I recieved my award in 1996, VNO 0291672 &VNO 0291673.
Can you please help
Thank You
Sandra Adams
1520 Ambrosia Ct.
Fort Collins, Colorado 80526

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Oregoninjury
klamath falls, US
Mar 08, 2012 7:04 am EST
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Get an Attorney that's a workmans compesation or call California insurance Division and file a claim yourself Don't let them get you. Workmans comp attorneys don't collect a dime unless you get money, they also have free consultations...Don't let it go it's your right

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Oregoninjury
klamath falls, US
Mar 04, 2012 10:03 am EST
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get an attorney asap!

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Oregoninjury
klamath falls, US
Mar 04, 2012 10:03 am EST
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curious, what was your injury and what was your settlement?

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eksmith66
Atwater, US
Nov 01, 2009 7:28 pm EST

this is from an work related injury?

E Smith

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Sedgwick Claims Management Services - hippa

Sedgwick cms handled my w / c claim and long term disability claim, they always seemed one step ahead of my lawyer and I could'nt understand it. They cut of my disability even though my dr. Said I needed another surgury. I called them 5 months later and asked why they stopped paying for my w / c meds, the women on the phone who would only give her first...

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Sedgwick Claims Management Services - obtain my personal medical records without my authorization and permission

Sedgwick CMS continues to contact my doctors to obtain my personal medical records without my authorization and permission. This is a very serious matter. They need to let me know what they have done with my personal medical records since obtained and why. They also need to stop it.

Read full review of Sedgwick Claims Management Services and 39 comments

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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