Sedgwick Claims Management Services
reviews and complaints

Claim number :L1507165073-0001
I had purchased a refrigerator from Sears, the freezer had problems with the ice maker and Sears attempted to fix it over many visits and with many parts. Unfortunately the water feeding the ice maker had been leaking for a very long time and ruined the floor and leached up the tongue and groove wooden walls in the place where the refrigerator was placed. Sears finally replaced the refrigerator in September of 2015. I put in a claim for the damage done by the original refrigerator in July 2105 and got three estimates for the repair of the damage. The estimates were for $10475, $10816 and $12000 (all without permit and architectural drawings costs as needed). Sedwick offered only $4210.96. I cannot find a reputable contractor to do the work for this price. I asked the agent to locate a contractor so that the work could be performed and he did not. It has now been over a year since this water damage has occurred at my home. I contacted the contractors who had given me estimates and now they have concern about the long term damage due to these issues not being fixed. These problems were caused by the refrigerator from Sears, who replaced the refrigerator. Sedgwick acknowledges that the damage was caused by the refrigerator but will not provide the proper funding to cover the damage. The entire time this was going on, my husband was dying of glioblastoma multiforme brain cancer. His medications needed to be refrigerated and the floor surface was and still is a tripping hazard. His balance was off and I just wanted this fixed. This company did not even care about that fact.

My wife nearly died, I had to stay home with her while she healed. Within 2 business days of leaving the emergency room, I called and filed my FMLA. I promptly got a letter saying that my FMLA leave had been denied because I waited too long to file the leave. So I figured 'oh well, ' i will just use sick time and forget about FMLA. Until I got a call from Sedgwick today saying that the deadline for me to hand in my paperwork (doctor's notes confirming my wife's condition.) was yesterday so they are denying my FMLA, which they told me was already denied. I asked them why did they not call me when I had a chance to hand in the paperwork, they said because it is policy to wait until after the deadline before they follow up - obviously so they do not give customer's a chance to fulfill their requirements (6 pages that my wife's doctor had to fill out.) before their deadlines, giving them additional avenues to deny the leave.

However they still went in and adjusted my time card for me- completely wrong and incorrectly. I did spend ample time with the rep describing in detail exactly when i left work, the days i was out, the normal days I work and the normal hours i work and when I returned, but they did not note my time card accordingly.

I think Sedgwick is a horrible company and they do not understand the details that they need to understand in order to properly do their job.

Every person I talk to from Sedgwick cannot answer my questions, they have no idea about anything outside of the filing process, and they sound like they are tired or they hate their job (which judging my the posts about working for Sedgwick is probably true.)

Sedgwick is a horrible company - this is not the worst experience I have had with them either.

My husband was hit by an Alamo rental car customer, Sedgewick CMS is "working" on claim. Linda Whitfield the rep from Sedwick is extremely rude and lazy. She hasn't answered calls left daily by my husband and our INS company for over a week. He finally gets her on the phone, he is understandably upset at the lack of response and lackadaisical attitude of Linda Whitfield she repeatedly tells him to fill out some form and send it in, then when he asks how many hops did he have to jump thru for them to remedy this situation she hung up on him. He was the victim of the accident not the one who caused it. The driver of the Alamo rental car was cited at the scene for the accident. He shouldn't have to prove he was hit, it is in the police report . Sedgewick CMS is a terrible company hiring rude and lazy people like Linda Whitfield.

I've been dealing with workmans comp through this joke of a company, I got treated and diagnosed and the doctor sent me to physical therapy for it and Sedgwick rejected half of my injury as being on the job AFTER I had already gone through physical therapy for it and now I am going to have to pay out of pocket even though I'm now out of work. The manager of their claims department called me and was a complete ***hole and was extremely unprofessional, he kept saying "I've been doing this for 20 years..." Like he was accusing me of fraud, they f***cked me and he was acting like I was the one in the wrong. It got heated and I used profanity at him (which I shouldn't have done) and he took his extremely high horse and wouldn't let me get a single word in while saying "if you have new information blah blah blah". I would try to voice that information and he would just say "LET ME TALK, or I will terminate this call. It's our decision and it's been made" such a crock of s***. You're crooks and ***holes and have messed with my livelyhood and my money. To all who have to deal with this "company", tread lightly and don't expect help. They aren't your friends, they're money hungry crooks.

there no pros Elisabeth Gurry and Jennifer Brinson are rejecting claims do to personal conflict with claimants

Elisabeth Gurry and Jennifer Brinson are rude do not call claimants back and if a claimant complaint they make it their personal business to make sure the claim gets rejected causing the claimant to seek attorneys help and sue Sedgwick making Sedgwick pay bigger settlements to claimants that were only looking for medical assistants and get well this adjusters and supervisor don't care because they still keep their job regardless

The more your adjuster and supervisor miss treat patience the more money your company will pay in settlement cases they are the ones driving the claimants to seek legal help when they were only looking for medical help

Sedgwick claim adjuster did not make me aware how how little my weekly lost wages payout would be... $932/wk vs my usual $2, 000+/wk net take home.
Sedgwick had my income info weeks prior to my surgery.
I had no idea how onerous WC was for a higher earner in PA.
My Sedgwick claim adjuster sucks. She puts nothing in writing and will for the most part only communicate over the phone.
My advice, hire a lawyer as soon as you have an on the job injury and come out guns-a-blazin.

I was on short term disability back in November. Because they incorrectly marked my claim as FMLA and not disability I never got paid. They provide me with no information or direction, they don't communicate anything and don't understand what is going on. When I kept calling them, got no response, took weeks to get to my assigned adjuster. They are never available and it takes them days to call back. Finally I talked to someone and next thing I know they send my supervisor email that I am going on disability. Escalating it and now manager doesn't call back. Nobody there cares or does their job.

I had surgery on my abdomen and shoulder was in hospital for a day. Sent in all paperwork needed for my short term disability and was still denied. What do they want me to do go to work to care for patients with my shoulder in a sling and drains coming from my stomach. They are a waste of resources and time I hope my company transfer to another company. If it were them then they would understand. I THINK SEDGWICK NEEDS TO GO OUT OF BUSINESS!

*Out of work since Oct 20 2016 - ongoing back pain, pinched nerve
*Am in the process of getting scheduled for another back fusion due to degeneration and a pinched femoral nerve going to the left leg. Original STD was denied due to Sedgwick saying they didn't get some Dr notes. I appealed and went to an extension, I sent in ALL chiropractic and Neurosurgeon notes excusing me from work until March 7th. I just got notified the appeal was denied as well.

I am in horrible pain almost every single day, some days I can barely get out of bed, walk up a few stairs, walk very far or sit for very long. Daily care is hard from putting on my sock or shoe needless to say showering and daily care. My days consist of in a recliner and constantly standing or sitting and moving around trying to get the pain to go away. Sleep is disrupted and limited to about 1 hour at a time. I have been going to PT for a few weeks now as well.

I got approved for November 2015 and paid, but did not get paid for Dec, Jan or Feb. So, needless to say, I cannot afford to stay home until my surgery, I am forced to go back to work and suffer and live in more pain due to the nature of my work, standing in one place, slightly bending over and sitting upright.

I would like this to be approved, I have doctors notes saying not to work and MRI results supporting my problem.

On Sunday 1/17/16, i made dinner for my family, per the usual. We had Quinoa and grilled chicken. I had The Fresh Express Baby Kale Mix with dinner, no one else did. Nothing was added to it. About 1-2 hours later i started to have bad abdominal cramps, i got up, felt dizzy, laid down. About an hour after that i had to run to the bathroom to just make the vomit into the toilet. This along with diahrerrea continued for another hour or so until i figured i'd better go to the emergency room because i have never felt this badly before along with the cramping and dizziness, i figured it was a good idea to be checked out. I have 2 kids at home and it was 1030PM so i had my mom come and take me to the ER as i couldnt even stand let alone drive. My husband stayed home with the kids. I got to the ER and was vomiting into barf bags and placed in a wheelchair -this caused the attendants to put me in a private room while we waited for a room in the ER to become open (all rooms were full and i was a hot mess so they did not want me out in the open (very emabrrassing)). After an hour in this private room and more vomit and diarreahea we finally got to an open room and were able to see a doctor. They did every test imaginable and everything came back normal. They called it a stomach virus, likely food poisoning-the doctor said as well as the nurse. Gave me meds for the dizziness and naseau and after 8 hours in the emergnecy room i was discharged., i got home at 645am. My husband had to miss 1/2 day of work the next day as i obivoulsy could not tend to the kids (they were off of school/daycare as it was MLK day). I was in bed the entire day 1/18/16 and very sensitive on 1/19/16 (i did not go to work that day). On 1/20/16 i finally began to feel like myself again and was able to work. I am an extremely active person/mother and for me to be out of service for 2.5 whole days is very weird and also not good for my family. I normally wouldnt submit something like this for any sort of compensation and just move on but it being so early on in the year, i havent met my health insurance deductible yet so will owe these charges in full. I have attached the itemized bill from the ER, the records from the ER, the receipt from when i purchased the item (i told April it was purchased from a Target but after looking for the receipt i realized it was actually purchased at Publix on 01/13/16) and the photos i took of the opened salad bag which i had to throw in the trash because just the sight of it obviously made me sick again. I also attached some research that i did regarding the difference between food poisoning and stomach virus-seems difficult to tell the difference of them/if any at all; appears to me they are one in the same. I have around $3, 000 in out of pocket medical expenses and submitted everything I have to Sedgwick who in turn denied my claim stating their client, Fresh Express/Chaquita, didn't cause my illness yet when i asked for their report from Chaquita, they don't have it. This is basically a word vs. word situation and they are basing a denial off the fact that no one else had complaints of this product. It is a shame I now have to pay these charges because of this disgusting product.
Fresh Express...more like Fresh Express visit to the ER.

I put in a claim to Sedgwick because they represent Rent-A-Center in Mount Holly, NJ to which they put a hole in my wall when delivering my furniture. I was lied to on two different occasions that the checks had been mailed out. My wife and I just bought this house and spent a pretty penny on remodeling, and not for someone to come in and destroy it and put a hole or crack in it. Now this all happened in DECEMBER 2015! Sedgwick Insurance is a FRAUD and liars...I NEED MY MONEY!

All of my prescriptions for some reason now require previous authorisation from Sedgwick. I never needed this before I have been paying cash for less expensive medications of mine but cannot afford the nerve blocker recently prescribed to me. No one can get a hold of my claims adjuster or anyone to approve these medications. I have left several messeges and not once spoken to anyone other than the customer service reps. This is ridiculous I work for Starbucks coffee coorperation and if they knew how Sedgwick treats there injured partners I highly doubt they would continue to do buissness with them.

name Alexesandro P. Mateo
address 1053 wiliki drive Hon. HI. 96818
Company work for Dollar Thrifty Hertz Rent a car
contact info ph# [protected]
email [protected]@yahoo.com
Date of Injury 7/14/2015

Ive been out of work since Oct 21, 2015, after getting the paperwork all in, I finally got to speak to Suzzete at the Honolulu Office in early Nov, she actually called me! I was so excited as she apologized for my long wait. She explained to me that she was having a check sent to me Via FedX, because it was my first check, afterwards a weekly check would come in. This was on a Wednesday so, no later than Saturday. That she would be emailing any details or info. I was elated! She told me she would call me back with the exact amount in 5 minutes. She had taken my email, my phone number, details of the injury, everything... Since that phone call ive must've called and left numerous messages to no end. In a Dec i called and the person answering the phone said that Suzette was on Vacation, so I asked to speak to a Supervisor, Andrew, but he was also on vacation, she said that my file shows that since Suzette was on Vacation the adjuster was working on my case. She gave me their phone numbers and I could only leave messages...NOBODY EVER EMAILED ME, CALLED ME...Then out of the blue I believe it was the Jan 4th FedX came to my door with a check?! I appreciated it, really I did...but imagine the holidays for me and my kids? Im a single dad...now I thought it would start coming in weekly as promised. But sad to say, im again leaving countless messages, oh yeah the gurl at front desk connects me to Suzzettes phone or Mr Adrews phone...I never got/get a call, an email, nothing, and so leaving me in the dark. I am sending you this complaint in hopes that I don't have to take more serious further steps. Please, email, call or text me back. Mahalo from Hawaii alex mateo

I was injured at UCSD initially in 1992 and went off work Jan. 1997. My settlement ordered by the court in San Diego, Ca. County guaranteed care for my complex regional pain syndrome for the remainder of my life. My claim only provides 4 medications, Lidoderm patches and splints. Now they are denying without explanation all treatment which is forcing me off their benefits. Somehow they have involved my original attorney of whom I had no contact for approx. 20 years. This is illegal and just flatly wrong and I don't know how these persons involved can sleep at night. My attorney says my doc is not documenting properly however the documentation is the same as in the past. As karma says what goes around comes around!

Another un pleased claimant I was physically hurt at work rushed to hospital from work as I was unconcious. So it's def a workers comp case. I've had nothing but problems with sedwick and my advisor. I've done every step every paper that needed to be filled out and sent in that was done. I've been out over a month and been fighting since. I call sedwick everyday since I've been out and I have talked to my advisor 3 times total only when she needs something from me. But when I call it's always voicemail. So I contacted my advisor boss 2 times for her to say well we have not gotten any papers from any doctors showing proof why I'm out. Well that right there is a lie all three doctors that I have seen personally sent the papers out the same day so that right there I no they sent them. That's what's stopping me from getting my check according to them. Also every time I finally get a hold of someone they tell me we will leave an email with your advisor and she will call back. That's bull I have not heard a word. Sedwick is the worst company out there. Something has to be done. Its not like I purposely got hurt. I'm 22 years old been working since I was 16 No excuse for me to purposely get hurt I got 2 kids that I gotta feed but with this bull it's not happening. I need some type of assurance like what I should do maybe get an attorney or?

2 young patients (brothers) were admitted to my facility after a tragic accident that took their grandmother's life. Both have Sedgewick CMS as their primary insurance coverage. Both brothers were admitted on 09/02/15 and are still being hospitalized. Claims were generated to Sedgewick CMS for services rendered and for the past 2 months, we were unable to get any status on the claims and if we are fortunate to speak to a claim representative, we got bounced around and later disconnected. Telephone messages were not returned nor emails. Would like very much to speak with someone responsible to obtain a satisfactory answer.

Sedgwick has been the most inconsiderate, unprofessional, and unorganized. I am the spouse of the injured worker that is currently under the case management of Sedgwick. Not only am I in the US Army but we are currently stationed in Hawaii. So anytime we have issues with this company we cannot get in contact with mostly anyone because of the 5-6 hour time difference. I do not know where to begin to complain about this company. My husband got hurt in Nov 2014, Sedgwick did not contact my husband until Dec 22, 2014. So not only was he not receiving services from them but he was also not getting Workman's comp from the time he got hurt until Jan 2015. He has been had 2-3 case managers and did not receive any information that they were leaving or were fired. He also was not assigned a nurse from the company until Oct 2015. He has had issues with not receiving checks or either his check amount not being correct. We have different numbers for different people that we have been calling for this entire year we also have several email addresses for different representatives because they just vanish without notification. We have been putting up with this feeble mindedness. This situation makes my husband feel like less of a man because he cannot work because of his injury to his bank and he is not receiving compensation from Sedgwick. He is constantly in a bad mood because he is not the bread winner in our family and because he cannot go to work and is in the house all day by himself. My next action will be legal through the Army because this is affecting my family worst than my husband being hurt. My husband is talking about hurting himself further just to make consistent money to pay bills. He is not even getting proper medical care. He was getting proper medical care through the Army. If this company doesn't get their business together I will definitely be pursuing other avenues such as legal.

I got injured over a year ago. Sedgwick took over the claim in 7/01/15. Since they took over 2 claims manager on my claim have either been fired or quit. Im now on my third case manager and had no notifacation about any of them coming or going.I contacted Sedgwick on Aug 12th to confirm my payment that according to a letter from them should be here no later than Aug 14th I spoke with Kimberlly Patterson my new claims manager she told me she was looking at my payment and sendind it. I still not have recieved it on the 19th of Aug. So I called again and spoke with her. She told me no check was mailedbas of yet I mentioned the letter she threatend to not send my payment at all I would like to hope Sedgwick does not run a company this way. Ungoetunatly I have just learned that they do run it this way