Sedgwick Claims Management Services
reviews and complaints

This claim adjuster Kacie Mckenzie, [protected], never responded to our demand package for 3 months. She sent couple emails asking for irrelevant matters and still would not make an offer and is clueless about this claim. Such practice will only subject their client to a lawsuit and cost the client more money. This is bad faith practice and super unprofessional!

I've received worker compensation for 22 years and now I have a new worker and he's not sending the checks on time he's changing the days I received them he don't know how to direct deposit them ,I need help, I've been emailing him and his supervisor and can't get it fixed, he's asking for information from me that should already have on file I need a new worker so can someone please help me

My short term diabillity has been tempered with thru my agent and his supervisor told me nothing but lies , now they said im over paid but the day before they was going to pay me my back pay as well as approving my short term but nowvsaying Im over paid which isnt true because I had the last agents who had my claim look ,I also have the documents to prove it, so I ask for the documents to back thier statement but havent received anything , Im seeking an attorney to take this case as we speak because I have alot more to say as well as proof so I dontwant to put it all on here so segdrick can make a defense

On August 2, 2023, and A & E Service repairman came to replace my Samsung refrigerator Ice maker parts. He broke the whole refrigerator while removing the broken ice maker. He gave me a Claim # L23080250150001 and the phone number [protected]. He said they would call within 2 days. It has been 12 days and I have been calling the adjuster Michael Chang [protected] and his team leader Kathryn Cody [protected] and leaving messages almost daily and no one has returned my calls. I contacted A&E Service and they would not help and said I had to contact Sedgewick claims. I have been without a refrigerator and camping out with coolers and ice for 2 weeks.

I requested to change my adjuster because she has intimidated me, refused to do her job and has told me she does not want to waste her time calculating settlements or arranging treatment modalities that my doctor prescribed to me. I requested to speak to a supervisor and after almost a month of trying to get a hold of someone, no one has called me back. I am still unable to received the doctor prescribed treatments and no one in Sedgwick is returning my calls.

3//12/23, claim was filed on behalf of Best Buy stores. Geek squad of Best Buy, came into my home and flood the kitchen and the water damaged kitchen cabinets, flooring which goes into the living room, baseboards, sink rug, mold and mildew in home constantly cleaning mold and mildew, explained to sedgwick claims from the beginning my household has asthma and allergies, and this needed to be taken care of ASAP. We are not almost 5 months into this claim, and still no resolution. Everything they have requested, it has been provided almost immediately, it appears the continously request information in order to continue to prolong the handling of this claim, and I'm over it. There is absolutely no reason that my family, home should be in disarray. Nor should my family have to live in these conditions. Geek squad came into the home to install a dishwasher, and was unable to because they advised there wasn't a drain line, in which it was, and this was also advised to the tech, as the dishwasher is the 3 in the home. The tech went under my kitchen sink cabinet, and turned on the waterline, and did not turn off, this is what caused the water damage, and the water running wasn't discovered until later, as after the techs left, I also left the home. I have been assigned 3 different adjusters (Kurtis Edmonds, Ashley Clay, and now Shelly Bass), Jennifer Mathias is the Manager, and all have handled this claim extremely poorly, and will not return calls. I left multiple message for the manager Jennifer Mathias, and this was back 4/2023 (please check the notes on Sedgwick claims website for accuracy of date), and she literally returned my call basically 2 months later 6/28/23. Shelly was assigned to my claim back 6/23, and my first call with her was not until 7/19/23. It was more important for her to talk about her trip to Florida and a cruise her and her friend would be taking. I honestly didn't want to be rude, so I held my composure best I could. The Audacity to tell me about a Boat cruise in Florida, and I have been dealing with a pure mess for now almost 5 months! That really stung in the wrong way! There should be a appropriate handle time for water claims, as we know when dealing with water things get worse. Not once did they tell me or give me direction of what I could do, and I asked but never a response to what I should do next in order to attempt to save the home from further damage from water. Sedgwick claims is the absolute worst claims handling company! This should not be allowed to happen, we have had to be seen by our doctor's, ER for Asthma attack, kids put on additional allergy medications, and even steroids due to the Asthma Attack, and again having to be seen in the ER. PLEASE RESOLVE THIS CLAIM!

I am having issues getting an adjuster to call me back. 1 week ago he finally he responded and was suppost to send over a modified RFA to our office. I scheduled the claimaint and he never sent over the modified authorizaion. Again i left him several messages leading up to the claimaints appoitment and he does'nt return his calls and he has no supervision information on his voicemail. So now i am trying to contact Sedgwick and the message on the phone is my wait time is one hour. This is a huge issue. I am going to cancel the claimaint due to the adjuster's lack of following through on what was discussed. adjuster name: Daniel Meighan [protected] other numbers called but couldn't get through [protected]. There is no resources from Sedgwick to help the claimaints get the care they need. I will not accept new claimants from Sedgwick if RFA's need modifing.

This claims adjuster is acting in bad faith with a general liability claim. I had a slip and fall injury from the negligence of employees not cleaning a liquid laundry detergent or soft soap spill in the main aisle. She has the video evidence of how far I slid before I hit the floor with my right leg at a 90 degree angle. This happened 26 months ago and I injured my lower back to the point I lost my job because I couldn't sit for an extended period of time. I thought her job was to investigate thr claim and return me back to normal. Nope she puts the Insurance Company who delegated their authority above my health and well being. The cause of the fall left me jobless, got evicted, missed funerals, can't bend over to shave my legs and am still suffering pain and can't work. I had a prior incident in 2015 which caused a herniated disk in C6-C7 but the spinal surgeon wouldn't fo surgery and it healed on it's own. Everything is pre-existing in her mind. Even though I was consistantly working after that incident until the fall in the store. That reagravated my neck but my main complaint is my lower back. I don't recall ever having issues sitting for extended periods of time or not being able to bend from my waist down before the fall. I went to my primary care doctor who exrayed my foot even though I'm complaining about not being able to sit without pain. Then an Emergency room, a spinal specialist and a neuro surgeon. None of them cared enough to treat me unless I followed strict procedures. Epidurals then this and then surgery and we can't guarantee it will fix your injuries. Her offer 5,000 because my medical bills were 3 800. I've given her pictures, the specialists diagnosis, lost wages and witness statements of how my life was before the accident and how it has changed my whole existence. She doesn't care and since I don't have a lawyer she threatens litigation is expensive. Montana has a law against this type of Unfair Claim Settlement Practices. I have informed her she is acting on bad faith but this hasn't detered her abuse of power. So I'll take whatever unfair settlement she is going to offer me and sue Sedgwick for breaking at least 3 Montana laws. This company is evil and doesn't care to help the harmed party but instead makes sure they save their employers money at any expense. It doesn't matter that Sedgwick is now harming the victim for years and doesn't blink an eye.

I have reached out to Puradonna Slaughter (Claims Examiner) and have provided all documentation for the awning claim but cannot get Ms. Slaughter to return my phone calls or emails. My emails and phone calls begin September 8, 2022. My email address is melinda.[protected]@eecu.org and my phone number is [protected].

The incident occurred on May 26, 2022. Ms. Slaughter sent a letter to the Weatherford branch on June 30, 2022.

I have the incident report and the proposal for the awning repair, but it won't let me upload it. Please let me know where I need to send these to.

I frequently file petitions to be paid (after waiting a year and multiple billings) requiring a judge's order. There is never an explanation.

My last outstanding bill is for a QME service that was paid four months late without the mandated late payment penalties

The efforts to collect a bill are sometimes more than the service.

Filing audits is rarely helpful.

This type of action is the main reason Doctors are leaving WC and QME. The class attendance for QMEs is 1/10th of what it was 10 years ago.

I’ve been ignored in some instances not even acknowledged during this whole claims process with Sedgwick. The adjustor Mocks me at every turn he can. The adjustor never gives me information to why certain requests of mine were denied, never gives a reason just a snide remark to finish his comments. I requested my indemnity payment be released due to extenuating circumstances, to which his boss agrees to release the funds, tells him to release the funds, and he ignores her request and does as he pleases. On April 7th, 2023 I requested my indemnity payment be released early, Mrs Bonnie Bates-King was in approval for releasing my funds, unfortunately the adjustor John Salonga wasn’t having it! In May my indemnity payments were moved to twice a month I received my first half of my indemnity payments on June 4th, w2023. The adjustor explained to the attorney they had hired that my next payment would be released 2 weeks from the 4th of June, so the 18th of June. Instead the adjustor decides on his own accord to release my second round of indemnity payments on the 7th of June, not the 18th like he explained to the attorney Sedgwick has hired. How convenient that he releases my indemnity payments when he sees fit not when I need them or even when his boss tells him to. I have all the emails to prove this and I’m pretty sure you talk to Mrs. Bonnie Bates-King she’ll tell you about the conversation we had on April 9th, 2023 at 8:30 a.m. Sunday morning. Also I am not receiving all my indemnity payment for the month of July, which is a shocker to me. Please help me get these people noticed for being trash at there job and not performing at the highest level of expertise in their respected field of work. Enclosed in the picture section are the release of my indemnity payments in May, showing he released my funds on the 4th and the 7th of May. But when I NEEDED my indemnity payments in April on the 7th due to extenuating circumstances he denies it, please tell me how that works? Thank you for your time and concern in this matter.

Sincerely, Edward Rivera

My name is Deshawn Johnson. I work for Lowe's Home Improvement, and had to take leave, due to my depression and anxiety. My claim# 4A2305GCKHK-0001. I filing a complaint, due to my claim being denied, and from the lsck of communication and follow up. From what I was told when I called in on 06/21/23 was that my claim was denied, due to what my doctor put on the paperwork. I'm not sure how they wxpect me to pay my bills that I'm accruing while I'm out on this leave. I've never talked to my claims specialists, and was never asked questions on my claim from him or her. I'm on a 7 week treatment program that requires me to be out, because my place of employment requires me to have open availability, and the treatment center I'm going to only has a timeframe of 8am-5pm, so therefore I'm not able to work, until my treatment is done with. I upset at the very little communication that I received on my claim, and how it's being handled.

The worst ever. The adjusters never answer their phones, It goes directly to Voice Mail and never returns the calls.

Nobody is working on the claim!

It has been 3 months already and the client's vehicle is a total loss. They do not care. You don't know the struggle these clients go thru every single day to be able to feed their family.

Honestly, this company is getting worst by the second.

CLAIM 4A2304VYRBR-0001

www.sedgwick.com

I have been out of work since May 2023. In and out of hospitals and doctor visits due to breathing issues that weren't getting any better. I turned in all forms for my STD, per my job request, since I've been there less than a year and didn't qualify for FMLA. Forms were emailed to them on time and I did not hear anything back after that. 2 weeks later I reached out and asked for an update but was told by the first rep that their servers went down and they could see my forms. Knowing that what she said didn't sound believable I called back the next day and another rep said that their servers been back up and she could see my info but my return to work days were different. I informed her that, yes, they are different and I've been updating them via doctors notes the entire time. It's what they requested so it's what I turned in. She tells me that it's not acceptable without having my doctor fill out the forms all over again with the new date. I asked, so yall accept the changed dates on all the other notes, but not this one? Another obvious lie because she was stuttering trying to explain why it was so. The very next day (6/14/2023) I get a call from the ADA Accommodations department. I've never heard of them until the 2nd rep FINALLY added notes to my account the day prior. At this point, it's been over a month with no resolve since I started my claim. She gets my info, said she would pull my medical history from the already attached paperwork and reached out to the other department to see what the hold up was. While on the phone she tells me that someone from claims told her they are waiting on me to turn in my medical and pharmacy history from August 1,2023 to February 1,2023. I don't have a medical or pharmacy history from that time since I never went to the doctors until May 1,2023. I sent 2 messages online asking what do I turn in if the info they're asking for is non existant. Now, nobody will respond, I've NEVER heard from my caseworker Kathy P at all, my new medication has been sent back because I don't have the money to buy it or pay my bills. It sounds like Sedgwick will only help you if you get a lawyer involved which is about to be my next step. Intentionally collecting information on people with no intent to actually pay or help them is deceiving. I pay in on my extra STD from my job just in case something like this ever happened. At this point, it's clear what they are doing to save themselves and the companies that's hiring them, money. There's are lawyers/attorney's who do pro bono work in situations like this. This is disturbing that this is what I'm paying for and receiving NOTHING but lies and misinformation in return. This company is horrible.

Best buy damaged new wall unit and floors. Princess Caldwell who's in charge of my case has been playing games via email since the 1st of the month. For example asking me for my email. I can't even respond. To a? Question like that. How can you send me an email if you don't have my email? I want my furniture replaced that Best Buy and the 3rd party members have destroyed.

Over the course of my time on leave I encountered disruptions in pay many times. Every disruption was in error at no fault of my own. I spend may hours on the phone attempting to get the issues resolved. During this time I was severely disabled and hospitalized at this time. I was pregnant with twins and the added stress to my body was dangerous to my body and the viability of my pregnancy. I had to constantly worry about being able to receive my paychecks to support myself and my other children.

I would have calls lasting hours and get news that I wasn't eligible for leave (false) then call my supervisor and hear everything is fine. I would call back and different person would say everything was fine and they didn't know what I was talking about. I would never know if I was going to get paid or if Sedgwicks errors were going to inadvertatly effect my job position due to no fault of my own.

I returned to work 5/16/23. I notified Sedwick and my supervisor of my return to work date via sedgwicks text system (2/8/23, 3/24/23, 4/5/23, 5/9/23, 5/16/23) and via phone calls with automated response and call center response countless times. I also notified via email of return to work to be sure I was doing thing correctely. During that time my times were in the NICU under high intensity care and I had to worry about my pay on top of worrying for their health.

Today is 6/8/23 and I have been working full time since 5/16/23. Due to sedgwicks negligence I have not been paid a single dollar for my worked time since returning to work. I called and spoke with several people at sedgwick about this including supervisors who confirmed I had returned to work my case was closed and they could not help me. They were rude to me and made me feel like I was in the wrong. I then called my companies employee support who told me sedgwick has still listed me as on leave and has not given them notice of my return to work or unlocked my timesheet and so they cannot pay me. I had a representative from the employee call center call with me to speak with sedgwick. When we called the call center acted as if I was just not reporting return to work for the first time despite all of my prior communication. I then was transferred to their financial team who told us they were never notified of my return to work and that it would be noted starting today and they would need at least two days to process.

As of now I still have not been paid for three weeks of work and one week additional completed that would not be processed in payroll yet.

This company has taken a detrimental impact on my family by leaving us without a paycheck for almost a month. I have four children who rely on me and a strong financial and credit score reputation that could be tarnished due to this companies errors.

I want confirmation that this is handled and addressed so other families do not suffer the way mine has. Families living paycheck to paycheck could lose their homes over mistakes like this.

I feel I need to be reconciled for the stress this company has put me threw and the risk they put my pregnancy under due to negligence.

I wish to have formal reviews and disciplinary action against the case workers and representative's that has caused this stress and hardship on my family

In 2022, I faced health issues related to my right thumb surgery and subsequent wrist problems which led me to submit a short-term disability claim. As a long-haul COVID patient, I often experience joint pain that can impede my daily activities. Despite my ample medical documentation, my claim was denied. However, after consulting with Dr. Christopher Armor, a family medicine practitioner with over 21 years of experience, and Dr. Steven Orr, an orthopedic surgeon with Kaiser Permanente, I obtained supplementary medical documentation stating that I was physically incapable of working during this period. Both doctors' letters confirmed that wearing a brace/splint, which my Dr recommended, made it impossible for me to type, as my job involves typing and being right-handed. Dr. Orr also explained that pain and stiffness in my hand and wrist prevented me from performing my regular duties. I continue to receive medical care from both doctors for my right hand and wrist. Therefore, I firmly request a senior-level review of my claim to resolve this issue. My name is Delivial Nobles, and you can contact me at [protected].

Sedgwick doesn't process the entire claim. I billed a claim for $6346.00 but they processed it for $5646.00. I cannot find a legitimate phone number to talk to bill review. The hold time is 1-2 hours and the call drops. The adjuster said I need to submit a reconsideration which should not be the case if it was processed incorrectly.

I am EXTREMELY disappointed in the lack of professionalism with the adjusters and their refusal to ensure a claimants bills are processed correctly.

Sedgwick has no good contact phone numbers for bill review and adjusters DO NOT return calls.

Perhaps we should start sending bills to the employer and let them pay the bills and let Sedgwick reimburse them.

This is the most ridiculous company I have ever dealt with in my 30 + years in the medical field.

This isn't the only Medical bill processing company, but it definitely is the most difficult to do business with.

HORRIBLE COMPANY! none of their reps know what they're doing and they all give you different information! I was told by 2 reps I would be able to take a new leave since I'd reached my 91 days of work. Then 2 weeks into my claim I was told it was actually a relapse. My relapse for std was about to expire so I'd have to use long term and would be separated from my company which is a bit extreme so now I'm screwed with my whole claim. Anytime I've had to file a claim its NEVER a smooth process. There's ALWAYS issues because their reps lack all knowledge and they don't care and don't have a supervisor I could talk to. I've been waiting for days for a supervisor to call and I'm sure I'll never get that call. SEDGWICK IS THE WORST!