Sedgwick Claims Management Services

I was a icu RN and hurt my back in 1993..I became totally disabled 8 years ago..my medical care is suppose to be covered by Sedgwick cms..What a joke..Iwas awarded future medical but every time my md request anything it is denied by this scum company..I haven't seen a spine specialist at all due to denial from this company..Ihave contacted my state assembly member and Congress rep..Also non MDs are making decisions on my medical care ..which the state of .CA. ( where I live) has fined them only 1.3 million $$, while Sedgwick makes 113.million from our denials..worse company ever..

I had an insurance claim with your company which is (Sedgwick). While was filed through a claim on home depot of Alexandria, Louisiana. My claim was investigated (poorly) I might add. However after several weeks and after being told I would be contacted within (24-48 hrs) from the date my claim was filed which was 04/24/2018. However I was not contacted no were near this that time period.in fact after almost two weeks with no word from any agent. And countless phone calls both home depot and Sedgwick. Finally we were connected with one of your agents. Who although seemed like a newbie was actually a nice lady. But just being a nice lady was not getting all the blue paint up out the back of my Lincoln Navigator. Which is why the claim was made in the first place. Cause the associate in the paint depart whom mixed the gallon of paint I had ordered. Did not securely tighten the lid on the can of paint. Causing it to come open and spill throughout the back of my SUV. With that being said the reason am writing this to your department. Is because after all the dead end phone calls and waiting countless days and hours. Not to mention having to ride around with my bumper and the interior of the back of my SUV. Looking like a smurf. I finally received a check in the mail a day late I might add. Yes I know only 1 day late but hey after weeks of dealing with the claim and damage's to my SUV. Even hours less long days seemed to be forever. So please understand my dissatisfaction and after today now my anger. Why angered now? Well let's see could it be after going to almost every check cashing location in city of Alexandria. I was not able to cash the check. For reasons I was told it was fake! Yes you heard me correctly it not a typo. I say again so that it's clear as a beautiful Sunday morning in the middle of spring. I was told the check was fake! F.A.K.E. FAKE!. And the most common rejection was that the check could not be verified cause it was not showing up in there verification system. And these were big box check cashing locations. Such as Walmart and Ace check cashing. So after a day of rejections. I now still have paint all over the back OF my SUV cause I personally don't have the founds to have the extensive detail work that has to be done to remove the paint. So the funds from this check I still have was to have this done and restore my SUV to its previous state before I purchased the gallon of carelessly tightened paint. So that pretty much concludes this content of frustration. Which I have been vigorously typing with high hopes that this reaches someone of high status in the Sedgwick cooperation. Not mention the fact that it's now very late and it was after hours of operation for me to make contact with a live agent. And after searching for answers on our world wide web I came across this blog are whatever so decided to take some frustration out in a message to the Sedgwick form as I said with hopes that someone of a higher status than what I have been in contact with through out this claim. And maybe just maybe that person has higher expectations of the service and comfort that a client receives. Especially when that person life was altered in manor not pleasing but with extreme prejudice of dissatisfaction. And by being so see's to it that some sort of gratification of apology bestowed upon me and my wife for the discomfort brought into our lives due to what am sure was a mistake on the associates at home depot part. Nevertheless it happen but to make matters worse it was the service and lack of attentiveness not granted to me and my wife on behalf of both home depot and Sedgwick. Honestly after today's slap in the face which has left me feeling as though it may yet be another week of waiting as the paint continuously gets dryer and harder to come of. Which could cause the fee for cleaning to become even higher now. Not to mention the fact that my scheduled appointment tomorrow which would be 05/08/2018 to have my vehicle took in by the detailer whom I trust and have a level of comfort that suffices me in knowing that a JOB well done will be performed on my vehicle. This trust and comfort is bestowed upon the detailer I speak of. By many people cause of his service. So along with this comfort for him has created a waiting list. Which by chance I was able to secure an opening with him. That would have been a couple days after the promised arrival of the check but as I been stated that promised arrival was not met. So by the grace of God it came the day before. But it came with a lot of rejections, wasted gas and time. To top it off a bundle of stresses which has led to the migraine I can now feel creeping it's way into my head. Cause I suffer with them and have all my life so stress is something I know is not good for me. WHY? Cause as for me like indulging in spicy foods. Stressing its not a smart thing for me to do cause it's a big trigger to pull on that can cause me to be to be stuck in the bed in a dark room with no light period and the urge to want to scream cause my whole face even the bones within seem to pierce with pain u wouldn't think existed. But as I said the urge to scream but always find myself having extreme lack for words cause talking less long screaming seem to make my brain vibrate causing the little tiny men in my head to swing there tiny sledge hammers harder and harder increasing the pounding that continues to pound for hours even days. All this has been the repercussions from a mistake made by the nice lady in the paint department that night. But as I have said nice can't change what has became the outcome. And hell pretty much nice ended there. Cause even with the kind but not knowing what she doing lady from Sedgwick. Acts of niceness she showed. After the fact that one if the main things my wife inquired about before accepting the sum of amount which was $2,045. Inwiched also lacked grievance for my expensive yes! expensive cause I love fashion and dressing I n nice clothing and shoes. The shirt which my wife had recently purchased for our recent anniversary of 7 yrs. A pair of $120 shoes. (all white) Now blue and white destroyed. Even most of the groceries were diped n blue. But I received no compensation for these items although told to send pictures of the items showing the damages. Which I did along with pics of the damage to the vehicle. But compensation was not granted and not because I was not suppose to. Causes I was suppose to. I did not receive it cause the agent forgot to include it in the sum. And at the time my wife herself was tired and frustrated with the whole matter. And even so she remind kind to the home depot staff and the agent from Sedgwick. But at the point and time of accepting the offer. She did realize the agent did not mention the damaged items when making her offer. She only spoke of compensation for these vehicle and there cleaning fee. Which again I state that not only have I lost my schedule appointment for the detailing. But being that it will not be detailed in time to drop it to apostery people on Wednesday. Not sure if that spot is still available. I don't live in a big major city so there are limitations on choices of service round here.in fact we only have maybe 2 places that do that line of work. Just like we don't have an Bank of America inwich I was saying my wife showed great concern to the agent if being that Sedgwick banks with that bank. We there be a problem cashing the checking at like Walmart are check cashing around here which is Limited. Really Walmart is the choice for check cashing for these majority of the cenla community that don't have a bank account. So I end this content but saying I sincerely hope and pray this content reaches someone with high rank but most of all compassion for the discomfort caused in the life of me and my wife. We can be reached at [protected] or [protected]. email: [protected]@GMAIL.com. please use the info provided A.S. A.P. cause at this point we are honestly devastated by the lack of care for us and our vehicle. We already worried if it would be a problem getting it cashed. But to have to also suffer the humiliation of being told I was trying to cash a fake check. And being encouraged with belief after not one, not two, but several places could not find the type of check are its orientation to be verified in any system. So imagine how we must feel right now after standing in lines for long periods of time talking and sharing fishing stories showing off pictures of children just simply have decent Convo with those u shared your wait in line with. Only to get to the counter and be told your trying to cash a fake check by loud mouthed women. So u business went from being your own to what seem like the paper boy on the corner shouting the headline from Sundays paper to attract a buyer. Only the headline reads Brian Trys to cash a fake check. So that what's being shouted from the paperboys lips. So again put your self in our shoes how would u have felt at that moment Infront of all those people. And I admit I made it no better because I know for certain were the check came from. So of course I got defensive and pledged the the differ. Denying the allegations brought against me but to no avail did I stand. One lady just continued to spew from her lips "it a fake check please step to the side and allow the next customer up". I know leave you with that but again ask yourself how would u feel. AS of now now I feel like maybe I should not attempt to get it cashed not one more time. But instead pursue future legal action against the Sedgwick firm. For very poor service, public humiliation for the slandering of my name, just plain outright otter disregard for the discomfort cause by both home depot and Sedgwick. Forgot to mention before now but u know we have not received not one apology from either entity. Maybe it good thing it didn't cash today cause the more I think about what has transpired here the more am convinced that the settlement is not settled and further legal action should be taken with extreme prejudice

I've been off work on short term disability since December this is now the end of April they still haven't processed my claim I've had no income for 4 months I will be living on the streets starting the beginning of next month because I've lost everything due to Sedgwick . I've had two operations not able to go back to work will probably be off work a few more months . I now have a staph infection I still need physical therapy before I'm able to go back to work

I have worked for Walmart for 11 years and it's been a fight from a he beginning. I started to work for Walmart 2007 as time went by I had a lots of headaches, did not think anything of it. How ever my headaches did not stop. To make a long story sort. I had brain surgery, 2007. My condition is a pituitary adnoma not sure if this is how you spell it. I have a tumor on my brain. The surgeon was able to remove 30 percent of this tumor. 70 percent is still there. So for 11 this has and will be my condition for the rest of my life. I recently applied for sort term disability. They have denied me over and over. This is really sad. They don't know how I feel, they can only assume.

On 12/02/2017 I slipped and fell in a Target store. There was liquid on the ground . At first I received a letter stating Target was responsible and then received a call followed by a letter denying my claim as it was just an unfortunate accident. I missed 10 hours regular work plus 15 hours of overtime. Had about 2000. dollars in medical bills. Really? My fault that Target was neglectful in keeping the aisles safe for customers? They lost my business as well as my families. Disgracfull

Had a tooth broke and provided all information and dential records..had to drive 35 miles one way just to get a estimate for the adjuster... then she lost it 3 weeks later ..had to go back 2 more times for her..over 200 miles both ways...this has been going on since October 2017...thats 4 months working on 5 months this is so redictuless the amount of estimate is only 1, 542.00...can you help me solve this issue plz...claim number #..[protected]=0001...Thank you very much...

Sedgwick took over my company's disability management on December 4, 2017. Up until then, we had an internal department which dealt with our claims seamlessly. As soon as Sedgwick took over, I began to have nothing but problems with my claim.

First, there was no way to contact my new "examiner" (formerly known as a case manager), directly. I had to leave a message, and then hope it was relayed. Most of the time it wasn't. I know this, because when I finally got to speak with him directly, he confirmed it as true.

Next, I had to speak with a different person each time I called, none of whom could "access my claim" without an excessively long wait/hold time. Meaning five minutes or longer. The person had no power to do anything other than give me basic information about the status of my claim and either leave a message for my examiner (see above), or tell me whether a request for extension had been sent to or received from my physician.

Then, during follow up calls, (necessary every weekday to attempt to confirm sending/receiving status), each person told me something different.

Although each experience with Sedgwick was frustrating, the absolute worst is the most recent (and still ongoing). I followed all the rules. I contacted Sedgwick the day after my last appointment with my surgeon; January 19, 2018. I requested an extension form be sent to my surgeon (whom I identified by name; Dr. Osama Ahmed), and was assured it would be done. This was on a Friday.

The following Monday, the 22nd of February, I called Sedgwick to follow up. I was told it had been faxed--to Dr. Monis, my pain management doctor, NOT my surgeon. I then had to request it be sent to the correct physician, then call Dr. Monis' office to tell them to please ignore the request, as it was sent in error.

By the way, the last date for Sedgwick to receive the form was February 6th--tomorrow, as of this writing.

I called the next day, and was told by Sedgwick that it had been faxed. But my physician did not have it, so I called the next day, and was told it was NOT, in fact, faxed to the physician as I was told the previous day. By this time it was Wednesday, the 25th. The person told me they'd be sure it was faxed. Also, my examiner was not in; would I like to leave a voicemail? Yes, and I did so. With no response.

On Thursday I called again, and was told that the form still hadn't been faxed, my examiner still wasn't available, and would I like to speak with one of his colleagues? I said yes, please, and received a call from the colleague. I explained that I was very concerned, because time was running out. My physician requires 7 to 10 business days to process these requests (something I have mentioned during every call to Sedgwick, and which each person I spoke with was very surprised to learn). He assured me he would make sure the form was faxed "immediately."

When I followed up the next day, I was told no record of any faxes were "in the file" and my examiner would reach out to me directly. Which he did.

He also faxed the request to my physician, whose office told me they received--on Monday the 29th of February. Subsequent calls to and from Sedgwick confirmed that it had been faxed, but no response had been received. Not surprising, given that the physician's office had to move my request to the front of the line, and it takes time to fill out and fax back.

I spoke with my examiner on Friday, February 2nd, and he advised me that he would call the physician's office to request a verbal confirmation of the request. Which he did, and I confirmed with the physician's office.

He called me back to let me know that that office was unable to give the information by phone, so he would follow up with me on Monday (today) to let me know the status, and oh, by the way, he is no longer my examiner. A new person had been assigned--who wouldn't be familiar with my case, but would most certainly be able to help me. Meanwhile, the physician's office advised they had faxed the form back.

Then he called me again several hours later, to let me know they had not received the fax. A quick check with the physician's office confirmed they had faxed it, and received a confirmation. I requested they fax it again.
They confirmed the fax number, and advised they would do so.

During all of this, I am in the process of recovering from brain surgery. I have also had to check with the person at Chase, my employer, who deals with disability for our region/department. I checked with her today, to ask if my job was in jeopardy, due to all of the incompetence involved in getting a 10 day extension on my return to work date. She told me I did not have to go to work tomorrow (which would automatically close my claim), and I should continue to do what I've been doing--what amounts to Sedgewick's job.

This has been without question the most difficult part of having three surgeries in as many months. Dealing with this three times for each surgery has not helped my stress levels, and in fact has no doubt delayed my recovery.

I want to return to work. But I don't want to not follow my doctor's orders and return too soon. Somehow I feel sure that Sedgwick has a vested interest in the same thing.

If Sedgwick again tells me that they have nothing from my physician tomorrow, (as has become the new normal, since I've gone through the exact same scenario with the previous two extensions), I will have no choice but to seek legal advice.

The lack of consistency among your employees (except they are consistently inconsistent), and the prevalence of incompetency indicates I can't possibly be the only person with these issues.

I have had my physicians send in the paperwork that they filled out stating that they have examined me and that I am not able to return to work. Everytime the doctors send in paperwork it seems to be denied or its never even looked at. Because when I call I am told that the medical examiners findings are the ones that are correct not my doctors. So what's the point of wasting my doctors time if there paperwork isn't even being considered. I haven't been payed for 4 weeks now. Because the paper work isn't being reviewed correctly I have lost my health insurance. So please fix this. This is the second time that I have emailed you with a complaint I would like a response.

My Name Is Estella Mimms Claims # [protected]. Social Security # [protected]. Date Of Injury 10/29/2008. 12433 Antelope Dr. Victorville Ca. 92392. [protected].
I Am Having Problems Receiving The Medical Treatment I Was Awarded. Your Representatives Don't Return Calls, I Am Contantly Ignored Since This Claim Is Several Years Old. Kaiser Will Not Treat Me Because My Injuries Are Work Related. I Have Problems With My Back And Neck. I Am Having Problems With My Daily Activities. I Need A Care Give To Help Me. I Have Been Borrowing Pain Medication From Friends. I Can't Get Approval For My Meds. I Need Help. Please Buy Out My Medical So I Can Close This Case And Take Care Of My Own Medical Care. I Need A Walk In Bath Tub And Someone To Clean My House. I Am Getting Older And There Are Thing I Can No Longer Do.
Thank You,
Estella Mimms

I was reseeded in my car by one of your rentals .The person who hit me said that Sedgwick would pay me.When I first filed my claim I was told that my damages will be recovered through Sedgwick.The accident occurred on 11 /24/2017.My name is Denise Forte..y claim number is: [protected].My claim is supposedly being handled by Michele Holiday:[protected].All needed paperwork has been given and faxed.This letter is intended to put you on notice.Since 11-24-17 up to today 1-18-18 no one has contacted me regarding my claim.Numerous phone calls I have made and no one will ever give me a call back.I have researched your company and that is just one of negative and bad faith reviews.If I do not have any resolution regarding my claim I will be contacting and hiring a lawyer to sue Sedgwick.I also would like an expedient response to this letter.

Denise Forte

GE Dishwasher purchased at Home Depot in Frankfort IL leaked and did damage to my kitchen hardwood floor. Home Depot referred me to GE who referred me to Sedgwick Claims Management. Their claims adjuster ( Mark Silverthorne, [protected], Mark.[protected]@sedwick.com) said in order to file a claim I had to produce the leaking part for testing. After the dishwasher leak was fixed the technician instructed me to dispose of the old parts. If send me an email to respond to I will attach my correspondence with Mark Silverthorne.

I am a Comcast employee out on short term disability leave for mental health reasons justified by the counselor I was sent to by accolade to fill out my paperwork. Three counselor provided a return to work date and sedgwick continues to tell me I'm only approved thru a date sooner than the provider stated. I was told that I just needed more paperwork filled out (there same paperwork she originally sent in with the original return to work date) in order to have it approved all over again. This is fine. However, each time I've called to discuss this with Sedgwick I get nothing but attitude INCLUDING getting hung up on twice. I then asked to speak with a supervisor because naturally I am panicking that I will lose my job if this isn't done correctly but can't get an agent on the line that intends on helping to assure me I'm getting things done in the right manner. Sedgwick is the company Comcast directed me to contact for this issue and they are nothing but rude and treat you as if you're bothering them. The last agent I just spoke to Gore's through the whole timing with her condescending tone and finishes by asking if there anything else I need. I immediately replied asking if they could get me the additional documents needed to be filled out to "extend" to the date the counselor provided and she says "ok bye"-never answering the question. I was able to stop her from hanging up and she says "oh I thought you weren't there you didn't say anything?"

This company is supposed to provide a non bias third party assistance to get me the help I need to get well but treat you like you're an inconvenience to talk to. Its really just horrible if you consider what they're supposed to be doing for people who are seeking help not a vacation.

I have a claim that I'm making payments toward for a car accident I was involved in a rental car from Avis in 2015. This company contact in February 2016 threatening to turn the account over to collection unless I pay in full or set up payment arrangements. I set up the payment arrangements monthly on the 28th of each month. Sedgewick won't accept payments online, won't keep my information on file, and won't answer the phone when I try to call to make the payments. Each month on the 28th I call the number they provided to make the payment and each month I get a different voicemail from a different person who never return my call. It's unethical to threaten to turn my account over to collection but when I try to make the payment to not all the only method I have for making the payments.

I have been awaiting a call back from Sedgwick. A woman named Sanda finally called three times. The first two she was typing away and never responded, hanging up. Apparently she must not have heard me? When I did speak to her she was rude and nasty. She was upset about the information received from the doctors office or lack thereof. She took her aggravation out on me. I cannot believe that a customer care center has such sour people representing them! Not only I but the doctors office dislikes dealing with Sedgwick due to some of the horrible people you employ.

Good Morning,

I am writing you; because I have a claim that was only partially, and I have been faxing reconsiderations over to the adjuster for over a year on these unpaid bills. I called bill review, and was advised that they never received our reconsiderations, and these bills were not paid, and to call the adjuster. When I call Rosemarie she was very rude, loud, and hostile for no reason. She started yelling at the top of her lungs that the claim was closed and that she paid everything that needed to be paid. I explained to her that these bills are payable and they weren't paid. I was trying to go over them with her but she wouldn't even do that. She then kept on telling me to fax it over, I explained that I have already done this for over a year and still have not received payment or denial. She said "I don't know what to tell you this claim is closed" well I would like you to do your job and pay these bills before I have to get an attorney involved. I asked for Rosmarie Sedalis for her supervisor because she was just rude, loud, and very ignorant. She would not give me this information; I had to call around to find out it is Tom Constance. I did call him and left a voice message, but I would really like this to be resolved and I also don't want any other provider being attacked they way that she attacked me over the phone, over a few simple questions. This was unprofessional and very benighted of her to act in such a way. If my issue can be resolved that would great.

I submitted a claim for short term disability on 10/13/17 and has been denied because the representative that is working claim did not submit documents to my doctor and is never available to speak with and never returns any phone calls. As a result of this representative non compliant behavior I am in financial distress. Every time I speak with a representative I am given a sob story and the supervisors are always unavailable.

Walmart sent me home on aug.30 saying i was not %100, can not work..Have doctor put you off..I did, they paid two pay periods, then stoped..They said they were not receiving info from doctor..I spoke with my doctor on oct.25 she said she sent out two packets on me..I kept calling and giving as much info that i could, still not paying..I called on nov. 13 and found out that my case was closed..But someone called on nov. 1, i informed that person that i was having gallblader surgery on the nov.8..Case closed on nov.13..What is going on? i am sitting here with no money since oct. 19..This is a very poor service..I have at least 3 medical problems and it takes time to get it all..Please help me get paid..Thanks william wills

I was injured over a year ago at work and have struggled getting wage reimbursement and that is now cut off? I am still waiting for them to pay the hospital from initial treatments, reimbursement for anti-biotics, getting an ok for a brace, lack of response to messages I have left
I can still not wear shoes or stand or walk for any length of time. I am pretty much housebound and I NEED help. Please help me I am still just waiting for help so that I may be able to lead at least a substance of normal life. Thank you for your help. Kathy Jan McAlvey claim #7373502. employee #[protected]

I had a sears warranty since 2007 on all my appliances. This last year, sears has put on at least 2 times a faulty part which caused my dishwasher to leak.
They have the pictures (I kept 2 of the part which are the same part number), When they filed a claim, i'm now being told it is a manufacture issue not a sears issue. But Sears is the one who put on the faulty part.
I have requested for a manager to review this case, and instead I received a letter (as if I have not contacted Jay many time through email and phone)The letter states: This was forwarded to our clients business partners for handling. Please let us know if you have not received a call or letter from them.. (Which I have not). If we do not hear from you within 30 days we will assume you have been contacted and that the business partner is working with you.

I have been dealing with this for a long time, my floor is bad enough I have cut my foot on it.. This is not ok, and is not anyone else issue. This was a faulty part put on by Sears repair men 2 different times I have proof of.

The sears repair man, took pictures, documented him records that this was caused by the prior repair.

I was hurt on the job about a month ago it took me almost 3 weeks to finally get a claim number from Sedgwick. When I finally got the claim number I was relieved because I thought that meant no more out-of-pocket payments for me to see my doctor but boy was I wrong. When I went to my physical therapist and told them I finally had a claim number for my workman's comp they called my Sedgwick claim adjuster and he denied them using that claim number for any bills because the investigation was still going on! So basically I guess I have a question is it legal for Sedgwick to do that or do they need to pay for my doctor bills.