Sedgwick Claims Management Services
Reviews and Complaints

I keep having to fight for my disability pay. My case worker keeps telling me they are not receiving my Dr's faxes to update my medical records and report my return to work date. I have hired a attorney and my union rep has to look into it every month. I have no husband and no family to help me pay bills. I had to use all my 401k and apply for Food Stamps due to lack of professionalism on Sedgwick's end. It has also exasperated my diagnosed PTSD. I just had below knee amputation and my claim was denied twice with both appeals upheld for my condition that resulted in me losing my leg. I felt harassed and my Dr's do as well by Sedgwick. The response is always the same when I call Sedgwick customer service or speak with my case worker that it is my fault for not getting my Dr to fax my records. But they have in 4 separate occasions and the response is the same. They still haven't received them. I deserve my back pay and my pay up till my return to work date of Dec 4th 2017. I feel Sedgwick does not respect the American Act. Also, they contacted my counselor for my personal records that I have no authorization for them to see my info on my personal life. My counselor refused to give them my file under the HIPPA law. You don't get to read my personal struggles but I can tell you Sedgwick has been a negative experience in my recovery. I wish the company actually cared about their customer's.

I was hurt at Lowe's 2015, Aug.7. My 1st worker paid me answered my phone calls, etc. After he left it went down hill, they passed my case around from person to person, no-one would call me, or pay me, and no-one knew what was going on with my case. My Dr referrals were denied and I had to hire a lawyer, I had my car repoed, and my husbabd has stuggeled to pay our monthly bills. I recently won my case but I was informed by my Dr's office that Melissa Hale isn't my worker anymore, and that my new referrals have to be sent somewhere else and could take a while. Well by hell I'm sick and tired of waiting... I'm hurting and I've been NEGLECTED FOR FAR TO LONG. .. APPROVE my referrals please! !

Sedgwick Insurance covers Workers' Compensation Injuries for Northern California's Kaiser Permanente Hospitals. This Insurance Company is a real headache to deal with. I have had about 8 Claim Adjusters as the claim keeps getting passed on to different people. This is a tactic so that the company can deny knowledge of whatever my former, previous Claim Adjuster said or did. This company is fraudulent. I Mapquested my office visit and Physical Therapy round trip mileage and printed it out for Sedgwick and mailed it to them with Certified USPS mail. Sedgwick said that they lost the mileage. I put mileage calculations on emails to Sedgwick with nothing. These people are big liars and cover up addicts in my opinion. They seem dishonest. I am owed over 400 dollars in mileage compensation. It has been about 4 years and no payment.

" Nearly all states' workers' compensation programs provide for some type of mileage reimbursement. In some states, such as California, injured workers can get reimbursed for any miles driven to and from a doctor's appointment or other reasonably necessary treatment for their injuries. "
" The rate for mileage reimbursement also varies from state to state. Many states adopt the IRS's mileage rate, which is 57.5 cents per mile for 2015. Other states set their own mileage rates, which can often be found on the state's workers' compensation agency website. "

My wash machine was dripping water so one of sears repair man was sent out. He sat in his truck 2 hours claiming he on a call so when he finally came in and did some work he claim the pArt needed he will have to get and come back. So he comes back installs it and leaves we fun the washer and it floods my laundry room and damages everything in my sons room downstairs and this was in July 2017 here we are at end of October and there stil in denial about there no qualified repair my who blamed the bad work on a faulty part.

We have American Home Shield for insurance on our appliances. Our stove wasn't working correctly and AHS called for Sears repair to service our stove. The first repairman came to our home and troubleshooted our stove. He ordered the parts. The second Sears repairman came to fix the stove. He had to take off the back of the stove to replace the parts. After, he put the stove back together, he told me that he tore the face plate for my stove. He told me that he would order the parts and that Sears would get back with me. This took place in June 2017. After weeks I did hear from Sears and the repairman never ordered the parts. After going back and forth between AHS for help and Sears. Sears finally said that they didn't make that part anymore. That's what they told me. AHS told me to call there property damage claims. I called they put me through to Sedgwick. I have never dealt with such a unprofessional company. The person I was put in touch with was rude hasn't returned my calls or the email that she requested I communicate to her. I called
Back to Sears property Damage and ask
To speak to her boss. I have left 2 messages on her phone and have yet to hear from them. It is now September 26, 2017. This is not the Sears that I grew up with. On to the next step. The person that was helping had said " your stove still works". If this was her car and someone put a scratch on her car, she would want someone to fix it.

My name is Phyillis Brewer from Meredith, NH.. I worked for Shaw's/SUPERVALU and got hurt...
My Phone # [protected]
Email [protected]@gmail.com

I submit mileage 2X a year for travel to my doctor ...i was in the Boston Office last year got sent to AR office...

Found my claims person to be Rude and Very Slow for such a simple task.
I emailed her my mileage for April or 2017
NO REPLY
Called a HELP desk got her Boss name and #

Been a week and NOTHING
My Claims person is
Sophia Forde
Her Boss is
Sharon Irving
THEY are out of Littlerock, AR
I FIND THIS VERY FRUSTRATING
Boston can do it with in a day of getting it
With this office like pulling teeth
PLEASE EMAIL ME OR CALL THAT YOU DID GET THIS
Thank U

Claim number: [protected]-01. Mine & my families life was put in danger because of part of this claim. I've tried for months to communicate with Ms. Daniels through fax, phone, her supervisor, & e-mails. She or her supervisor have not replied. This claim was partially paid. The other was denied. I immediately faxed an appeal. I never heard from her again. I feel as though I've been dismissed, disrespected, & thrown in the trash. I can no longer pay the attny I hired because my spouse passed away May 30th & I'm now in probate. The pictures I'm sending you are a nest that was in my atic. The wires you see most of them are live wires so the squirrels could stay warm. They built it after the DirecTV man fell through my ceiling. After 4 1/2 months of fighting you denied my family life, basically, but fixed my ceiling. I believe we need to resolve these 2 matters swiftly. The rudeness of your staff & the cost of the removal of this which has already been done. Thank you.

I would like to speak to a supervisor for Daniel Wyatt he refuses to give out that kind of information to me all this guy does is talk over me he will not talk to me I hope these calls are recorded that I have had with him what do I have call them 6 times and finally on the 70 turnt return my call I was in a calm manner tried to talk to the guy he refused to listen to me talk over me got rude with me at noxious and I want a supervisor's name and number or somebody to call me immediately I am just trying to get my claim settled that's it

I recently was told i was being denied for paid parental leave two days before i was expected to be paid and having already missed two weeks from work. The reason for my denial I was told i was not eligible. I worked my 90 days as I was required to and the policy stated i could take my leave up to a year after my childs birth and so I submitted my request my manager set down to go over policy with me and signed off on it to be approved. I explained to them I have a infant child and me being told this information at such late notice has put me and my baby in a tight spot as far as buuing milk and now I will be having over draft fees and bills will be late and not to mention the daycare cost I have to pay being that i have to be to work monday with no funds and so on. This is a horrible process and there was no empathy for me or my baby when i did everything I was suppose to do on my part. I asked the supervisor Dianna to provide me with documentation proof of of why i was denied or where and the policy did it state I was not eligible she refused and told me I needed to reach out to HR. I did and theyre telling me I am eligible. This has been a horrible experience for me and my child.

These are the most unprofessional, rude, and corrupt insurance-related people on the planet. They deny all claims and dare you to to appeal the denial or re-submit later for further disapproval. They do not follow up with doctors or patients except to notify of continued denial of claim. The employees seem to enjoy calling you to deny your claim. The automated phone system's only purpose is to allow the client to confirm that their claim remains in a "denied" state. They lose emails, faxes and paperwork to ensure that your claim remains invalid. Be wary of choosing to low cost leader when it comes to insurance claim services. These guys are unethical, corrupt, incompetent, and doing business with them should avoided if at all possible.

I was employed with butterball llc and in feb of this year I was injured . My employer promptly filed a claim with Sedgwick. I received a letter from an adjuster from this company stating my medical bills and time off from work would be paid by their company. Now here it is aug. And nothing has been done on top of that the company I was working for has closed. Now i have no medical coverage and have not been denied or approved with this company they have just left me in a review status for 6 mo.

I purchased and had installed a GE water softener. The water softener was defective and caused resin to go into my water clogging all my water fixtures, (sinks, shower, toilet, etc...), GE referred me to Sedgwick. Their claims adjuster told me not to bring the defective unit back to where I purchased it for replacement that doing so would absolutely void any claim I wanted to make. Sedgwick is now saying that even though it is a GE product it was manufactured by a different company and that they are responsible for my problem. That Sedgwick cannot go forward until they talk to the manufacturer. I did talk to the manufacturer and they clearly and adamantly stated this is a GE product and GE assumes all responsibility or the unit.
Sedgwick is not talking responsibility for the products they represent, and not dealing with my issue in a ethical manner. All I want is a water softener that works and for assistance with the plummer's cost to fix what the damaged water softener caused.

On July 22 2017 while an incompetent employee of lowes was loading my trunk with bags of stones He damaged the bumper of my new Audi. I told him to wait at the car while I got a manager who took pictures and my information. He informed me of a claim no and the name Sedgwick
He proceed to tell me I would get a call.
It's now august 4. In spite of our phone calls and messages left we have not received any calls
All we hear is a voicemail advising us they are out of the office or in meetings
An employee damages my car and I'm the one left to wait and wait for these [censor] to do their job. There shoul be strict laws regarding insurance companies dismissing individuals who have suffered as a result of companies they represent. This company is a total, ZERO
Their client lowes causes damage and inconvenience and the victim is the one who pays and suffers
Wow isn't this world grand!

I received letters for my work related injury's from Sedgwick stating I am now "PERMANENTLY DISABLED and STATONARY. Also, stating that I was overpaid temporary. Total disability (approximately $68K.

They know that workman's comp only pays for 2 years.

I was on workman's comp since 2011 to present. I have been with severe deppression and anxietys. I was medicated and just wasn't right. I lost memory, l didn't remember alot of anything then to the present time.

This overpayment is not my fault.

I injured my back back at work. I have called several times but all I get is excuse after excuse or can't get no one to call me back. Trying to get approval to see a specialist but I get no response. I also can't get my income that is required for them to give me. I think this is the worse company I have ever dealt with and they should not be allowed to treat people like this!

Bass shelly promised me someone will get in touch with me within 1-3 business days regarding my property damage claim.

When i asked her noone contacted me,
She forwarded me to some other (elizabeth young) saying call her not me.

Initial email was from her on june 5th about this case & nothing has happened so far.

Please read the attached screenshot for conversation with bass shelly.

In December, 2016, my husband tripped over a flat-bed cart in front of the front door and fell on his face. The staff called the ambulance, without consulting me, even though I was there. They agreed to pay for the ambulance, $250, but I still have not received payment.
They said that Sedgwick is now handling claims, but their rep hasn't paid either. She sent a check for the wrong amount, along with a release for the wrong amount. Per her instructions, I sent the check back and asked her to send a corrected one. Per her instructions, I changed the amount on the original release as we were getting it notarized, and sent her a copy.
I still have not received the replacement check. Now she is saying she wants the original release before sending the replacement check. If she gets the release before I get the check, she can refuse to pay at all, saying I already received the correct check and released you from further obligation to pay.
I have emailed her repeatedly, but she is not cooperating in just sending us the check.

Hi,

I had an accident on 30th June. A truck (insurance - Sedgwick) hit my car from rear end. My insurance company files a liability claim with Sedgwick on 7th June after getting the police report. I have been trying to get in touch with the Sedgwick insurance company regarding my claim status and the process.
Everytime I call them, they give me a new contact number to call. I have list of 5-6 numbers now, none of them is not ready to help me.
I am not sure how do I contact them? I don't have a car to drive and my work is badly affected.

Hope to hear back ASAP.

Thanks,
Swati
swati.gaur.[protected]@gmail.com

After a heart attack I was put on short term disability and never heard from this company. When I called the 800 number voice recording said the claim was processing. When I was not paid I called Finally talked to Iris Mensah who treated me as though it was my fault. Claimed to have sent me a snail mail and a certified letter amazing enough I never got either. She informed me I was denied and would have to go through a appeals process for $500 dollars... not 500, 000 not 50, 000 not 5000... but $500 bucks. Totally unprofessional on the phone.

My Frustration is in that my vehicle’s check engine light came on and it started running “rougher” after getting an oil change at my local Sears. When I arrived to Sears I gave the keys to the manager - Ray Delong, at that time the “Check Engine” light was not illuminated but after the oil change the Check Engine light was on. I thought maybe something will reset so I proceeded to drive home yet the engine light was still on. I decided to go back to Sears to have them look at it, and they pulled the code with their scanner tool and told me the light was on exactly 2 miles before I arrived for Oil Change. This is strange because I asked a few other mechanics and each one told me that it’s impossible to know exact time of when check engine light came on. I became very suspicious and decided to take it to another Mechanic. When that mechanic looked it over he told me that the broken part could not break by itself like that because its not jammed and there is no reason to be broken by it's self. If it was clogged or internally broken it would’ve broken in a different way. He also said there are scratches and marks on that piece that show physical damage to broken part and also said the aluminum is kind of bent. And he said that is so obvious that someone recently has been touched this part. So I then went back to Sears to dispute this again because no one else was working under the hood. When I arrived I again spoke with Ray Delong who again tried to tell me again that Check Engine light was on prior and that they’re not responsible. He said he knows his employees very well and if his shop broke it they would absolutely tell me and would accept responsibility. He also said they didn’t even touch the cover that part of the vehicle. That was false, I showed him the filter which is under the cover and said "since they did oil change the should get to the filter", so they must have removed the cover to get to the filter. He opened that cover and said that’s how they work (without completely taking off the cover). After that I can clearly see he’s lying. I then asked him to show me proof that the check engine light was on 2 miles before arriving to the shop. He told me that he doesn’t have access to that computer, only the mechanic has the tools and he’s gone/unavailable for the next 2 days. And then again i’m astonished how management doesn’t have access but mechanic does to such critical information. Since he couldn’t show me on the computer I asked him for paperwork copies because Ray said when he saw the check engine light he documented it on paper right away (which I should’ve received that paperwork when i got the oil change!). When he found my paperwork he quickly got a pen and clicked the pen as if to write something. Meanwhile i was looking at the paperwork to see if anything is mentioned about Check Engine light being on. At that time another employee entered and started asking something from Ray. Ray was standing there with my paperwork and a pen in hand as if to write something, so I immediately asked him to give it to me. I glanced at the paperwork and saw there was nothing mentioned about check engine light, to which he replied “I must’ve forgot to mark it, I thought I did.” I then took my copy of the paperwork and he said if I have any issues to take it up in a written letter to which he will forward to Sears Sedgwick Insurance Claims for them to look at the case, because he believes he’s not at fault. I told Ray this is my only vehicle and with time the problem will only worsen.

My Request - Please look at this case in a timely manner and inspect my vehicle to determine the responsible party. I need my vehicle fixed as its my only transportation. Please note the attached “vehicle intake/mpi form” and that "check engine" is not circled. Receipt is also attached. Thank You.

Irina Deryavko
[protected]
[protected]@yandex.ru

Vehicle Details: 2007 Mercedes GL450 Vin:4JGBF71E17A273801 Ref# IN6323886 Local PO #323886 Check Engine Code P2006 Intake Manifold Runner Control Stuck Closed Bank 1