Sedgwick Claims Management Services
reviews and complaints

I’m complaining about this whole company I can not reach my adjuster or anyone in the company because I’m not getting my check it’s been a week I’ve tried to get a hold of someone every day for a week I need my check to pay my bills either this company needs to get things to work right or shut down I’ve been on worker’s compensation for a year now and this is the third time this happened and my adjuster I can never get a hold of her

Feb . 22 thru Jul. 22 She (Denise Marker )has been very scrcastic on phone interviews ,Feb., Apr. 22 and text messages Feb. ,May ,Jul. 22, unprofessional and used unfair practices in dealing with my Doctor Kayleigh Sullivan Mar.,Apr ,Jul. 22 and with my HR worker at store 2057 , Mar., Apr. Jul. 22 . Denise Customer Service made me uncomfortable during interview sessions.

What to say about Sedgwick. Oh my goodness. The issue goes deeper than just this singular company, that's for sure. But let's just do a little digging into the dumpster fire that is Sedgwick.

The company I work for is just as much to blame in this situation, but Sedgwick has been the one who's "unbiased, highly experienced and trained claims examiner" has managed to avoid my calls, emails, and sedgwick hub messages for a month. I drew one of the shorter ends of the medical problems sticks. I honestly only ever requested an accommodation and some understanding, which was denied; an accommodation that would have only allowed me to take a few extra...bathroom breaks...throughout the day, allow time off to see my specialists so I could keep my symptoms in check, and allow me time during the day, if needed, to manage a migraine when one would come on, then back to work! That was a hard no, and ADA was never mentioned again.

I ended up being forced to work through horrible bouts of pain and my two 15 minute breaks each day to make up for my, clearly, inconvenient condition.

Flash forward to my interaction with Sedgwick. I finally decided, months later, to take STD leave. A month and a half later, dozens of phone calls, voice messages, emails, sedgwick hub messages, and more, my "professional" claims examiner must be being held hostage, because I haven't heard from her since I started the claim. I was told I didn't need to submit anymore paperwork, skip forward a week, still nothing at all, I call, still pending, wait some more, send some emails, make some calls, still seeing doctors, I haven't been compensated, and I come to find out, oh, they want my specialists to submit notes stating I'm disabled. My primary already did that. My specialists submitted clinical notes (which is more than they need to), verifying my symptoms and conditions, and according to my own boss, who berated me week after week for needing some extra help, I'm unable to work. I was told I either needed to show up and be at work, or if it's that bad that I need to take extra breaks (we're talking an accumulation of breaks equaling 30 minutes to an hour depending on severity of symptoms that day, and it's not every day either), to take the day off.

I'm writing this after still not hearing a thing from my claims examiner Kelly F., her boss Tasha, or anyone else for that matter. The representatives I've spoken to have NO idea what they're talking about, they don't know who to transfer you to, or what information is needed. I've been in the dark for over a month because Sedgwick completely and utterly lacks the competency and overall ability to provide for anyone.

Waiting for a second opinion doctor after a job injury Sedwick Didn’t not contact my job and I was fire .

Claim number 4A21091CCCF-0001

Purchased appliances from bestbuy.com such as Refrigerator, front load washer, and dyer. Appliances were installed on 9/22/2021 which led to property damage. Immediately, a case was opened with Sedwick, and adjuster Lindsey Hempton was assigned to my claim. I've attached photos of the damage to the laundry room floor and drywall by the kitchen. Lindsey offered a settlement of $500 for damages but I insisted to get a quote from my Builder (who has been unresponsive). I followed up with Lindsey several times, but in the last correspondence on Jan 7, 2022, I learned Lindsey left the company. I have been getting the run around for the past 6 months. This issue remains open and your company has been unresponsive.

My name is Dorothy howard and iWork for walmart at 4262 in the villages Florida for years I have been filing for intermitten on my job because of heart problems.this is the first time they denied my claim and I have been calling to see if they received my paperwork and they told me the doctor missed a couple of questions they redid it and called again and Sedgewick told me that they received the paperwork and it looked good just waiting on approval.I want to know why I got denied.the doctors.I think if it’s a permanent condition you shouldn’t have to go through this every year and the headache.

I am filing how about a injury that occurred a job for Express Staffing. The company they send me to did not require steel toe shoes and I was picking up large full size couches with a walking pallet jack that I was told to put your foot on the back wheel and lean back and it will roll but the wheel kept rolling back and ran over my foot instead it did not break a bone but it was devastating pain as I stood there for about 10 minutes and a guy asked me was I okay. Thinking that everything was going to be okay and it wasn't I went to report to my job and supervisor about the incident and went to the site to get treatment. I was out of work and out of a job and was told I would be compensated but never receive any payment and made several attempts to the adjuster I calling and no return calls or messages. My right foot still hurts from time to time and it's numb when I walk sometimes and I haven't had any sympathy from Sedgwick or the employer for another job. I did not receive any therapy or any medication either

I have been trying to talk to someone for two months. I have called Daisy Tellez several times and no return call. I left several to Jamie her Supervisor and no return call. These people avoid you at all cost. I documented dates and times I left messages. I finally got a rude call from Daisy today but not until I turned her in at the Australia Office. I guess she’s been told to get to work. This Daisy tried twisting things I said and blaming us for the damage. We’ve only been in this house for 8 months and the techs they sent out were worthless. After 5 people we finally got the ice maker to work. But, they damaged the floor by moving the refrigerator in and out 5 times. We came home with water all over the floor which warped the wood. Go figure, I never thought I would deal with a company like this.

This agent had continuously not responded to phone calls, most recently called me and after stating her name put me through the automotive system before following through with the phone call where I later got ANOTHER denial for my intermittent leave, has made me feel like she personally has a problem with me and just been rude to me any time I actually do get her on the phone, and now my job is one the line after denying claims over a phone call after a new procedure has been put into place. I am so sick of sitting back and having these people walk all over me. I have FMLA in place to protect my job and its currently doing the opposite. This agent has continuously to be anything but helpful in any situation I have needed assistance with.

I submitted a property damage claim approximately May 12, 2022. The claim was being handled by Holly Alexander. My claim number is 4A22059WN32-0001.

I submitted all the requested documents and photos of damage. Between time of submission and as of the day of this complaint, I have been given the runaround by Sedgwick.

I have spoken with Holly Alexander once, but have emailed her 9n numerous occasions with no response. I also left voicemail messages for other so called managers, with no response.

I did talk with another Sedgwick representative who stated he could not handle the claim, and that Holly had an emergency, and to wait for her to return.

I was even locked out of the mySedgwck online account to view claim status after leaving a message for a manager to call me about my claim. I believe Sedgwick is flat out refusing to payout on claim.

I purchased gas at a King Soopers on 5-11-22 @ 5:30 am that had diesel in the gas.

This purchase cause my SUV to be in the shop and a rental car, cost me 4 hr off work and over $1200.00 in another job and Sedgwick refuses to pay damages and will not return the corspondance.

I guess the only thing left is to take you to court.

If no response or contact is made I will file the proper documents and have your company served. I am as well charging interest on the debt you owe.

Today, I was in my department was putting up the apparel returns alright minding my own business was getting ready to go on my lunch break around almost going on 7pm. Until, my coworker Bailey had told me that Dawn had came her on her phone and told me to go to the personal office. I looked at her and said what? Well ok. Let me see what Dawn want. I had walked in towards the back with my cart and parked my cart beside the wall in front of the personal office trying to get inside the room. Dawn had opened the door and told me to come inside and have a seat. She told me that she have Daniel in there for her witness. I said alright and sat down to see what was the matter. I sat down in the chair and Dawn had the nerve to start yelling at me accusing me saying I was taking longer lunch breaks, stealing Walmart's hours and was taking more longer 15 minute breaks. I've told her that I wasn't taking a longer break at all and there's some associates are out there was taking some longer breaks and 15 minutes break too and y'all still are not saying anything about it. But, when it comes to me oh y'all think it's a problem. Next, Dawn was start yelling at me saying that there was so many associates were complaining about me and spreading some lies towards me. I said whatever you had heard from them is a lie. Then she told me she got some descriptions that show everything what they said about me. I told her what I saw in my point of view and she said that doesn't matter. I'm like the [censored]? Then, she had the nerve to tell me I'm on the orange color and Daniel who was also a team lead to exclaimed what it means. I told both of them that I always comes go on my 15 minutes break on time and my lunch break on time too along when I come back on time as well. Dawn won't even show me about the wrote up on computer screen at all. Dawn is bullying on me and picking on me twice and I'm very sick and tired of it. Plus, she says if I say anything negative about what's going on in the office she's going to fired me. After when I got through talking to them I said it was uncalled for and left. I'd told my coworker Antericka who is also a team lead and she said Dawn was in the wrong for writing me up over nothing and I'm not stealing Walmart's hours at all. She told me to go call Catherine and tell her what Dawn was doing towards me was very wrong. She had no right to wrote you up for nothing. She doesn't understand what is Dawn's problem. I would go call her and tell her that what I would do if I was in that situation. I had told Antericka everything. She told me to just go do your best and don't worry about what Dawn is doing towards you. I said ok.

Sedgwick has shorted my pay since July 2021. They have missed payment after payment. They have not attempted to make the missing payments up or to fix the issues with the missing money, or adjust my pay to what it should be. Again this month they have missed two payments. They lied to my lawyer stating there was a delay in last week's payment but they got it mailed. They are supposed to be doing direct deposit and stop doing so with no notice. They also have shut down my access to see when they have sent checks or to upload documents that they need with the excuse it is an error and never fixes the issue as there is no issue they have marked my case as closed and it is not. I am 7 weeks post-op spinal fusion. They have made this has hard as they can on me. Including forcing me into a chapter 13 bankruptcy that because they were not paying me the right amount and from missing payments.

You, your lawyer, and your works case manager can all send information or request things to be fixed and they will not answer. When they do they lie and still fail to issue payments or do what they are supposed to do. I am fed up with them playing with my life but most of all the life of my family!

I want to be done with Sedgwick and their lies, theft of money, and all other aspects of this horrible company as they have caused a lot of damage to me personally as well as my family. Including almost losing our home. I do not care that I will not have MMI for at least another 4 weeks. I just want to be done with them. I want them to send my lawyer an offer that will cover all future medical as there will be a lot, money to retrain me as I will never be able to do what I was, money for loss of my business income, and all the permanent medical issues I will have for the rest of my life. I am so sick of not even being able to buy food because they will not do the right thing. They are the worse company I have ever had to deal with in my life! They treat people horribly without any regard for what they are doing to people! I am sick and tired of them! I just want to be done with them and their illegal ways!

I have over 5000 worth of stuff that was water damaged and it’s been a month and I still have no payment or info on a payment why does this company take so long to pay out claims. My claim number is 4A22050K6HJ. I last talk to my agent 5/26 and nothing since this claim process started 5/4 and still has not been completed. I have sent in pictures of the roof caved in some of my damaged items and them itemized worksheet. When I call my agent it goes to vm and I don’t get a return call. Pls help get this resolved asap

Reinjured my shoulder on 5/14. Sent to Concentra who sent me to Spectrum Orthopedics Associates (where my WC claim has been ongoing)

Dr requests MRI on injured shoulder on 5/21. Requested by Rayus Radiology.

I left messages on Claim Adjuster voicemail and general mailbox.

June 2, today, received phone call from radiology department asking me if I knew how to get Sedgwick to call them back or to give them authorization.

Left another message on my claims adjuster.

Still no return call and no authorization for MRI. This is affecting my work. how do I know I'm not causing more damage to my shoulder if I can't get an MRI?

Regarding case C225002795-0001-01, per the process my doctor submitted the required paperwork for my claim and I was originally approved by my case manager Dinnah. After going to my follow-up appointments my doctor submitting the additional paperwork, but my case manager Dinnah referred my claim to an outside Physician Adviser for review. It was noted that the person attempted to reach out to my doctor twice only to be calling the wrong number, then when he/she finally called the correct number and had to hold for someone to answer the line they hung up and denied the claim(which later got approved). My doctor has once again submitted her physicians notes from my follow-up visits and my case manager Dinnah had 2-3 business days from 5/4/22 to make a decision, but still has failed to do so, instead she has once again sent it to an outside Physician Advisor for review on 5/11/22(5 business days later). This time the advisor tried to reach my doctor after hours by calling at 4:18pm on 5/11/22 and 5:35pm on 5/12/22, and because he/she was unable to reach my doctor they denied and closed my claim once again on 5/17/22. No one contacted me with status as I was originally informed they would, and I should have been contacted no later than 5/19/22. I had to find out by calling Sedgwick myself on 5/19/22 to get an update. When I requested a manager call back I have yet to receive one. I am at the point of seeking outside legal counsel because this is a clear case of neglect of job duties on the parts of Dinnah, whom originally approved my claim and whom now continues to pass her job duties to an outside party whom has also failed to do his/her job.

I can understand that Sedgwick is the insurance carrier for Walmart employees. They must have a very tight bond assuring with the company. My injury I wouldn’t think is very severe. But you would think I would have to move heaven and earth it’s self to have somebody contact me. Numerous calls and emails to claims adjuster and supervisor even to the office almost every day without a response. When Sedgwick‘s nurse called she stated I’ve seen a neurologist. That’s incorrect. I’ve seen your care physician only on May 10th. That goes first so the doctor can do a referral to the neurologist. When I talk to the claims adjuster. I asked why is the claim not on the accident date April 26th I have not returned to work since then. She had no record of me going to the ER or the paperwork stating from ER doctor not to return to work until primary care physician says so. She goes on to ask me to email her that page. “What’s going on with this company?” After seeing there primary care physician at MayoClinic. He stating not to return to work till after MR and Neurologist evaluation. We made the appointments for those visits. But a week later the claims adjuster said Dr had canceled all the appointments and you may return to work. “That doesn’t make sense.” She said to go back to the physician and see if he would write you another note and start from the beginning again. Really? Ok? Why would the doctor cancel the testing and valuation when he’s the one that wanted me to go? This entire thing sounds sketchy. On the Sedgwick app it been cleared and says no claim. Wow! That was fast… ? It’s been 30 days now without any benefits from Seder. Well, I have all my copied paperwork together with times, dates, and who I spoke with. And I printed out the return to work order from the doctor. Although it has no signature. Let see what he says when I confront him. Along with the cancellation for the MR and Neurologist. Per his request… humm…. Check back for update. Even I want to know what he’s going to say..

Pic-Attached. First reported April 26th

I have a Sears Warranty Plan. My kitchen floor was damaged Dec of 2021. I was given a Sedgwick Liability Clams Associate named Allison Morler. I spoke with her once and she told me what I needed to turn in to her. I sent the pictures as well as 2 itemized estimates for my floor. Then I heard nothing nor did she return my calls. I finally got a hold of an her supervisor (Adrissia) I believe. She said a new person would be assigned to my claim because Allison was terminated. Finally a Shawn Frain left a message on my phone that he had all the information I had sent in and was just waiting on some emails from others to complete my claim. I have called and always get his voicemail. He is not returning my calls. April 28 of 2022I received a letter giving me 3 days he says he contacted me and to call him if I wanted to discuss my claim. It gives me a 14 day window and then he closes the incident. His note said he talked to me Jan 5, Jan 8 and Feb 9of 2022. He wasn't on my case at that time. Allison was. Can you tell me what do to. I can find no other number than his to call. My File # is L2112225012.0001. Thank you Linda Baumgart

CLAIM WAS 723717

I need a letter from Sedgwick stating I no longer am receiving Workmans Compensation benefits as my present administrator The Reed Group shows on their records that I am still receiving Workmans Compensation Payments through Sedgwick. My MMI was in 2009 and the Colorado WCD awarded me $150,000 for 42% whole body disability, those payment have long since expired and any other payments through Sedgwick, but Reed Group's records still show those payments! I need HELP!

Peter Seglem

[protected]

[protected]@me.com

6520 Fredenberg Lake Road

Duluth, MN 55803

Here is an example of the emails from back in the time.

Mr. Seglem,

Per your request attached please find a copy of the payment history for claim 723717.

Should you have any questions, please feel free to call [protected].

Thank you,

Lynn Squire | LTD Case Specialist

Sedgwick Claims Management Services, Inc.

www.sedgwickcms.com | The leader in innovative claims and productivity management solutions

Our truck was hit by a truck insured by Sedgwick on 04/04/22

The claim number is 4A22045T0VV0001.

The person handling the claim is Monica Dickenson @ [protected].

We have put in at least 5 calls and she is not returning the calls. It was clearly the fault of the insured. I tried to speak to anyone in management, but this appears to be an impossibility. It seems the company goes out of it's way to frustrate anybody calling to resolve an issue.