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Sedgwick CMSdenial of disablity


I recently had back surgery (Lumbar fusion), recovery was extremely painful and long. After my doctor provided valid info that due to the trauma I would need approx 2 more months to recover fully, as well as physical therapy, sedgewick cms denied my extention of my claim. My employer att then uses the time I was off from work to build a case for termination. This is clearly a case of 2 major corp in bed together and together both manipulate and lie to find ways to terminate long term employees from their payroll. Unless hard working middle class american take back our country and shutdown these big corp we are doomed. We will soon resemble mexico-millions of their citizens leaving to escape the 1% that control 99% of their citizens. Both of my parents are retired teachers, the closer I get to retirement the more pressure big companies like att, sedgwick cms find ways get rid of older employess. I know other major corp have turned over their disablility, workers comp. Etc.. To sedgwick — gm corp, well fargo and list gets bigger everytime sedgwick low-balls a bid and forces smaller disabality/worker comp companies out of business. It time to do whatever is necessary to shutdown all big corp before this country is in another depression that we will never recover from.


  • Hi
    Hi ther Sep 11, 2012

    Haha, similar experience here... Try still being on crutches with a doctors note and state disability note with the medical codes on it saying the recovery will be at least 12 more weeks, Sedgwick feels you should only get 4 weeks. All they care about is their bonus for putting you back to work early it's really sad. I'm sure what they do is illegal, their employees who don't even have B.A.s are over riding board certified doctors. If someone knows how to fight this please post it, thanks.

    0 Votes
  • Lk
    lkristenjones Apr 11, 2012
    This comment was posted by
    a verified customer
    Verified customer

    I have just been denied a maternity disability claim for chronic headaches and vomiting. i've been to THREE specialists -- my ob/gyn, a neurologist and an endocrinologist. my ob/gyn submitted and certified me as unable to work due to the migraines several weeks ago.

    Diagnosis is migraines and hypothyroid. however, i cannot be medicated due to the pregnancy and sedgewick is denying me because there's no evidene of a "treatment plan." I told them i can't take medication because i'm pregnant!!! how come three doctors who have treated me and know my situation get trumped by some nurse/doctor reviewer at the insurance company? because it's their job to deny claims. I've contacted a legal referral service, and i'm wondering if i have a case. in the meantime, my ob/gyn is going to hopefully write another letter to sedgewick stating i cannot work because of the migraines and my further treatment plan will be to go to acupuncture since i can't be medicated. what the hell are these people looking for? and they are taking their time getting the paperwork together and didn't even start until i was out of work for a week. they're horrible.

    0 Votes
  • Kh
    kharmaiscoming Mar 09, 2012

    No one said the anti -christ was just one person. Why not one company and all who work there? You would think the DEA would have the intelligence to realize that since Sedgwick became popular with SIP's as their TPA, the pain medication epidemic has grown way out of proportion. Their trick is to hook all these injured workers, so they choose door #1 ( life time medical complete with gag order) instead of door #2 (cash settlement and you get to quit your job complete with gag order). Need to find a lawyer who can't be bought by them and file a class action against Sedgwick. They count on workers fighting their employers, while they slither in the background.

    0 Votes
  • El
    elu Feb 09, 2012

    I feel the same but I realize they only care about their money, they don't care at all about us...they will do anything even illegal stuff be aware

    0 Votes
  • Sc
    SC%% Jan 11, 2012

    Thank you WW** and Joarel for letting me know I am not alone. My doctors request for an extension has also been denied...over the holidays. The approval has been given by California State Disability, but Sedwick CMS has denied the extension. At what point will AT&T and Sedwick CMS realize that we are off of work because we have to be, not because we want to be. I want to be at work, work gives me a purpose. I've been robbed of my motherhood, wifehood, and soon will probably be robbed of my employment status because of this disease I have. All that myself and my Dr is asking for is additional time for this new biologic to work because I am unable to perform my job. More than anything, I wish these people would understand what it is like to walk a day in my shoes. I couldn't ever wish this disease on anyone...knowing what my kids have had to see me go through. All I want is my life back...and now they want to take away my job? This is one of the only things that gives me purpose.

    0 Votes
  • Jo
    joarel Jan 09, 2012

    Thank you for speaking out WW**. I am going through the same thing as you, only I am in California and was just denied an extension over the holidays no less...

    1 Votes

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