Sedgwick Claims Management Services Reviews

Name: Sedgwick Claims Management Services
Rating: 1.08

1.1 Rating 845 Reviews

2 %

of reviewers recommend Sedgwick Claims Management Services

Company Reviews

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Metrics

1.1

Based on 845 reviews

Shipping & Delivery
Delivery Methods	Postal Service, Own Driver
Average Delivery Time	Over A Month
On-time Delivery	Greater than 3%
Accurate And Undamaged Orders	Greater than 46%
Customer Service
Communication Channels	Email, Telephone, Live Chat
Queries Resolved In	Over A Week
Customer Service	1.2 out of 5
Returns & Refunds
Returns Process	Could Be Better

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Sedgwick Claims Management Services 1 star review on 11th June 2025

Anonymous

Sedgwick Claims Management Services 1 star review on 25th January 2025

Anonymous

Anonymous // 01/01/2019

Filter: Rated 1 None 5 Stars 4 Stars 3 Stars 2 Stars 1 Stars Helpful

“They told me to allowlist one number, then called with another. Never called back and sent threatening SMSes about getting charged for my leave. Also categorized my eldercare leave request as “baby bonding” in my company portal for my management chain to see.”

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Posted 2 years ago

“This company absolutely cannot handle your claims. And if you find out that you have them through a workman’s comp, rest assured you will be screwed over. No communication whatsoever. Refuses to work with me through email. Asked me to fax them something from a public library. Tells me they’ve paid bills and I’m still receiving bills to this day. They will not answer my phone calls or voicemails. Damaged my credit because I was sent to collections. This company needs to completely shut down. I’ve had to get my HR manager involved every step of the way just to make my claim move forward. It’s been over 2 years dealing with this and I feel like it’ll never end. I need someone higher than my agent to contact me immediately or I feel like I need to get a lawyer involved. This is gross negligence.”

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Posted 2 years ago

“Details: Please note that in this review the 'product/service' that I expected Sedgwick to delivery is my the direct deposit of my paycheck, which they failed to complete the process competently and instruct my employer to proceed with payment. Unfortunately, this is my second experience with Sedgwick in an 8 year period and both were negative. My current situation is very similar to my first experience in that I did not receive my pay as I should have and I was told that I would. So now in addition to foucusing on my healing journey I am spending my days chasing Sedgwick Examiners who do not return calls, repeating my story to Sedgwick call center employees who do not have an escalation process to invoke outside of sending you to a third voicemail , who also doesn't return phonecalls. The sad part about it is that the call center employees confirmed that the documentation was sent to the wrong doctor three times. However, no one is able to tell me how the issue can be resolved. For example, we will reach out to the correct doctor today and get you paid as soon as possible or we need your help with getting this confirmation completed by your doctor.. . NOTHING! Sedgwick advertises the hours of 8am to 8pm. I called back at 6:30pm in a final attempt to understand how I can get paid only to find out that the examiners and their supervisors are gone for the day. Mind you that at 8:02am my exainmer was in a different time zone and wouldn't be in until after 9am. As for communication and setting my expectations - I received the following text message on April 6th, 2023; Hi, Your claim has been approved. You can expect your pay on your next regularly scheduled pay date. Please contact us at (888) 931-3100 if any concerns or issues. Then when I called on April 17th, after NOT being paid, the very first call canter rep tells me that yes they can see the text message that I received above but they don't know why it was sent to me because the status of my case is still pending due to the documentation that was sent to the wrong doctor three times not being returned to them. So at the end of the day, you can't trust what Sedgwick tells you and you have to spend tons of your time chasing them because they don't return calls and there is no escalation process that doesn't involve a voicemail. Had I known that you can't trust them when they confirm you will get paid, I would have re-routed or even stopped my autopays from that particular account. But out of the 6 live people I spoke with, only 1 understood the financial impact their failing processes and incompencies are causing me at a time when I have increased medical expenses and should be focused on healing and physical therapy. There should literally be an option dedicated to people who didn't get paid - Press 7 if we told you that you would get paid but you didn't because so many of my co-workers have had this same experience. I literally don't know why large major corporations (such as mine) are using Sedgwick as a Third Party Service Provider. I too would have selected '0' stars if it was an option.”

Sedgwick Claims Management Services 1 star review on 18th April 2023

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Posted 2 years ago

“This company does not care about anyone. It was a nightmare dealing with them. They don't even deserve a 0 rating.”

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Posted 2 years ago

“I had to threaten to hire a lawyer and have them pay for that too to get my car fixed FIVE MONTHS LATER after my car was hit in my work parking lot by a Penske rental truck with Sedgwick”

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Posted 2 years ago

“This company is horrible please please do not do business with them. I got hurt at work a established case Sedgwick with travelers insurance company is making me wait for a pain medication horrible I had Surgury 5 weeks ago days after a 4 hours Surgury they denied pain medication horrible please this company have to know that Employees have rights please join me in boycotting this company alone with Elara caring /Allen health care. They refuse to pay me anything they are terrible for employees please boycott this companies now I’m available to speak to any one that wants to know how horrible this company are”

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Posted 2 years ago

“Worthless company. They require a form to be filled out by your doctor and if he doesn't want to fill out the form, then you're basically screwed. They give you a lot of run around and other people to talk to, who will just talk in circles because the it's ultimately YOUR responsibility to get the doctor to fill out the form. What they said they require is a diagnosis and a timeline when you can come back to work. The doctor I got when I had pneumonia was worthless. He was sketchy, he said he knew what I had so there was no need for him to do blood tests. There was no medication besides OTC stuff to treat the symptoms to prescribe and the virus has to run it's course and it would take 2-4 weeks. I asked for a note and he said he wouldn't write one and I told him I didn't want to lose my job and he said they can't fire me for this anyway but it's against the law for him, as a doctor, to share details relevant to my health. I told Sedgwick what he told me and they just got stupid. They wanted me to go to a different doctor who would take the notes he made and fill out the form for him. After many hours of talking to these Sedgwick people, I gave up. I simply didn't care what happened anymore because it was beyond my power to do anything and it cost me my job.”

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Posted 2 years ago

“Horrible company! Nobody knows what they are doing! They keep transferring the calls or disconnecting them! I’ve waited 2 months for them to send my W2s and 1099 forms and nobody’s seems to know how to do that! They keep telling me 7-10 business days and nothing! This is ridiculous.. Worst experience ever! I’m so extremely frustrated!!!!!”

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Posted 2 years ago

“This place is HORRIBLE! I have to call repeatedly. I've never spoken with my claims representative after 4 months. I HATE THIS COMPANY! They are the worst. Why are they allowed to do what they want to do? You send them papers repeatedly and they claim not to have them. Each time a new renewal of disability happens you're waiting a .onto to get paid. They need to go out of business!!!!!!!!! They are adding ro my frustration!!¡!!!!!”

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Posted 2 years ago

“They were incompetent with their investigation which did not protect a teacher. The company they work for, SDUSD was also incomplete and did not complete proper contact tracing. Unethical”

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Posted 2 years ago

“This company is used for disability by my employer. They are horrible. Never talked to the same person twice, very difficult to understand. They are never satisfied with paperwork submitted, takes an hour to reach a person. They are very rude, and you have no one in upper management to speak with. The frustration with them is so great, you get to the point you don’t care if you get paid. That can only be the reason employers use them , hoping you give up trying to get paid. I haven’t seen any positive reviews for this company.”

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Posted 2 years ago

“OMG GIVEN A FEW CHECHS THEY BOUNCED .. I HAD TO PAY LATE FEES ... THEY DONT CARE .. SHE WAS ON THE COVER IF SOME WOMEN MAGAZINE IN San Antonio ... No respect ... She must of been wearing a 10 thousand dollar suit ... Bad business ......”

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Posted 2 years ago

“Sedgwick handles leave claims for my employer. My last experience has been a nightmare. Everytime I call I am told something different. Also, I had 2 claims and somehow they got the paperwork mixed up and noone is resolving the issue”

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Posted 2 years ago

“Other than already being angry and having a so called supervisor hang up on me because I gave the company my hospital discharge paperwork and they are not refunding me... the bean counters of Vail Resort tickets... because the 10 physicians don't sign discharge papers after an emergency. Your people say everything must be treated the same? Because no one there has common sense that hospitals have multiple doctors for emergencies? How ridiculous. And you're saying it's because Vail is strict? You can't use common sense? What had this country come to that no one is able to make a reasonable decision anymore. So now I have to go to a doctor...just to get a signature? To get a refund? What a joke this company is.”

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Posted 2 years ago

“What an awful experience. I've been trying to obtain my W2s and 1099 for from them for 1 month now. Every time I call I have to pretty much explain myself over and over and again. At this point I'm going to miss my deadline to do my taxes. It has been definitely frustrating dealing with this company. They are extremely rude and none of them seem to know what they are doing. THIS IS A HORRIBLE COMPANY!!!!!!”

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Posted 2 years ago

“Pretty simple - their phone number comes across cell phone as potential spam or unknown caller. They don’t want you to answer the phone”

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Posted 2 years ago

“Sedgwick motive is to deny all claims until you return to work!!!!!!! They send you medical paperwork to have filled out by your provider but once those sets of paperwork are filled out entirely they’ll stall payment saying that it’s being reviewed by multiple departments just to request more paperwork that they never sent…. They keep your leave status fluctuating from pending and denied. I was told by a representative that I shouldn’t have been out of work for my disability as my disability isn’t a disability to her then she repeated my medical records which is against hippa. THIS COMPANY NEEDS TO BE INVESTIGATED”

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Posted 2 years ago

“First there is know customer service here. They lazy and don't care to help with anything. Everytime I called about the claim I was giv4n incorrect information. When I asked for a manager I was told I can't speak to one I have to speak to my agent which was Terri. She never was at work or she called twice in three weeks after I called 10 times requesting someone call me back. Three weeks later they never send my return to work date so I had to take a additional day off. My claim was denied because she said I asked for help not that my doctors recommend I take the time off. After he diagnosed me with depression and anxiety I guess if I murder my whole family first then I can get the help i needed”

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Posted 2 years ago

“Ashely Rhone is my adjuster. she routinely denied claims telling me that "I am not paying for you to sit around" when I broke my foot at work. She denied my disability payments allowed to all injured people and would insult me telling me "have the day you deserve" while also telling me you are a fake and fraud. I don't understand because Ashley has all of my medical records - everything and talking down to me using the information contained in my medical records. She called me lazy on few occasions when I couldn't go back to work. Ashely is very hostile and although I never met her in person sounds like an angry black woman. They have my entire life at the click of a button and use our medical records against us. she even suggested that I fire the lawyer I hired calling the law firm unorganized a bunch of Mexicans. Ashely is a awful person”

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Posted 2 years ago

“Does anyone know who to call to report this company? I have a unique situation where both parents have very serious medical conditions and they approved the claims but I have problems with them approving the actual days off - both parents doctors have revised the forms to Sedgwicks "new terms" yet because they claim it is not on a different part of the form they do not recognize / approve the terms! Supervisors won't call back, claim examiner is horrible to work with and does not offer any guidance - I told them to call the doctor offices and signed the voluntary form to allow them to do this, they say they will and they never do! Didn't get access to portal (didn't even know about portal, until claim was approved (1 week after start of illnesses" yet when I entered the first two dates off they denied one and claim they gave me a courtesy day but will not approve the day off because it wasn't filed within 24 hours of the day off!!!! How could I have reported it on their portal if I didn't know about the portal until a week later?!?!?! First time I called for a supervisor they transferred me to my case worker.... I told her I wanted her supervisor and was told to call back because she could not transfer me! This is by far the worst customer experience I have ever dealt with, when I am already stressed due to almost losing one parent and the other parent is getting cancer palliative care! Wish my company would use someone else that actually knows fmla law!!!!”

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Posted 2 years ago

Sedgwick Claims Management Services is rated 1.1 based on 845 reviews