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

“I can’t understand how this shady company stays in business. I was told I needed a hysterectomy and because it was within the 1st year of my LYD coverage, it was a ‘pre-existing condition’. A biological female having severe periods is a pre-existing condition? Welcome to LIFE!”

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Posted 1 year ago

“I was hit by a employee of. Nestle foods. Getting my truck repaired with. Sedgwick was a nightmare!! A 2 hour fix is being drug out a month. I will use my own insurance if this ever occurs again. And let. Allstate deal with these kind of people.”

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Posted 1 year ago

“Awful company, never listened to me. Had to call over 15 times for one claim because the reps would not listen to me. Then the claim gets denied for failure to provide records when I called in 5 times to give them it. Awful company, absolute trash”

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Posted 1 year ago

“I am trying to resolve a claim. Despite numerous emails and voice mails, nobody has gotten back to me in over 3 weeks”

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Posted 1 year ago

“I had the unfortunate experience of dealing with Sedgwick during a recent medical emergency that required me to take Medical Leave under the Family and Leave Act (FMLA). My experience with this organization has been nothing short of a nightmare, and I feel compelled to share my story with others. To provide some context, I am employed as an Application Developer with a cable company. On September 30, I got married and began a pre-planned vacation with my wife, scheduled from October 2 to October 6. While on vacation, on October 5, I started experiencing excruciating abdominal pain that ultimately led me to the emergency room. Subsequently, I was admitted to Northside Medical Hospital for a severe ulcer in my stomach, loss of consciousness, and constant blood vomiting. It took me some time to regain my strength from all the blood loss. Upon my discharge from the hospital, I was informed by my healthcare provider that I was medically fit to return to work. I promptly initiated the process of providing the necessary documentation to support my return to work and contacted Sedgwick, the company responsible for handling FMLA leave. Here's where the nightmare begins: Despite providing all the required medical documentation and my doctor's approval, I have been consistently informed that my documents are "pending review," with no indication of when this prolonged process will finally conclude. This has raised serious concerns about the delay in receiving my paychecks due to the protracted delay in my return to work. To make matters worse, my interactions with my assigned case manager were nothing short of distressing. Despite uploading all the necessary medical documentation, this case manager insisted that I needed an additional "return to work" document because the previous one had apparently "expired." This left me flabbergasted, as the delay in obtaining this document was entirely due to their drawn-out review process. In an attempt to find some resolution, I requested to speak with the case manager's supervisor. However, despite the assurance of a callback, it never materialized. This blatant lack of professionalism and disregard for my concerns is simply unacceptable. Over the past few weeks, I had made numerous calls to Sedgwick inquiring about the status of my claim and whether I would receive payment for the time I was unable to work. The frustrating part was that every time I contacted a Sedgwick agent, I would ask them about my eligibility for payment, and every time, I was met with evasive responses. I was repeatedly told that my case was "pending" and that I should seek answers from my case manager. However, the truth finally came to light during my call to Sedgwick yesterday. To my utter dismay, I was informed that I would not be paid for the days I was unable to work during my medical leave, and the reason for this was a waiting period of 7 days. During these 7 days, I was expected to use my personal time off to cover the loss of income. Only after these 7 days would I be eligible for payment, and that payment would only cover two days of approved leave - October 16 and October 17. Every day of my absence from October 17 onwards would go unpaid. The agent further explained that to be considered for back pay, I would need to create an additional claim extension supported by documentation showing that I am still under a doctor's care and require weekly visits. However, even if I were to comply with this requirement, my care team at Kaiser could only provide one doctor visit per month, making it impossible to meet this criteria. It was infuriating to learn that this information, which could have made a significant difference, was intentionally withheld from me until it was too late for me to act upon it. I requested to speak with a manager to address these grievances, but to my dismay, the manager simply reiterated the same information. I expressed my frustration at being denied the opportunity to return to work earlier, as there is concrete evidence of my ability to do so via faxed documents. Yet, my case manager seemingly never received these crucial documents, setting me up for failure from the start. My experience with Sedgwick has been characterized by a shocking lack of transparency, evasive communication, and a disregard for my financial well-being and peace of mind. The situation could have been entirely different had I been informed of the specific requirements to secure back pay in a timely manner. This situation has led to substantial financial stress and undue anxiety, all of which could have been avoided if Sedgwick had simply handled my case efficiently and professionally. In sum, my dealings with Sedgwick have left me deeply dissatisfied, and I wholeheartedly advise anyone in this organization's services to look elsewhere. My hope is that by sharing my experience, I can prevent others from enduring the same distressing journey I have undertaken.”

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Posted 1 year ago

“This company is your absolute worst nightmare. I’ve been working with a “Carol Stone” (CA license #2549023) for over a week trying to get a fender bender situation that happened to my car figured out. Anytime I try to ask her for more information to help the process go smoother, she either ignores me or just responds with a completely different answer, disregarding everything I’ve inquired about. I hate that I have to go through this he’ll hole company. FTC should shut these people down.”

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Posted 1 year ago

“Kim from this insurance company was rude. And did not prove to me that the claim I made was false. I offered this company to talk to me in person since one company is in my town! They refused. She denied my claim. So I complain to the BBB and they sided with me!! What does this say about this company?!? They don’t care about anyone’s property, or the pain and suffering they cause. Money is the only thing that matters to them!! We do not need insurance companies like this!!”

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Posted 1 year ago

“from the very beginning a lot of wrong information and their excuse is the associate is new. they have denied me money that belongs to me and is currently putting me on cobra which is putting me in a financial hardship. they use unfair and deceptive practices”

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Posted 1 year ago

“They had a pickle juice spill. I fell on the floor and injured my knee on 4th of July. I filed a claim. And they came back almost 4 months later to tell me they had no video footage of me falling. They said they had no cameras on the aisle I fell on. How convenient for them right ? I know that’s a lie. They didn’t take full responsibility. Who the hell has time to fake an injury ? I loss my job due to this injury. I have two kids to feed and wasn’t able to pay my rent. They offered me $3000. What a slap in the face. If you fall in this store make sure you get pictures and save evidence because they will lie about it and you will be stuck with a long term injury. Do yourself a favor and go to another Kroger. This Kroger smells like expired fish and needs upgrades. And the sell expired food. I don’t know how they stay open.”

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Posted 1 year ago

“So my daughter took her brand new Mitsubishi Outlander 2022 on April 28, 2022 @ 4:33pm an had speakers put in her car an we went shopping while the man at Best Buy installed her speakers in her Mitsubishi Outlander well we came back to Best Buy waited in the parking lot till the man finished installing her speakers an it was getting to be after 9pm I was like there getting ready to close soon what taken so long so then we get a phone call from Bobby stating that something is wrong with my daughters car while it's in Best Buys garage an it said the suv had been wrecked mean while my daughter looked around her car he claim the vehicle had never been moved since he drove it into Best Buy garage so it wouldn't turn crank nothing an so we are 45 to 50 minutes away from home so Bobby assured me the vehicle will be fine over night an the next day they will get a tow truck to take the Mitsubishi to the Mitsubishi dealership ok so next day it is towed to Mitsubishi an then they couldn't fix it so next Mitsubishi got Best Buy to claim of fault for the Mitsubishi Outlander being in the shape it was in so Best Buy admitted fault so my daughters Mitsubishi Outlander could be towed to Albany Ga Mitsubishi so it has been sitting in Georgia Mitsubishi for 16 months time which is a year an a half an have told us they have been trying different parts to fix it nothing has worked so now they claim it needs a wire harness that cost $7,500 so this whole time no car rental no remorse for there long term customers an all been hardships on me an my family but needless to say Sedgewick is Best Buys insurance for accidental issues and wants to settle this with signature so that all they will do is pay for the $7,500 an if this doesn't fix the Mitsubishi Outlander like everything else hasn't worked then we will be outta luck with paying car payments as we have been for a car we haven't been able to drive since April 28, 2022 now you tell me how would you feel in this situation? I don't feel it's fair or good business to put a deal on a situation that was there fault an then not wanting to make it right instead they wondering how to make deals but this is very bad business in the way its being handled let me work on your car an forget to unhook a battery while working on your car an cut your electric wires through your new car you just purchased an see how you like it better yet I can't help you all hire ppl that don't know there job that's not my fault an this situation as a long time customer will not be happy till this is taken care of in a fair manner next I will be on WCTV telling how u all do business 🤔”

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Posted 1 year ago

“I have been dealing with them since 2017.They are the worst company to deal they suck.”

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Posted 1 year ago

“Much like others reviewers here. Two of my doctors approved my work time off due to heart conditions. Sedgwick denied claim due to insufficient proof. A doctor prescribed RX and tests. Still not approved. They don't return calls and hang up if they feel like. I will keep appealing bc I am due pay. FMLA approved but not Sedgwick. They are horrible. zero stars.”

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Posted 1 year ago

“Sedgwick is the worst company I’ve ever had to deal with. 1. No direct support number. Have to do the online chat from their website and someone will contact you by email. I’ve done this 8x and only twice have I ever got a email response. 2. It took me 2 years to get a hold of my adjuster. Whether call or email for someone to even acknowledge and get back to me was ridiculous. The only reason I was able to get an adjuster on the line was due to calling back to back for 32mins. 3. Even with the adjuster, it feels like Sedgwick tried so hard not to pay out your medical fees.”

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Posted 1 year ago

“I was injured on the job 1 year ago…. I have been waiting since 4-22-23 to be sent to a rotating rating physician to find out what percentage my PPD is to get paid. I have no insurance and the surgery and therapy did nothing for me. I’m in constant pain and I’m sinking into a depression. These people NEVER answer their phones and when they do they lie to you….!!!! I can’t believe the BBB hasn’t shut them down. The employees are absolutely ignorant. This company is really quick to demand things from you citing NRS codes but are absolutely breaking the NRS codes themselves every single day causing nothing but stress and chaos for thousands of hardworking people everyday all day… If you work at Sedgwick shame on you….!!! You have sold your soul to the devil…!!!”

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Posted 1 year ago

“Horrible organization! Never listened my concerns forcefully closed my claim. Tired to talk and call the case manager and team , several time , never got response and reply. They hanged up my call and did not cooperate! I will talk my employer to stop workers compensation claim service with Sedgwick .”

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Posted 1 year ago

“Screw Sedgwick!!! They took too long to send my physical claims packet because i don't have a printer. I never got paid disability. I'll give you my advice. If you find out a company is partnered with Sedgwick for disability claims leave and, or stay away. This company needs to get replaced or whipped off the economy.”

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Posted 1 year ago

“They are so crooked and cant keep payments right. Also dont care for humans that has been injured”

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Posted 1 year ago

“Dealing with Sedgwick is more stressful than my injury. I am only trying to get a leave of absence approved, not W/C. They will not accept the medical documentation from Kaiser and I was never contacted about accommodations until the day I returned to work!!! They want the forms filled out manually which Kaiser doesn’t complete, everything is automated. I am going to get fired because it’s still not approved!!!”

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Posted 1 year ago

“Sedgwick is absolutely the worse. You have to keep calling them because they are very unresponsive. One day, my spouse was placed on hold for 45 minutes! That is insane, being placed on hold for 45 minutes! Sedgwick has terrible customer service, the employees are rude and talk to you like you are stupid. I am perplexed as to why any reputable company would partner with Sedgwick.”

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Posted 1 year ago

“This is the worst company to deal with, chances are they will deny your claim. It’s no wonder they’re not even accredited by the BBB, because they would get an F- rating. They only have 1 star. They denied my claim even after the doctor properly filled out the paperwork. I know of several people having trouble with them!”

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Posted 1 year ago

Sedgwick Claims Management Services is rated 1.1 based on 845 reviews