Sedwick is sorry. They are pathetic. Inhumane. Indecent. Pieces of dung. Good luck. Just sue. It’s quicker than calling.

I have sat on hold for 4 hours one day (no answer) and now I am on day 2 over 2 1/2 hours of waiting. When I filed the complaint they entered it incorrectly as FMLA not Short Term Disability. This is ridiculous. I am not sure if it is the Covid that has them tied up, but they are a business essentially and they are TERRIBLE at completing their jobs in a timely manner. I have sent messages through their site and it says it'll be 2 days before I will hear something back. These claims have a time stamp on them that we can't go past. Fortunately they extended mine by a week. I just need someone to answer the phone for goodness sake.

One day I waited 4 hours plus and no one answered the phone. I am on day 2 currently and I am 2 hours in and no one has answered. The service representative made a mistake some how and entered my leave in as FMLA and it should have been under just Short Term Disability. Now I can't get ahold of anyone to change it. This is a mockery of a service currently. I'm not sure if it has something to do with my company not paying Covid leave anymore and forcing them to use the short term disability. If I didn't have to use them I would not. I was out for of work for 2 weeks with pneumonia.

I was severely injured in a motor vehicle accident in 2017. I suffered a t-12 vertebrae burst fracture, a compressed spine, and a head injury. I spent months in ICU then a rehab center, and still receive physical therapy, pain management and I have a case manager at a Spine Rehab Center. I have returned to work with many modifications, with my employer's support. Even though my doctors have all said my disabilities are permanent, Sedgwick insists on reevaluating my case constantly. The people who work there are incompetent and don't know the law, or they don't care. They exist solely to perpetuate their own business profits.

These people only have to send a fax from a number that was provided. The first time the document was faxed to Siberia (I guess) I called my primary care provider to find out if received, it wasn’t. So I called Sedgwick back to give them the correct number and was told it would take the examiner 24 hrs. A week later I checked and still no fax had been received. A first call attempt to Sedgwick was disconnected and upon returning the call while at my primary care providers office Latisha lied saying it was sent. When ai verified the fax had still not been received and I asked her to verify the number, she told me I was being rude and I decided that if they can’t send a fax then they are a company that deserves to be sued into non-existence. I am not entitled to FMLA and don’t care about compensation, I just despise these kind of practices when it comes to someone that got injured and honestly needs a just return and respect for what they earned.

HAs anyone sued Sedgwick for Hipaa violations?

See above

I have a workman's comp claim and while i have been off work for over three months now i have been able to collect some money but the problem is they issue my check usally on wednsday and i dont get it til saturday and where i live it is almost 30 miles 1 way to go to my bank who will let me deposit my check but wont be able to get any of the money til tuesday so i asked the claims adjuster about having my checks direct deposited to my account so i don't have to drive a 60 mile round trip to go to the bank first she said that sedgwick didn't do direct deposit and after several calls and with the coronavirus outbreak she sent me a letter saying that now they are doing direct deposit so i went online to the website listed in her letter and i couldnt get registered to set it up so i called Marylin my adjuster and she said she already told me they didn't do direct deposit even though she had sent me a letter saying it was available how lame is that she also cut my check by almost a hundred and fifty dollars saying that the first check was not the right amount and that she recalucated and came up with the amount of what my seconed check was when i asked her why i was not notified of the change she said that she sent a letter telling me the change but i didnt get that letter til my 3rd check came the person who supervises Marylin did a caculation when i called her because i could not reach Marylin and discovered that the new number was short by 17 dollars a week so strick 3 your out lame brain im sick of all the stress this place is causing me and my family and amgoing to contact a lawyerto take them to court for all the crap i have been put through. when these people are put on the spot Marylin tells me i just work here waht a joke she wont be if i can do anything about the lack of professional maner she has showed me it makes me sick to be a subject of such incompetence.Lyle R.

I'm a long-term patient and it happens way too often that Sedgwick does NOT approve my medications on time thus having to cut down what I take in case this happens every time it's order time especially for pain medication.
Sometimes it takes them up to 2 weeks past due to approve.
I've gone through withdrawals already while waiting.

They say they 'care' wherein they don't care about anyone or anything except to make the patient suffer.

It's a dam shame that injured workers get treated like crap by Sedgwick.

Connie Stevens has been the bane of my existence for over 2 years. After hounding her for over a year (and no responses to emails and never answering my calls and having a full voicemail box), she finally approved my claim. But I NEVER received the check. It has been almost another year since I've been waiting to hear anything from her. WHAT DOES SHE DO? She can't reply to my dozens of emails, she can't clear her voicemail? The lack of professionalism is staggering.

This company abuses their power and implments part of the plan documents as they see fit. They will tell you they work according to plan documents but those documents give them a lot of discretion and employers often dictate their evey move. THEY TREAT EMPLOYEES WITH MENTAL HEALTH CLAIMS DIFFERENTLY THEN PHYSICAL CLAIMS. They harass and interfere with treating relationships between patients and their doctors asking for so much information that doctors do not have time to complete these forms expecially when they are not paid to do so and SEDGEWICK KNOWS THIS. They will have different due dates, they will be late asking for your medical information so you dont get paid on time, they will try to wear you down and beat you emotionally so you just walk away and give up. DEMAND BENEFITS YOU EARNED AND PURCHASED. DO NOT WALK AWAY FIGHT FIGHT FIGHT HARD. Record calls, never talk to them on the phone. Force them to put everything in writing.

This Workman's Comp Company, Sedgwick, is incompetent! I tore a tendon at my job and waited nearly five months to get approved for a surgery. The adjuster would call asking me to call her back, then ignore my phone calls and emails for weeks. After my surgery it took them 7 days post surgery to approve my medications that I needed the night after my surgery. They gave me a new adjuster. After reviewing my file, she changed my dates to be paid as the previous adjuster had the wrong date. This caused me financial hardship. She didn't bother to inform me or my attorney of the changing situation. Now the pay is messed up again and I didn't even get paid on time after I just fixed up the previous pay issues. Of course this happens over the weekend and will cause me to have more issues to deal with on Monday. Then there was an issue of not approving a prescription again...and of course it's not Sedwick's fault!! I have retained an attorney during the course of this process. If I did my job the way these people do, I would be fired. When you're trying to get something fixed and get back to work it's very frustrating to have to deal with the ridiculous way they handle everything. I've read some of the previous posts and I am appalled at the way people have been treated. It's just a game to Sedgwick and they do not care how they treat people or what they put them through. This is a disruption to people's lives. It's hard enough being injured and trying to make life work. They have all the control over what happens. My case isn't as severe as other's but I would be into a Class Action Lawsuit.





I

https://www.leagle.com/decision/1983670662p2d81668

My mother was given 100% total disability from the Oregon Supreme court (see above link) in 1980.

My mother after 2 years of fighting with them to get shoulder surgery that is injury related and they know that, finally got her surgery on Tuesday the 14th of October 2019. She was ready to be released for in home care, OT, and PT on Friday the 18th of October 2019. Today is Tuesday the 22nd of October 2019 and she is still sitting in the hospital - a 77 year old woman, unable to go home because they failed to have the care set up for her upon her release and are now not getting it taken care of, so there she sits. The hospital case worker is reaching out to them several times a day and stated that they all have excuses and no one is taking ownership.

The hospital has noted that it is an "intentional Insurance delay" on her records, I filed a complaint with the insurance commissioner today. There needs to be a class action lawsuit against this company as they are doing their best to literally kill my 77 year old mother.

Someone needs to do something about these people.

Kitty R.

I tripped and fell over an unattended shopping cart which was in front of a checkout stand - The cashier was negligent and didn't take care of unsafe conditions - He must have been 16 ! - He offered me IBUPROFEN and never called 911 - This was 2/7/18
YES, anyone care to file a class action on SEDGWICK - They have made me the victim. I continue to have chronic pain in my knee and back. I can't afford an attorney - Any ideas !!!! All of this was on their inhouse camera !!

I had necrotizing fasciitis,almost died.Sedgewick started calling me while I laid in a hospital bed,a few days after numerous surgeries. I still have open wounds,can not return to work. They have denied my extension,now my wound care centers computers have been down for a week,they will not pay me.They will not even call the center to verify. Terrible company to deal with,ill probably go broke. I still have a ostomy to be reversed,that will be another issue wityh them.

I filed a claim regarding an injury from a food product by Nestle. At first they seemed really nice. The person who first took my information was very polite and professional. Then I started getting calls from the claims examiner/adjuster. We kept playing phone tag for a while, but then he finally called me on my way to work. He also seemed nice, at first. He wanted to take my statement of what happened. After I gave my statement, he immediately started to give his opinion of the situation and making a medical diagnosis of what happened. I asked if he was a doctor and he said no. He said it was just common sense. He then began to provoke me into withdrawing my claim. He was very rude and unprofessional. I have never spoken to anyone for any company who was as rude and unprofessional as this person.

I expected to submit my claim and wait for them to make a decision based on the medical reports. We didn't even have any medical reports yet, and he was already trying to get me to withdraw my claim. The tissue damage I have will definitely require surgery. I am done with Nestle. I will never purchase a product of theirs ever again. It's hard to believe that a company like Nestle would want this kind of customer relations that will surely ruin future business for them.

Does anyone know of any attorneys that will go up against Sedgwick? They have denied my STD of a month and stated they had contacted my Dr. on numerous occasions which I know to be a lie. They said the only choice I have now is to file suit. Is it worth it?

Well, I see I am not the only one having problems with Sedgwick. I am on an UNPAID medical leave of absence for gall bladder surgery. I had to have my doctor complete the paperwork twice (3 pages each time), and Sedgwick denied it again. The case worker, who obviously could not comprehend what the doctor wrote, or speak English very well, is now reviewing the paperwork for the third time. I cannot believe the stupid questions she asked me when everything is written on the medical certification forms. She even tried telling me she was denying the leave because the doctor didn't put the date of surgery on the forms, which I know he did. They are going to cause me to lose my job. What is wrong with these people?

FROM DAY ONE OF MY INJURY IN JULY, 2017, I HAVE REQUESTED STORE VIDEO TO NO AVAIL; RUDENESS AND OUTRIGHT IGNORED AS I CONTINUE TO REQUEST THE VIDEO. MAINLY REQUESTED VIDEO BECAUSE I WAS REFUSED SERVICE BY THE "LITTLE CLINIC" INSIDE STORE AND THE PHARMACIST NEVER APPEARED AS I WAS TOLD THAT THEIR ASSISTANCE HAD BEEN SOUGHT AS WELL. ALL INVOLVED CONSPIRED FOR A LENTHY PERIOD OF TIME THAT WILL BE SUBSTANTIATED BY THE VIDEO AS TO HOW MUCH TIME I WAS PROLONGED AND ENDURED NEEDLESS PAIN AND SUFFERING BEING MISLED TO BELIEVE THAT THIER INHOUSE SERVICES WERE GOING TO INTERVENE. JUST STALL TACTICS TO THAT INSULTED ME AND MENTALLY ANGUISHED ME TO THE POINT THAT PREVENTED ME FROM CALLING 911 IMMEDIATELY AFTER THE OCCURANCE OF THE INCIDENT CAUSING INJURY. AND JUST YESTERDAY THE PROPERTY HAD SEVERAL CARS VANDALIZED FOR THEIR CLAIMS TO BE MISHANDLED BY SEDWICK TOO. TIME IS OF THE ESSENCE NOW AND THE OTHER THIRD PARTY LITIGATION INVOLMENT IS INEVITABLY GOING TO TAKE PLACE. PRINCIPLES ARE NOT A FACTOR WITH THESE INCOMPASSIONATE MONSTERS THAT TRY TO MAKE IT SEEM LIKE YOU ARE AT FAULT WHEREIN ALL ACTUALITY MY CASE WAS NO ONES FAULT THE CASHIER DID NOT INTENBTIONALLY OR PURPOSEFULLY BREAK THE KROGER BRAND GLASS JAR OF COFFEE THAT SHE KNOCKED OFF THE COUNTER AND THE GLASS SPLATTERED AND A PIECE OF GLASS GOT IN MY FLIP FLOP ENLARGED IN MY LEFT FOOT AS I JUMPED BACK INTO THE REGISTER WALL BEHIND ME THAT PREVENTED ME FROM ESCAPING THE FOOT BLEEDING INJURY. THE CLEANUP CREW IMMEDITATELY APPEARED AS DID AN ASSOCIATE MANAGER AND THE REST HAS BEEN AGGREVATING INSULTING BACK AND FORTH FROM THEN ON. IN SHOCK AFTER THE SERIES OF EVENTS THAT FOLLOWED ALL THE TIME SPENT FOR NOTHING AND TREATMENT REFUSAL FORM THE "THE CLINIC ALTHOUGH THE ASSOCIATE MANAGER PRETENDED THAT KROGER WAS AUTHORIZING PAYMENT FOR THEIR SERVICE AND THEY ARE APART OF THE KROGER COMPANY/BUSINESS. THAT LETS YOU KNOW THE STRATIGIC CONSPIRING TOOK PLACE THAT THE VIDEO SUPPORTS MY CLAIM OF THE SERIES OF EVENTS THAT TOOK PLACE. THE REST TO THIS POINT IS SELF-EXPLANATORY, SEDWICK.....

Sedwick is insurance company for sears my settlement was signed and mailed snd notorized oct 4 2018 I want my settlement check my lawyer mailed ASAP oct 4 2018 where is my settlement check from sedwick snd sears

Sedgwick is the worst there refusing to add FMLA hours back used 12 months from date of absences for intermittent claims. They seem to minipulate hours there rude unhelpful and just give you the run around they have ingnored the issue and refuse to correct hours.

Continue the Denial Saga... I have filed more paper work with Sedgwick and was denied again even though it was from an Orthopedic Specialist stating that I am unable to return to work. I was denied because the Dr. did not put a return to work date. I told the lady that I would send more paper work from the Surgeon and the specialist, she told me not to because it just gets confusing. I told the lady I was sick of there run around and their automated phone service and that they should consider Life insurance cause I'm ready to hang myself with the whole process... SHE HUNG UP ON ME. By the end of the day I received a denial and forms for an appeal process. Today I Sent forms from the Surgeon, Radiologist results from MRI but I'm betting that no appeal is forthcoming. I can not return to work until January of 2019!

This is my third round with this company. They are horrible to deal with. You can fax documents everyday and then receive an email that tells you they never received your documents.
I tried to call Monday to verify they received the documents and instead of getting to talk to a representative ...after a 5 minute automated game of push one, push two, push four... it took me to a survey about my experience with my representatives knowledge of my case WTH! Three calls later I'm ready to hang myself! Finally get to talk to someone...she tells me they don'y send an email stating they have received your documents, only notification if they haven't and a date of expiration. That could be a week or more that you sit around and wonder what is going on. Poorest Customer Service ever! How hard would it be to send an email that says "we have received your documentation and it is currently under review"
Yesterday I received an Email verifying my LOA has been approved but STD has not due to inconclusive diagnoses from the Physician. WTH I have a significant tear in my right Rotator Cuff and I am Right Handed. She states I am unable to work due to the inability to move my right shoulder! what evidence do they need? I will be laid up for at least 4 months due to injury, surgery and therapy with NO PAY. Thanks Wal-Mart for contracting this company and SEDGWICK for making your unqualified decisions.
This organization should be investigated and shut down.

United Healthcare contracts Sedgewick as their vender for Short and Long term disability. United Healthcare sells additional Short Term benefits (larger percentage paid) as part of their employee benefits package. I purchased this additional benefit. When I became sick with Myalgic Encephalomyelitis (ME/CFS) my claim was denied so I took an unpaid leave for 8 weeks and lived off of my savings. The following year I didnt purchase additional Short Term Disability coverage realizing it was never going to be paid. I worked extra hours to replenish the savings I had spent while on an unpaid leave, thanks to Sedgewick. I became very sick again with ME/CFS because of the long hours, sleep deprivation (I worked 2nd shift) and being exposed to mold in my home. I again applied for Short Term Disability. I had just purchased a new home and moved because of the mold. It was my son's Senior year. The stress and head games employed by Sedgewick are CRIMINAL! Constant claims of not having received information from my Doctor, or stating they were unable to contact me or my Doctor. Making last minute requests for information with 12 hour deadlines or the case would be dropped, etc.. The Sedgewick representatives were verbally abusive and rude, so much so It was shocking to me. How could United Healthcare claim they cared about their employees and hire the villainous Sedgewick? As soon as my FMLA was exhausted Sedgewick called and said my job wasn't safe and I needed to return the next day or face termination. I had not been cleared to return to work by my Doctor but that didn't seem to matter to United Healthcare or Sedgewick. Then I received a call from my supervisor advising me that I had been RIF'ed (Reduction In Force). That was in October 2016. As of todays date I am still very sick and now very poor. My son couldn't go to college. My marriage has nearly been destroyed because of the stress and financial strain.

I opened up a workman's comp claim with Sedgwick back in mid July. At that time they advised me that a short term disability claim would also be filed "in tandem" so that I would be compensated while the Workman's Comp decision was pending. A few weeks go by and I contact Sedgwick again because I had not received any payment. Sedgwick told me that they did not and do not open up a short term disability claim "in tandem" and left me hanging with that. I contacted my workman's comp attorney and he told me to file a sort term disability claim with the state. In early August I contacted the state and opened a claim. They advised me that I would have to wait 25 days to allow for my employer to take responsibility for compensation. Early September I receive a call from Sedgwick that they, in fact, had opened up a short term disability claim for me on behalf of my employer. This whole process took 2 months!!!! I told the claim representative that I had been living off of credit cards for 2 months and asked why they didn't open up the claim do in the first place. Of course Sedgwick had no answer to this.

Lesson:

If you have a workman's compensation claim open, demand that they also open up a short term disability case OR file immediately with the state to push their hand.

Don't let weeks go by, keep calling, and keep asking questions.