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Sedgwick CMS

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Consumer complaints and reviews about Sedgwick CMS

PtinSiSi Send email
Jul 6, 2018

Hand Injury

Injured my hand at work and briefly had no issues prior with and specific fingers, going numb, tingling and other injuries that happen quiet frequently with the type of work I do.

I am shortening this would be easy to go on a rant on this unconscionable company and specific employees.

Go to HR explain what is occurring -they send me to occupational Dr. and orthopedic put me on a few hours a week restricted duty I get very little pay.
But Drs. Concur my injury is from my eork, Sedgewick than sends me like 40 miles to there "Specialist" who spent like4 minutes looking at my hands and than sending me for tests with needles.

Conclusion all that numb tingling and trigger finger is "not from my work, i am not active enough!"
If I wasn't so mad I would roll on the floor laughing the hand that doesn't hurt he said has carpel tunnel the one that does and the other specialist diagnosed with carpel tunnel doesn't

That the injured on I use all day writing , mousing, using the keyboard and scrolling all day long and timed so have to be fast.

There "specialist a liar with no conscious"
I wonder if I would have walked in as a private patient what they diagnosis would be????

Sedgewick is a unconscionable company it should be in a class action suit, all their drivel about empathy for the injured makes me sick.

They are horrible the whole lot of them!
Dvnprt018 Send email
Jul 5, 2018

denied disability

I've been off work for 3 surgeries sedgewick which has denied my short-term disability MetLife is designed my long term disability according to Sedgwick I should have got off the operating table and some went straight back to my job they didn't even have to take out the IVs Sedgwick didn't think I should have been off the job for anyting
Rozzie Spitzley Send email
Jun 6, 2018

Workers comp

Sedgwick denies comp claim for everything under the sun. They refuse to process claims, lose un purpose mileage forms.

Sedgwick is ordering and denying patients care for no reason.Get rid of Sedgewick.

Class action required/ class action against Sedgwick.
Lawabiding Send email
Jun 3, 2018



Those of you who have been victims of this horrible company Sears Birmingham location practicing negligently and willfully destroying your car should file a complaint with the Consumer Division of the State of Illinois Attorney General against their insurance company SEDGWICK Claims Management Services Hoffman Estates, IL who is aware of this and does nothing about it. Ask for Jenna Jones Corporate Manager (901) 415-7896. Mrs. Jones was notified how badly her employees act when filing a legitimate claim. I was treated horrible by the claims adjuster and his superior. THUG mentality!

This is what occurred at this location. You be the Judge! I took my car a 2004 G35 Infiniti, 2 door coupe, which is in immaculate condition, for a front end alignment. Prior to my appointment, I requested that ANTHONY an employee of Sears not touch my car. This request was made based upon suspicion of malicious behavior to my vehicle. I previously filed a complaint with corporate on this employee. Prior to this appointment I had a front end alignment done and returned for another.

Upon arrival to the current appointment Anthony was not working because again, I requested not to be anywhere near him. When I arrived they did the alignment but, did not give me paperwork to prove it was done. Therefore, three days later I had to return. Unfortunately, the same employees who worked on my car were not in. However, Anthony was. He was very nasty and rude toward me. At this point I had no choice but, to allow him to do the alignment.

Three days later, my car totally SHUT down. Yes! My engine froze and would not start. I called Sears. They had their insurance agent call me. Of course, like all SCUM bag insurance agencies, they are trying vehemently, to wiggle their way out of it.

Whoever is reading this look at all of the other reviews, especially, the one where a woman and her family got into an accident after Sears worked on their car. Is it coincidental, or does Sears have malicious and unqualified employees working for them? And when you file a legitimate complaint their insurance company listed herein above, like all or most, try and wiggle their way out and use inexcusable reasons as to why they're not liable. Thus, this is why they need to be investigated. The Insurance company is their for these type of matters. And the owner of Sears as disingenuous as he is knows this is going on at this location and does not lift a finger to resolve the issues.
thwilliams5 Send email
May 5, 2018

Horrible, slow and unprofessional

Be very careful with them. They will send out over payments intentionally and will not notify you until after the fact. Even though you notify and keep them updated of changes, they will keep sending payments and then say oh, we will take it from your settlement. They don't return calls or emails to the employee nor the attorney representing the employee. Then you call and ask for the leave specialist that has been sending you letters the entire time and they say, they have no idea who that person is. I hope this class action lawsuit goes through. They truly bring out the ugly side of a person, and will cause you to lose your cool. I have an attorney for my case, however I am willing to be part of a class action lawsuit.
Cat young Send email
May 5, 2018


I've been out of work since 2/25/2018, my rep at sedgewick is a very rude unknowledgable unprofessional idiot. My job is customer service which requires me to answer the phone all day and handle bills, typing and dealing with customers info.on February 24th my mouth swelled up as I began vomitting at my desk while helping a customer.needless to say I called sedgewick at almost end of shift.my employer failed to let me know until last minute that we had the option available.So far I have been to the E.R 15 times in 2 months,I have been on meds to treat my condition the entire time. I have provided them all reports and then call them to be sure I have everything turned in they ask me for.however even after saying yes they deny it.The director of nursing from the hospital even contacted John Johnson my rep and told him the severe condition and that there is no possible way I can preform my job u till after the surgery. All calls are recorded and she contacted me to discuss everything she explained to him.He of course continues to find ways to deny me.and lies to me saying he didn't receive things and even admitted he screwed up reading my report because he has no clue about medical info.not only am I going to lose my job because of the idiot but never received any pay as of yet. I was finally able to have surgery yesterday on my birthday and have to heal , 6 extractions and 29 stitches,however his response is always oh I'm sorry I misread your reports and clinical studies. I am disgusted at AT&T for even having them for their company.so please feel free to include me in any fight against them,I would be more then happy to assist.oh last but not least,they expect everyone to have the packet they send you filled out by doctors but they never send the packet so they use that as grounds as well and they get really angry when you prove them wrong.
nikesz14 Send email
Apr 29, 2018

Sedgwick denied every one

Horrible company -- they lie and mislead you and you can lose your job or home because of your medical issue and dealing with these IDIOTS -- I have seen my doctor for over 15 yrs and have back issues -- I pulled my back and couldnt move and my doctor had me out for 3 weeks from work - I filed short term disability and all the paper work and doctor visits to get this done for NOTHING -- they declined me as USUAL like others here - they take all your medical history and submit to a 3rd party doctor so they say who you have NEVER spoke to and they know nothing about you and review your doctors findings and oppose those -- This comany is A RIP OFF -- I will NEVER work for any company who deals with sedgwick -- LETS ALL FILE A CLASS ACTION LAWSUIT because millions of peoples lives will be ruined financially because of the ASSHoles--
nikesz14 Send email
Apr 29, 2018


Horrible company -- they lie and mislead you and you can lose your job or home because of your medical issue and dealing with these IDIOTS -- I have seen my doctor for over 15 yrs and have back issues -- I pulled my back and couldnt move and my doctor had me out for 3 weeks from work - I filed short term disability and all the paper work and doctor visits to get this done for NOTHING -- they declined me as USUAL like others here - they take all your medical history and submit to a 3rd party doctor so they say who you have NEVER spoke to and they know nothing about you and review your doctors findings and oppose those -- This comany is A RIP OFF -- I will NEVER work for any company who deals with sedgwick -- LETS ALL FILE A CLASS ACTION LAWSUIT because millions of peoples lives will be ruined financially because of the ASSHoles--
simmonco Send email
Apr 27, 2018

Sedgwick Claim Denials

Good evening all I was reading through your post and I see that I am not the only one who's had their claim denied by the monster company named Sedgwick. My sister is currently dealing with them for her workmans comp claim denials, but what my sister and I are trying to do is to get at least 44 people who are willing to share there stories to start a class action lawsuit. If you are interested are just want more information please feel free to email me at courtneyrichard1@gmail.com
Thanks for your cooperation
Bnic92 Send email
Apr 17, 2018

Denial of Maternity Leave after having taken my approved leave

I was hospitalized on Dec 20th 2017 when my water broke at 26 weeks. I got my leave approved. I had my son 2 months early on Jan 14th. Had my tubes removed March 5th and wanted to start back working on the 26th. Well because of this company I was unable to start back until April 17th and I just got an email earlier this evening that they have denied my whole leave. They claim they are missing papers from my doctor, but they faxed all papers to Sedgwick multiple times just to ensure they got them. Now I am fearing I will get fired due to Sedgwick screwing things up by losing papers my doctor sent back. How can they approve a leave and then deny the entire leave right before I am about to return to work?
SheriC Send email
Apr 5, 2018


I’m not sure what good it will do for me to complain here other than make me feel better, but Sedgwick is a horrible monster of a company. i’ve had two knees replaced within 8 weeks of each other, doing my best to heal and get back to work as a nurse. For the second time now during my short term disability leave, they have denied my benefits because they said they didn’t receive the documents they wanted from my doctor. I watched my doctor’s staff fax everything on March 27 while in their office! A week later, they email my denial letter. Their communication is deplorable!
When I called, they said they had gotten a “fax error”, but never bothered to let me know. So now I don’t know when or if I’ll get a paycheck again, and I’m still not ready to work yet.
I guess most of us have no choice in using this company, but I hope to see massive lawsuits against them!
ahartelt49 Send email
Mar 28, 2018

not approving time out

Sedgwick are monster They have fought against us for the past 3 months for my husband thyroid cancer. They have made my husband 3 recovery longer and my horrible experience ever. My husband has kidney damage and serve nausea from dr prescribing him calcium. Sedgwick refuse with doctor's paperwork to pay my husband. They destroy peoples lives and pay. most horrible company I WILL report them to every organization on how they practice there work and treat people. They talk about not receiving paper. we they have received the paper work. They delayed the approval on purpose and cause people not to get paid..
Shamoni09 Send email
Mar 26, 2018

STD denial and rude repa

So I went out on std leave due to some severe work related issues. I was approved for the first 30 days but denied for 5weeks but the approved for fmla after a previous denial. This is confusing because the same ex has been from day 1 so I did the appeal for the 5 weeks almost a month ago which a claim doctor had to speak with my dr which was ok since my documents was ok for almost all of my leave(not explanation for denial). Let me add I’ve never taking leave in my life from any job so this process is new reached out to my claims manager. To make sure I was doing everything correct to assure the appeal be approved . I was contacted by my appeal manager Tyra and she tells me to stop calling because that will make my decision process longer she was short and rude and hasn’t returned any of my calls since in 21 days . And I know for sure a decision for appeal was noted on my account per another claim rep who wasn’t sure why my pending case had been addressed at this punt I’m at a loss of 3816.71 in wages and luckily my documents were enough to secure my job otherwise I’ll lose everything I own. I will be resigning due to the way the claim is handled and will not work with any company that uses sedgewick . This company claims reps are heartless, nasty ,short ,rude and unprofessional !!!!
rhague Send email
Mar 24, 2018

Insurance with CPS

You are the worst insurance representatives I have encountered. You will be hearing from my attorney soon.
pctopper Send email
Mar 12, 2018

Lazy and rude

In the beginning of the process I was asked when I think my return to date (to work) would be. I answered, well I won't know until I see my doctor in two weeks--and simply because applying for disability happens 1 month prior to the actual surgery date, my prep-appointment that goes into detail has not yet happened. The rep told me it was fine that I didn't know the exact date, and to just estimate the recovery period, if I needed more weeks, the extension request would be very simple and easy to do. So because I never had foot surgery before, I estimated 5 weeks was what I was needed (being hopeful as always that I recover sooner than the average person).

4 weeks into my post-surgery, seeing that I wasn't healing quickly for week 5 and still had pain & trouble getting around (foot tends to swell up when too much pressure or activity happens), I asked my doctor again about recovery period and he said his minimal weeks for recovery is 6 weeks.

He put in a note for the 1 week extension so that I can get the full 6 weeks of short term disability, and this is when my assigned rep (different from the previous lady setting up my account) turned rude, cold, and insensitive.

I did everything she asked me to do. Send in a new form, backed up with my doctor's actual medical notes. She called me days later after the form and documents were faxed saying the form was wrong, and that she basically didn't like what the doctor wrote for his objective findings...which he put that my recovery range should be from 6-8 weeks long in lieu of the one week extension request. Instead of calling the doctor's office herself, I basically called my doctor's office every single day about how they responded to the form, apologized a lot to them for continual outreach, and to top it off...once I spoke to the rep again (Liz), she accused me and probably my doctor that my foot recovery in general should have been only 16 days long vs. several weeks. At this point I wanted to cry because foot recovery really is NO JOKE (I was still taking painkillers).

Mind you on day 16 of my foot recovery, I was freshly placed in a cast by day 14, sleeping with nerve firings at night (very painful), tripping in the bathroom because my foot even when I was moving my body, I was still taking my subscribed pain killers, and how was I suppose to go back to work at all? On top of that I am a mother of 2 boys under the age of 7, and I'm the other provider for the family as we are dual income. My place of work is on a large campus, even with handicap parking I still have to walk very far to the building and then once inside, there is still a long distance before I get to my actual seat.

All in all, I told her what am I suppose to do timecard wise for that week pending on their response. I was afraid that if I take LWOP, I won't have enough to pay for bills, I don't have that much vacation time, and so I said, maybe I can take LWOP for 2 days and go back to work on the 3rd day. She then told me if I was trying to go back to work before week 6 (what I had requested), I would need my doctor to grant me permission...but in the meantime she gave my application request to her supervisor.

WELL, to make the story short, I decided I will take LWOP for the 6th week and wait for sedgwick to process my extension claim. I really need the extra week to recover so that I'm strong enough to deal with work, my children's needs, and the house.

People are very insensitive. I hope Liz understands one day how it feels to recover with so much pain, and the service that she and her employer paid for, is ripping her to shreds and treating her doctor's orders like its some scam.
ahartelt49 Send email
Mar 8, 2018


corybynite Send email
Feb 19, 2018


5 weeks on short term disability called numerous times the rep won't return my calls and have sent her every document they wanted now in appeal status, need to get more professional business to handle claims.
unknown84 Send email
Feb 16, 2018

short term dissability appeal

Sedgwick spent 2 weeks telling me my provider was not sending the session notes to them that they needed to make a decision on my appeal for the month and a half of no pay. The guy handling this called me every day asking for the same documents claiming my doctor wasn't sending them. He even went as far as to tell me we need to do an extension of appeal because otherwise they would make the decision against my appeal. After all of this back and forth and creating a bad relationship between me and my doctor (bc obviously i eventually showed extreme frustration with the doctor that was telling me she sent the docs over every day for 2 weeks but the rep for Sedgwick kept telling me they weren't getting them, so what am i supposed to think other than my doctor wasn't really sending them). Well eventually i needed to get the time of fax confirmation from my doctor that she sent the paperwork and only once provided with that information it turned out Sedgwick had attached my paperwork to another claim. This is EXTREME INCOMPETENCE on the part of Sedgwick. I was out for mental health issues including depression and anxiety which any person in the world can agree that this situation alone would create extreme anxiety for the patient going through this process that never had to happen. I am still waiting on a decision and also obviously haven't been paid and now bc of the extension i never shouldn't have needed they still have nearly 6 weeks to make a decision on my appeal. My issue is with the process and mishandling of my paperwork and the overall experience that created for me. My 2 reps from Sedgwick Jonathon and Myesha were honestly fantastic and a pleasure to deal with. However unfortunate the misplacing of my PERSONAL MEDICAL information was, there should be way better preventative measures taken when handling such sensitive materials that directly affect the person and their job.
I want to reiterate that i am happy with the reps that helped me directly.
JBone1976 Send email
Feb 2, 2018

Sedgwick - Damage Claim

Let's just say that this company is horrible from the top down. While this is relatively minor to what I have read, it goes to prove the complete disregard for the customer.

Long story short, order multiple GE appliances for new home. Damage done upon installation. Contacted Home Depot to open claim. Forwarded to Sedgwick. Received a voicemail stating that based on the claim they would not be handling the claim due to the extent of damage BUT the would monitor the situation until I was satisfied with who was going to repair. Left me a voicemail and a contact and phone number who I should contact if I was not contacted within 72 hours. It's now been 3 weeks and 4 phone calls with messages later, nothing. Piss poor service. Do not follow-through on promises. Do not deal with at all costs. This company is a joke if they can't even return a basic phone call for property damages. I can't imagine what position I would be in if I were injured like many above. My advice, get a lawyer.
gretah Send email
Feb 1, 2018

not going to fix my broken phone

i was helping a girlfriend with her sister that had just had hip replacement surgery. we were going to clean up her house and it smelled like cig smoke so we went to the Fred Meyer (Kroger) closest to her sisters house and bought lots of cleaning supplies that day.
getting to the point of the story,,, i was getting a plastic bag out of the car that had the Kroger version of Febreeze and it had Leaked everywhere!!! All over my hands, my arms, the bag and my phone ...a nice well cared for Samsung 4 that is 2 1/2 years old. we had to go back to the store and i got the managers card and talked to him the next day. he told me to go to my closest Fred Meyer and fill out the insurance forms and they would fax them to the Auburn store to file the claim... it took some time but i got it done,
i got a phone call from Sedgwick in 2 or so days... i could barely hear the woman, she talked very fast and had some kind of accent from i'm guessing Ohio? she was shoting questions at me and as i was answering them she was giving me more questions... i kept on telling her to please be quiet and let me finish... then i got the idea that she was railroading me to deny the claim... she just kept on talking so finally told her to Shut Her YAP! ... Yup she hung up on me... yup her supervisor won't talk to me and yup the operator has blocked my number... such a classy outfit... don't what to do at this point... have a broken phone that will cost about $200 to fix or replace i just feel Horrible about this... that phone has pictures and texts from my fiance' that passed away a year ago this month.... just another bad experience withe Sedgwick! I have had a recent Boeing self insured claim with my left knee that has had 10 surgries and they were just plain Nasty... and i blew them off because they were so nasty!
thanks for listining and for passinf over my crapy spelling... blessings to all.
Disgusted1102 Send email
Jan 26, 2018

Sedgwick Claims Management Service

I was an employee of FEDEX for almost 21 years...I had injured my back and neck as on the job workers comp injuries and had to undergo 2 horrible operations that rendered me unable to work ever again..I obtained a lawyer and had to wrangle with Sedgwick on and off for years...but things got worse when my WC doctor retired in 2012...the new Drs. office messed up my billing and werent billing Sedgwick at first, but then when they did, Sedgwick started denying my coverage for the ongoing medical obligatons that were promised and outlined in my settlement back in 2004..they started to hire the WORSE Claims adjusters on the planet, all totally INCOMPETENT, ignorant and arrogant, too!! I have had to re-contact my lawyer and ask for help again..altho he did try to help in the beginning, but after 3 years of battling with them and my Drs. office, nothing has been resolved..I do not have funds to fight this battle, so my lawyer has been ignoring me for most of the past year.. according to Sedgwick and my settlement agreement, I must be going to my yearly check ups and getting meds in order for my case to stay open and for Sedgwick to keep paying for any future pain management and or any future operations, if I ever need them..If you lapse for a 5 year period, Sedgwick gets off totally free from any obligations to ever pay for my care if needed....so I have always kept up with my obligations..I have always done my part to ensure that my Dr.s office bills the correct insurance company, but they were incompetent too, and Sedgwick and my Dr.s office keep blaming each other, so nothing has been resolved, despite my lawyer's subpeonas for all medical records to clear up the whole mess!! I am sick of everybody at this point, and pray for some for some miracle to resolve this!! I am the innocent party this is getting totally ripped off by doing the right thing!! My lawyer agreed to help me "by a verbal agreement" , in the future, if I needed help, in case Sedgwick denied my care...back when my case settled in 2004...but he is getting weary and tired of dealing with me and Sedgwick and has begun to ignore any emails or calls that I have made...I am pretty much at the end of bothering him and will forever lose my benefits that were awarded to me...and I think him and Sedgwick are waiting for this time to lapse...he will be free and Sedgwick will screw me out of their obligations to me...It makes me depressed to think how unfairly I have been treated and how corrupt and incompetent Sedgwick is!!! If there is a lawyer out there that ever wants my story for a class action lawsuit, I would gladly sign up..as I have read the countless stories from other disgruntled and unfairly treated Sedgwick claiments...Sedgwick needs a lawsuit against them, they are crooks!!!
jerseygurl Send email
Jan 13, 2018

Inept & Snippy

I had the displeasure of my case being involuntarily transferred due to my employer switched their disability management services to Sedgwick. Prior to the switch, was approved for STD, but however was seeking an extension for two additional weeks coupled with having a flexible work arrangement upon my return. The case manager appointed to me from Sedgwick Bianca, is not at all compassionate and came off as indifferent plus quite rude. Since I was seeking an extension, my therapist sent the required paperwork, but via phone call was asked by Bianca (case manager) to provide another set of information (e.g. medical doctor contact info) so she can remit to the nurse reviewing my case. As explained to that case manager who presence irked me, I informed her my medical doctor is on Maternity Leave but a nurse will be able to assist. Called the case manager back and of course she is either away from her desk or absent, but told her via VM that my doctor nurse (included the name of the nurse) will be able to discuss my ailment in great detail and also gave the contact info again. What irks me about this company is that the nurse nor the case manager, do not perform their due diligence in its entirety. And solely abuse their discretion by not following up with the disabled medical doctor in order to gain insight into their ailment. Because my doctor was not available and they did not follow up with my doctor counterpart or nurse, I was denied. It is disheartening that I came to know of my denial by calling the so called case manager who claimed she was out sick for a week. Now I am quite sure, she has an counterpart that is assigned to act in the capacity whenever she is absent. As one of her "counterparts" contacted me once to keep me abreast of my case. Because of their lack of client service as it relates to the denial, I missed two weeks that are perceived as unpaid. If that inept case manager would have informed whomever is assigned her workload that my extension was denied and I was subsequently informed of the denial, this knowledge would have provided time to report back to work so that a pay will not be missed. In addition, my therapist recommended an flexible work arrangement, and guess what that young girl (case manager) did not review the accommodation with my employers.. The letter from my therapist was sent two weeks ago. I'm quite irate with my employer as they've placed all of us subsumed under this company for disability into a damper by switching to an inept company to handle their disability just so that they'll save some coins. They perhaps are aware this company deny more people than they extend an approval, no matter if your medical/mental is substantiated. No wonder why my employers chose them, because they'll save company coins with their unjust practices.. Now, we're left with unconcerned and rude people who is just there for a paycheck themselves. Note, they talk to you as if you're on their payroll, when in fact our employers are the ones that pay them for a service and if it wasn't for us having these "issues" they (the nurse, the case manager, project manager, etc.) wouldn't have coins to rub together.. Also, I escalated my concerns to my case manager superior and of course she has failed to return my call as of late..

Just inept individuals who abuse their power by performing half ass services so you can become denied as that is their intent...
Carolinag661 Send email
Jan 3, 2018

Mileage rembursement

The worst adjuster i have is Lourdes William she is a liar n doesn't want to reimburse me for a trip I made out to Murrieta Ca she has lied say she paid me when she hasn't n then I fax her my mileage n she takes months to pay me I am at the point were I am about to loose my house n car because she lies about everything she acts like the company is her property can't stand this lady we have been bumping heads since the start which is 3 yrs ago I need another adjuster cause this lady is giving me a hard time don't know where or who to report her to but I am seriously tired of dealing with her she don't even answer my attorneys calls or faxes or sends prove when asked for she is a total mess!!!
ahartelt48 Send email
Dec 30, 2017

not approving time out

my husband rob told sedgewick on 12/13 he was going to be out on disability from 12/13 to 1/22/18. They said ok they assign a case manager this bitch adriana. they made on two attempt to contact the doctor for approval. and my husband never got paid so we can't pay our rent and we are loosing our home because this bitch ass company. my husband had thyroid cancer surgery he has to have high dosage of thyroid treatment and these ### won;t approve hos pay. I have file a complaint with attorney and join a law suite against sedgewick, cause they have done this to many people
JLSN Send email
Dec 29, 2017

Sedgwick and Short term Disability

My spouse's employer switched to Sedgwick for the company's Short Term Disability plans. The company has the employee pay a portion of Sedgwicks fee out of the employees pay checks. So far the company is finding all the employees who have filed their short term claims have been denied. The company is frustrated and the employees are frustrated. In our case the following has happened:

My spouse was denied his short term disability. His company is investigating Sedgwick but that doesn't help with the fact my spouse pays these jerks out of his pay check.

Yesterday, December 27th they stated the claim appeal was on hold and then this morning they called and stated the Dr. was reviewing the claim. They would be finished with the claim February 18th. WHAT THE HECK! A monkey could tell there were medical issues after the procedure. He went to the ER! I had to take time off work for this.

Anyway, Here is the information: Below is a letter we were getting ready to send Sedgwick.

I Robert have been working or should I say “attempting to work” with Jamie concerning my Temporary Disability Claim. I am appealing Jamie’s decision for claim #XXXXXXXX. Jamie’s decision was based on inadequate understanding of the file and its full contents. The dates she quoted, on the phone message of denial, I received on December 12, 2017, were incorrect.

I have issues with Kidney Stones of which during the dates of November 3rd to November the 28th I had to take medical leave from work to address.

1. November 7, 2017 (Tuesday) - Lithotripsy (removal of Kidney stones in the left Kidney) – Dr. Zorbel

2. November 8, 2017 - Not doing well knew something was wrong.

3. November 9, 2017 (Thursday) - Went to Emergency Room – Diagnosed with blood clots in superficial veins and mastitis. However the notes in the chart were stating cellulitis and lymphangitis. Which is not what the doctor stated in the ER. My wife was witness. Follow up was to be in 6 weeks. See page 3 of 6 on the Tri – State’s ER department note for November 9, 2017. Further information continues to page 6.

4. November 13, 2017 (Monday) – Returned to Emergency Room - Still having issues and a lot of pain in the left arm. Was told to increase fluids and rest. Wear warm packs 4-6 times a day for the next few days and keep arm elevated as much as possible. Which I am not able to do at work as I have a physical job. I was told to see my doctor in 2-3 days. See pages 4 -5 on Tri-State’s ER Department Note for November 13, 2017.

5. Tried to make an appointment with Primary Care physician but could not get an appointment until November 28, 2017.

6. November 28, 2017 (Tuesday) – Finally saw Primary Care physician – Tamera Bruns

7. My schedule is Monday thru Thursday. My appointment with Dr. Bruns was on a Tuesday. I had to wait for a clearance note from Dr. Bruns to return to work per Vista Outdoors requirements. The return to work note was received on Thursday - November 30, 2017. Dr. Bruns stated I could return on the 29, which is a little difficult since I did not get the Dr. note to return to work until November 30, 2017 (Friday). I returned to work the Following Monday December 4, 2017. Which was the first day after I received the return to work notification. The date issue has been corrected as far as we know. Dr. Bruns wrote the letter on the 29th but meant to say he could return to work on the 30th. Which in his case meant the Following Monday since he works M-Thurs and the 30th was a Friday. Dr. Bruns office stated last week the date was corrected to say the correct date.

With all the information provided, I should have definite claim approval for the dates of November 7, 2017 thru December 3, 2017 without any question. The Medical notes from the medical providers have all this information in the copies provided. I have attached copies of all the information with this letter.

We are now getting a lawyer to help us out for the 1 lousy month of disability they owe us. This comes out of my spouses employers pocket not Sedgwicks. They act like it is their money.

Personally, I would like to see a class action against Sedgwick and their dishonest practices. We are not the only people who are treated horribly by this company. Something needs to be done to protect consumers from predatory and harassment practices of Sedgwick. My spouses' company was on the phone with Sedgwick last week and were lied to also. We need a movement to protect those who need to use this service. Some people are being evicted from their homes, lights are being turned off, and children are going hungry. GREED is what it is all about.


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