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Sedgwick CMS

United States,
Texas

Consumer complaints and reviews about Sedgwick CMS

pgorczycki Send email
 
Oct 11, 2016

I was hit by a rent a center driver totalled OUT my car it's over two months and im still waiting for my car to be replaced!!

THIS KID TOTALLED OUT MY CAR. AND WHY THEY DON'T RETURN PHONE CALLS IT'S OVER TWO MONTHS NOW. TRYING TO GET A SUPPER VISOR TO SPEAK WITH. YOUR THINKING I'M GOING AWAY NICE TRY. NOT!!! IF ANYTHING I WILL HIRE A LAWYER FOR MORE THAN JUST REPLACING A CAR. BUT I DON'T WANT TO DO THAT. BUT IF YOU BACK ME INTO A CORNER THAT'S WHAT'S GOING TO HAPPEN PLEASE HANDLE MY CLAIM SO I DON'T HAVE TOO!!! PLEASE???
Tramyne Send email
 
Oct 3, 2016

Sedgwick claim has taken the money from my personal injury claim and my disability from the United States Navy

I am a disabled veteran, in 2013 I was active duty in the United States Navy. I was hit by a 18 wheel truck on my way to work at Norfolk Naval Base on May 9 2013. Dues to the injuries from the accident I was medically discharged from the Navy on March 17th 2015. On April 19th 2016 I and my attorney's at Rutter Mills law firm had a settlement agreement with Maersk Trucking company, the response party/ owner of the truck. There was a multi-million dollars settlement on that date. After, Sedgwick claims with my attorney's took the settlement check and deposited it in an Wells Fargo account and cut me a check for a significantly smaller amount which I did not agree to. They also claimed to had paid bills that had already been paid by Tri-care. Now this company has people following me around, breaking into my house and car, hacking my phone, stealing and altering my personal documents. Doing any and everything to steal my money and not get found out. The United States Justice department needs to know what has been happening, because I'm not the only person they have done this to. Also there are discrepancies concerning the driver of the truck that hit me. The guy that hit me is not the person who should have been driving the truck!
agevorgian Send email
 
Sep 16, 2016

crash hp pc 2000 laptop

I had problem with my email it was not opening.I contacted 866... # of At&t,and ended asia. The lady who answer my call refused to tell me what country she is . She stated I will fix the email problem .she was on the phone for half hour and got control over my lap top.She was not sure what she was doing. After 45 min. My laptop screen turn blue,I asked her what is going on she said i push wrong key. I canot fix it.she said I will make appt. With your At&Y TECH. ANY WAY tech arrived spent one hour,and finf out my hard drive was crashed by overseas uneducated person. I called At&t after seven times transfer called, they sent report to SEDGWICk co. The claim department supposetly did investigation? I denied my claim. Interesting . Sedwick rep. Stated " I contacted overseas and spoke with the lady who try to fix your email. He didn't kow what country it was, or the person id #. What a liar, I am sure he never contact anybody.I know this company very well they deny all claims. At&t washed there hand and pass the problem. Very sad that rich people get richer by ripping middle class . This is abuse, and we can not tollerate this action.
mtspencer Send email
 
Jul 21, 2016

Hard to Reach Case Manager - Second Opinion

Hello, My name is Monae Spencer. I work at Amazon in Whitestown, Indiana. I fractured my arm on 9/15/2016. I have been to physical therapy and work conditioning. My doctor now wants to do surgery but I would like a second opinion. When I completed physical therapy the doctor said I had reach maximum improvement and my worker's comp case was closed. A few days later, I called back the doctor due to nerve pain. The doctor had test done and it said I had carpal tunnel. He then ordered working conditioning therapy on June 22nd. It was during that visit the doctor told me, my mom and the worker's comp nurse that if work conditioning did not work then, he would sign off and say what my maximum improvement level was. Well today the doctor said I needed surgery. I am concerned because this is not the first or second time that I can not reach my Worker's Comp Adjuster and no else at Sedwick is able to answer my questions. That is not fair to myself or other clients that you may have. Your customer service is terrible. I still can not lift my left arm above my shoulders and I can not reach my computer to type. Right now, I'm typing with one hand. I barley can lift 5 pounds. During my working conditioning, the therapist kept having to lower the weight amount and adjust my routine because of the pain. I have pain in my elbow and all the way down to my fingers. Then I also have pain in the elbow and shoulder when I try to lift or move my left arm. It even hurts when I walk long distances due to how my arm sways. It also hurts when I drive due to the car vibrations. Driving from home to work puts me at a pain level of 5. I am concerned that no one is taking my pain level and limitations serious and I can never reach my case manager. Also my employer never set up my work station ergonomically as my doctor ordered. So, that leaves me in constant pain trying to work. Lastly, given the fact that my doctor said work conditioning would be the end and that he would determine my MMI I would like a second opinion to know for sure. Cause it sounds like with surgery I will have to start all over again with therapy. Also the doctor ordered that I return to full time work on 6/28 however, I did not get that information. He said he sent it to my case management nurse but no one informed me so I continued to work 5 hours a day per my doctor's statement on June 22nd, which was the last time I saw the doctor until today. I did speak with Leah Cruther who was very helpful and would look into getting me paid. So, here again is another concern, I'm not receiving communication on information the doctor is sending to Sedwick or my nurse. And this also adds to me wanting to get a second opinion and I feel I should not have to pay for it given the fact that it seems like I am the only one concerned about my recovery. No one cares that I can't lift or hold more than 5 pounds in my left arm. No one cares that I can lift my arm up to do everything I need to do at work. No one cares that I have chronic pain and that walking, driving, sleeping, moving and lifting my arm causes pain. And this is just work. No one cares that I can't wash my own hair, put my groceries or dishes in cabinets cause I can't reach them due to pain.
SedgwickVictim Send email
 
Jul 3, 2016

Sedgwick CMS

I was injured in an automobile accident, I was rear-ended by a woman on a cell phone. For over 9 months I did my own treatments and unpaid time off for MD visits, but I kept getting worse. Finally, Mid December 2015, he takes me off work for 4 months thinking that I needed to stay home to heal. MRI shows Lumbar, bi-lateral sciatica, Sacral, and cervical bulging discs etc....lots of pain. Currently on Dilaudid, Baclofen, Diazipam, and a few others. The neurologist I went to see put me out till August 2016. I was doing better after a specialized Physical Therapist did some Deep Tissue Miofacial Release, but my MD wanted me to get a lumbar epidural to relieve the rest of my pain. I was denied my Short Term Disability Early June 2016 due to a peer-to-peer review. I immediately filed an appeal and requested my file in writing.I was in "limbo" for several weeks. Not entirely denied but receiving no pay. Due to the meds and pain it took me a while to find the law in California that states only Doctors licensed in California can diagnose a patient in California. A technicality they didn't know, or hoped I wouldn't know. They have kicked me back to case management and I received my back pay. However, I'm only approved thru mid July. I have permission to go back to the Physical Therapist that got me feeling the best I've felt since this all started. The epidural had made me worse then I was before. I'm praying the Physical Therapist makes it possible for me to go back to work. I really can't fight these people anymore. They've caused me so much anxiety and heartache. I can't get better, the stress is making healing impossible. The first few months they required medical documentation every 2 weeks, then every 30 days....they like to make deadlines on Sunday that are nearly impossible to meet. My MD told me at the beginning of June I should start wrapping my head around the idea that I may be permanently disabled. The kicker is pain is "subjective".....they want "objective" medical proof of my disability. Chronic pain, Migraines, back issues that range from c1 all the way to my Sacrum, unable to bend, sit for long periods, walk for long distances or even sleeping at night are nearly impossible. All of the meds have caused my cognitive reasoning to abandon ship...I read their notes, so demeaning. Somebody needs to put a stop to this practice....you can't get better this way.
sensei Send email
 
Mar 17, 2016

Violation of HIPPA/

I have on request to Sedgewick for my medical records over the coarse of 25-1/2 yrs , long before they took case management from W.V. I received 4,0000 pgs then sent a computer disc, with those records.
The records also include records/w/names, address, SSN's and diagnosis of other clients.
I reached out to their chief of security to resolve the violation in HIPPA law and thought we had gotten all those confidential files returned and assured it would not happen again.
Then I received a new Disc.
I had it transcribed to paper at my cost and then filed by a private party who does this type of service, at my cost.
Since that party is very finial with the medical field I was questioned as to why I would have records and Information of a personal and legal manner in my possession. I got the feeling I was under suspicion of illegal acts.
Mt E--mails on my case are being returned to me as undeliverable. My E-mails are blocked and Phone calls to my case manager ignored.
Advise please.
P.s. Because of this manner and treatment my lifetime award for payment/services are either ignored or denied though doctors have given proper requests.
Nina1045 Send email
 
Mar 1, 2016

Denies

I had a Sears repair done on my washing machine, the repair person did over 3000.00 in damages to my property, I filed a claim , and was denied before I sent my pictures in to them. I called many times to a Adam, which is suppose to be a supervisor,, very rude and hinged up on me many times. This is in the Lexington ky office.
Ashast Send email
 
Feb 25, 2016

Sedgwick Insured Trnt A Center hit my parked car

I was at work and a Rent A Center delivery driver backed into my 2013 Mazda. The driver left a note stating a claim had been filed along with a claim number. This was January 29th 2016. Since that time, I have been calling repeatedly. A few times I talked to someone but many times, I have been hung up on.. call transferred.. talked to rudely! After weeks of the claim adjuster avoiding me, I received an email wanting me to sign a document to release all liability yet my car is not fixed because there has been no check issued or no car rental paid for. What ever state you are in, you can contact Department of Insurance to file a complaint, I just did. There's class action lawsuits where everyone het to tell their story to someone who can do something about it. I, personal, am seeking satisfaction through small claims court for my property damage that's almost $2500 .Make sure to record all calls and get everything in writing!
Sedgwick hater Send email
 
Feb 16, 2016

Stopped paying obvious claim

My wife was an employee of sacred heart hospital when she became ill. She got leukemia , kidney failure requiring dyalisis, became paralyzed on one side after three strokes, and recently had her leg amputated. She was a nurse and spent her life caring for others. She also paid extra on her check every week to maintain 70% of her full pay in case of catastrophe. I jumped through a hundred hoops to get her disability approved short term. Then more hoops to begin long term. She is classified permanently disabled by social security for obvious reasons. After a while Sedgwick decided to just stop paying because they felt like it and denied all appeals. This has created an extreme hardship for us. Now my wife struggles to get through the day while I work two jobs to barely survive every month. This company is paid to deny benefits they are supposed to be providing. Corporate greed at its absolute lowest. They pay less to Sedgwick so that they may deny people's rightfully paid for benefits and they can save a few buck and buy their fifteenth houses for themselves. They set up these Sedgwick offices in urban areas where people are desperate to make a living and incentivize the morons to deny anything they can without regard to the cases. They pay cut off doctors which they require you to see without a lawyer or recording the visit. My life is wrecked because of Sedgwick. The people who work for them will certainly have to answer for their actions when they reach hell one day. I am in this spot and I am friends with a former ceo of blue cross blue shield. When they first approved her he was waiting to step in for me. Lucky for them they approved me at the time. I haven't talked to him yet to tell him what they have done since. My only fear is that this company will continue to exist. They prey on the sick, the elderly, and those in the worst need that are just looking for benifits THEY PAID FOR. The only recourse with this company is to take them to court, which is very very costly since they will fight you to any degree they can to deny you a single penny. This company is the manifestation of pure greed at any expense. If there is one group of people I would love to see removed from the planet and burn in hell it would be Sedgwick and anyone that works for them. I am only getting started on them and I will be actively campaigning against them the rest of my life. We need everybody we can to write to your congressman and women and work to destroy this disgusting group of thieves. If the petitioning of anyone we can doesn't work, then other methods may be required to scrape this cancerous wart called Sedgwick off the planet. they are pure evil and giving the rest of my days till I die to get rid of them would be a worthwhile use of my life. God bless all of their victims and I hope you all find a way to eat and have a roof over your heads somehow. If you continue digging on this company it is absolutely appalling what they get away with on a daily basis. If the people who's lives they destroy would work together to bring justice lawfully or otherwise to them, perhaps a difference can be made. Somebody from Sedgwick needs to be made an example of in a very public way that cannot be ignored and that will demand national attention. That is the only way to resolve this issue. There is nothing else that will work. Don't waste your time like I have unless you have a loooooot of money to throw away fighting them. They count on us being broke , broken, and helpless to do what they do every day. The people who work there need to be afraid for the sun to touch their skin outside for this to stop. This issue may affect some of us more than others, so if you think I an too intense, you are not in the position that many of us have been placed by these scumbags. It does not get any lower than these guys and I could go to my grave a happy man knowing that they are out of business. I am not even close to the only person feeling this way and hopefully a change will be made in the coming years.
wgray Send email
 
Feb 11, 2016

Sedgwick interprets Docs notes in error

I was out of work due to a severe neck strain. No head movement without intense pain, could not drive well, and sleep was near impossible. Taken to Doctors, where I was diagnosed. Doctor put me on pain medicine, muscle relaxers and an anti-inflammatory med. He also ordered me out of work until the follow up two weeks later. He also assigned me five weeks of physical theraphy, twice a week. Sedgwick claims office said that they denied my claim because they had not received any paper work, insisting after several attempts to request their assistance in this matter. I found out that their policy was to give physicians offices only five working days to comply to their demands. Doctors today are too busy to be doing paperwork, they did not go through all that schooling to work for the insurance companys. The physicians offices now charge their patients for all paperwork. If the patient is amblitory, they can go to the office, pay the fee, and get the paperwork the insurance company wanted, get a copy for yourself, another fee, and then fax it, another fee, then fight with them to reopen your case. When did I agree to work for the insurance company, my job is to stay home and rest, the more rest I get, the faster I go back to work. Isn't that what we all want? At the end of two weeks I had another exam, the doctor said no work for another two weeks, but put a date to follow up in a week and a half. Again all the paper work shuffel, with more expence, mine. When Sedgwick received the paper work, they called to deny my claim because the doctor initially stated, out of work, for two more weeks, but in error wrote a date for a week and a half, when I revisited Him to verify which he ment, he changed it to reflect the original two weeks and I was able to get all the proper paper to return to work. However Sedgwick still interpreted the patient note to reflect that it was a request by me to get a few more days out of the injury. Since when do we tell doctors their jobs! So now I have no pay, and no more claims. I pay union dues which helps pay dividends to Segdwick, and the company I work for says that if you are sick or are injured, we all have a benefit, and will collect a pay while we are out sick. Well don't try to collect it, because you will be in for the hassle of your life. Turns out that Segdwick is partially owned by my Company, so collecting from Segdwick would be not only be making it a little easier to get completely well, as long as that takes, but the Company and Segdwick loses moeny, which of course big business is not in the habit of doing that. Segdwick is doing a fine job saving money by denying claims to the hurting, who are actually paying the Insurance Company premiums. All this to do for a month out of work, I'll never do that again, I go to work temporarily in a wheelchair and do nothing, as long as they get paid for me being there and I as well. And that's exactly what they want, so this is why the hassel, after 40 years, thanks for the memories. Just remember judgement day is coming, we will see who was in the wrong! Sleep well.
Hurt back Send email
 
Feb 9, 2016

Compression factures of my t11 and t12

I injured my lower back at work on 4-13-15 .I have 2 compression factures t11 and t12 Sedgwick is dragging their feet .I been to several doctors and had multiple test done.I have a hard time breathing can not take deep breaths and other problems associated with the factures. I am really concerned about long time problems that I may have.I know that I need surgery to correct the problem but Sedgwick won't do anything. I have a lawyer so for now I am getting my short term disability but my concern is the long term damage that I may occur
jgio901 Send email
 
Jan 18, 2016

Sedgwick insurance co

I was hurt on the job Dec 8 2014 while hooking up a tow bar
To move this last Aircaft of the day out of the Hanger .
During that day the crew and I hooked up and moved 22 different types of Aircrafts some Tow Bars were heavier than others . Anyway I have been a Aircraft Mechanic for 29 years and never had a lumbar or cervical injury at work until that day. I went to the companies CareNow medical center this place was like fast food drive in.

Anyway before I was injured I was taking family leave for the past eight years for my chronic back condition that happen 40 years ago while serving in the United States Marine Corps my back conditions have gotten worse over the years I'm sure my job had something to do with it. I'm sure also that it agitated my pre-existing
Over the years with the bending twisted confine work heavy lifting and all different types of weather conditions from -30 below 116 I am sure anyone would agree there's going to be some wear and tear of 29 years of working in my Type work.

Anyway the careNow people diagnosed me as having severe muscle pulls muscle strains in the lumbar and cervical areas and was in need of MRIs x-rays and physical therapy after I started my physical therapy I couldn't do much of what they asked because I was in so much pain. I kept asking how could you start physical therapy without getting MRIs or other test done how do you know what damage I have . Sedgwick insurance company did not approve these MRIs until three months later after 30 days of physical therapy nothing helped they said I reached maximum medical improvement they sent me to another Sedgwick paid off doctor for a MMI she says I had permanent injuries but was afraid to give me any rating for disability because this would hurt repeat business from Segwick so she gave me zero 0)%

After this since I worked in Texas and filed my Workers comp in Illionis where I started working for my company 29 yrs ago they sent me in June 29 2015 to Loyal Hospital Maywood IL to their Segwick paid insurance doctor Dr Alexander Ghanayem whom makes hundreds of thousands of dollars and misdiagnosis injured workers and sent many back to work for Sedgwick insurance company if still with injuries you can track this Doctor record down you will see that he misdiagnosed hundreds of Workmen's Compensation people lied in court and cheated for Segwick insurance company why this guy has a license to practice medicine is beyond me he wrote a letter to Sedgwick Lawyers and said that my injuries even though their were sprains strains of the lumbar and cervical these new injuries did not stop me from going to work it was my pre-existing conditions from the military that were stopping me from going to work and he sent that information onto the Segwick lawyers who stop my Workmen's Compensation on July 16, 2015 .

This hire Sedgwick Doctor gave me a three-minute examination he also had the nerve to thank me for my military service some 40 years ago what a hypocrite then he completely lied and said I was in some kind a helicopter crash it never existed and blame that on that was why this is not a new injury it's a shame I was good enough to work for my company for 29 years without a incident and with these so called pre-existing conditions for the military .


Also many times their case nurse manager would sit in on my doctor visits without my permission she would go to my doctors . And talk to him before my visit .

She was probably telling him just how bad I want to go back to work these Sedgwick people are liars thieves crooks and very dishonest worst then any insurance company.

I finally hire a lawyer was able to get rid of her that case nutcracker case worker then I went to my own medical doctor and a independent expert who's been practicing medicine since 1963 he says before this new injury yes I had a pre-existing condition from the past military .But this new injury which aggravated my current conditions and cause new damage said today I am permanently total disable having three new herniated disc and bulge disc both lumbar and cervical bulging this a lot of spine injury and may require surgery in the future he says I was at temporary disability the date of the accident December 8, 2014 that will never heal be chronic condition for the rest of my life just goes to show you how Sedgwick insurance company and I've talk to other friends it seems they always blame everything on pre-existing condition that's the way they stop paying your Workmen's Comp. Pay the rehire doctors to confirm that . This is so widespread why isn't there an investigation there's so many thousands if not millions people that buy but affected by this insurance company why doesn't anyone at also on these corrupt the doctors and lawyers ? I even wrote the president to have a investigation
ElohimMyTrust Send email
 
Dec 30, 2015

Denial

I'm in excruciating pain awaiting significant and needed spinal surgery, after having recovered from a close encounter nearing death caused by an unknown infection labeled as colitis, weeks and weeks of antibiotics, on-going abdominal pains, then chronic diverticular disease, I reached the point where I became hopeless, one health problem after the other. During all the illness I took a fall, which must have been the breaking point for my spinal stenosis, and 3 bulged disc. Through this I found myself in major depression, the day when I received a call from the Sedgwick claims person my life fell apart. The only thing that has keep me going is my strong faith in Jesus. I've have no income starting September, I've gotten through Christmas, and this year my love for God's greatest gift for all has grown. I'm not going to anger or have resentment in my heart over Sedgwick, but pray the Lord would help all those who have suffered from their acts, and He show mercy and forgiveness for there sins. Instead of all the complaints and anger, everyone that reads this please pray in the name of Jesus Christ the Holy Spirit will comfort us and God will provide to the righteous and cast down the evil doers. My heart pains I could not see my son this Christmas and provide for him, yet I rejoice in the Lord. All please pray about this matter.
PJINMESA1 Send email
 
Nov 30, 2015

Claims

THE WORST COMPANY TO DEAL WITH EVER, HIRE AN ATTORNEY IS THE ONLY ADVISE I CAN GIVE YOU. MINE IS DARRYL ENGLE IN PHOENIX. SEDGWICK RUBBER STAMPS EVERYTHING DENIDE BECAUSE THEY KNOW SOME PEOPLE WILL NOT FIGHT THEM, SO THEY WIN. EVEN AFTER WINNING A CASE AGAINST THEM YOU HAVE TO FIGHT THEM TO GET PRESCRIPTIONS FILLED, SURGERY DONE AND ANYTHING THAT INVOLVES MONEY FROM THEM TO YOU.
pkubath Send email
 
Nov 10, 2015

Delay in 1st appealed claim with Sedgwick

I have been dealing with Sedgwick, regarding short term disability. During this time I was mentally unable to function, due to extreme anxiety every day, major depression, and something that did not come to mind at that time, was my inability to process information and not being able to remember things, or communicate in an effective manner. I am rather new, a little over 2 yrs in San Diego County, I haven't adjusted completely, financially, mentally, or emotionally. The event of ADHD has greatly been uncontrolled since working at Time Warner Cable, almost 1 year, this job has lead me to be on a 2nd medication in addition to the antidepressant I have been on for more than a year, and now I need more therapy. I struggle with ADHD, part of the symptoms are anxiety and panic disorder and major depression, irritability, inattentiveness, and impulses that can't always be controlled, especially under stress; also bringing on bipolar reactions.
These symptoms are not Time Warner's best interest to have me interacting with customers if I can't consistently perform in a professional manner; furthermore to be a effective team member and to comply with the stringent metrics required to excel at the job of a Customer Service Agent in a high volume call center, also to be to work on time.
In addition, I travel 70 freeway miles to and from work each day, which is an added anxiety and depression to get to work, and more wear and tear on my car which is costing me more to repair, which gives me panic that the car will break down. Furthermore, even if accommodations are made, which is probably to work part-time which; it would not pay off for the distance to travel.
I have already been denied once by Sedgwick, in the mean time, the State of CA SDI has been paying out benefits. After reading the complaints against Sedgwick for Bad Faith Practices. I have jumped through the all the hoops and had my provider jump through the hoops. My appealed claim with Sedgwick is pending after being off work for only 34 days, they tell me that a determination would be on Dec 18.
Letmokbegreat Send email
 
Oct 29, 2015

Sedgwick Injury Claim Denied

I was shopping in Frys Food Store on 67th ave Indian School Rd and I slipped on something wet in the aisle and sprained the muscles in my right leg from top to bottom. I had to be on crutches and wear a leg brace for a month. When it happened I reported it to the manager and she said she was sorry and that she would have somebody clean it up. Katherine Brady at Sedgwick gave me the run around for 3 weeks then called me yesterday 10 28 2015 to say my claim was DENIED because the manager didnt report it and an employee just had cleaned the area 10 minutes prior to me being in that spot. She also admitted to seeing me slip and apologized and said there was nothing she could do then got nasty with me for asking questions. I wonder if I could appeal this decision??

Lahobe83@gmail.com
Imagemakercm Send email
 
Oct 26, 2015

Denial

I have read the above and all of the cases are exactly like mine. I have a chronic illness, stage 4 kidney disease(state 5 is dialysis) and Sedgwick says I can work in a Walmart warehouse. They even paid a doctor to call my doctors to go against what each other said. They have followed my case for 24 years and he's never met me. Pitiful that Walmart didn't represent me as a long term associate of 20 years! Sedgwick should be investigated for fraud. I paid my benefits and only got one check. They started lying and stressed me and cheated me out of my job in my daughters senior year of high school! I DO NOT have respect for them and definitely not for my sad greedy company that let me down!
lilwof Send email
 
Sep 21, 2015

AUTO INSURANCE CLAIM

On August 5, 2015, I arrived at NTB aka Tire Kingdom to check the air pressure in my tires. While sitting waiting for an attendant to service my needs a hearing impaired employee of NTB smashed into the passenger side of my vehicl with another customers car. After 3 weeks of having air blown into my ears from the store manager and assistant manager, my patience was finally exhausted and I called the Corporate Office. I received a phone call from Sedgwick by the end of the day......hooray!!!!!. I will fast forward to 9/8 which is the date I spoke to Joey Florestal, a claims examiner for Sedgwick. On this day he stated the check was in the mail. Perfect was my response. With this news I decided to make an appointment to get my car repaired. My vehicle has been in the shop since 9/16 and issue number 1 is I don't have a check to pay for the repair. Issue number 2 is Enterprise Car Rental is threatening to charge my credit card because Joey Florestal nor his supervisor will respond to my numerous email or telephone messages.What a way to run a business. I am overwhelmed with disgust regarding the lack of professionalism, and attention to this matter. As I am writing this complaint Enterprise Car Rental and Wilburn Auto Body are calling me to find out if I have received a response from Sedgwick....wow. So I have to be harassed because of NTB's lack of concern or due diligence.
Matty Bumpo Send email
 
Aug 16, 2015

Sedgwick CMS

I have been through hell and back with Sedgwick and unfortunately I live in a state that in 2004, Governor "I'll Be back".......yes, the Terminator, sold out to the insurers and passed a law granting them amnesty against bad faith actions.....ergo, Cailfornia is a damn nightmare........my injury started in 2009 with my first rotator cuff surgery to my left arm and when it was time to do my right shoulder rotator cuff a year later, Sedgwick said no........my lawyer fought and I had right shoulder rotator cuff surgery in 2011.

That surgery failed within 6 weeks during therapy when I felt a pop and a great deal of pain that would not go away.....big head tendon ripped off the medical bolts used to re-attach it during surgery.....Sedgwick says no. We wind up going to court and I have a 2nd rotator cuff surgery in 2013 and ir also doesn't turn out so good.......during therapy in the 10th or 11th week, my shoulder gives out,,,,,,,.MRI shows more tears and a torn labrum.......Surgery requested and turned down again.

We go to court and the insurers prevail by using some paid IME to agree with them but I found another surgeon that diagnoses my shoulder differently than what was previously requested. Sedgwick of course says no again but my new surgeon contacts the denying doctor and points out some hard facts that the other physician couldn't refute. Since my surgery was asking for something different than rotator cuff repair, it was approved and while I had my 3rd surgery, my new surgeon repaired my torn rotator cuff anyway since he was already inside my shoulder for other reasons, i.e., loose steel sutures from prior surgeries that didn't hold up.

Sedgwick is immune in California from any bad faith accusations because of SB899. There's hope ahead.......Romano v. Kroger/Sedgwick CMS is in the the California Courts right now.......that could be the start of something good.......I hope so.

Matthew Brennan
559-977-6944 (PST)
Nanny123 Send email
 
Jul 31, 2015

We all should find lawyer and file suit against sedwick

look with all the complaints about sedwick after I was denied again for a nerve block out of work waiting since March 2016! Thou getting paid peanuts , big deal, you would think a lawyer would want to file a class act suit against this company? They need to be exposed due to them being feudal an on people's health...enough , is their a lawyer willing to help us fight back and bring them out in the light
RNDuke Send email
 
Jul 27, 2015

HIPPA VIOLATION

I picked up a prescription from the Walgreens in Durham NC and was given another patient's prescription which contained the PHI. Some unknown person was given my prescription with PHI and my Home Address and Phone Number. I called the claim office and "Joseph" told me "well what do you want; $25.00? Really, this is a Civil Rights Violation of a Federal Law called HIPPA Sedgwick and Walgreens. I plan to file a complaint with the Secretary of Health and go to the Media in the Research Triangle Area with well over a Million People and disclose this violation and the location of this Walgreens.
PaulaAdkins Send email
 
Jul 19, 2015

FMLA and short term disabilty

My husband has worked for Walmart 11 years. He is one of those employees that should be valued but when he was struck with a mysterious pain in his mid-section and unable to work, stand or tolerate the extreme pain he finally used his vast personal, sick leave and vacation time to cover the EMPLOYMENT gap. When all his accrued time was exhausted (Dec. 31, 2014-March 31st 2015) he requested the use of his Short term disability. At that time we were told that they would have to back it up to the first day of leave...we would have to pay back all the money paid to date from his EARNED leave benefits. With the mountain of medical bills that was impossible...In April he had his 11th anniversary and we used his vacation time to help with the lack of money. Sedgwick informed us that they would not start his short term disability after he spend his earned leave benefits because that was considered DOUBLE DIPPING. So here we are without any money coming in and he is still officially employed by Walmart. Somehow I think this is a breach of insurance benefits, FMLA and the fact that he has dutifully paid into his Short term disability and now is paying his medical benefits each pay period out of ZERO PAY.

The question is...WHO READS THIS AND WHO WILL RESPOND TO THIS LEGAL QUESTION?
ggierach Send email
 
Jun 2, 2015

Sedgwick Complaint to Insurance Commision

Office of the Commissioner of Insurance
125 South Webster Street
Madison, WI 53703-3474


Dear Sir or Madam:

I would like to lodge a formal complaint with your office regarding the tactics of Sedgwick Claims Management Inc. My employer is Wal-Mart Stores Inc. store #XXXX, WI. I have short-term disability insurance through my employer handled by Sedgwick.

Sedgwick has made it extremely difficult to process claims. When I have medical records sent to Sedgwick, they claim they never received them. Then I receive a computer generated letters denying benefits or threatening to deny benefits. They have sent me 9 letters stating they haven’t received medical information from various claims since August 1, 2013 until May 27, 2015. I had to repeatedly ask the medical clinic and the hospital to re-send information to Sedgwick.

I have a current claim # XXXXXXXXXXXX that I started April 14, 2015. Sedgwick has closed and terminated my claim and denied benefits from May 7 until now. It is the same situation where they claim they never received medical information. I have checked with the medical records department at Froedtert St. Joseph’s Hospital in West Bend WI. and the West Bend Health Center and they have sent medical information to Sedgwick. I have been on FMLA medical leave from Wal-Mart since April 14, 2015. I have a Diabetic ulcer on my foot. I am having prosthetic Diabetic shoes made at Hanger Clinic. I cannot wear regular shoes because of a deformity in my left foot caused by Charconeuroarthropathy.

I would like to have my short-term disability reinstated.

Sincerely,
G

Email ggierach2000@yahoo.com
DrSSRodrigues Send email
 
May 24, 2015

Texas worker compensation fraudulent policies

I'm a medical doctor who was kicked out of the Texas WC system because I treated injured workers like human being. due to lies and cheating within the entire system.

Did you know that most if not all injuries to the body will naturally heal in time?
Did you know that if you place a huge medical system at beginning of an injury it is just about profiting off of what nature will do anyway?
Did you know that bone, joints do not cause much pain at all?
Did you know that muscles are the only organ system that produces pain signals?
Did you know that we have always had highly effective treatments of the pain that comes from muscles?
Did you know that WC systems choose, by law and policy, not to treat your muscles but your skeleton? ===>which is not even science based but profit based. Yes you are being deceived. (I was too)
Did you know ?? maybe 20% of those who are injured will not get better until the treatments focus around and into the muscles with kneading and deep stimulation? ===> which is not happening.

Did you know that pain is being mis-defined, misrepresented, mis-located, and mistreated by the medical associations who took an oath to uphold these truths?

The definition of pain is wrongly used, difficult to conceive, write down on paper or transferred to another person.
Pain can easily be misinterpreted and improperly treated.
Pain is like an itch; very personal, private, invisible to technology, invisible to others and impossible to prove in a court of law.
Pain can easily be denied, refuted, disavowed, marginalized and disrespected.
Pain is not some static entity that a physician can use to discover the correct therapy. And yet, physicians continue to use this static concept to advise patients to undergo therapies that end up doing them harm.
Pain cannot be seen for certainty on a scan, MRI, or an X-ray, but physicians use these methods to locate pain.
Pain can only be pinpointed with certainty by human touch. Still, we confusion the location of pain with science and technology.
All “pain” has a pathologically significant cause that should be uncovered to be effectively addressed or treated.
All “pain” that can NOT be readily found on scan, X-ray or other equipment used in modern technology must be in the muscles and connective tissues.
The “pain” in muscles and connective tissues can not be removed, rearranged, repaired or fixed in the operating room. So no conventional medicine conceived surgery for the pain in the muscles!!
The “pain” in muscles and connective tissues usually does not respond very well to pain medications or other conventional medicine options.
The “pain” in muscles and connective tissues is called Myofascial (MF) Pain. This type of “pain” is so small that it can not be seen under the microscope. We now can see changes under the electron microscope but we are not using this in the office.
This invisible type of pain that is in muscle requires therapy or it will start to transform or degrade itself and compound pain signals.
This invisible pain type will continue to degrade and sequentially interfere with the aliment of the skeleton, stress skeletal components, alter blood flow and corrupt nerve impulses.
This invisible type of pain can spreading into adjacent tissues and “metastasize” into distant parts of the body.
This invisible pain will stress your adrenals and nervous system leading to neuroses and metabolic diseases.
This invisible pain, if left undertreated or no treatment at all will devolve the muscle cells and lead to many problems we think are primary, but are due to delays in recognizing and delays in treatments; Degenerative Joint Diseases, vertebral disc imaging abnormalities, Radiologic joint space abnormalities, CRPS, RSD, TN, TOS, CTS, IBS, Migraines, pelvic pain syndromes, psychosocial, weakness, imbalance, vertigo, falls, disability and PTSD.
Do you know the #1 reason why our society has a problem with long-term pain problems, narcotic abuses, and suicides?
Do you know the #1 reason why hip, shoulder, back and knee surgeries fail?


Did you know that modern physicians have negated innate Mother Nature healing?
Did you know that it is Mother Nature that heals all all wounds?
Did you know that all injuries, auto accidents, trauma, fractures dislocation, torn ligament, smashed spinal disc or knee meniscus are automatically healed by nature? All we need to do is assist the person until nature heal those would.
Did you know that the concept of a shoulder tear is illogical? Nature does not allow these types of wounds to go unhealed. The will heal or be inconsequential in 8-12 weeks.
Did you know that there are historically known treatment optison for all types of pain problems?
Did you know that these known treatment options are not included in many conventional medicine treatment options?

Medicare has allow advisors, scientist, physicians and policymakers to write into laws the means to practice medicine that is fraught with poor or tragic consequences. I call this malpractice.

Did you know Medicare has placed limits or will not cover many of these options?
Did you know that Medicare has banned one of the most important of these therapies?

Here is the list of therapeutic options that, in reality, are safe, non-toxic, holistic, restorative and potentially curative:

The Holistic Healing Recipe-Self Care: In many advanced ancient cultures, wellness and proactive care was a standard concept. Keeping balanced, harmonious, tending to your body’s “whispering” requests for self-care early. Daily self-care, along with a wholesome diet, herbs, extra vitamins and Magnesium supplements, exercise, stretching, yoga, heating with pads, hot tubs, hot springs, mineral springs, Epsom soaking, massage, scraping, acupoint or acupressure treatments, strain-counter strain, unwinding, chiropractic spinal adjustments, traction and, most importantly, sleep hygiene.
http://en.wikipedia.org/wiki/List_of_forms_of_alternative_medicine

The Holistic Healing Recipe-Assisted Care (minimally invasive): In cases where you may get behind and need the assistance of more intensive therapy, you can progress to acupuncture, modern or myofascial acupuncture, dry needling, GunnIMS, and wet needling, and Travell’s TrP injections.
http://en.wikipedia.org/wiki/Myofascial_trigger_point
Michael Hunt Send email
 
May 20, 2015

WORKER'S COMP DOCTOR

I have heard and read numerous complaints regarding Sedgwick. I even went so far as to read the Romano vs. Kroger decision in California just to get an impression of this TPA. I am not an attorney and I will not provide legal advice. As a licensed healthcare provider in Illinois at AarrowHealthCare.com, I have dealt with numerous work related injuries over the years and have seen resistance to providing compensation for Worker's Compensation not only from this insurer, but others as well.

It makes no sense for the work comp carrier for the employer, not authorizing the treatment recommended by medical specialists.

In my opinion, the majority of these impediments to receiving care are to the people who do the most work and receive the least in compensation. The majority of us possess ethnic names that applaud our lineage, as is the nature of this country. We willingly infuse strength and lifeblood into this local community. As a whole, we are better and stronger because of these efforts. I am incensed by the discriminatory efforts to deny health care to any injured worker. “One doesn’t ask of one who suffers: What is your country of origin and What is your Religion? One merely says you suffer, this is enough for me. You belong to me and I shall help you.” Dr. Louis Pasteur.

If you require medical assistance do to a work related injury in Illinois, please contact us and we will attempt to assist you and refer you to a specialist as needed. Dr. Walter

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