If anybody wan't a glimpse of the future what you will deal with when sick, we already have that information. Whether it is Sedgwick or a similar claims administrator. Here you go.

Sedgwick CMS - Health & Medical - Riverside, CA - Reviews - Yelp

"If I could give them 0 stars, I would. Sleazy Sleazeball MacSleazertons. I've never been treated so badly by anyone since I've been injured. It's awful to have an injury and not be able to work, and then have your basic rights to health care denied. They are malicious, incompetent and highly unethcial. Their practices are illegal. I am on disability and in a lot of pain. I have had Rx and acupuncture through the same provider for 9 years and then they come along and decide to deny EVERYTHING. This if for the California office, but the whole operation is SLEAZETASTIC. The other reviews on here tell it all- I totally agree with A.A.

Ironically, I'm a licensed insurance agent, and so I KNOW what they are doing is illegal. I have more knowledge than most of the people they have running their phones, unfortunately, and if that isn't bad enough, the adjusters are not only not knowledgeable, but they lie, deceive, evade and use every type of con a business can use just to get over financially. The company I worked for, Kaiser Permanente, is paying them to make a lot of money off of my injury and I'm getting NO TREATMENT

Even though I had no dispute with my company, Kaiser Permanente, about my injury and didn't even have to get a lawyer, when they sold my disability contract to Sedgwick, everything went down hill. I have appealed everything through the Federal court and even though they were overturned, they STILL will not pay for ANYTHING. They tried to lowball my acupuncturist and send me to the ghetto to an unqualified person just because the price was right (for them).

I am an injured worker and I was assured I'd be taken care of by my company. Now I can't sleep at night for all the stress and trauma they have put me through. I am going back to court (yet again) and sicking the Feds on them at every turn. They will no longer return my calls and are nonresponsive in general. I don't know how any of these people can sleep at night. If there is a hell, there is a specially-made handcart for these M.F.'s. If it's up to me, the Feds will shut 'em down."

One star out of five aint bad. Best to just not call in sick right? Exactly what the company is angling for. Schedule with safety right ALPA?

 

I answered your question.

I am not a contract admin expert and am not comfortable parsing language between one TA to the next.

I encourage you to email [email protected]

We can get your question in front of many expert eyes there to help.

Thanks.

 

More customer feedback regarding Sedgwick:

"I recently had to deal with this company for a claim regarding an accident my car was involved in at a Walgreens Pharmacy facility. I can't describe the horrible service I received. No returned phone calls, endless faxing of paper work, endless hours of frustration. How does a company stay in business when you don't' return clients phone calls? My ordeal started in July and finally ended in late October. Seriously? As a result I will no longer shop at Walgreens and I've contacted them to let them know."

 

This is what you have to look forward to. Thanks DALPA for having our backs...

"If I could burn the place down I would . This company is the most crooked bunch of incompetent people you could ever deal with. There is more bull**** and disinformation than the US government . This company should be brought up on criminal charges for the way they treat people. Before I finally retained a attorney they jerked me off for 8 months. They send me to doctors then refuse all of the doctors requests. Then send me to doctors that don't even deal with injuries I have just to waste my time. They try to wear you down with hopes that you will get so frustrated you will just drop the claim. They also change claims adjusters on me every 2 days just to stall out my claim. Everyone that works there should be thrown screaming from a helicopter."

 

"This review is for Sedgwick CMS as a whole entity, although I dealt with the Chicago office, they provide disability benefits for corporations, so essentially they are everywhere. I can see Michael Moore film one of his infamous documentaries on Sedgewick CMS, in how they work their hardest to deny individuals their short term disability benefits (me).

I had a simple ankle surgery that per my orthopedist and the state of California deemed me temporarily disabled, however Sedgewick CMS did not pay my salary (my benefits) until 4 months later, which they partially, only did after I had to contact them over 20 times. They also claimed they did not receive my medical records and denied my claim but interestingly, told me this over 2 months later. They harangued me with numerous phone calls about providing medical records. The last straw was today, when I was told that my case manager had no information on my returning to work part time and that my case may be subject to review, even though I informed them over 20 times of this, throughout the past 4 months, and that I was told by my company that they have "transcripts" of each conversation to prove this. Hey guys, btw, I gave no consent for you to transcribe what I said.

Basically, they treated me unprofessionally and unfairly. I can only imagine the hardship for people who have major disabilities, are financially insolvent, or are not as pesky as I had to be. This is what is wrong with the world today, greed and no conscience.

So in addition to being disabled, you will also become marginalized and poor from Sedgewick CMS."

 

Yeah, but you can call in well can't you? Thus saving some of your allotted 15 days of sick leave?

In fact, can't you even call in well on day two of a trip and try to get back on it? They said that part hadn't changed, so how else would you be able to get back on the trip?

Scenario: 4 day trip followed by 4 days off

I call in sick for the first trip (not the day before obviously, as that would pretty foolhardy with the way this TA is worded) around 3 hours prior to report.

Now I get over my projectile vomiting that night and am well again before going to bed. I call in and either A) Say I'm well and get charged for one day of sick use, or B) call in and say I want to pick up the rest of my trip (if able, and complying with the provisions set forth for this option as currently written in our PWA).

I'm only getting charged for one day in both these cases, right?

 

Sedgwick CMS specializes in avoidance and delays. Impossible to speak with a human being. Phone calls and emails are never returned. These people handle insurance claims for a & e Factory Service. I suggest you do not have any work done by a & e as if there is a problem you will have to deal with Sedgwick and that is a black hole.

 

Service slow and transfer of information was poor. Letter I received to start the intermittent leave process was confusing. I called several times to clarify and received conflicting information each time. I was told I would get a new packet, but it never arrived. Sedgewick's survey form was only geared toward continuous leave. (What is someone on intermittent leave supposed to say for Question #7 "When do you expect to return to work?") Even though I call in to submit my intermittent leave weeks in advance, I am never able to submit leave days on my timesheet. We have to play timesheet musical chairs and vacation days often get misplaced in the process. I have to check up on Sedgewick every couple weeks to help them do their job.

 

Hopefully some of the experiences of these poor folks who have had to deal with Sedgwicks is sinking in. Delta is minting money (some of it stolen during bankruptcy) and dealing with this is part of the "Best pilot contract ever!"??!

"This company is the worst and they don't follow up, let due dates pass, and loose paperwork. I have had to stay on top of them just to even find out if my disability claim is denied or not. Meanwhile, my paycheck was reduced but I can't even get an examiner on the phone to verify if I've been approved or denied."

 

"The most unprofessional company imaginable. I had the misfortune of having a claim mangled by a claims adjustor whose illiterate emails were not even the worst part of my experience. Sedgwick's unprofessional behavior literally adds insult to injury."