SEDGWICK CLAIMS MANAGEMENT SERVICES, INC. — health Complaints in Texas

Detailed analysis of 67 health insurance complaints filed against SEDGWICK CLAIMS MANAGEMENT SERVICES, INC. by consumers in Texas, based on public NAIC and state DOI data.

Key Statistics

health Complaints in Texas: 67
Total health Complaints (All States): 67
Texas Share: 100.0%
AI Risk Score: 49/100

Analysis: SEDGWICK CLAIMS MANAGEMENT SERVICES, INC. health in Texas

SEDGWICK CLAIMS MANAGEMENT SERVICES, INC. has accumulated 67 health insurance complaints from consumers in Texas. Across all states, SEDGWICK CLAIMS MANAGEMENT SERVICES, INC. has 67 total health complaints, making Texas responsible for 100.0% of the volume.

The most frequent complaint sub-type is Claim denial with 42 complaints. Other common issues include Delayed payment (19), Patient Protection Rules; Primary Care Providr Selection | Contract Language/Legal Issue; Information Furnished; Correct (1), Other | No Jurisdiction; Information Furnished (1).

The most active year was 2026 with 1 complaint filed.

Consumers in Texas who have health disputes with SEDGWICK CLAIMS MANAGEMENT SERVICES, INC. can file a complaint with the Texas Department of Insurance.

health Complaint Issues in Texas

Issue Type	Complaints	%
Claim denial	42	62.7%
Delayed payment	19	28.4%
Patient Protection Rules; Primary Care Providr Selection \| Contract Language/Legal Issue; Information Furnished; Correct	1	1.5%
Other \| No Jurisdiction; Information Furnished	1	1.5%
Unsatisfactory Settle/Offer; Usual And Customary \| Contract Language/Legal Issue	1	1.5%
DWC Quality Of Care \| Information Furnished	1	1.5%
Unsatisfactory Settle/Offer \| Complainant Retained Attorney	1	1.5%
Other \| Additional Monies Received; Information Furnished	1	1.5%

Complaints by Year

2026: 1 complaints
2025: 4 complaints
2024: 1 complaints
2022: 1 complaints
2021: 4 complaints
2020: 1 complaints
2019: 3 complaints
2018: 5 complaints
2017: 4 complaints
2016: 8 complaints
2015: 6 complaints
2014: 11 complaints
2013: 9 complaints
2012: 9 complaints

Recent health Complaints Against SEDGWICK CLAIMS MANAGEMENT SERVICES, INC. in Texas

health Complaint #TX-451777-dcd3563c (2026-03-27) — Claim denial
health Complaint #TX-437195-3c0b553a (2025-10-15) — Claim denial
health Complaint #TX-434935-3e95b519 (2025-09-18) — Delayed payment
health Complaint #TX-433634-3c0b553a (2025-09-04) — Claim denial
health Complaint #TX-418483-63d41a49 (2025-03-14) — Claim denial
health Complaint #TX-388205-3c0b553a (2024-03-18) — Claim denial
health Complaint #TX-333760-86b6c77f (2022-03-21) — Delayed payment
health Complaint #TX-325554-2cece189 (2021-11-09) — Patient Protection Rules; Primary Care Providr Selection | Contract Language/Legal Issue; Information Furnished; Correct
health Complaint #TX-323412-3c0b553a (2021-10-12) — Claim denial
health Complaint #TX-317697-e38652b9 (2021-07-20) — Delayed payment

Frequently Asked Questions

How many health complaints does SEDGWICK CLAIMS MANAGEMENT SERVICES, INC. have in Texas?

SEDGWICK CLAIMS MANAGEMENT SERVICES, INC. has 67 health insurance complaints on file from consumers in Texas, according to NAIC and state DOI data.

What are the most common health complaint issues with SEDGWICK CLAIMS MANAGEMENT SERVICES, INC. in Texas?

The most common issues are: Claim denial (42), Delayed payment (19), Patient Protection Rules; Primary Care Providr Selection | Contract Language/Legal Issue; Information Furnished; Correct (1), Other | No Jurisdiction; Information Furnished (1), Unsatisfactory Settle/Offer; Usual And Customary | Contract Language/Legal Issue (1).

How does SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.'s health record in Texas compare to other states?

SEDGWICK CLAIMS MANAGEMENT SERVICES, INC. has 67 health complaints in Texas out of 67 total health complaints nationwide. That is 100.0% of their health volume.

Where can I file a health complaint against SEDGWICK CLAIMS MANAGEMENT SERVICES, INC. in Texas?

You can file a complaint with the Texas Department of Insurance. The NAIC Consumer Information Source at https://content.naic.org/cis_consumer.htm also accepts complaints.