InsuranceComplaintCheck

SEDGWICK CLAIMS MANAGEMENT SERVICES, INC. — workers-compensation Insurance Complaints

Analysis of 42 workers-compensation insurance complaints filed against SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., based on public NAIC and state DOI data.

Key Statistics

  • workers-compensation Complaints: 42
  • Total Complaints (All Types): 235
  • workers-compensation Share: 17.9%
  • AI Risk Score: 49/100

workers-compensation Complaint Issues

Issue TypeComplaints% of Total
Delayed payment1126.2%
Claim denial921.4%
Unsatisfactory Settle/Offer | No Jurisdiction24.8%
Unsatisfactory Settle/Offer | Contract Language/Legal Issue12.4%
Unsatisfactory Settle/Offer | Insufficient Information12.4%
Unsatisfactory Settle/Offer | Company Position Upheld12.4%
DWC Other; DWC Quality Of Care | No Jurisdiction12.4%
DWC Quality Of Care; Fraud | Contract Language/Legal Issue12.4%
URA Failed To Prov Pr-To-Pr Rv | Insufficient Information12.4%
Cust Service Claim Handling; Deficient Claim Notice | Insufficient Information12.4%
Unsatisfactory Settle/Offer | Information Furnished; Additional Monies Received12.4%
Access to Care | Contract Language/Legal Issue12.4%
Primary Care Providr Selection | Information Furnished12.4%
Continuity Of Treatment | Information Furnished12.4%
Access to Care | Information Furnished12.4%
Access to Care; Continuity Of Treatment | Information Furnished12.4%
Continuity Of Treatment | Question of Fact; Information Furnished12.4%
URA Failed To Prov Pr-To-Pr Rv | Corrective Action Taken12.4%
Incomplete URA Notification | Information Furnished12.4%
Continuity Of Treatment; Incomplete URA Notification; URA Failed To Prov Pr-To-Pr Rv | Corrective Action Taken; Informat12.4%
Cust Service Claim Handling | Question of Fact; Information Furnished12.4%
Access to Care | Information Furnished; Corrective Action Taken12.4%
Continuity Of Treatment; Not Within TDI Jurisdiction | Information Furnished; No Jurisdiction12.4%

workers-compensation Complaints by State

StateComplaints
Texas42

Recent workers-compensation Complaints Against SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.

Frequently Asked Questions

How many workers-compensation complaints does SEDGWICK CLAIMS MANAGEMENT SERVICES, INC. have?

SEDGWICK CLAIMS MANAGEMENT SERVICES, INC. has 42 workers-compensation insurance complaints on file, according to NAIC and state DOI data.

What are the most common workers-compensation complaint issues with SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.?

The most common workers-compensation complaint issues for SEDGWICK CLAIMS MANAGEMENT SERVICES, INC. are: Delayed payment (11), Claim denial (9), Unsatisfactory Settle/Offer | No Jurisdiction (2), Unsatisfactory Settle/Offer | Contract Language/Legal Issue (1), Unsatisfactory Settle/Offer | Insufficient Information (1).

Which states have the most workers-compensation complaints against SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.?

The states with the most workers-compensation complaints against SEDGWICK CLAIMS MANAGEMENT SERVICES, INC. are: Texas (42).

workers-compensation Complaints by State

SEDGWICK CLAIMS MANAGEMENT SERVICES, INC. Complaints by State

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