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

Detailed analysis of 42 workers-compensation insurance complaints filed against SEDGWICK CLAIMS MANAGEMENT SERVICES, INC. by consumers in Texas, based on public NAIC and state DOI data.

Key Statistics

workers-compensation Complaints in Texas: 42
Total workers-compensation Complaints (All States): 42
Texas Share: 100.0%
AI Risk Score: 49/100

Analysis: SEDGWICK CLAIMS MANAGEMENT SERVICES, INC. workers-compensation in Texas

SEDGWICK CLAIMS MANAGEMENT SERVICES, INC. has accumulated 42 workers-compensation insurance complaints from consumers in Texas. Across all states, SEDGWICK CLAIMS MANAGEMENT SERVICES, INC. has 42 total workers-compensation complaints, making Texas responsible for 100.0% of the volume.

The most frequent complaint sub-type is Delayed payment with 11 complaints. Other common issues include Claim denial (9), Unsatisfactory Settle/Offer | No Jurisdiction (2), Unsatisfactory Settle/Offer | Contract Language/Legal Issue (1).

The most active year was 2024 with 1 complaint filed.

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

workers-compensation Complaint Issues in Texas

Issue Type	Complaints	%
Delayed payment	11	26.2%
Claim denial	9	21.4%
Unsatisfactory Settle/Offer \| No Jurisdiction	2	4.8%
Unsatisfactory Settle/Offer \| Contract Language/Legal Issue	1	2.4%
Unsatisfactory Settle/Offer \| Insufficient Information	1	2.4%
Unsatisfactory Settle/Offer \| Company Position Upheld	1	2.4%
DWC Other; DWC Quality Of Care \| No Jurisdiction	1	2.4%
DWC Quality Of Care; Fraud \| Contract Language/Legal Issue	1	2.4%
URA Failed To Prov Pr-To-Pr Rv \| Insufficient Information	1	2.4%
Cust Service Claim Handling; Deficient Claim Notice \| Insufficient Information	1	2.4%
Unsatisfactory Settle/Offer \| Information Furnished; Additional Monies Received	1	2.4%
Access to Care \| Contract Language/Legal Issue	1	2.4%
Primary Care Providr Selection \| Information Furnished	1	2.4%
Continuity Of Treatment \| Information Furnished	1	2.4%
Access to Care \| Information Furnished	1	2.4%
Access to Care; Continuity Of Treatment \| Information Furnished	1	2.4%
Continuity Of Treatment \| Question of Fact; Information Furnished	1	2.4%
URA Failed To Prov Pr-To-Pr Rv \| Corrective Action Taken	1	2.4%
Incomplete URA Notification \| Information Furnished	1	2.4%
Continuity Of Treatment; Incomplete URA Notification; URA Failed To Prov Pr-To-Pr Rv \| Corrective Action Taken; Informat	1	2.4%
Cust Service Claim Handling \| Question of Fact; Information Furnished	1	2.4%
Access to Care \| Information Furnished; Corrective Action Taken	1	2.4%
Continuity Of Treatment; Not Within TDI Jurisdiction \| Information Furnished; No Jurisdiction	1	2.4%

Complaints by Year

2024: 1 complaints
2021: 3 complaints
2017: 4 complaints
2016: 4 complaints
2015: 5 complaints
2014: 7 complaints
2013: 7 complaints
2012: 11 complaints

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

workers-compensation Complaint #TX-402584-3c0b553a (2024-09-04) — Claim denial
workers-compensation Complaint #TX-323640-e6bfbe56 (2021-10-04) — Claim denial
workers-compensation Complaint #TX-321646-829b6de1 (2021-09-16) — Unsatisfactory Settle/Offer | Contract Language/Legal Issue
workers-compensation Complaint #TX-316888-23e55340 (2021-07-06) — Delayed payment
workers-compensation Complaint #TX-188592-1d1891f6 (2017-09-01) — Claim denial
workers-compensation Complaint #TX-187702-dcb0cd07 (2017-08-28) — Claim denial
workers-compensation Complaint #TX-188328-829b6de1 (2017-07-20) — Unsatisfactory Settle/Offer | Insufficient Information
workers-compensation Complaint #TX-173840-b1f1227f (2017-04-24) — Claim denial
workers-compensation Complaint #TX-157585-1767b240 (2016-12-08) — Claim denial
workers-compensation Complaint #TX-153097-5256fbe1 (2016-11-01) — Unsatisfactory Settle/Offer | Company Position Upheld

Frequently Asked Questions

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

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

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

The most common issues 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).

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

SEDGWICK CLAIMS MANAGEMENT SERVICES, INC. has 42 workers-compensation complaints in Texas out of 42 total workers-compensation complaints nationwide. That is 100.0% of their workers-compensation volume.

Where can I file a workers-compensation 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.