I have been waiting 48 hrs so far for a Disability claims manager named Robert B.and an FMLA case manager named Jose A. to return my call after being told by multiple customer service staff that my call would be returned within 24hrs. My FMLA claim was denied due to Sedgwick not receiving a Dr.s Certification form in time. The FMLA case mgr was very crass and almost bill collector like while telling me that there is no appeals process for FMLA when it is past the due date. After researching I found that the form that they wanted was e-mailed to my work e-mail…and obviously since I was not at work I was not regularly checking my work e-mail. The funny thing is…..the form was emailed to myself and my Dr. on 3/11. My Dr. filled out and faxed the form on 3/12 and I was able to obtain a copy of it with the original fax time stamp. This is the reason my claim was denied and similarly why my short term disability was denied. ( They needed Dr.s notes from a visit within 2 days of my visit….everyone knows that Dr.s write in chicken scratch and everything is sent to a medical transcriptionist….with a turn around of more than a few days.) I have not yet perused legal council, but after my web search tonight that turned up page after page of disputes and claims against Sedgwick I am really questioning the company that I work for’s choice in doing business with this company. God help anyone who ever has to deal with Sedgwick. I recommend an attorney being consulted from the beginning of the claims process all the way through to the end. These guys are the epitome of white collar criminals. They prey on the working class layman and take advantage of any and every bureaucratic mis-step in the complicated process along the duration of your misfortunate and already painful and challenging recovery. .
This complaint and/or review was posted on HolySmoke.org on 10:53 am, April 25, 2019 (CST) and is a permanent record located at: https://www.holysmoke.org/scam/sedgwick-cms-review/.
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