SEDGWICK CLAIMS MANAGEMENT SERVICES CELESTE ESPITIA, RACHEAL CAMARILLO, IRMA STANFORD- WOLF ANOTHER SEDGWICK CLAIM DENIED - ANOTHER LIFE DESTROYED LEXINGTON KY. (APPEAL UNIT) Nationwide

Sedgwick CMS is the worst company I’ve ever dealt with. Their whole corporate mind set and hence their strategy and playbook is to make things as miserable and tedious as possible, hoping that the claimant will make some fatal slip – not return required paperwork - or become so alienated they will just give up.  They require you to do their work. You are to go to the surgeon’s office to force them to fill out what ever additional forms Sedgwick wishes to bombard the with, you are to beg and cajole and somehow convince them this form which they have filled out three times before must be filled out once again and immediately faxed. You are required to run all over town (frequently out of town) coordinating maybe five different medical practices. You are required to pick up reports, slides, MRIs, specimens, radiologist reports (I’m sure you get the idea). All of this is accomplished by threats of denial of your claim. I had my short term claim denied at least three times. Since I’m not rich and living pay check to pay check, this threat is similar to denying dialysis to a kidney patient.

Finally when my short term claim was to transition to long term Sedgwick struck. Sedgwick denied my claim – Sedgwick wins – another claimed denied. How? Sedgwick based their decision on an opinion from a doctor who never contacted my surgeon, ignored the original written restrictions, ignored the MRIs, ignored the x-rays, ignored my follow up appointments and based her opinion on an unrelated appointment with a nurse practitioner, in order to get a scrip for Mobic.

Similar to having a heart attack then basing your medical diagnosis on your last appointment with your dental hygienist.

THE ABSOULUTE WORST

Sedgwick wins.

The players:

                Celeste Espitia – short term disability person

                Racheal Camarillo – long term disability person

                Irma Stanford-Wolf – LTD supervisor