Labor representatives are finally saying it out loud: Sedgwick Claims Management Services, Inc. is a “menace” to injured workers.

Transport Workers Union (TWU) Local 100 isn’t pulling any punches after Sedgwick botched payments for thousands of injured New York Metropolitan Transit Authority workers. At a recent TWU convention, Local 579 (representing JetBlue flight attendants) introduced a resolution accusing Sedgwick of treating injured workers with abuse, disrespect, and mistreatment. The resolution passed unanimously.

As Local 100 put it in their recent update:

“...this predatory company [Sedgwick] is a menace to workers…”

Our experience, and that of our provider clients, does not contradict this sentiment.

Workers across various companies, including JetBlue, Walmart, and others, are urging employers to stop doing business with Sedgwick. Having witnessed and documented Sedgwick’s business practices, we can’t blame them.

A Long, Documented History of Abuse

At daisyBill, we’ve tracked and reported Sedgwick’s systemic legal non-compliance for years.

Since 2022 alone, we’ve filed formal Audit Complaints with the California Division of Workers’ Compensation (CA DWC), reporting over 214,000 state law and regulation violations.

Sedgwick’s consistent violations include:

• Failing to pay doctors at fee schedule rates for injured workers’ treatment
• Imposing invalid “network” discounts based on inapplicable or non-existent discount contracts
• Improperly denying  providers’ appeals against incorrect payments 

If this is how Sedgwick treats doctors, imagine how it treats injured workers.

Actually, we don't have to imagine. As shown below, Sedgwick once boasted that its Utilization Review (UR) nurses blocked 54% of treatment requests from injured workers’ physicians before quietly removing the disgraceful figure from its (now deleted) UR web page.

TWU Workers, You’re Not Alone

At a recent TWU convention, Local 579, representing JetBlue flight attendants, introduced a resolution (which passed unanimously) stating that injured workers (emphases ours):

“...have been abused, ignored, mistreated, disrespected, and caused pain by the unprofessional, uncourteous, and uncaring third-party claims/benefits administrator, Sedgwick.”

That language echoes what our data and provider clients have reported for years. Sedgwick’s mismanagement isn’t limited to one employer or state; it’s a coast-to-coast problem that impacts workers, providers, and employers nationwide.

Employers: Are You Paying Attention?

Sedgwick’s “value” seemingly derives from impeding injured workers’ care and shortchanging the providers who treat them. Employers who hire Sedgwick effectively sign off on this obstruction.

Sedgwick is funded by private equity. Private equity doesn’t invest in a Third-Party Administrator to help injured workers heal but to extract as much money as possible from every denied treatment, every un- and underpaid doctor, and the profitable administrative friction that delays recovery.

As daisyNews has documented, the Carlyle Group made billions off Sedgwick by monetizing exactly this kind of friction and abuse. Every delay and denial contributes to someone’s bonus.

The Receipts: daisyNews: Sedgwick Articles 2024-2025

Below, we list every article daisyNews has published in 2024 and 2025, organized by topic, highlighting Segwick’s arguably toxic impact on the workers’ compensation system.

Treatment Denials

1. Sedgwick Boasts 54% Denial Rate for Injured Worker Treatment - 9/19/2024
2. Sedgwick Removes 54% UR Denial Stat From Website - 10/16/2024

e-Billing Non-Compliance

1. Sedgwick Is Only Getting Worse - 1/24/2024
2. daisyBill Takes Sedgwick Complaints to CA DWC Administrative Director - 3/12/2024
3. daisyBill Sends 13K+ Sedgwick Violations to CA DWC Director - 5/10/2024
4. Sedgwick: 17,225 Audit Complaints Sent to DWC - 6/14/2024
5. Sedgwick's Sloppy EDI Tech Goes Haywire - 12/16/2024
6. Sedgwick’s Abuse of Providers Should Terrify Employers - 3/27/2025
7. What Employers Choose When They Choose Sedgwick - 4/29/2025
8. Sedgwick’s Dismal EDI Grade Disaster - 8/18/2025

Claim Handling & Bill Processing

1. Sedgwick Stiffs Doctors With Outdated Fee Schedule Rates - 5/13/2024
2. Sedgwick's Botched Bot Tortures Providers - 2/18/2025
3. Sedgwick Pays WRONG Fee Schedule Amount (Again, per Annual Tradition) - 4/24/2025
4. Sedgwick Stiffs Doctors, County of LA Taxpayers Pick Up the Tab - 5/12/2025
5. Sedgwick’s New Website: Shaky Stats Tout Provider Exploitation - 7/11/2025
6. NY Provider Alert: Sedgwick Creates Chaos for MTA Claims - 7/22/2025
7. Sedgwick Stiffs QME With “Denial Dump” EOR - 8/15/2025

Handling of Providers’ Formal Appeals for Correct Payment

1. Sedgwick: 49% of Appeals Incorrectly Denied - 1/29/2024
2. Sedgwick Denies/Ignores Hundreds of Appeals - 6/10/2024
3. Sedgwick (and the DWC) Ignore Providers' Appeals - 6/12/2024
4. Sedgwick "Duplicate" Bills Make A Mockery of CA Law, DWC & Providers - 12/4/2024
5. Audit Complaint: Sedgwick - 5,415 Violations Reported - 12/10/2024

Independent Bill Review Cases

1. Sedgwick: IBR Filing Fee Hall of Shame - 4/19/2024
2. Sedgwick: IBR Filing Fee Hall of Shame (Again!) - 4/25/2024
3. Sedgwick Fails to Pay IBR Filing Fee for Zillionth Time - 5/3/2024
4. Sedgwick Stiffs AME for IBR Filing Fee - 7/2/2024
5. CA DWC & Maximus Rig IBR to Hand Sedgwick the Win - 7/30/2024

Preferred Provider Organization (PPO) Abuse

1. C'mon, Sedgwick: TPA Tries PPO Discount for Med-Legal (Again) - 4/18/2024
2. Apricus Applies Massive, Invalid PPO Discount for Sedgwick - 8/13/2024
3. Sedgwick Stiffs CA Practice for Over $300,000 - 10/22/2024
4. DWC Slumbers as Sedgwick Stiffs CA Ortho Practice - 10/23/2024
5. Sedgwick Owes Practice Over $570K…Has Paid Just $12K - 4/2/2025
6. Sedgwick’s Shell Game: From Coventry to CareWorks, the Chicanery Continues - 4/10/2025
7. Please Advise: An Open Letter to the CA DWC (cc: CA Attorneys) - 5/1/2025
8. Sedgwick: Non-Compliant Bulk Payments From Careworks (Part 1) - 6/30/2025
9. Sedgwick: Careworks' Bulk Payments - Employers Take Note (Part 2) - 7/1/2025
10. Sedgwick: CA Doctors Still Waiting for Purloined PPO Reimbursement - 7/16/2025
11. Sedgwick’s Shell Game? 139 CA Employers Exposed - 8/4/2025
12. Starbucks, Are You Paying Attention? Sedgwick’s Numbers Don’t Match - 8/6/2025
13. CA DWC Ignores Law and Leaves Ortho Practice Unpaid - 8/19/2025

Medical Provider Network (MPN) Abuse

1. Orange County & Sedgwick "No Telehealth" Policy - 4/29/2024
2. Despite Orange County/Sedgwick Whims, Telehealth Is Payable - 4/30/2024
3. Orange County/Sedgwick: Preposterous MPN Telehealth Claim - 5/1/2024
4. Orange County/Sedgwick Inflict MPN Mayhem - 5/2/2024

Connections to Private Equity

1. Sedgwick: Private Equity Makes Obscene Profits - 9/9/2024
2. Carlyle: How Private Equity Feeds on CA Workers' Comp - 9/11/2024

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