I had the unfortunate experience of dealing with Sedgwick during a recent medical emergency that required me to take Medical Leave under the Family and Leave Act (FMLA). My experience with this organization has been nothing short of a nightmare, and I feel compelled to share my story with others.
To provide some context, I am employed as an Application Developer with a cable company. On September 30, I got married and began a pre-planned vacation with my wife, scheduled from October 2 to October 6. While on vacation, on October 5, I started experiencing excruciating abdominal pain that ultimately led me to the emergency room. Subsequently, I was admitted to Northside Medical Hospital for a severe ulcer in my stomach, loss of consciousness, and constant blood vomiting. It took me some time to regain my strength from all the blood loss.
Upon my discharge from the hospital, I was informed by my healthcare provider that I was medically fit to return to work. I promptly initiated the process of providing the necessary documentation to support my return to work and contacted Sedgwick, the company responsible for handling FMLA leave.
Here's where the nightmare begins: Despite providing all the required medical documentation and my doctor's approval, I have been consistently informed that my documents are "pending review," with no indication of when this prolonged process will finally conclude. This has raised serious concerns about the delay in receiving my paychecks due to the protracted delay in my return to work.
To make matters worse, my interactions with my assigned case manager were nothing short of distressing. Despite uploading all the necessary medical documentation, this case manager insisted that I needed an additional "return to work" document because the previous one had apparently "expired." This left me flabbergasted, as the delay in obtaining this document was entirely due to their drawn-out review process.
In an attempt to find some resolution, I requested to speak with the case manager's supervisor. However, despite the assurance of a callback, it never materialized. This blatant lack of professionalism and disregard for my concerns is simply unacceptable.
Over the past few weeks, I had made numerous calls to Sedgwick inquiring about the status of my claim and whether I would receive payment for the time I was unable to work. The frustrating part was that every time I contacted a Sedgwick agent, I would ask them about my eligibility for payment, and every time, I was met with evasive responses. I was repeatedly told that my case was "pending" and that I should seek answers from my case manager.
However, the truth finally came to light during my call to Sedgwick yesterday. To my utter dismay, I was informed that I would not be paid for the days I was unable to work during my medical leave, and the reason for this was a waiting period of 7 days. During these 7 days, I was expected to use my personal time off to cover the loss of income. Only after these 7 days would I be eligible for payment, and that payment would only cover two days of approved leave - October 16 and October 17. Every day of my absence from October 17 onwards would go unpaid.
The agent further explained that to be considered for back pay, I would need to create an additional claim extension supported by documentation showing that I am still under a doctor's care and require weekly visits. However, even if I were to comply with this requirement, my care team at Kaiser could only provide one doctor visit per month, making it impossible to meet this criteria. It was infuriating to learn that this information, which could have made a significant difference, was intentionally withheld from me until it was too late for me to act upon it.
I requested to speak with a manager to address these grievances, but to my dismay, the manager simply reiterated the same information. I expressed my frustration at being denied the opportunity to return to work earlier, as there is concrete evidence of my ability to do so via faxed documents. Yet, my case manager seemingly never received these crucial documents, setting me up for failure from the start.
My experience with Sedgwick has been characterized by a shocking lack of transparency, evasive communication, and a disregard for my financial well-being and peace of mind. The situation could have been entirely different had I been informed of the specific requirements to secure back pay in a timely manner.
This situation has led to substantial financial stress and undue anxiety, all of which could have been avoided if Sedgwick had simply handled my case efficiently and professionally.
In sum, my dealings with Sedgwick have left me deeply dissatisfied, and I wholeheartedly advise anyone in this organization's services to look elsewhere. My hope is that by sharing my experience, I can prevent others from enduring the same distressing journey I have undertaken.