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.
These inept (or purely evil?) criminals cost me my job and jeopardized my home and family with their obstructive tactics.
I was just fired last week (April 18, “Good” Friday) from an AT&T Mobility call center in Tulsa, OK, where I’ve worked for 16 months as a Customer Care Rep. In Dec 2013/ Jan 2014 there were multiple ‘bugs’ going around in my work area. After about two weeks of dealing with an uncontrollable cough that progressively interfered more and more with my ability to handle calls, I woke up on Jan 01 in a cold sweat, dryheaving, thinking I had a stomach virus.
Next day I went to an Urgent Care clinic near my home, was swabbed, tested, diagnosed with bronchitis, given a heavy antibiotic (Zpack, which made me worse for 48 hrs before getting better), a pill Rx, and albuterol inhaler. I missed 4 work days. Jan 3 was an off day, no penalty, but the absence added 4 attendance points to my then SIX. Termination level is 8, so the claim was do-or-die. I returned to work on Jan 6, found that two others on my team were also out with bronchitis, one hospitalized, and I put in my FMLA request. I gave them my cell number and my personal email address, and requested updates to be sent there, because I knew my “work email,” which can only be accessed when I’m clocked in and taking calls, with every second being monitored, was VERY difficult to keep up with, especially when still not quite back to normal yet. I didn’t want even a chance of missing an update. (Hold THAT thought for a minute.) I called the clinic where I’d been diagnosed, emailed them the form I was sent, gave them my Visa info to charge me for sending the fax. They faxed it in on Jan 12, six days after my return to work.
Two days later, unbeknownst to me, a reply was sent to the very email address I did NOT want to have to rely on, with nothing sent to my personal email, which as I said, was the one I expected it to be sent to. And of course I was late finding it too. That was the very reason I wanted it kept OUT of that inbox in the first place, so it could be done more methodically, in an email acct I could access on my own time. Nothing had come to my personal email. The reply I found late said “Documentation that would meet (our) requirements WAS NOT received within the allotted time period.” This email also contained an FMLA physician form. It seemed to look a little different. I notified the clinic of the problem, and at that time they informed me that the form I had sent them originally was NOT even an FMLA form, but an AT&T Worker’s Comp form… (Sedgwick had sent me the wrong form the first time)… but they told me that they had put my info into it anyway and sent it on to prevent a delay. They agreed to send another, in the proper format (WHICH I NOW HAD), at no charge due to the extenuating circumstance. However, the rules of the clinic dictated that only the doctor who examined me could legally fill out this form, and that doctor worked in another town two weeks out of every month. So I had to wait for the doc to return to town before it could be done. I called the FMLA office, informed them of the situation, and they told me that the deadline had passed, but that the deadline for any ADDITIONAL info to be sent in was going to fall on the day after the doctor’s return to the clinic in my town. It was skin-of-the-teeth timing, but barely safe, or so I thought. (Even so, IT WAS OUT OF MY CONTROL.) The doc’s first day back in town, I was there, with the right form, and the info was faxed in FOR THE SECOND TIME as I watched, all because Sedgwick had started the process by throwing me a curveball I had to deal with and a mess to clean up. My claim was final denied, and the excuse given was “lack of a sufficient reason for the untimely submission,” even though the delay was their fault, a result of their sending me the wrong form to start with. Add to that the delay caused by their sending my reply to the very email I requested they NOT use (due to the KNOWN difficulties in keeping on top of it), plus the delay of the doctor being out of town, which my conversation with them had led me to believe had been taken into consideration.
My final FMLA denial had one single sentence at the bottom, in lighter font (set up to be overlooked), mentioning something called an IDSC claim, which I had never heard of before (FMLA is more a household term). This was another ATT acronym (don’t get me started on “Acro-nese,” a language born of neccessity due to being so rushed that we don’t have time to use real words) for “integrated disability service center,” and since I am not a “disabled” person, never been on disability, don’t fall into any “protected class,” I dismissed it as not pertinent; and despite all the hands-on help available for literally everything (else) done in that call center, even filing insurance or 401k, I was blind to the fact that this secondary claim could help even ME, until a manager clued me in and advised me to file IDSC claim ASAP. I did, that very morning. Proper form was sent this time. I saw what the doctor wrote. No way this one will fail, right? (THIS IS MY THIRD TIME TO SEND THESE PEOPLE DOCUMENTATION, the same info in three different formats now.) THAT claim gets denied, due a time window that had already passed before I filed it. The FMLA denial’s single sentence in the footer about this IDSC claim also said that IDSC had to be filed within ten days of FMLA denial, a date which had passed before my IDSC claim was started. But Sedgwick didn’t inform me that it was a wasted effort (and a wasted faxing fee) until the denial of that claim.
Sedgwick CMS Reviews
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.
These inept (or purely evil?) criminals cost me my job and jeopardized my home and family with their obstructive tactics.
I was just fired last week (April 18, “Good” Friday) from an AT&T Mobility call center in Tulsa, OK, where I’ve worked for 16 months as a Customer Care Rep. In Dec 2013/ Jan 2014 there were multiple ‘bugs’ going around in my work area. After about two weeks of dealing with an uncontrollable cough that progressively interfered more and more with my ability to handle calls, I woke up on Jan 01 in a cold sweat, dryheaving, thinking I had a stomach virus.
Next day I went to an Urgent Care clinic near my home, was swabbed, tested, diagnosed with bronchitis, given a heavy antibiotic (Zpack, which made me worse for 48 hrs before getting better), a pill Rx, and albuterol inhaler. I missed 4 work days. Jan 3 was an off day, no penalty, but the absence added 4 attendance points to my then SIX. Termination level is 8, so the claim was do-or-die. I returned to work on Jan 6, found that two others on my team were also out with bronchitis, one hospitalized, and I put in my FMLA request. I gave them my cell number and my personal email address, and requested updates to be sent there, because I knew my “work email,” which can only be accessed when I’m clocked in and taking calls, with every second being monitored, was VERY difficult to keep up with, especially when still not quite back to normal yet. I didn’t want even a chance of missing an update. (Hold THAT thought for a minute.) I called the clinic where I’d been diagnosed, emailed them the form I was sent, gave them my Visa info to charge me for sending the fax. They faxed it in on Jan 12, six days after my return to work.
Two days later, unbeknownst to me, a reply was sent to the very email address I did NOT want to have to rely on, with nothing sent to my personal email, which as I said, was the one I expected it to be sent to. And of course I was late finding it too. That was the very reason I wanted it kept OUT of that inbox in the first place, so it could be done more methodically, in an email acct I could access on my own time. Nothing had come to my personal email. The reply I found late said “Documentation that would meet (our) requirements WAS NOT received within the allotted time period.” This email also contained an FMLA physician form. It seemed to look a little different. I notified the clinic of the problem, and at that time they informed me that the form I had sent them originally was NOT even an FMLA form, but an AT&T Worker’s Comp form… (Sedgwick had sent me the wrong form the first time)… but they told me that they had put my info into it anyway and sent it on to prevent a delay. They agreed to send another, in the proper format (WHICH I NOW HAD), at no charge due to the extenuating circumstance. However, the rules of the clinic dictated that only the doctor who examined me could legally fill out this form, and that doctor worked in another town two weeks out of every month. So I had to wait for the doc to return to town before it could be done. I called the FMLA office, informed them of the situation, and they told me that the deadline had passed, but that the deadline for any ADDITIONAL info to be sent in was going to fall on the day after the doctor’s return to the clinic in my town. It was skin-of-the-teeth timing, but barely safe, or so I thought. (Even so, IT WAS OUT OF MY CONTROL.) The doc’s first day back in town, I was there, with the right form, and the info was faxed in FOR THE SECOND TIME as I watched, all because Sedgwick had started the process by throwing me a curveball I had to deal with and a mess to clean up. My claim was final denied, and the excuse given was “lack of a sufficient reason for the untimely submission,” even though the delay was their fault, a result of their sending me the wrong form to start with. Add to that the delay caused by their sending my reply to the very email I requested they NOT use (due to the KNOWN difficulties in keeping on top of it), plus the delay of the doctor being out of town, which my conversation with them had led me to believe had been taken into consideration.
My final FMLA denial had one single sentence at the bottom, in lighter font (set up to be overlooked), mentioning something called an IDSC claim, which I had never heard of before (FMLA is more a household term). This was another ATT acronym (don’t get me started on “Acro-nese,” a language born of neccessity due to being so rushed that we don’t have time to use real words) for “integrated disability service center,” and since I am not a “disabled” person, never been on disability, don’t fall into any “protected class,” I dismissed it as not pertinent; and despite all the hands-on help available for literally everything (else) done in that call center, even filing insurance or 401k, I was blind to the fact that this secondary claim could help even ME, until a manager clued me in and advised me to file IDSC claim ASAP. I did, that very morning. Proper form was sent this time. I saw what the doctor wrote. No way this one will fail, right? (THIS IS MY THIRD TIME TO SEND THESE PEOPLE DOCUMENTATION, the same info in three different formats now.) THAT claim gets denied, due a time window that had already passed before I filed it. The FMLA denial’s single sentence in the footer about this IDSC claim also said that IDSC had to be filed within ten days of FMLA denial, a date which had passed before my IDSC claim was started. But Sedgwick didn’t inform me that it was a wasted effort (and a wasted faxing fee) until the denial of that claim.