Use this job to gain experience and move on quickly! - Claims Examiner II Sedgwick Employee Review

2.0
Jun 1, 2014
Recommend
CEO approval
Business outlook

Pros

This is the best computer system in the industry. The pay is okay for starting without much experience. The coworkers are excellent. Office is conveniently located. Full time it is 37.75 hours per week.

Cons

Management plays favorites and if you are not on the list you will be cut from employment quickly. there are practically no men working in this office whatsoever. There are no chances for advancement unless you are willing to relocate to another state. Human Resources is a joke as everything and everyone is geared to support management and there is NO support for the employee. let me say that again NO support for the employee they will always rule against you in all facets of work from your opinion to how the claim should be handled versus the account. Human Resources is never on your side. If there is a complaint against you if it is full you are looked at as you are wrong. They lead you in with a work balance life but that is not the case. Be prepared it to work at least 60 hours a week and probably log on from home to maintain your caseload. There are no bonuses. No Christmas bonuses. Performance bonuses are pathetic. Can you imagine working all year and getting a 25 cent increase?! most of management is ignorant to how claims should be handled. They have no clue what it takes to get the job done. They are not trying to learn what it takes to get the job done. They're only goal is to appease the account. Very typical for a TPA. Once business is lost or an account is lost be prepared for layoffs immediately! The people they put in charge are never the most knowledgeable but the ones who will do whatever their manager says to do without question. there is always a lot of office gossip going around. The women working there are very messy and petty.

Explore other reviews about Sedgwick

5.0
Jul 1, 2026
Recommend
CEO approval
Business outlook

Pros

Good training program and good management in my personal experience

Cons

Guidance on how to grow within the company is unclear

1.0
Jun 22, 2026
Recommend
CEO approval
Business outlook

Pros

The benefits are okay I suppose but they'll deduct your PTO from your severance pay. It's basically a ripoff loan.

Cons

-Constant harassment and hounding from Team Leads. -Unrealistic expectations for case load productivity. Mind you, the maximum expected amount of diaries to be completed is 80+. You're expected to make and take calls while also juggling case notes, emails,and Teams messages that pull you away from your current task. And the workload is moved constantly, regardless of an employee is absent,tardy, or even still present despite being heavy across the board. But you're expected to finish it all "productively" within 8 hours. No overtime and minimal assistance. -Good audit scores don't matter. You could have 98% to 100% , leadership will burn you for missing a few notes or if you're behind on other people's work while also being behind on yours. They say they're understaffed but they refuse to hire more people unless it's your replacement. -You're practically working on a sinking ship.

See reviews by: Helpful|Rating|Date|All