Evidently, with that one phone call I am now pain free and can do what I haven’t been able to do with one month of physical therapy.All I have is an email to my employer about a verbal consultation with my doctor that I was not a part of.As a third party administrator Sedgwick may have the authority to approve or deny a disability insurance claim, but the money to actually fund the disability benefit is not paid by Sedgwick.For example, Sedgwick is the claims administrator for the AT&T disability plan, but the money to pay benefits, if approved by Sedgwick, comes from AT&T.I was a good employee for 3 years and I am dissabled now trying to recover from foot surgery and this is the treatment i get. But the 2nd one is the one I’m having the most trouble with. My surgery failed from the first claim and they don’t want to pay for it. First time I tried to claim, they used every paperwork not filled out by doctor, paperwork not submitted etc. Employer has me collect unemployment until I can come back to work (Frito-Lay).
Doctor puts me off work and Sedgwick for over a month now keeps finding faults with my paperwork and closes 3 cases in a month that I had to keep refiling for. I was in a car accident, not my fault, with broken ribs and several other bruises.
I feel Qualcom benefits dept should get involved to watch over ther employees so they want be abused like this. Not the best, but I do feel that they pay off doctors.
After this treatment who would ever want to work for Qualcom because of the treatment from a CMS. My impairment rating was fixed, I’m sure of it, seeing that I went to another doctor and he said that my impairment should have been WAY higher. Doctor said can not work, employer agreed, but Sedgwick says not enough.
Sedgwick, or better know as Sedgthug, is out for the best interest of the employer, not you.
If you work for a self insured company such as Frito Lay, like I do, expect to be screwed. claim and Sedgthugs worked closely with Frito Lay to find doctors that they could pay to claim that it was a non work injury (,000.00 to one doctor).