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Sedgwick Claims Management Services, Inc

Sedgwick Claims Management Services, Inc 2026

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The document is a 'Release to Return to Work Form' from Sedgwick Claims Management Services, Inc., which must be completed by an employee and their health care provider if the employee's medical leave exceeds 10 consecutive workdays. It outlines the responsibilities of the employee to submit the form prior to returning to work, and includes sections for both the employee and health care provider to confirm the employee's ability to return, any restrictions or accommodations needed, and necessary signatures.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out the Employee section. Enter your name, claim number, employee ID, and the dates for when your leave began and your expected return to work.
Sign and date the form in the designated areas to confirm your understanding that you cannot return without a release from your health care provider.
Next, provide this form to your Health Care Provider. They will need to complete their section by certifying your ability to return to work and indicating any restrictions or accommodations necessary.
Ensure that the Health Care Provider fills in their signature, date, and contact information before submitting the completed form.
Finally, fax a copy of the completed form to Sedgwick at 1-866-856-4862 as required by your supervisor.

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Versions	Form popularity	Fillable & printable
2022	4.8 Satisfied (52 Votes)
2022	4.7 Satisfied (37 Votes)
2022	4.9 Satisfied (41 Votes)
2021	4.5 Satisfied (50 Votes)
2021	4.8 Satisfied (114 Votes)
2021	4.3 Satisfied (37 Votes)
2020	4.7 Satisfied (27 Votes)
2020	4.6 Satisfied (59 Votes)
2020	4.8 Satisfied (137 Votes)
2020	4.8 Satisfied (121 Votes)
2020	4.8 Satisfied (25 Votes)
2020	4.1 Satisfied (58 Votes)
2020	4.6 Satisfied (40 Votes)
2020	4.6 Satisfied (56 Votes)
2020	4.4 Satisfied (58 Votes)

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is Sedgwick known for?

As the global leader in claims administration, loss adjusting, benefits administration and product recall, no one has done more to help people navigate the unexpected.

What is a Sedgwick claim?

Sedgwicks job is to administer claims, such as those involving workers compensation, injury liability, or property damage. It investigates incidents and either recommends or directly authorizes settlements, depending on the authority granted by the insurer or employer.

Who owns Sedgwick claims?

About Sedgwick Sedgwicks majority shareholder is The Carlyle Group; Stone Point Capital LLC, Altas Partners, CDPQ, Onex and other management investors are minority shareholders.

What does Sedgwick Claims Management Services do?

Sedgwick will handle the claims process for everything from car crashes, workers comp, premises liability (including slip and falls), other injuries, disability, FMLA, and professional liability (including medical malpractice).