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Question :
How do I get access to Sedgwick CMS' Client Site?
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Answer :
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Access to Sedgwick CMS' Client Site is assigned by Sedgwick CMS based on arrangements with our client's corporate offices. Due to confidentiality issues and access limitations, Sedgwick CMS will only provide site access to certain Human Resources and Benefits Personnel. If you are interested in having access to our site, please contact your corporate Human Resources or Benefits Personnel for further information.
Once it has been determined that access will be provided, Sedgwick CMS will contact you directly and provide you with a Log-in ID and Password to access the site. |
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Question :
Who do I contact if I'm having a problem logging in or have lost my Log-in ID or Password?
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Answer :
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In order to log in to Sedgwick CMS' Client Site, you need a User ID and password and need to be approved by Sedgwick CMS (and your Company, if necessary) to have access to the Client site. If you are having problems with, have forgotten your Log-in ID or Password or you wish to cancel your log-in or change your password at any time, please contact your Sedgwick CMS Account Manager for assistance.
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Question :
How do I see the status of my employee's leave?
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Answer :
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After logging on, click "claims" from the navigation bar. Click the claim number you would like to view; the claim will appear. The current status will appear on the screen. For a more detailed description of the status, click "View Claim Details" to view the current status and most recent payment information. Use your browser "back" button to return to the previous screens.
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Question :
How do I see recent payments and payment history on a paid leave claim?
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After logging on, click 'Claims' from the navigation bar. Click the claim number you would like to view; the claim will appear. Click 'View Claim Details' to view current status and most recent payment information. For payment history and details, click 'View Details and Payment History'. A list of all payments will be displayed. To view details on a specific payment, click 'Payment Details' to view taxes, offsets, credits, etc. (if applicable). Use your browser 'back' button to return to the previous screens.
Please note '" if Sedgwick CMS is not producing actual benefit payments for your employees, you will see Voucher information and Voucher History, rather than payment history. If dollar amounts appear, these amounts are the 'adjusted gross' that Sedgwick CMS has reported to the employee and taxes and other deductions will be taken out by they employer when the payment is processed. |
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Question :
What if an employee that appears on the "Claims Missing Eligibility Data" screen is not our employee?
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Answer :
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If you receive an email notification of a claim filed and the employee listed is not one of your employees, simply reply to the email indicating to Sedgwick CMS that this is not one of your employees and Sedgwick CMS will remove the employee from your list of claims (please allow up to 4 business hours for this to occur). If you notice this error while in the system, click on the Claim Data Input button on the left navigation bar and then select the claim. Under the Employer Claim Notes field enter a note to indicate that this is not one of your employee's. Click on the Update Record button. Sedgwick CMS will receive the information and remove the employee from your list of claims (please allow up to 4 business hours for this to occur). |
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Question :
How do I view reports on the web?
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Answer :
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This utility provides you with the ability to performing real-time queries against your company-specific claims and payment data. Our on-line reporting system is designed to support our clients' preferences for information, by allowing you to selectively retrieve individual or groups of claims by a wide variety of criteria, including disability period, business unit, or claim status.
Please follow the simple steps below to generate your customized disability claim report:
Select the fields you would like to have on your report and select 'Continue'. (The employee name, last 4 digits of Social Security Number, and claim number will appear on all reports.)
Drill down to the desired plan and/or organizational level of claim activity detail by making your selections from each of the screens, as described below, and selecting 'Continue' after each screen:
- Client Name: Narrow your query further by choosing the specific Client Name you want. Note: The Client Name is associated with the Client Number Sedgwick CMS has assigned you. You may have more than one Client Number if more than one disability checking account exists or if they were assigned for procedural reasons.
- Plan Number: Continue to refine your query by selecting plan number(s) from among all possible plans you have. Note: you may have a different plan for each of the various plan types we administer for you (i.e., ERISA STD, LTD, New York DBL, California Voluntary plan, etc.)
- Business Unit: If Sedgwick CMS is capturing and verifying the Division Number and/or Work Location Number on your claims, you will have the ability to refine your query one additional step by selecting a particular Division or Work Location. If Sedgwick CMS is not capturing this information, this screen will not appear.
Once your data is displayed on the screen, you have the following options:- View payment and status details of a particular claim by clicking on the individual Claim # hyperlink.
- Sort your data by Claim Number, Last Name, Disability Date, or Claim Status Code. Simply choose one of the four options on the Sort By drop down menu at the top of the screen; select 'Sort' to resort your data..
- Search for claims on a particular employee using Claim Number, Last Name, or last four digits of the employee's SSN. Simply choose one of the options on the Search By drop down menu at the top of the screen, enter the criteria; select 'Search' to bring up your requested data..
- Save your report settings (i.e., Client, Plan and Business Unit selection) by selecting the option Save Report Settings at the top of the report. Select an empty slot from the 5 slots on the screen (if no empty slots exist, you may overwrite an existing report setting). Enter a name for the report selection criteria and click "Save". Saved report settings will always display current data only. The saved report setting will appear on the second page of Client Reporting (after you choose the fields for your report) the next time you access a report..
- Print your report by selecting Printer Friendly Version at the top of the report. The report will appear on your screen in a print ready format. IMPORTANT: Set your printer settings to landscape, and reduce to fit on page, for optimal printing. Should your printing results be less than optimal, use the download file option instead and load the data into a program that will allow you to print it, as you like..
- Download your report by selecting Download This Report (.csv format) at the top of the report. You will be prompted to either 'open' the report or 'save' it. We suggest you save the report to a drive on your computer, as it will be faster to manipulate the data and create your report.
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Question :
Who do I Contact for Report Requests that are not available through the Web Site?
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If the data provided on Sedgwick CMS' website is not enough to provide you with the information you are looking for, and you need assistance with creating special reports, need information on state reporting requirements or need assistance using the reporting function on the website, please contact your Account Manager for assistance.
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Question :
How do I Input Employee Eligibility Information?
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Answer :
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If you providing eligibility information to Sedgwick CMS via the web, you will be receiving notification emails each time an employee files a claim with Sedgwick CMS. At that time we are requesting you to provide Sedgwick CMS with eligibility information directly online.
To enter employer eligibility information on a waiting claim, just click Eligibility Input from the navigation bar. From there, you may view a list of all current claims that are Missing Employer Data. Click on the claim you wish to enter the eligibility information, and the input screen will appear with the claim number you selected.
Please answer all questions on the form, verify the information is correct, and click the SUBMIT button to provide the information to Sedgwick CMS. They system will request that you review the information one last time before submitting. If the data is correct, click OK. If you wish to make a change, click Cancel, return to the screen and make any necessary changes before clicking the SUBMIT button again.
If Sedgwick CMS has been instructed to take elective deductions from your employee"s disability check for a particular plan, once you click SUMBIT, after completing the first page of employer eligibility information, a "Sedgwick CMS Elective Deduction Entry" screen will automatically pop up. After confirming that you want elective deductions taken from this employee"s check, you will need to select the deduction type from the drop down box. After selecting the type you will then need to enter the dollar amount of the deduction and the deduction cycle (i.e. daily, weekly, monthly, etc). If there is a particular start or end date, those should be entered as well. A separate entry will need to be made for each type of deduction. Please note: if Sedgwick CMS is taking a 401k plan deduction, you have the option to select a deduction as a % of pay instead of an exact dollar amount.
Once you submit all the required information (including elective deductions, if applicable) you will be presented with a confirmation page and the information will be immediately sent to Sedgwick CMS. At the same time, you will be sent a confirmation email. This confirmation email can also be stored or printed for your confirmation of the Employer"s Notice of claim filed and you may reply to the email if there are any corrections that need to be made to the information provided.
Sedgwick CMS will load this information into their system during regular business hours only. It may take up to 4 business hours to load the data into the system. If you wish to provide additional information on this claim (or make a correction to the information you provided), you may do so by entering an Employer Claim Note in the Claim Data Input screen. (See "How do I enter an Employer Claim Note" for additional information).
To enter eligibility information on another claim, just click on Eligibility Input from the navigation bar to return to the list of all current claims that are missing employer data. The claim you previously entered will not be on the list, so the remainder of the claims listed, are those still needing employer eligibility information. |
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Question :
How do I Input an Employer Claim Note?
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The Employer Claim Note entry is located on the Claim Data Input screen. This should be used to supply information to Sedgwick CMS that you want to be stored with the claim and that does not require a timely response back to you. If you need a timely response to a question regarding a claim, contact the Disability Benefit Specialist via phone instead.
To enter a claim note, just click Claim Input Data from the navigation bar to view a list of all current claims. Click on the claim for which you wish to enter the claim note, and the Claim Data Input screen will appear with the claim number you selected.
Enter your information in the Employer Claim Note section of the screen and click the Update Record button when you are ready to send the information to Sedgwick CMS. Sedgwick CMS will load this information into their system during regular business hours only. When the information is loaded in the system a notification will be sent to the Disability Benefit Specialist to alert them there is information from you to review on the claim.
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Question :
How do I Input a Termination Date?
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Answer :
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The Termination Date entry is located on the Claim Data Input screen. Just click Claim Input Data from the navigation bar to view a list of all current claims. Click on the claim for which you wish to enter the Termination Date, and the Claim Data Input screen will appear with the claim number you selected.
Enter the Termination Date in the indicated field. When finished, click the Update Record button at the bottom of the page to submit the information to Sedgwick CMS.
Sedgwick CMS will load this information into their system during regular business hours only. When the information is loaded in the system, a notification will be sent to the Disability Benefit Specialist, alerting them that there is new information from you to review on the claim.
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Question :
How do I inform Sedgwick CMS of an employees Return to Work Date?
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The Return to Work Date entry is located on the Claim Data Input screen. Just click Claim Input Data from the navigation bar to view a list of all current leaves. Click on the claim number for which you wish to enter the return to work date, and the Claim Data Input screen will appear with the claim number you selected.
Enter the Return to Work Date in the indicated field. When finished, click the Update Record button at the bottom of the page to submit the information to Sedgwick CMS.
Sedgwick CMS will load this informati' (Active) and the claim has not been paid past the RTW date you entered, once Sedgwick CMS loads the date into the system, the system will automatically change the Benefit Approved Thru Date to the date you have entered, and benefit payments will not be paid beyond that date. If the claim has been paid beyond the RTW date you entered, Sedgwick CMS will not be able to load the date in the system and the Disability Benefit Specialist will review the claim for potential overpayment.
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