Sedgwick Government Solutions

What Sedgwick Government Solutions does

Sedgwick Government Solutions (SGS) is a federal government contractor providing workers' compensation claims management, medical case management, third-party administration, and related risk services to U.S. federal agencies. Headquartered in Bethesda, Maryland, the company operates with 330+ employees across clinical, analytical, and technical roles and serves more than 20 federal agencies, including the Department of Homeland Security, Department of Labor, Centers for Disease Control and Prevention, and the Federal Emergency Management Agency.

The company's core proprietary technology is WebOPUS® Federal, a FedRAMP Ready, web-based case and claims management platform with rule-based situational alerts, document storage, workflow management, and compliance features aligned to FISMA, NIST, and FedRAMP requirements. Around this platform SGS delivers eight service lines: workers' compensation, auto liability, property (including catastrophe response), contact center operations, disability and absence programs, national provider networks (access to roughly 900,000 providers), and third-party administration. The platform and operations are supported by ISO 9001:2015 and SOC 2 certifications.

SGS is a wholly-owned subsidiary of Sedgwick, a global claims management firm majority-owned by The Carlyle Group. The business traces its federal contracting heritage to 2003 through Managed Care Advisors (MCA), which Sedgwick acquired in 2021 and rebranded as SGS in July 2023. Revenue is generated through multi-year government contracts structured as BPAs, IDIQs, and direct RFP awards. Notable recent wins include a five-year, $360 million Department of Labor contract (2025), a five-year, $71 million Department of Homeland Security contract (2026), and an $87 million CDC World Trade Center Health Program contract (2026).

Name

Sedgwick Government Solutions

Legal name

Sedgwick Government Solutions, LLC

Website

https://sedgwickgovernment.com

Company type

Private

Founded year

2003

Operating status

Operating

Headcount range

101–250 employees

Short description

Sedgwick Government Solutions is a federal contractor providing workers' compensation claims management, medical case management, and third-party administration to U.S. federal agencies. The Bethesda-based Sedgwick subsidiary operates the proprietary WebOPUS® Federal platform and serves 20+ agencies including DHS, DOL, and CDC.

Ownership category

akta.pro rank

Product category

Federal Government Claims Management and Managed Care Services

NAICS

Vocational Rehabilitation Services (6243), Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs) (92313), Health and Welfare Funds (525120)

SIC

Services-Engineering, Accounting, Research, Management (8700), Services-Computer Programming, Data Processing, Etc. (7370)

akta.pro primary industry

Workers’ Compensation & Occupational Health TPA (HLAEALAL)

akta.pro secondary industries

Work Injury & Workers’ Compensation / Occupational Injury Benefits (BPAIAKAJ), Government Program Administrative Services (Medicare/Medicaid ASO/TPA) (HLAEALAO)

Keywords

• Federal workers compensation
• Government claims management
• Third-party administration
• Medical case management
• Property loss adjusting

Headquarters

HQ city

Bethesda

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Government Contract Services - Workers' Compensation: Sedgwick Government Solutions generates revenue through multi-year government contracts to provide workers' compensation services to federal agencies. Contracts include medical case management, claims administration, nurse intervention services, and vocational rehabilitation programs. Revenue is earned through negotiated contract terms with government agencies including DHS, DOL, and CDC.
2. Third-Party Administration Services: Comprehensive TPA services including bill review and processing, utilization review, national provider network access, and technology solutions. Services are bundled or unbundled based on client requirements.
3. Property Loss Adjusting Services: Property services for government agencies including catastrophe response, loss adjusting, claims administration, and temporary housing coordination for government agencies and the people they serve.
4. Contact Center Operations: 24/7 customer service and contact center operations configured to client and program specifications, including toll-free injury reporting hotlines.

Pricing tiers

Go-to-market motion2 records

Distribution channels1 record

Marketing channels5 records

Core offering

Sedgwick Government Solutions provides federal agencies with tech-enabled workers' compensation claims management, medical and vocational case management, third-party administration, property loss adjusting and catastrophe response, auto liability, disability and absence, contact center operations, and access to national provider networks. Services are delivered through multi-year government contracts (BPA, IDIQ, RFP) and supported by the proprietary WebOPUS® Federal case and claims management platform with FedRAMP Ready compliance.

Product overview

Sedgwick Government Solutions operates as a tech-enabled claims and risk management platform serving federal agencies. The company's core proprietary technology is WebOPUS® Federal, a web-based case and claims management system that serves as the central platform for workflow management, clinical decision-making, document storage, and reporting. Around this platform, the company offers a comprehensive suite of eight distinct service offerings: auto liability claims management, contact center operations, disability and absence programs, national provider networks (access to ~900,000 providers), property services (including catastrophe response), third-party administration (TPA), and workers' compensation services. These services work together as an integrated ecosystem—WebOPUS® Federal provides the technology backbone while the service offerings address specific claims and risk management needs across the federal government sector.

Differentiator

Problem solved

Functional benefit

Brands

• WebOPUS® Federal: Proprietary web-based case and claims management, reporting and document storage system designed for federal government agencies with features including situational alerts, workflow management, and compliance with U.S. Federal Systems Security and Privacy requirements.

Products and services

• WebOPUS® Federal (Technology solution) Proprietary web-based case and claims management, reporting and document storage system designed for federal agencies, featuring maximized data capture, workflow management, clinical decision-making support, case documentation generation and storage, confidential communications, visibility of ancillary services, and standard and ad hoc reporting. Compliant with U.S. Federal Systems Security and Privacy requirements.
• Auto liability End-to-end, customizable auto support for government vehicle claims including first- and third-party liability claims, loss adjusting, program administration, auto appraisals, and direct repair program network access.
• Contact center Customer service centers offering live, toll-free customer service and support 24/7 with multilingual representatives, quality assurance programs, and operational features for federal agency clients, including injury reporting hotlines.
• Disability and absence Comprehensive suite of disability and absence programs for federal agencies including short- and long-term disability claims management, ADA accommodations, and leave of absence administration.
• National provider networks Customizable provider networks providing access to approximately 900,000 medical and ancillary service providers across the U.S. and all U.S. territories, with credentialing processes ensuring industry standards compliance.
• Property Property services including catastrophe response, loss adjusting, claims administration, temporary housing coordination, and major/complex loss handling for government agencies.
• Third-party administration (TPA) Comprehensive federal TPA services including bill review and processing, utilization review, national provider networks, and cloud-based technology solutions spanning the entire claim continuum.
• Workers' compensation Federal workers' compensation services including first notice of injury hotline, medical case management, claims support, reporting and analytics, and administration of USL&H, FELA, and DBA claims.

Quantifiable outcome

• Reduced number and duration of lost time injuries through early intervention and care coordination
• +3 more outcomes

Named customers19 records

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature4 records

Partnerships

One partnership is on record.

• SedgwickcoreOthers · 1 January 2021Sedgwick Government Solutions is a wholly-owned subsidiary of Sedgwick, a leading global provider of technology-enabled risk, benefits and integrated business solutions. Sedgwick provides the parent company's 31,000 colleagues across 80 countries, brand reputation, and operational infrastructure. Sedgwick's majority shareholder is The Carlyle Group with Stone Point Capital LLC, CDPQ, Onex and other management investors as minority shareholders.

Scale indicators8 records

Recent moves7 records

Expansion highlights5 records

Direct peers

• York Risk Services Group: National claims management and TPA firm with workers' compensation specialization. Rob Edelman (SGS SVP) previously led sales at York, illustrating direct talent and market overlap.
• Gallagher Bassett Services: Large third-party claims administrator offering workers' compensation, liability, and disability claims management. Competes with SGS for federal workers' comp contracts and shares the TPA + managed care delivery model.
• CorVel Corporation: Public managed care company providing workers' compensation claims management, medical case management, and TPA services to employers and government entities. Highly comparable as both a federal workers' comp contractor and TPA operator with proprietary technology.
• Genex Services: National managed care provider specializing in workers' compensation case management, utilization review, and vocational rehabilitation—directly mirroring SGS's DOL nurse and vocational rehabilitation contract scope.
• Helmsman Management Services: Liberty Mutual subsidiary providing TPA services for workers' compensation, auto, and disability claims. Direct competitor in TPA and managed care services for mid-market and government-adjacent clients.
• TRISTAR Government Risk Management: Veteran-owned managed care and TPA firm serving federal agencies including DOL OWCP and VA. Directly comparable federal workers' comp contractor with case management and vocational rehabilitation offerings.

Emerging players

• EK Health Services: Workers' compensation managed care company offering case management, utilization review, and medical bill review. Niche federal and state workers' comp competitor with overlapping clinical service capabilities.
• Concentra (SelectMedical): Occupational health and urgent care provider with workers' compensation case management capabilities. Comparable in clinical service delivery for injured federal workers, though more commercial-focused.

Others

• Managed Care Advisors (MCA): Predecessor entity to SGS, acquired by Sedgwick in 2021 and consolidated under the SGS brand in 2023. No longer operates as a separate competitor but represents SGS's own legacy federal contracting heritage.

Broad incumbents

• Sedgwick (Parent Company): Global claims management leader with 31,000 colleagues serving state/local governments and commercial clients. SGS operates as the federal-focused subsidiary, but Sedgwick's broader public entity practice represents both parent and overlapping competitor.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat5 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/sedgwick-government-solutions

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles8 records

Subsidiaries1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Sedgwick Government Solutions