We serve nearly 100,000 clients and handle almost half of all workers’ compensation claims in Ohio.*
*According to 2025 MCO Report Card
Sedgwick MCO has extensive experience guiding Ohio employers and injured employees through the managed care process. Our medical management and client services teams are located throughout the state – with concentrations in the Columbus, Cleveland, Cincinnati and Toledo areas. With nearly 400 colleagues, we have the expertise and resources employers need, and our reach ensures we know their communities and providers.
When a workplace injury occurs, we focus on getting employees back to work, lowering medical bills and managing the overall process for employers. From day one, we work to ensure the medical aspects of each claim are organized and we develop a clear, customized return-to-work plan. Our high customer satisfaction level and overall performance results are driven by our communication and thoughtful focus on medical resolution and return to work.
Taking care of people is at the heart of everything we do.
Sedgwick MCO is a purpose and values-driven company. Our continual growth and evolution has been rooted in our consistent approach to the important work our colleagues perform each day. Our shared purpose has always been — and continues to be — to take care of people.
Why clients choose Sedgwick MCO
Nearly 30 years of experience
We handle almost half of all workers’ compensation claims in Ohio. With this extensive experience comes the ability to do more — like handle complex claims, guide workers through the claims process, ensure proper medical treatment and drive successful return-to-work outcomes — all while helping you reduce workers’ compensation costs.
Data and the digital experience
We leverage data and insights to ensure our actions align with your objectives, and we provide you with the data that matters most, so you can make informed decisions. With 24/7 online access to reports, provider searches, claims portals, real-time injury reporting and customized push notifications sent to your desktop, tablet or mobile device — you won’t miss a beat.
Big company resources. Small company relationships.
Putting our size to work for you. We believe size is something to be celebrated because we’re able to leverage our expertise to handle some of the most difficult claims with personalized attention. We deploy small, dedicated teams that include experienced nurse case managers, case specialists and account managers to work with you and your injured workers directly.
Medical management experts
We partner with active practitioners who are experienced in work-related injuries because we know medical factors drive claim costs, complications and return-to-work delays. They’ll work alongside your dedicated claims team to ensure proper case management.
Leadership
We’re passionate about delivering on our mission and committed to living our values. Our leaders have an average tenure of over 20 years with Sedgwick MCO and are a team that knows what it means to deliver results you can see and feel.

Quinn Guist
President

David D. Kessler
DC, MHA, CHCQM
SVP, MCO Medical Director

June McPherson
BSN, RN, CCM
Vice President, Clinical Operations

Lance Watkins
Vice President, Client Services

Mike Pulsfort
Vice President, Operations

Karen McDonnell
Vice President, Quality