In theory, filing a workers’ compensation claim should be simple and straight forward. In practice, this is rarely the case. Injured workers should be covered for medical expenses relating to their accident, some of their lost wages, and money to cover out-of-pocket expenses. As with any kind of insurance claim, there are important rules, deadlines and procedures that determine if benefits will be awarded or denied.

Some of the most common reasons why workers comp claims are denied in New York:

• The injury was not formally reported to your employer within the deadline (30 days from the date of the accident)
• The employer disputes the injury happened at your place of work
• The employer or their insurer alleges a lack of medical evidence to support the claim
• The employee failed to seek appropriate and prompt medical attention
• The workplace injury is deemed “not compensable” by law
• Paperwork is incomplete or was not filled out correctly
• The employee sought medical care from an unauthorized health care provider
• There were no witnesses who can corroborate how the accident happened
• The employer contends there is inadequate evidence to show the injury was work-related
• The employer claims that the injury was pre-existing
• There is not enough supporting medical documentation
• A blood test shows use of drugs or alcohol at the time of the injury
• The workers comp insurer made a mistake or is trying to delay the process

Insurance companies have a vested interest in protecting their bottom line, and may offer seemingly legitimate reasons for denying a worker’s comp claim. Do not be dissuaded. Aronova & Associates can swiftly determine the best course of action.