What To Do If Your Workers’ Compensation Claim Is Denied in New York

Common Reasons for Workers’ Compensation Denials

Workers’ compensation claims are sometimes denied for reasons that have nothing to do with the worker’s fault. Insurers may claim there was insufficient medical proof, missed deadlines, or that the injury was not job-related. Understanding why your claim was denied is the first step toward appealing the decision.

Call the KLFH workers’ compensation lawyers at (646) 956‑5808 for a free case evaluation.

Steps to Take Immediately After a Denial

Once you receive a denial letter, carefully review the explanation from the Workers’ Compensation Board or insurance carrier. You generally have 30 days to file a request for a hearing. Missing this timeframe can result in losing your right to appeal, so prompt action is essential.

Understanding the Appeals Process in New York

The New York Workers’ Compensation Board allows you to appeal through an administrative hearing before a law judge. If your case is still denied, you can request further review by the Board Panel or even take the case to the Appellate Division, Third Department. The process requires detailed paperwork, evidence, and adherence to deadlines.

Preparing for a Workers’ Compensation Hearing

During the hearing, you’ll have the opportunity to present evidence, medical records, and testimony to support your claim. An experienced attorney can cross-examine witnesses and challenge the insurance company’s position to improve your chances of success.

How Legal Representation Can Strengthen Your Appeal

Working with an attorney ensures that your medical evidence is properly organized, deadlines are met, and you have a strong argument. The KLFH lawyers have extensive experience handling denied claims and can guide you through every stage of the appeals process to pursue the benefits you deserve.

Call the KLFH workers’ compensation lawyers at (646) 956‑5808 for a free case evaluation.