Man working constructionA NY Workers Compensation Lawyer Discusses Common Reasons for Claim Denials

If your workers compensation claim was denied, or you’re considering filing a claim, you may be wondering why claims are often denied. Understanding what those reasons are and avoiding them can provide your claim with a better chance of being accepted. If you were seriously hurt at work, you can call us at Polsky, Shouldice & Rosen, P.C. for assistance. A skilled workers compensation lawyer from our firm can review your case at no charge and determine if we may be able to help you get the benefits you deserve.

Workers Compensation Claim Submission Deadline

One common reason for an injured worker to have their claim denied is that they file past the deadline. Once a worker gets hurt on the job, they have a limited amount of time in which to file their workers compensation claim. That time limit varies by state so it’s important to understand how it will apply in your case. At Polsky, Shouldice & Rosen, P.C., we can submit your New York workers compensation claim on your behalf with all of the necessary documentation and make sure that all deadlines and other requirements are met.

Insufficient Documentation

Many injured New York workers are mystified that their claim was denied after suffering a serious injury at work. The workers compensation insurance carrier might have told them that there was insufficient proof offered that the injury occurred where and how the worker claimed.

At Polsky, Shouldice & Rosen, P.C., we’re very familiar with this scenario. When we accept a client’s case for a workers compensation claim, we make sure that it includes proof of the injury with documentation from a medical expert as well as test results and any other relevant information.

Depending on the nature of the case and the circumstances of the accident, we might also include witness testimony. If the claim is still denied after we submit sufficient documentation, we are prepared to file a damage lawsuit against the parties responsible for our client’s accident and resulting injury.

Minor Injury

If the injury you sustained at work is considered minor by your employer, or their workers compensation carrier, your claim may be denied. If you believe that your injury is more serious than they say, you may have to seek expert medical advice to provide proof. However, they will likely require you to see one of their pre-approved doctors and if the doctor determines your injury is minor, you may have to pay for that medical visit.

In most cases, if you file a workers compensation claim without providing proof from their own doctor that your injury deserves benefits, your claim will be denied. If your own medical doctor provides a diagnosis that your injury is indeed serious, give our office a call. We may be able to file a claim that encompasses alternate proof that your injury should be covered by their insurance. Our New York workers compensation lawyers work with a number of experts, including medical doctors, who can provide testimony in support of our client’s claims, when appropriate.

Hiring a NY workers compensation lawyer might seem like an intimidating process, but if you’ve been injured on the job, it’s something to seriously consider. Workers compensation policies are intended to protect both injured employees and their employers. When a workers comp program operates as intended, it certainly can provide protection. However, as a seasoned NY workers compensation lawyer would be able to attest, injured workers may have trouble navigating the regulations and protocols of their employer’s workers comp plan.

Injuries and Illnesses Sustained on the Job

Certain industries and professions inherently present higher risks for workers — it’s no surprise that workers in these jobs often have the highest number of workers comp claims. Individuals working in the construction and manufacturing industries are more prone to injuries sustained from falls, collisions with large objects, and contact with hazardous materials.

It’s still very common for individuals in other industries to sustain injuries in accidents or through repetitive motions. Any business that contains a storage room or small warehouse, for example, might present risks if items are stacked on high shelves. Carpal tunnel syndrome is typically defined as a repetitive stress injury and it’s something that often affects office workers. Even if your profession is not inherently dangerous, there’s no reason to hesitate to contact a NY workers compensation lawyer if you’ve been injured on the job.

How a NY Workers Compensation Lawyer May Be Able to Help

Workers who are injured on the job have legal protections to ensure that they are not placed at a disadvantage due to their injury. While it’s never required to hire a workers compensation lawyer in NY to assist with a workers comp claim, there are many reasons why individuals choose to do so.

Injured workers may reach out to an attorney simply to learn more about the protections they may have through workers compensation. Each state has its own legislation that regulates workers comp policies, and it’s easy to get confused about which regulations may apply in your own case.

In other situations, an injured worker might run into problems with his or her employer. Employers with workers comp policies are required to file all necessary paperwork when an injured employee wishes to make a claim. Employers are also required to provide fair treatment to their employees who have made claims. It may be wise to seek an attorney for counsel when an employer disputes a claim.

If a claim is completely denied, it still may be possible to file an appeal. An attorney may be able to help with the appeals process by filling out all necessary paperwork and by collecting supporting evidence.

Contact Polsky, Shouldice & Rosen, P.C.

If your workers compensation claim was unfairly denied, or you would like assistance from a legal professional to file a claim, call us for a free consultation with a trusted NY workers compensation lawyer.

If you would like to speak with a workers compensation lawyer NY residents trust, call Polsky, Shouldice & Rosen, P.C. today. Our team of lawyers is experienced when it comes to handling workers compensation cases for individuals throughout the New York metro area. Our four locations make it easier for our clients to speak with an attorney close to them, and our team is equipped with a diverse array of litigation experience.

To schedule a case evaluation with a NY workers compensation lawyer from Polsky, Shouldice & Rosen, P.C., call us today.