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What To Do If Your Employer Refuses To File a Workers’ Comp Claim For You

Trabajador lesionado con collarín y escayola en el brazo estrechando la mano a un abogado en una oficina de Nueva York mientras discuten las prestaciones de la indemnización por accidente laboral.

Has your New York employer denied your request to file a workers’ comp claim after an injury on the job? A noncooperative employer may refuse to file claims to protect their record or keep insurance costs low, but you still have certain rights surrounding workers’ compensation in New York. 

What can you do when your employer refuses to cooperate, and how can you protect your workers’ compensation claim rights for employees under state law? As a workers’ compensation law firm in New York, Pyrros, Serres & Rupwani shares this guide to help you understand your options.

Your Rights When Filing a Workers’ Compensation Claim in New York 

New York workers’ compensation lawyer reviewing case documents with client during consultation, with scales of justice on deskImage Title:

Firstly, your employer’s refusal to assist or cooperate does not prevent you from filing a claim after an injury at work. State law protects workers’ compensation claim rights for employees, regardless of what your employer does or does not do. You have the right to file a workers’ compensation claim directly with the New York Workers’ Compensation Board, and your employer does not control whether your claim moves forward. 

When an employer refuses to file workers’ comp claims, it can feel like a dead end, but the system exists specifically to protect workers in situations like yours. New York law gives you a direct path to pursue on your own.

The Steps You Can Take Immediately To File Your Claim

Filing a workers’ compensation claim in New York involves several steps, from submitting forms to attending hearings. The process can take time, and delays are common when an employer or insurance carrier disputes your claim. 

If something happens on the job, and your employer refuses to act after the incident, you can take these steps on your own:

  1. File a C-3 form: Submit this form directly to the Workers’ Compensation Board, either online or by mail.
  2. Notify your employer in writing: New York law requires you to notify your employer of your accident within 30 days.
  3. Document everything: Keep records of your injury, any medical treatment, and all communication with your employer.
  4. Gather witness information: If anyone saw your accident, collect their contact details as soon as possible.

With an injury that falls under workers’ compensation, New York allows you to notify your employer verbally. However, doing it in writing could provide more concrete case evidence. Either way, acting quickly can strengthen your position, especially in disputed cases. 

What Happens When an Employer Does Not Report an Injury in New York?

Construction worker in overalls holding lower back in pain after injury, grimacing while sitting on lumber stack in woodworking shop

 

A workers’ compensation lawyer in New York will know what to do if an employer does not report an injury and can provide advice. For example, when your employer refuses to file anything, your claim may become a “controverted” one. That means the insurance carrier may deny your coverage, and building your case would require a specific approach.

The U.S. Bureau of Labor Statistics reported that New York City saw 69 work-related deaths in 2023, reflecting a decline compared to the year prior. However, there were still 5,283 fatal work injuries nationally in the same timeframe, which meant thousands of affected families. Even nonfatal workplace injuries may carry significant financial consequences without covered benefits, so understanding the reporting process could be critical to protecting yourself after an on-the-job accident.

How To Strengthen Your Disputed Claim for Workers’ Compensation

A controverted claim typically results in a hearing before the Workers’ Compensation Board. The insurance carrier may argue that the accident did not happen, that your injuries are not serious, or that you failed to give timely notice. Building a strong record early in the process helps counter these arguments, so consider gathering the following:

  • Written witness statements: Gather information from anyone who saw the accident.
  • Medical documentation: Seek medical treatment immediately and keep records.
  • Written communication: Put all conversations with your employer about the injury in writing.
  • Timeline notes: Document everything you remember about the accident while the details are still fresh. 

Remember to include photos, videos, and any other relevant proof of your injuries and the incident. The stronger your documentation, the better positioned you will be if the claim goes to a hearing.

The Financial Impact of a Workers’ Comp Claim Denial by Employer

Person in a suit holding a "Claim Denied" notice, representing common challenges in New York workers’ compensation claims

Receiving a workers’ comp claim denial from an employer can leave a worker facing significant mental and financial hardship while they recover from their injuries. Workers’ compensation in New York aims to provide a safety net.

The National Safety Council, citing NCCI data, reports that workers’ compensation claims for injuries occurring in 2022 to 2023 averaged $47,316 per claim. The 27th Annual Report from the National Academy of Social Insurance revealed that workers’ compensation benefits totaled approximately $61.7 billion in 2022, with medical benefits of approximately $29 billion and cash benefits making up the balance. These figures reflect just how much is at stake for those who simply accept denied claims or delay their applications instead of pursuing the legal avenues available to them.

How a Workers’ Compensation Attorney in New York Can Help

If your employer is refusing to cooperate, seeking legal help for workers’ compensation disputes is a good option. A workers’ compensation attorney in New York can guide you through the state’s filing process, help you gather evidence, and represent you before the board or insurance carrier representatives.

An attorney also understands how to meet all the state’s deadlines, which can be critical in contested workers’ compensation cases. Missing a filing window or failing to provide proper notice can lead to a denied claim, even if your work injury is legitimate. 

If an employer or insurer pushes back against your claim, legal representation could level the playing field. Hiring a workers’ compensation lawyer in New York is also helpful if you need to investigate whether your employer violated any state laws by discouraging or preventing you from filing. If employer retaliation has occurred, the attorney can also help you address the situation directly.

Contact Pyrros, Serres & Rupwani For More About Workers’ Compensation in New York

 

Trabajador frustrado que retiene una solicitud de indemnización por accidente laboral denegada, se enfrenta a los problemas habituales de denegación y busca alternativas.

When it comes to workers’ compensation, knowing your rights is crucial. You might want to start by understanding workers’ compensation hearings so you know what to expect if your case moves forward. You can also speak to a local legal representative about the options open to you in New York, especially if your employer is not cooperating with your claim.

The team at Pyrros, Serres & Rupwani represents workers across New York. If you would like a full-service legal team to review your personal injury situation or workers’ compensation case, call (718) 626-7730 to schedule a consultation.

Preguntas frecuentes

Here are some common questions clients ask about workers’ compensation in New York.

Can I Still File a Workers’ Compensation Claim If My Employer Does Not Report My Injury?

Yes, you can still file a workers’ compensation claim if your employer does not report your injury. You have the right to file a C-3 form with the New York Workers’ Compensation Board.

How Long Do I Have To Notify My Employer of a Workplace Injury in New York?

New York requires you to notify your employer of your workplace injury within 30 days of the accident. Issuing a written notification may better support your case for workers’ compensation in New York.

What Does a Controverted Claim Mean?

A controverted workers’ compensation claim means your employer’s insurance carrier is denying coverage for your claim. Typically, these cases are heard by a Workers’ Compensation Board judge.

How Can a Workers’ Compensation Lawyer in New York Help With My Case?

Your workers’ compensation lawyer can help you file, meet New York’s required deadlines, gather supporting evidence, and navigate disputes.

Sobre el autor

Foto de Michael Serres, ESQ.

Michael Serres, ESQ.

Michael Serres, ESQ. es un reputado Abogado de Compensación de Trabajadores en Astoria, Queens, NY. Se graduó de la Facultad de Derecho de la Universidad de St. John en 1989. El Sr. Serres fue admitido a ejercer la abogacía en el Estado de Nueva York en 1990 y es admitido en los Tribunales Federales de Distrito para el Sur y los Distritos del Este de Nueva York. Ha sido miembro de la Junta Directiva del Colegio de Abogados de Compensación de Trabajadores y actualmente es miembro de la Junta Directiva del Colegio de Abogados del Condado de Queens.