NEW YORK WORKERS’ COMP – DENIED CLAIMS

Your New York comp claim was denied. Now what?

Why claims get denied, what a controverted case means, how the appeal works, and how to reopen a closed claim.

Understand your denial

Common reasons a New York claim is denied

The carrier says your injury ‘isn’t work-related’

This is a causal-relationship denial – the most common kind. Prompt medical records linking the injury to your job are how it is met.

You reported the injury late

Missing the 30-day written-notice rule is a frequent denial reason, though the Board recognizes certain excuses for late notice.

A pre-existing condition is blamed

Carriers often argue an old problem, not work, caused it. New York still covers a work-related aggravation of a prior condition.

Your claim was ‘controverted’

That means the carrier formally disputes it. The case goes to a Workers’ Comp Law Judge – it is not the end of the road.

A closed claim and symptoms returned

A closed claim can often be reopened when your condition changes, though there are time limits to watch.

Denied now, but fixable?

Often fixable on appeal

  • Causal-relationship denials backed by medical proof
  • Late-notice denials with a valid reason
  • Aggravation of a pre-existing condition
  • Closed claims with a genuine change in condition

Harder without help

  • No medical evidence tying the injury to work
  • Long, unexplained gaps in treatment
  • Appeal deadlines on a decision already missed
  • Disputes that turn on conflicting medical exams

Latest on denials and appeals

Denied or controverted?

Tell us what the denial notice says and we will help you understand your options and deadlines.

Ask about a denial