An Introduction to Workers' Compensation Eligibility
If you’re injured or develop a medical condition as a result of your job duties, workers’ compensation should cover your health care expenses and lost wages. This system is designed to provide benefits quickly, without the lost time and expense of proving negligence or going to court. Here's a brief look at what injured workers should know about this compensation system.
Who Is Eligible for Workers’ Compensation?
Workers’ compensation is a no-fault system, so you don’t have to prove that your employer was negligent to collect benefits. In fact, you may be eligible even if your own actions contributed to your injury in some way.
Many of these claims are related to falls, which often result in broken bones, lacerations, and back injuries. Equipment malfunctions can cause lacerations and other serious injuries that may take several months to heal. Repetitive-motion injuries like carpal tunnel and strained muscles may also qualify for benefits.
When Are Claims Denied?
Although most work-related injuries are covered, it's not uncommon for claims to be denied. If the employee was exceptionally negligent, their employer might not be responsible for their damages. A claim may also be denied if the employer can prove the employee was intoxicated at the time of the injury.
Failing to follow the proper guidelines can also cause your claim to be denied, regardless of the circumstances surrounding your accident. For instance, injured workers in New York are required to report their injuries to their employer within 30 days. If you miss the deadline, you may be ineligible for benefits.
If you’ve been injured in a job-related accident, turn to Vincent J. Criscuolo & Associates, one of the nation’s leading workers’ compensation firms. They proudly serve clients throughout Rochester and the Upstate New York area, providing a level of service that has earned them Top 100 Trial Lawyers® and Super Lawyers® recognitions for 2021. Visit their website to chat with a legal representative about how they'll help with your workers’ comp claim. Call (585) 232-3240 to schedule an in-person consultation with an attorney.