What to Do if Your Workers Compensation Claim is Denied

Lisa BabiarzNews, Personal Injury & Workers Compensation

A workplace injury is usually two things: challenging and stressful. For most injured workers, workers’ compensation is a crucial safety net designed to provide support. Both financial support and medical assistance can be provided to injured employees through a worker’s compensation claim. However, studies show that almost half of all who file are denied at some point in the process, even if they initially received a benefit.

So, what should you do when your workers’ compensation claim is denied? Honestly, you’ll need a workers’ compensation expert. In Central New York, Littman and Babiarz, experienced workers’ compensation lawyers serving Geneva, Auburn, Ithaca, and Penn Yan, can provide you with essential guidance.

In this article, we’ll explore the steps to take if your workers’ compensation claim is denied and how experienced worker’s compensation lawyers can make all the difference. Because, believe us, there is a difference.

Understanding Workers’ Compensation Denials

It can be disheartening to receive a denial for your workers’ compensation claim. This is especially true when you are dealing with the physical and financial burdens that come along with a workers compensation lawyers in Auburn and Ithaca New York workplace injury. It’s important to remember that claim denials are not uncommon. There can be various reasons for a denial, including:

  • Lack of Sufficient Medical Evidence: Your claim may be denied if there is insufficient medical evidence to support the extent of your injuries or their connection to your job.
  • Missed Deadlines: Failing to meet deadlines for reporting the injury to your employer, filing your claim, or other necessary paperwork can lead to a denial. This is where solid workers’ compensation attorneys can really help with the process.
  • Disputes Over Causation: Sometimes, your employer or their insurance company may dispute whether your injury is work-related. This is a really common strategy that leads to a denial.
  • Pre-existing Conditions: If your injury is related to a pre-existing medical condition, there may be complications in securing compensation. For example, the other side may try to blame a back injury that happened on the clock on back problems you’ve had in the past.

Steps to Take When Your Claim is Denied

Receiving a denial does not mean you have reached the end of the road. Many injured employees have to file an appeal. There are specific steps you can take to appeal the decision according to the best workmen’s compensation firms. These include:

Review the Denial Letter: Carefully review the denial letter to understand the reason for the denial. This will help you identify what aspects of your claim need to be addressed.

Consult an Experienced Worker’s Compensation Lawyer: Reach out to an experienced worker’s compensation lawyer like Littman and Babiarz. They can provide invaluable guidance and support throughout the appeals process.

Request a Reconsideration: In many cases, you can request a reconsideration of your claim. This is the first step in the appeals process and involves providing additional evidence or addressing the issues that led to the denial.

Prepare for an Administrative Hearing: If the reconsideration is also denied, you can request an administrative hearing. During this formal proceeding, you and your lawyer will present your case, including medical evidence and witness testimonies, to a workers’ compensation judge.

Appeals Board Review: If the administrative hearing decision is not in your favor, you can request a review by the Workers’ Compensation Appeals Board. This board will reevaluate your case and make a final determination.

Legal Action: If all else fails, it may be necessary to take legal action in civil court. An experienced worker’s compensation lawyer will guide you through this process if it becomes necessary.

Let’s look at this process in greater detail.

The Role of an Experienced Worker’s Compensation Lawyer

Experienced worker’s compensation lawyers like Littman and Babiarz play a pivotal role when your claim is denied. They offer a range of crucial services to help secure the compensation you deserve. These legal experts are well-versed in the complexities of worker’s compensation laws, enabling them to guide you through the intricate system, ensuring you meet all necessary legal requirements and avoid common pitfalls.

Moreover, these attorneys work closely with medical professionals and experts to gather the essential evidence supporting your claim. They can obtain crucial documentation such as medical records and expert opinions, all of which substantiate the connection between your injury and your work. This evidence is vital in building a strong case for your compensation.

Furthermore, experienced worker’s compensation lawyers are skilled negotiators. In cases where negotiation is possible, they can represent your interests in discussions with insurance companies or employers. This advocacy can prove instrumental in achieving a fair settlement that adequately covers your medical expenses and lost wages.

In the unfortunate event that your dispute escalates and necessitates litigation, these attorneys can provide court representation, ensuring that your rights are protected. They become your legal advocates in the courtroom, striving to secure the compensation you rightfully deserve and tirelessly fighting on your behalf throughout the legal process.

Why Choose Littman and Babiarz

In Central New York, Littman and Babiarz have earned a reputation as experienced and reliable worker’s compensation lawyers. Our expertise, local knowledge, and commitment to their clients set them apart. Here are some compelling reasons to consider us for your workers’ compensation appeal:

Experience: With years of experience in worker’s compensation law, Littman and Babiarz are well-versed in the intricacies of the system. We have a successful track record of helping injured workers secure the compensation they deserve.

Local Presence: Having a local presence in the Geneva, Auburn, Ithaca, and Penn Yan areas means they understand the unique challenges of the region. This local knowledge can be a significant advantage.

Personalized Approach: Littman and Babiarz believe in personalized service. Our attorneys take the time to listen to your specific needs and concerns, ensuring that legal strategies are tailored to your case.

Proven Success: The firm’s history of successful worker’s compensation cases reflects dedication to clients and their ability to achieve positive outcomes.


Facing a denied workers’ compensation claim can be overwhelming, but it’s not the end of the road. In Central New York, Littman and Babiarz, experienced worker’s compensation lawyers serving Geneva, Auburn, Ithaca, and Penn Yan, can provide you with the guidance and support you need.

Remember, you have options, and an experienced attorney can help you navigate the appeals process, ensuring that your rights are protected and that you have the best chance of receiving the compensation you rightfully deserve. Don’t face this challenge alone; seek the expertise of Littman and Babiarz to help you on your path to recovery.