Workers’ compensation benefits are intended to help employees who suffer work-related injuries or illnesses while performing their job duties. In New York State, most employers are required to carry workers’ compensation insurance, which may provide injured workers with medical treatment, wage replacement benefits, and other financial assistance.
However, not every injury automatically qualifies for workers’ compensation benefits. Understanding what types of injuries are generally covered, and which may not be covered, is important when determining whether you may have a valid claim under New York law.
Qualifying Injuries Under New York Workers’ Compensation Law
In New York State, a workplace injury generally qualifies for workers’ compensation if it arises out of and in the course of employment. In other words, the injury must be connected to the employee’s work duties or work environment.
Common qualifying injuries may include:
- Slip and fall accidents at work
- Construction site injuries
- Injuries caused by machinery or workplace equipment
- Repetitive stress injuries, including carpal tunnel syndrome
- Back, neck, and shoulder injuries from lifting or physical labor
- Occupational illnesses caused by workplace exposure
- Motor vehicle accidents that occur while performing work-related duties
New York workers’ compensation law also recognizes injuries and illnesses that develop gradually over time due to repetitive motions or long-term workplace conditions.
Injuries That May Not Qualify
While every case is different, certain injuries or situations may not qualify for workers’ compensation benefits in New York State.
Examples may include:
- Injuries that occur outside the scope of employment
- Accidents that happen while commuting to or from work in most situations
- Injuries resulting from horseplay or intentional misconduct
- Injuries involving intoxication or drug use that caused the accident
- Medical conditions unrelated to employment
It is important to understand that insurance carriers may dispute claims for many reasons, including arguments that the injury was not work-related or that there is insufficient medical evidence connecting the condition to employment.
The Importance of Reporting an Injury
Under New York workers’ compensation law, injured employees are generally required to notify their employer of a workplace injury within 30 days. Failing to report an injury promptly can create challenges when pursuing benefits and may result in delays or denials.
After a workplace injury, employees should:
- Report the injury to their employer as soon as possible
- Seek medical attention promptly
- Follow medical recommendations and treatment plans
- Keep records related to the injury, treatment, and time missed from work
Proper documentation can play a major role in supporting a workers’ compensation claim.
Can You Still Pursue Benefits if Your Claim Is Denied?
A denied workers’ compensation claim does not necessarily mean you are out of options. In some cases, claims are denied because of disputes regarding how the injury occurred, whether it was connected to work duties, or whether enough medical evidence exists.
An experienced workers’ compensation attorney can review the circumstances of your case and help determine whether an appeal or additional legal action may be appropriate.
At Losi & Gangi, we represent hard working Western New Yorkers in workers’ compensation matters throughout New York State. We understand the complexities involved in workplace injury claims and are committed to helping injured workers understand their rights and pursue the benefits they may be entitled to under New York law.
If you have questions about whether your injury qualifies for workers’ compensation benefits, contact Losi & Gangi today to learn more about your legal options.











