Bronx Workers’ Comp Claim Process Attorney
Helping NY clients file claims for benefits
If you have been injured on the job, it is important to take the necessary steps to acquire the benefits you need and protect your future. One aspect of workers’ compensation that is important to think about is the claims process. There are many steps that both the employee and the employer must go through, and deviation may deny or delay one’s benefits. The Law Offices of George Poulos has over 30 years of experience helping clients through legal issues regarding workers’ compensation. If you need our help, we would be honored to serve. Contact our firm for a consultation.
The claim process
It is important to fully understand the claim process to avoid a denial or delay of the benefits you deserve. Below is a general description of the claim process.
- Immediately get medical attention and notify your supervisor.
- Notify your employer in writing within 30 days of the work-related injury. The employee should state how and when the accident occurred.
- File a claim with the Board on Form C-3 (Employee claim form), which you can submit online through the Board’s website or on paper, within 2 years of the accident or within two years after you knew or should have known the injury or illness was work-related.
- Within 48 hours of first treating you, the physician should report the injury to the Board, the employer, the insurance carrier, you and your attorney, using the CMS-1500 form that replaced the older paper C-4 report in 2022.
- Within 10 days, the employer will report the injury to the Board and insurance provider.
- Within 14 days of the insurance company’s receipt of the employer’s report, the insurer should provide you with a description of your rights in writing. If you are required to use a network for diagnostic tests, you should receive contact information regarding the network.
- Within 18 days of the insurance company’s receipt of the employer’s report, payments should begin if your time out of work exceeds 7 days. If any disputes arise, the insurance company should notify the Workers’ Compensation Board and you with a detailed description of the dispute.
Long-term workers’ compensation benefits
If the injury becomes a long-term issue, it is important to know the schedule parties will follow as long as the claim is not disputed.
- Every 2 weeks: Your insurance company should make payments of benefits.
- Ongoing treatment: The health care professional should submit progress reports electronically through the Board’s OnBoard system.
- Before 12 weeks: The insurance provider considers long-term rehabilitation treatment.
Filing Your Claim Online
The Board now accepts Form C-3 online, medical bills and reports run electronically through CMS-1500 and OnBoard, and you can track your own case file in eCase at any time. If your employer never filed its own report, do not wait for them. Your two-year deadline runs regardless of what your employer does. If the carrier disputes your claim, the process changes.
Contact an experienced New York City workers’ comp attorney
The workers’ compensation process can be quite complicated and sometimes overwhelming. The right attorney can protect your rights and help you get the compensation you deserve. If you fail to properly file a claim or notify your employer, you may lose the right to compensation. The Law Offices of George Poulos has over 30 years of experience protecting the rights of clients and fighting for fair compensation after a workplace injury. If you need an effective and compassionate attorney, contact our firm to discuss your legal matter.