A work-related accident can lead to more than just physical pain—it often disrupts your job, income, and overall well-being. Fortunately, if you’re injured in a workplace accident in Rochester, New York, the state’s workers compensation system provides financial and medical benefits to help you recover. Understanding what you’re entitled to claim under the law is essential to securing the support you deserve.
At Brown Chiari LLP, we help injured workers in Rochester navigate the complexities of the workers compensation process and ensure they receive fair compensation. Here’s what you need to know about what compensation is available after a work-related accident.
Understanding Workers Compensation in New York State
New York law requires nearly all employers to carry workers compensation insurance. This system allows employees injured on the job—or suffering from a work-related illness—to receive specific benefits, regardless of fault.
Workers compensation claims are overseen by the NYS Workers Compensation Board, which determines eligibility, approves medical care, and ensures benefits are properly paid out.
Benefits You May Be Eligible to Receive
1. Medical Treatment and Care
Workers compensation covers all necessary medical treatment related to your injury or illness, including:
- Doctor visits with an authorized medical provider
- Hospital stays and surgeries
- Diagnostic tests and imaging
- Physical therapy or rehabilitation
- Prescription medications
Your treating provider must be authorized by the Workers Compensation Board, and medical documentation must clearly connect the treatment to the work-related accident.
2. Lost Wages
If your injury causes you to lose time from work, you’re entitled to wage replacement benefits. Typically, workers compensation pays two-thirds of your average weekly wage, up to the state maximum.
The waiting period for benefits begins after you’ve missed more than seven days of work. If your disability lasts longer than 14 days, you may also be reimbursed for the initial waiting period.
3. Permanent or Temporary Disability
If your injury results in a long-term or permanent impairment, you may be eligible for ongoing disability benefits. These are based on:
- The nature and extent of your disability
- Your ability to return to your regular job
- Any necessary work restrictions
- Determinations made by your treating provider and insurance company
Temporary partial or total disability benefits may apply while you are recovering.
4. Medical Bills and Costs
All approved medical bills related to your treatment are covered by workers compensation insurance. This includes transportation to and from medical appointments, durable medical equipment, and future medical care if deemed necessary for your recovery.
Additional Considerations
Reporting Requirements and Documentation
To qualify for benefits, you must:
- Report the incident to your supervisor or employer within 30 days of the accident
- File a formal compensation claim with the Workers Compensation Board
- Obtain and submit complete medical documentation to support your injury claim
Failure to report or document your injury properly can lead to delays or denials of benefits.
Holiday Pay, Job Modifications, and Return-to-Work
Some injured workers may be entitled to holiday pay, depending on the timing of their absence and their company’s policy. Additionally, if you return to work with restrictions, your employer must reasonably accommodate those restrictions or offer alternative work within your capabilities.
Can You Receive Additional Compensation?
While workers compensation benefits cover essential expenses, they do not provide damages for pain and suffering. However, if your injury was caused by someone other than your employer—such as a contractor or equipment manufacturer—you may be eligible to file a third-party personal injury claim for additional compensation.
This can include:
- Pain and suffering
- Loss of future income
- Out-of-pocket expenses not covered by workers comp
What If You’re a Student Employee or Part-Time Worker?
Employees injured on the job—including student employees—are generally covered under New York State workers compensation law. Coverage applies regardless of hours worked, job title, or length of employment, as long as you were performing work duties at the time of the incident.
How Brown Chiari LLP Helps Injured Workers in Rochester
Our team understands how difficult the recovery process can be—physically, financially, and emotionally. We offer support by:
- Ensuring your claim is properly filed and supported with medical documentation
- Communicating with the insurance company on your behalf
- Challenging unfair denials or delays
- Identifying opportunities for third-party claims
- Helping you pursue full recovery and fair compensation
Learn more about what compensation you can claim in a Rochester work accident. Call Brown Chiari LLP at (716) 681-7190 to schedule your free, no-obligation consultation. You can also reach us anytime through our contact page. Let us help you take the first step toward justice and recovery.
FAQs: Compensation After a Rochester Work Accident
What should I do immediately after a work-related accident in Rochester?
Report the incident to your supervisor, seek medical care from an approved provider, and file a claim with the NYS Workers Compensation Board as soon as possible.
Does workers compensation cover all medical expenses?
Yes, if the care is related to your injury and provided by an approved medical provider, workers compensation pays for the full cost of treatment, including follow-up care and prescriptions.
How long can I receive wage replacement benefits?
It depends on your injury and medical progress. Some workers may qualify for long-term or permanent disability benefits if they cannot return to their regular job.
Can I be denied benefits for missing work restrictions?
Yes. If you fail to follow prescribed work restrictions or do not attend scheduled medical appointments, the insurance company may reduce or deny benefits.
What happens if my claim is disputed by the insurance company?
You have the right to appeal the decision. A workers compensation attorney can represent you in hearings and ensure your rights are protected.