If you’re hurt on the job in New York, workers’ compensation is almost certainly your first call. It covers your medical treatment and replaces a portion of your wages without requiring you to prove anyone was at fault. For many injured workers, it’s a financial lifeline in the weeks after an accident.

But workers’ comp has hard limits. It won’t compensate you for pain and suffering. It caps your wage replacement. And it leaves money on the table when someone other than your employer caused or contributed to your injury.

That’s where third-party claims come in. Understanding the difference between these two paths, and how they interact, can mean the difference between a partial recovery and full compensation.

Workers’ Compensation: The Basics

New York’s workers’ compensation system is a no-fault insurance program. If you’re injured during the course of employment, you’re entitled to benefits regardless of who caused the accident. You don’t need to prove negligence, and your employer can’t defend by saying you were careless.

In exchange for this no-fault coverage, you give up the right to sue your employer in court. This trade-off is codified in Workers' Compensation Law § 11, known as the “exclusive remedy” provision.

What Workers’ Comp Covers

  • All reasonable and necessary medical treatment related to your injury, with no copays or deductibles
  • Temporary disability payments at two-thirds of your average weekly wage, subject to a statutory maximum (currently $1,222.42 per week as of July 2025)
  • Permanent disability awards based on a schedule of injuries or loss of wage-earning capacity
  • Death benefits to surviving dependents

What Workers’ Comp Does Not Cover

  • Pain and suffering: there is no compensation for physical pain, emotional distress, or diminished quality of life
  • Full wage replacement: you receive roughly 66% of your wages, capped well below what many construction workers and tradespeople actually earn
  • Loss of consortium: no compensation for the impact on your family relationships
  • Punitive damages: the system does not punish dangerous behavior

For many workers with serious injuries, these gaps represent hundreds of thousands of dollars in unrecovered losses.

Third-Party Personal Injury Claims

A “third party” is anyone other than your employer or a co-worker. In the construction industry, third parties are everywhere.

Who Qualifies as a Third Party?

  • Property owners: the building owner who hired the general contractor for the project
  • General contractors: if you work for a subcontractor, the GC is a third party
  • Other subcontractors: a different trade whose negligence contributed to your injury
  • Equipment manufacturers: makers of defective scaffolding, hoists, power tools, or safety gear
  • Architects and engineers: if a design defect created the hazardous condition
  • Vehicle owners and drivers: if a car or truck struck you at a work site

What a Third-Party Claim Covers

Unlike workers’ comp, a personal injury lawsuit against a third party compensates all of your damages:

  • Past and future medical expenses
  • Full lost wages and lost earning capacity (no caps)
  • Pain and suffering
  • Permanent disability and disfigurement
  • Loss of enjoyment of life
  • Loss of consortium (for your spouse)

This is why the same construction fall that generates $150,000 in workers’ comp benefits might support a $2 million personal injury verdict against the property owner.

How the Two Systems Interact

You can pursue both simultaneously. File your workers’ comp claim immediately to start receiving benefits, and file a third-party lawsuit to recover the damages workers’ comp doesn’t cover.

But the two paths are connected by a mechanism that surprises many injured workers: the workers’ comp lien.

The Workers’ Compensation Lien

Under WCL §29, your workers’ comp carrier has a statutory right to be reimbursed from your third-party recovery. If the carrier has paid $200,000 in medical bills and disability benefits, it can claim that $200,000 out of whatever you recover in your personal injury lawsuit.

This doesn’t mean you lose money by filing both claims. The lien only attaches to the amount you actually recover from the third party. And critically, the lien can be reduced.

New York law provides that the workers’ comp carrier’s lien is reduced proportionally by the attorney fees and litigation costs incurred in the third-party action. If your attorney’s fee is one-third of the recovery, the carrier’s lien is also reduced by one-third. This is sometimes called the “equitable share” doctrine.

Additionally, in many cases a skilled attorney can negotiate the lien down further, particularly when the third-party recovery is less than the full value of the claim (due to policy limits, comparative fault, or other factors).

Labor Law §§240 and 241(6): The Construction Worker’s Advantage

New York’s Labor Law creates some of the strongest protections for construction workers anywhere in the country, and these are third-party claims by definition, since they run against property owners and general contractors rather than direct employers.

Labor Law §240 (The Scaffold Law)

Imposes absolute liability on property owners and general contractors for gravity-related injuries caused by inadequate safety equipment. If you fell from a scaffold, ladder, or elevated work surface because proper protection wasn’t provided, the owner is liable. Comparative negligence is not a defense.

Labor Law §241(6)

Requires construction sites to comply with specific Industrial Code safety regulations. Unlike §240, comparative negligence applies, but the statute provides a powerful basis for liability when specific code provisions are violated.

Labor Law §200

Codifies the common-law duty to provide a safe workplace. Requires proof of actual negligence: either that the owner controlled the work method that caused the injury, or that the owner created or had notice of a dangerous condition on the premises.

Most construction accident cases involve claims under all three statutes, giving injured workers multiple theories to pursue.

The Exclusive Remedy Trap: When Employers Try to Block Your Third-Party Claim

Some employers pressure injured workers to settle quickly through workers’ comp and discourage them from pursuing third-party claims. This is not in the worker’s interest.

There is no legal prohibition on filing a third-party claim alongside a workers’ comp case. Your employer cannot fire you for pursuing a personal injury lawsuit (retaliation is prohibited under WCL §120). And your workers’ comp benefits do not decrease because you filed a separate lawsuit.

The only scenario where a third-party claim affects workers’ comp is if you settle the third-party case. At that point, the workers’ comp carrier may be entitled to a credit against future benefits, but only after its lien is satisfied and only under specific statutory formulas. An attorney experienced in both systems can structure the settlement to minimize this impact.

Practical Timeline

Here’s how the two claims typically run in parallel:

Week 1: Report the injury to your employer. File for workers’ comp immediately. Begin medical treatment. Workers’ comp covers it from day one.

Within 90 days: If a government entity is involved (a city-owned property, for instance), the Notice of Claim must be filed within 90 days.

Months 1-6: Workers’ comp benefits flow while your attorney investigates the third-party claim, identifying all potentially liable parties, preserving evidence, and retaining experts.

Year 1-3: The personal injury lawsuit progresses through discovery, depositions, and potentially trial. Workers’ comp continues independently.

Settlement or verdict: The third-party recovery is received. The workers’ comp lien is satisfied (at a negotiated, reduced amount). You keep the remainder, plus whatever ongoing workers’ comp benefits you’re entitled to for future treatment.

When to Talk to an Attorney

Immediately. The decisions you make in the first few weeks (which benefits to file for, what statements to give, whether to sign settlement documents) can permanently affect both your workers’ comp case and your third-party claim.

An attorney who handles both systems can coordinate them to maximize your total recovery. This means filing workers’ comp to cover immediate expenses while building the third-party case for full compensation down the road.