Joel Galarza v. One Call Claims, LLC

CourtCourt of Appeals for the Eleventh Circuit
DecidedOctober 16, 2025
Docket23-13205
StatusPublished

This text of Joel Galarza v. One Call Claims, LLC (Joel Galarza v. One Call Claims, LLC) is published on Counsel Stack Legal Research, covering Court of Appeals for the Eleventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Joel Galarza v. One Call Claims, LLC, (11th Cir. 2025).

Opinion

USCA11 Case: 23-13205 Document: 51-1 Date Filed: 10/16/2025 Page: 1 of 25

FOR PUBLICATION

In the United States Court of Appeals For the Eleventh Circuit ____________________ No. 23-13205 ____________________

JOEL GALARZA, VICKI WIMBERLY, KATHRINE CARPENTER, Plaintiffs-Appellants, versus

ONE CALL CLAIMS, LLC, KRISTI SMOOT, KELLY SMOOT, TEXAS WINDSTORM INSURANCE ASSOCIATION, Defendants-Appellees. ____________________ Appeal from the United States District Court for the Southern District of Alabama D.C. Docket No. 1:21-cv-00250-N ____________________ USCA11 Case: 23-13205 Document: 51-1 Date Filed: 10/16/2025 Page: 2 of 25

2 Opinion of the Court 23-13205

Before WILLIAM PRYOR, Chief Judge, and LUCK and BRASHER, Cir- cuit Judges. BRASHER, Circuit Judge: One Call Claims assigned Joel Galarza, Vicky Wimberly, and Katherine Carpenter to adjust insurance claims for Texas Wind- storm Insurance Association following Hurricane Harvey. Now, the workers are suing for unpaid overtime wages that they claim they are entitled to as “employees” under the Fair Labor Standards Act, 29 U.S.C. § 207. The district court determined at summary judgment that the workers were independent contractors instead of employees—and therefore outside the scope of the FLSA. The workers timely appealed. When we review the conditions of employment to deter- mine employee status, we consider all the relevant circumstances with an eye toward the economic reality of the relationship and whether the workers are economically dependent on the em- ployer. To this end, we have recognized six relevant factors to guide the analysis in these circumstances. See Scantland v. Jeffrey Knight, Inc., 721 F.3d 1308, 1311–12 (11th Cir. 2013). Under that test, we believe a factfinder could determine that the workers were em- ployees covered by the FLSA instead of independent contractors outside its reach. Because a jury could reasonably reach that con- clusion, we reverse the district court’s summary judgment. USCA11 Case: 23-13205 Document: 51-1 Date Filed: 10/16/2025 Page: 3 of 25

23-13205 Opinion of the Court 3

I.

The Texas legislature created Texas Windstorm Insurance Association to provide wind and hail insurance to the Texas coast. One Call Claims is an outsourcing company for insurance claims that matches insurance companies with its own roster of licensed adjusters. TWIA and OCC (collectively, the companies) had a ser- vice agreement under which OCC would provide adjusters to in- vestigate claims. In 2017, TWIA sought additional adjusters from OCC to help dispense claims after Hurricane Harvey, and OCC as- signed Galarza, Wimberly, and Carpenter (collectively, the work- ers) to the matter. To work in this field, the workers had to be licensed, certi- fied, and trained. Neither TWIA nor OCC trained the workers on the basic skills or functions of the job; instead, they were licensed by Texas and had previous experience in these roles. But working for TWIA imposed additional requirements. As a creature of the Texas legislature, TWIA is subject to statutory obligations that do not bind ordinary insurers in the marketplace. Therefore, TWIA required the adjusters to complete a certification process to ensure that they were familiar with the additional requirements. Accord- ing to Galarza, TWIA “trained [him] on how it wanted [him] to perform [his] job functions” and “provided [him] with a spread- sheet ‘crash course’ as an aide to perform [his] job duties as TWIA required.” And although the companies state that the workers had the authority to settle claims, the workers insist that they “were USCA11 Case: 23-13205 Document: 51-1 Date Filed: 10/16/2025 Page: 4 of 25

4 Opinion of the Court 23-13205

required to consult with and get approval from TWIA before mak- ing settlement offers and resolving claims.” The workers and OCC had a contract that generally defined the parameters of the engagement. The agreement described the workers as “independent contractor[s]” who were “temporarily en- gaged” in “separate and standalone” assignments. This particular assignment for TWIA was for an indefinite duration to be “deter- mined by TWIA.” After completing their assignments, the workers and companies could choose to “enter into and agree to subse- quent Assignments subject to the same terms and conditions[.]” The workers’ assignments lasted about one and a half to two years. Although they were “free to market their services to insurers other than TWIA,” their contracts prohibited them from “[i]nduc[ing] or attempt[ing] to induce any customer, vendor, as- sociation, organization or other person or entity to cease doing business with OCC.” While adjusting claims for TWIA, the work- ers did not adjust claims for anyone else. However, Carpenter stopped working for TWIA twice so that she could work for differ- ent insurers. The workers had regimented hours while adjusting claims for TWIA. The contract indicated that they would work “up to 10 hours per day with hours determined by [TWIA].” Galarza stated that he initially worked at TWIA facilities from 8 a.m. to 6 p.m. Monday through Friday and 8 a.m. to 5 p.m. Saturdays and Sun- days and that “TWIA had the authority to set [his] work schedule.” Furthermore, he was required to keep timesheets and “send [them] USCA11 Case: 23-13205 Document: 51-1 Date Filed: 10/16/2025 Page: 5 of 25

23-13205 Opinion of the Court 5

to TWIA for approval.” And all workers “had to report any tar- dies/absences to OCC’s Human Resources Manager and to [their] TWIA direct manager,” otherwise “OCC had the discretion to de- duct up to one day’s pay[.]” The workers also claim that TWIA “controlled and directed [the workers’] day-to-day tasks,” which TWIA disputes. In either event, TWIA insists that it “did not re- quire them to report their exact hours worked.” During this time, the workers were generally responsible for the expenses they incurred with some exceptions. In particular, they were “responsible for all personal and professional expenses” including state adjusting license fees, business license fees, mem- bership fees and dues, car and travel expenses, and insurance pre- miums. Because the workers were not from the area, these ex- penses included “food, lodging, and transportation when working on TWIA’s premises.” And the workers claimed tax deductions for business expenses incurred in connection with the services they rendered. TWIA claims that by controlling these costs and filing tax deductions, the workers had the opportunity to influence their profit or loss. However, TWIA provided all workers with equip- ment it required them to use for work. Specifically, it provided identification badges that the workers had to wear while on TWIA premises, work email addresses and signature blocks, computers, and telephones. After about six or seven months, TWIA underwent a shift to remote work. According to the workers, TWIA told them that they would begin working remotely because TWIA feared it was USCA11 Case: 23-13205 Document: 51-1 Date Filed: 10/16/2025 Page: 6 of 25

6 Opinion of the Court 23-13205

“exerting too much control over [them] and [it was] concerned about overtime and lawsuits.” But TWIA denies their account. Ac- cording to TWIA, the transition was due to “limited cubicle space at TWIA’s facility and the preferences of the [workers].” This shift to remote work introduced some new policies. In particular, the workers claim that TWIA “granted [them] remote access . . . to its computer network and applications” and required them to “install software on [their] computer[s] that allowed [TWIA] to monitor” their productivity.

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Joel Galarza v. One Call Claims, LLC, Counsel Stack Legal Research, https://law.counselstack.com/opinion/joel-galarza-v-one-call-claims-llc-ca11-2025.