Joel Galarza v. One Call Claims, LLC

Court of Appeals for the Eleventh Circuit·Decided October 16, 2025·No. 23-13205·Published

Opinion

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

2 Opinion of the Court 23-13205

Before WILLIAM PRYOR, Chief Judge, and LUCK and BRASHER, Circuit Judges. BRASHER, Circuit Judge:

One Call Claims assigned Joel Galarza, Vicky Wimberly, and Katherine Carpenter to adjust insurance claims for Texas Windstorm 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 determine 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 employer . 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 employees covered by the FLSA instead of independent contractors outside its reach. Because a jury could reasonably reach that conclusion , we reverse the district court’s summary judgment.

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 service agreement under which OCC would provide adjusters to investigate claims. In 2017, TWIA sought additional adjusters from OCC to help dispense claims after Hurricane Harvey, and OCC assigned Galarza, Wimberly, and Carpenter (collectively, the workers ) to the matter.

To work in this field, the workers had to be licensed, certified , 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. According to Galarza, TWIA “trained [him] on how it wanted [him] to perform [his] job functions” and “provided [him] with a spreadsheet ‘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

4 Opinion of the Court 23-13205

required to consult with and get approval from TWIA before making 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 engaged ” in “separate and standalone” assignments. This particular assignment for TWIA was for an indefinite duration to be “determined by TWIA.” After completing their assignments, the workers and companies could choose to “enter into and agree to subsequent 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, association , organization or other person or entity to cease doing business with OCC.” While adjusting claims for TWIA, the workers did not adjust claims for anyone else. However, Carpenter stopped working for TWIA twice so that she could work for different 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 Sundays and that “TWIA had the authority to set [his] work schedule.” Furthermore, he was required to keep timesheets and “send [them]

23-13205 Opinion of the Court 5

to TWIA for approval.” And all workers “had to report any tardies /absences to OCC’s Human Resources Manager and to [their] TWIA direct manager,” otherwise “OCC had the discretion to deduct 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 require 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, membership fees and dues, car and travel expenses, and insurance premiums . Because the workers were not from the area, these expenses 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 equipment 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

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. According to TWIA, the transition was due to “limited cubicle space at TWIA’s facility and the preferences of the [workers].”

Free access — add to your briefcase to read the full text and ask questions with AI

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

Joel Galarza v. One Call Claims, LLC (Joel Galarza v. One Call Claims, LLC) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

Hospital Resource Personnel, Inc. v. United States
68 F.3d 421 (Eleventh Circuit, 1995)
Rutherford Food Corp. v. McComb
331 U.S. 722 (Supreme Court, 1947)
Nationwide Mutual Insurance v. Darden
503 U.S. 318 (Supreme Court, 1992)
Bruce Adelberg v. Berkshire Life Insurance Company
97 F.3d 470 (Eleventh Circuit, 1996)
Leandre Layton v. DHL Express, Inc.
686 F.3d 1172 (Eleventh Circuit, 2012)
Michael Scantland v. Jeffry Knight, Inc.
721 F.3d 1308 (Eleventh Circuit, 2013)
Michael Keller v. Miri Microsystems LLC
781 F.3d 799 (Sixth Circuit, 2015)
Hilda Brucker v. City of Doraville
38 F.4th 876 (Eleventh Circuit, 2022)
Aimable v. Long & Scott Farms
20 F.3d 434 (Eleventh Circuit, 1994)
Velarde v. GW GJ, Inc.
914 F.3d 779 (Second Circuit, 2019)
Cobb v. Sun Papers, Inc.
673 F.2d 337 (Eleventh Circuit, 1982)