Ruggieri, June v. Amazon.com, LLC

2023 TN WC App. 36
CourtTennessee Workers' Compensation Appeals Board
DecidedAugust 10, 2023
Docket2020-06-1452
StatusPublished

This text of 2023 TN WC App. 36 (Ruggieri, June v. Amazon.com, LLC) is published on Counsel Stack Legal Research, covering Tennessee Workers' Compensation Appeals Board primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ruggieri, June v. Amazon.com, LLC, 2023 TN WC App. 36 (Tenn. Super. Ct. 2023).

Opinion

FILED Aug 10, 2023 02:24 PM(CT) TENNESSEE WORKERS' COMPENSATION APPEALS BOARD

TENNESSEE BUREAU OF WORKERS’ COMPENSATION WORKERS’ COMPENSATION APPEALS BOARD

June Ruggieri ) Docket No. 2020-06-1452 ) v. ) State File No. 37474-2020 ) Amazon.com, LLC, et al. ) ) ) Appeal from the Court of Workers’ ) Compensation Claims ) Kenneth M. Switzer, Chief Judge )

Affirmed and Certified as Final

This is the second appeal in this matter. The employee alleged a work-related injury to her right shoulder when she moved a heavy package from a shelf. The employer initially provided medical care but later denied the claim, asserting the employee failed to give timely notice of her alleged injury. At an expedited hearing, the employee sought temporary disability benefits, medical benefits, and attorneys’ fees for the employer’s alleged wrongful denial of the claim. The trial court determined the employee was likely to prevail at trial in showing that she provided timely verbal notice, that she had a reasonable excuse for not providing written notice, and that she suffered an injury arising primarily out of the employment. The court awarded medical benefits but denied temporary disability benefits and delayed ruling on her request for attorneys’ fees until a hearing on the merits and final determination as to the compensability of the claim. In the first appeal, we affirmed the trial court’s interlocutory order. At trial, the court concluded the employee had proven by a preponderance of the evidence that her injury arose primarily out of her employment. The court awarded permanent partial disability benefits, future medical benefits, mileage reimbursement, payment of past medical bills, and a period of temporary total disability benefits. The court also awarded attorneys’ fees for the employee’s attorney’s efforts to enforce the employer’s compliance with the previously appealed court order. It declined, however, to award attorneys’ fees for the employer’s alleged wrongful denial of the claim. The employee has appealed. Upon careful consideration of the record, we affirm the trial court’s decision and certify it as final.

Judge Pele I. Godkin delivered the opinion of the Appeals Board in which Presiding Judge Timothy W. Conner and Judge Meredith B. Weaver joined.

J. Allen Brown, Nashville, Tennessee, for the employee-appellant, June Ruggieri

1 Kristen Stevenson, Knoxville, Tennessee, for the employer-appellee, Amazon.com, LLC

Factual and Procedural Background

June Ruggieri (“Employee”) worked the night shift at Amazon.com, LLC (“Employer”), as a package handler. On the evening of May 5, 2020, Employee was moving a heavy package from a high shelf when it fell and pulled her right arm down, resulting in an injury to her right shoulder. Employee testified that she “felt the tear” but continued to work, hoping it would get better. She started work the next evening but left early due to pain.

Employee testified that she eventually told a manager about her injury on May 25 and completed a first report of injury for Employer. On the accident form, Employee indicated “5/25/20” as the date she reported the incident but later clarified that she meant that was “the day that I filled out the form.” Employee also noted on the form that the incident occurred on “5/7/20.” 1 Employee was seen at the Skyline Hospital Emergency Room and testified she was restricted from work until she saw a provider for a follow-up appointment.

Thereafter, Employer provided a panel of physicians, and Employee selected Dr. Harold Nevels as her authorized treating physician. Dr. Nevels evaluated Employee on June 4, 2020, and diagnosed her with a shoulder sprain, specified it was work related, and provided a referral to an orthopedist, Dr. Kyle Joyner. Employer did not authorize the referral or offer a panel of orthopedists; instead, it denied the claim on July 2, asserting Employee provided a “late report” of injury. Employer also provided a letter to Employee in which it noted that the denial was based on “medical information secured, the facts of the accident, and the provisions set forth in the Workers’ Compensation Act.”

Employee continued working and eventually saw Dr. Joyner on her own in March 2021. Dr. Joyner ordered an MRI, which indicated Employee had a full thickness tear of the anterior supraspinatus tendon in the right shoulder for which Dr. Joyner recommended surgical repair. Employee’s counsel subsequently sent a letter to Dr. Joyner requesting his medical opinion as to whether the right shoulder condition for which he was treating Employee was “more than 50% related to her on the job injury at [Employer] in May of 2020.” Dr. Joyner checked “[y]es,” explaining the injury was “likely secondary to” the lifting incident Employee had described.

Thereafter, Employee filed a request for an expedited hearing in which she sought temporary disability and medical benefits as well as attorneys’ fees for Employer’s

1 As we observed in our previous opinion, Employee later testified that this date was an error as she did not have her calendar with her when filling out the form and that the actual date of her injury was May 5, 2020. For purposes of this appeal and our decision, this discrepancy is immaterial. 2 allegedly wrongful denial of her claim. At the expedited hearing, Employee sought an order compelling Employer to provide medical care with Dr. Joyner as well as payment of past medical expenses, temporary disability benefits, and attorneys’ fees for the employer’s alleged wrongful denial of the claim. 2 The trial court concluded that Dr. Joyner’s opinion was corroborated by Employee’s description of the work accident. In addition, the court noted that Dr. Nevels was an authorized physician and completed a form at Employer’s request on which he checked a box characterizing the injury as “work-related.” Stating that Employer “offered no contrary medical proof,” the court concluded Employee was “likely to show at a hearing on the merits that she suffered an injury arising primarily from employment.”

Following the expedited hearing, the court also determined that Dr. Nevels referred Employee to Dr. Joyner, noting that Employer “ignored the referrals” and “failed to either offer a timely panel of orthopedists or authorize treatment with Dr. Joyner.” The court ordered Employer to provide medical treatment with Dr. Joyner as the authorized physician. In addition, the court concluded that Employee had not established entitlement to temporary disability benefits and denied those benefits “at this time.” Finally, the court held Employee’s request for attorneys’ fees in abeyance, noting that when an employer denies a claim or refuses to initiate benefits “based on a reasonable interpretation of facts available to it at the time the claim is denied, even if that denial is later found to be wrongful, the court should delay an award of attorney’s fees until the litigation has run its course and there is no longer a question as to the compensability of the claim.” Citing Travis v. Carter Express, Inc., No. 2018-03-0237, 2019 TN Wrk. Comp. App. Bd. LEXIS 25, at *14 (Tenn. Workers’ Comp. App. Bd. June 24, 2019). On appeal, we affirmed the trial court’s interlocutory order.

Following our remand, Dr. Joyner performed a right shoulder surgical repair and eventually placed Employee at maximum medical improvement in March 2022. Later, following a pretrial hearing, the trial court noted in a pretrial order that “issues for trial would be medical causation and permanency, as well as attorney’s fees.” The trial court also noted in the same order that Employer “no longer plans to raise a notice defense, even if it is checked as an issue on the dispute certification notice.” Neither party raised an objection to the court’s statements regarding the issues to be addressed at trial.

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Cite This Page — Counsel Stack

Bluebook (online)
2023 TN WC App. 36, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ruggieri-june-v-amazoncom-llc-tennworkcompapp-2023.