Walker v. Progressive Direct Insurance

472 F. App'x 858
CourtCourt of Appeals for the Tenth Circuit
DecidedMarch 23, 2012
Docket11-5122
StatusUnpublished

This text of 472 F. App'x 858 (Walker v. Progressive Direct Insurance) is published on Counsel Stack Legal Research, covering Court of Appeals for the Tenth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Walker v. Progressive Direct Insurance, 472 F. App'x 858 (10th Cir. 2012).

Opinion

ORDER AND JUDGMENT *

MONROE G. McKAY, Circuit Judge.

Plaintiffs Rocky and Kristi Walker appeal from the district court’s decisions granting summary judgment in favor of defendant Progressive Direct Insurance Company and denying the Walkers’ motion to alter or amend the judgment. Exercising jurisdiction pursuant to 28 U.S.C. § 1291, we affirm.

I.

The Walkers were covered by a Progressive insurance policy for their 2003 Chevrolet Tahoe. On July 29, 2008, Ms. Walker called Progressive to report that their vehicle had been stolen while they were out of town on vacation. The vehicle was recovered, but it had been burned and suffered damage. On August 22, Progressive decided to refer the claim to its Special Investigations Unit (“SIU”) because: (1) the vehicle was for sale at the time of the loss, (2) the column was not compromised, (3) the vehicle was a “gas guzzler”; and (4) both sets of keys were in the Walkers’ possession at the time of loss. Aplt.App., Vol. 2 at 566. An expert for Progressive testified that these factors are “generally recognized indicators of insurance fraud.” Id., Vol. 1 at 471. On August 25, Progressive notified the Walkers that there were certain coverage issues with their claim and that it was being investigated by the SIU.

On September 9, Progressive requested that the Walkers provide them with a key for inspection and copies of vacation photographs to prove that they were out of town when the theft occurred. As of September 16, Progressive had not received the requested items so it again asked the Walkers to provide them. On September 25, Progressive received copies of the vacation photos and a key. Upon review of the photos, it appeared as though the photos had been altered.

On October 7, Progressive’s claim file notes that a “possible issue surfaced with the keys.” Id. at 296. The Walkers’ stated that they had only two keys to the vehicle and had both keys in their possession at the time of the theft, but a Progressive employee discovered the existence of a third key. On that same day, a Progressive employee left a voicemail message for Ms. Walker asking for a call back, requesting receipts and further documentation from their vacation, advising her that the vacation photos did not seem to be original *860 photos, and informing her that Progressive would like to speak with the other parties who accompanied the Walkers on vacation. Progressive did not hear back from Ms. Walker. On October 16, Progressive sent a letter to the Walkers by regular and certified mail following up on its request for receipts from the Walkers’ vacation.

On November 3, Mr. Walker contacted Progressive by email, stating that no one had contacted them in over a month about their car. On that same day, Doug Mallory, a Progressive employee, spoke with Ms. Walker and she denied receiving the October 16 letter. Mr. Mallory asked about the vacation photos and Ms. Walker explained that the photos were taken with a blank background and then they could select a background of them choice. She provided a website so that Mr. Mallory could review the photos. Mr. Mallory did review the photos and confirmed the pictures and dates matched what Ms. Walker had submitted to Progressive.

Progressive’s claim file notes that the origin of the third key remained unresolved as of November 3. The next day, however, the claim file notes that Progressive had authorized coverage for the loss and that the documentation had shown the Walkers were not in town on the date of loss. On November 17, Progressive notified the Walkers that it had completed its coverage review, had resolved the coverage issue, and would be providing coverage for their loss.

On June 12, 2009, the Walkers brought suit in state court asserting that Progressive acted in bad faith in the handling of their insurance claim. Progressive removed the action to federal court and then moved for summary judgment. The district court granted summary judgment in Progressive’s favor. The Walkers filed a motion for a new trial, which the district court construed as a motion to alter or amend the judgment pursuant to Rule 59(e) of the Federal Rules of Civil Procedure. The district court denied the motion. The Walkers now appeal.

II.

To establish a bad-faith claim, the Walkers must show, among other things, that Progressive’s actions were unreasonable under the circumstances and that Progressive failed to deal fairly and act in good faith in the handling of the Walkers’ claim. See Badillo v. Mid Century Ins. Co., 121 P.3d 1080, 1093 (Okla.2005). When considering a motion for summary judgment on a bad-faith claim under Oklahoma law, a district court “must first determine, under the facts of the particular case and as a matter of law, whether insurer’s conduct may be reasonably perceived as tortious.” Oulds v. Principal Mut. Life Ins. Co., 6 F.3d 1431, 1436-37 (10th Cir.1993). “Until the facts, when construed most favorably against the insurer, have established what might reasonably be perceived as tortious conduct on the part of the insurer, the legal gate to submission of the issue to the jury remains closed.” Id. at 1437.

In Progressive’s motion for summary judgment, it argued that the Walkers’ had failed to offer any evidence showing that its actions were unreasonable or taken in bad faith. In response to Progressive’s motion for summary judgment, the Walkers explained that “[t]he grounds on which [Progressive] has breached its duty of good faith and fair dealing ... concern the focus and method of [Progressive’s] investigation, not any alleged disagreement concerning the value of the loss or whether [Progressive] had a right to investigate whether [the Walkers] were involved in the theft.” ApltApp., Vol. 2 at 552. They alleged that Progressive conducted an untimely and improper investigation based on Progressive’s handling of two issues— *861 the existence of the third key to their car and the authenticity of the vacation photos. Specifically, the Walkers argued that Progressive’s actions were unreasonable because “[i]t was knowable to the insurance company that the pictures were valid and that the third key was created after the loss.” Id. at 558. The Walkers also complained that Progressive “allowed the ‘key’ issue to be presented to its expert, Barry Zalma, who used that to accuse the [Walkers] of fraud in his 2/25/10 expert report.” Id. at 553.

After considering the parties’ submissions, the district court concluded that the Walkers could not defeat Progressive’s motion for summary judgment because they had failed to explain how they were damaged by Progressive’s alleged unreasonable actions, which is a required element of a bad faith claim, and they had further failed to show that Progressive’s investigation was unreasonable.

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Bluebook (online)
472 F. App'x 858, Counsel Stack Legal Research, https://law.counselstack.com/opinion/walker-v-progressive-direct-insurance-ca10-2012.