Friday, March 22, 2013

Sixth Circuit Affirms FLSA Class Action Victory of Columbus Employer

On Wednesday, the Sixth Circuit Court of Appeals affirmed a partial summary judgment and bench trial judgment in favor of a local employer facing a class action for alleged misclassification of Special Investigators as administratively exempt under the Fair Labor Standards Act.  Foster v. Nationwide Mutual Ins. Co.,  No. 12-3106 (6th Cir. 3/21/13).   In that case, the employees’ primary duty was to investigate and make recommendations concerning approximately 1% of insurance claims which are identified by claims adjusters as presenting certain indicators of fraud. Although the plaintiffs disputed the amount of supervision and authority they possessed (which required a trial of that issue), the Court ultimately found during the bench trial that they exercised independent judgment and discretion with respect to matters of significance.

According to the Court’s opinion, the plaintiffs were well compensated (at an average $75,000) and experienced in law enforcement or insurance claims and spend the majority of their time investigating suspicious claims.   The investigators, however, do not make final decisions about whether to pay or deny claims.  The plaintiffs conducted investigations relatively free from supervision, but subject to guidelines and auditing standards. They gathered evidence, interviewed witnesses, supervised recommended experts, resolved factual questions about fraud, and made recommendations about whether to refer the matters to local law enforcement.
Directly Related to Business Operations
The Court rejected the plaintiffs’ argument that they should not be administratively exempt when the FLSA regulations make clear that law enforcement personnel, public safety personnel and other first-responders performing similar tasks are not exempt under 29 C.F.R. § 541.3(b)(1).

The Court also rejected the argument that the plaintiffs’ work was more akin to non-exempt production/retail sales work than work directly related to the company’s general business operations. The Court found the case of an investigations company to be dissimilar because conducting investigations was that employer’s core business, unlike this case. The plaintiffs argued that the defendant employer’s primary business was asset protection, but the Court concluded that it was creating and marketing insurance policies to the public.   Because the plaintiffs did not write or sell insurance policies, their work could not be production work.
The Court also found the plaintiffs’ job to be more similar to the functions which are identified in the regulation as examples of administratively exempt jobs:  human resources, insurance, auditing, insurance, legal compliance, etc. under 29 C.F.R. § 541.201(b) and insurance claims adjusters which are generally exempt under 29 C.F.R. § 541.203(a).

Independent Judgment and Discretion

The plaintiffs argued that they lacked independent judgment and discretion because they were required to comply with certain investigation guidelines and were audited.  The Court found that the plaintiffs retained significant discretion about how to conduct their investigations and resolve factual questions.   Resolving questions about indications of fraud necessarily involved exercising judgment and independent discretion because they were so fact specific.  Virtually all of the plaintiffs testified that their jobs required them to “search for the truth” and to determine whether certain claims were legitimate or fraudulent.  Although some of the claims were fairly simple to resolve, because “truth” is not an objective concept, there was nothing mechanical about their duties.  

The Court rejected a comparison to a 2005 DOL opinion letter which found that background investigators hired by the Department of Defense to assist with security clearances did not exercise independent judgment because they were not resolving significant factual questions, but were mostly gathering information from pre-listed sources.  The Court also rejected comparisons to two other federal court decisions where those investigators merely gathered information which a claims adjuster or supervisor then reviewed, analyzed and resolved.
The plaintiffs’ duties were also necessarily significant because their conclusions were relied upon to resolve insurance claims.
The Court also found in favor of the employer on similar wage claims brought under New York and California law.

NOTICE: This summary is designed merely to inform and alert you of recent legal developments. It does not constitute legal advice and does not apply to any particular situation because different facts could lead to different results. Information here can change or be amended without notice. Readers should not act upon this information without legal advice. If you have any questions about anything you have read, you should consult with or retain an employment attorney.