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Rivera v. DOWCP
22 F.4th 460
| 5th Cir. | 2021
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Background

  • Rivera, a longshore worker, filed a hearing-loss claim against Ameri-Force; employer paid limited benefits and disputed liability/ wage calculation.
  • Claims examiner held informal conferences and issued an August 24, 2016 written recommendation finding Ameri-Force the last responsible employer, awarding 35.31% binaural hearing loss, and instructing that per diem be included in average weekly wage.
  • Ameri-Force sought reconsideration and submitted its own medical exam; the claims examiner issued a September 7, 2016 supplemental recommendation averaging the competing loss rates (28.16%) and specifying a dollar award; neither party requested a formal hearing.
  • Ameri-Force later offered a conditional settlement (higher benefits if Rivera waived fee claims); Rivera rejected and Ameri-Force paid amounts consistent with the recommendations.
  • Rivera sought attorney’s fees under 33 U.S.C. § 928(b). The district director awarded fees based on the August 24 recommendation; the BRB reversed, finding the August 24 recommendation moot in light of the September 7 recommendation. Rivera appealed to the Fifth Circuit.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether Rivera is entitled to attorney’s fees under 33 U.S.C. § 928(b) based on the claims examiner’s August 24, 2016 recommendation August 24 was a written recommendation disposing central disputes; Ameri-Force refused within 14 days; Rivera procured counsel and obtained an award greater than employer’s post-recommendation posture => fees due The September 7 supplemental recommendation superseded/mooted the August 24 recommendation; Ameri-Force timely paid after Sept. 7 so § 928(b) not triggered; Aug. 24 lacked a dollar figure and employer sought reconsideration pending medical report (and relied on an employer exam) Reversed BRB. August 24 constituted a written recommendation disposing central issues and triggered § 928(b). A subsequent recommendation does not nullify the earlier recommendation; the IME exception did not apply. Rivera entitled to fees; case remanded.

Key Cases Cited

  • Carey v. Ormet Primary Aluminum Corp., 627 F.3d 979 (5th Cir. 2010) (de novo review of BRB legal rulings; attorney-fee framework under § 928(b))
  • Pool Co. v. Cooper, 274 F.3d 173 (5th Cir. 2001) (standard for reviewing BRB factual findings—substantial evidence)
  • James J. Flanagan Stevedores, Inc. v. Gallagher, 219 F.3d 426 (5th Cir. 2000) (substantial-evidence review of BRB decisions)
  • Newpark Shipbuilding & Repair, Inc. v. Roundtree, 723 F.2d 399 (5th Cir. 1984) (when BRB order is "final" for appeal timing)
  • Newport News Shipbuilding & Dry Dock Co. v. Dir., Off. of Workers' Comp. Programs, 474 F.3d 109 (4th Cir. 2006) (claims-examiner recommendation satisfies § 928(b) when it resolves a central issue)
  • FMC Corp. v. Perez, 128 F.3d 908 (5th Cir. 1997) (employer avoids § 928(b) liability by accepting recommendation or tendering payment accepted by claimant)
  • Firestone Tire & Rubber Co. v. Risjord, 449 U.S. 368 (1981) (definition of a "final" decision for appellate-review timing)
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Case Details

Case Name: Rivera v. DOWCP
Court Name: Court of Appeals for the Fifth Circuit
Date Published: Dec 21, 2021
Citation: 22 F.4th 460
Docket Number: 20-60357
Court Abbreviation: 5th Cir.