Julie Williams
Workers’ Compensation Adjuster
Mandeville,LA
Summary
Workers’ Compensation Claims Adjuster
Licensed in Louisiana • 8 Years Experience • Complex Lost Time Claims
Results-driven Workers’ Compensation Claims Adjuster with eight years of experience managing complex lost time claims under Louisiana jurisdiction. Empathetic toward injured employees, balancing their needs with a strong commitment to facilitating safe and timely return-to-work outcomes that reduce financial exposure. Adept at conducting thorough investigations, analyzing liability, and negotiating fair settlements. Proven expertise in coordinating with medical providers, attorneys, and vocational professionals to facilitate timely resolutions and return-to-work strategies. Skilled in reserve setting, subrogation identification, and maintaining compliant, audit-ready documentation. Proficient in effective communication, collaborative problem-solving, and consistently delivering high-quality outcomes within fast-paced claims environments.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Workers' Compensation Claims Adjuster
HSLI
08.2024 - 03.2025
- Managed diverse WC claims, ensuring compliance and timely benefit delivery.
- Conducted investigations, securing statements to validate claims.
- Collaborated with legal, medical teams for efficient claim resolutions.
- Executed audits, maintaining documentation accuracy and regulatory compliance.
- Fostered relationships with stakeholders, enhancing communication and trust.
- Managed diverse WC claims caseload of 85-90 complex lost time claims, ensuring compliance and timely benefit delivery.
Workers' Compensation Claims Adjuster
The Gray Insurance Company
10.2023 - 06.2024
- Investigate claims to verify validity, minimizing financial risk with precise assessments.
- Collaborate with medical experts and attorneys to optimize treatment plans for injured workers.
- Analyze medical records and billing, ensuring accuracy and compliance with company standards.
- Negotiate settlements, resolving claims efficiently within legal and procedural guidelines.
- Evaluated and processed claims efficiently, ensuring timely resolutions that enhanced client satisfaction and minimized financial exposure.
Workers' Compensation Claims Adjuster
CorVel Corporation
07.2017 - 10.2023
- Administered large caseload of self-insured WC claims, from initial intake to closure.
- Identified cost-saving opportunities and potential fraud, contributing to major client savings.
- Maintained compliance with Louisiana WC law and coordinated care with all involved parties.
- Negotiated settlements and tracked claim progress, reserving appropriately throughout the lifecycle.
Customer Service Representative
State Farm Insurance
06.2016 - 07.2017
- Obtained license in Health, Life, Property insurance; built strong client relationships.
- Developed leads and scheduled appointments for insurance sales.
- Promoted Auto, Health, Life, Property insurance, enhancing customer satisfaction.
- Managed customer accounts, ensuring accurate information and timely updates.
Claims Technical Analyst / Technical Operations Analyst
Gilsbar LLC
09.2007 - 05.2016
- Analyzed claims data, enhancing processing efficiency by over 40%.
- Improved client account management, reducing errors and boosting satisfaction.
- Implemented system upgrades, achieving measurable operational improvements.
- Provided technical support, resolving complex billing and eligibility issues.
- Streamlined operations through effective data analysis and system enhancements.
Education
Bachelor of Arts - Marketing
Southeastern Louisiana University
Hammond, LASkills
●Louisiana WC Law & Jurisdictional Expertise
●Claim Investigations & Statement Gathering
●Reserve Setting & Exposure Strategy
●Settlement Negotiation & Resolution
●Return-to-Work Planning & Vocational
Coordination
●Compliance Audits & Documentation Standards
●Complex Lost Time Claims Management
●Compensability & Liability Analysis
●Medical Records Review & Benefit Calculation
●Subrogation & Third-Party Pursuits
●Stakeholder Communication & File Review
- Claims management
- Policy interpretation
- Case coordination
- Claims investigation
- Time management
- Problem-solving abilities
- Multitasking
- Excellent communication
- Critical thinking
- Customer service and support
- Computer skills
- Decision-making skills
- Adaptability and flexibility
- Workload prioritization
Certification
- Louisiana Workers' Comp Adjuster License, 10/31/2026
- Mississippi Workers' Comp Adjuster License, 10/31/2025
Timeline
Workers' Compensation Claims Adjuster
HSLI
08.2024 - 03.2025
Workers' Compensation Claims Adjuster
The Gray Insurance Company
10.2023 - 06.2024
Workers' Compensation Claims Adjuster
CorVel Corporation
07.2017 - 10.2023
Customer Service Representative
State Farm Insurance
06.2016 - 07.2017
Claims Technical Analyst / Technical Operations Analyst
Gilsbar LLC
09.2007 - 05.2016
Bachelor of Arts - Marketing
Southeastern Louisiana University
Similar Profiles
Mia RussoMia Russo
Qualified Babysitter at Self EmployedQualified Babysitter at Self Employed
Maria TusaMaria Tusa
Secretary/Bookkeeper/Office Manager at Our Lady of Mount Carmel Latin Mass Community ChapelSecretary/Bookkeeper/Office Manager at Our Lady of Mount Carmel Latin Mass Community Chapel
Jared BatesJared Bates
Area Team Lead at Fresenius Medical CareArea Team Lead at Fresenius Medical Care
David MoralesDavid Morales
Account Manager at IWS Gas and SupplyAccount Manager at IWS Gas and Supply
Chris Kiefer LaheyChris Kiefer Lahey
Workers Compensation Claims Adjuster - Return to Work at Travelers InsuranceWorkers Compensation Claims Adjuster - Return to Work at Travelers Insurance