Workers Compensation, Medical Bill Review, Operations Analyst

W. R. Berkley Corporation

Operations Analyst specializing in Medical Bill Review at Berkley Medical Management Solutions. Supporting workers' comp bill processing and driving operational improvements with vendor collaboration.

Posted 4/29/2026full-timeRemote • Virginia • 🇺🇸 United StatesMid-LevelSenior💰 $75,000 - $95,000 per yearWebsite

Tech Stack

Tools & technologies

SQL

About the role

Key responsibilities & impact

Serve as a subject-matter expert for Medical Bill Review (MBR) operations;
Provide advanced production support and drive process improvements;
Coordinate cross-functional issue resolution and project execution;
Support processing of workers’ compensation medical and pharmacy bills from bill intake through payment;
Investigate bill processing issues and problem-solve;
Interface with multiple vendors for issue resolution;
Monitor business dashboards and vendor reports daily for TAT trends;
Recommend workflow enhancements and document trends and issues for improvement;
Build and maintain relationships with internal teams, external vendors, and medical providers.

Requirements

What you’ll need

MBR business process SME including experience with MBR E2E process from a business/operations perspective;
firm understanding of integrated services and workflows including FS/UCR, Nurse and code review, PPO, negotiations, adjustor bill adjudication;
workers compensation regulatory environment experience/understanding;
Demonstrated application of successful critical thinking and complex problem solving skills;
Experience in a role requiring deep understanding of and experience working with MBR and integrated services technology;
Experience gathering business requirements and clearly documenting complex scenarios and use cases;
Communication experience with varied audiences including leadership and peers in business/operational & technology roles;
Client-facing acumen;
Team-player;
Experience with Atlassian/JIRA/SQL.
5 years in a multi-faceted workers compensation MBR role demonstrating increasing responsibility with required skills outlined above within that time or 3 years in an MBR role + 2 years in position with similar responsibilities.

Benefits

Comp & perks

Health, Dental, Vision, Life, Disability, Wellness, Paid Time Off, 401(k) and Profit-Sharing plans.

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

Medical Bill Review (MBR)E2E processFS/UCRNurse reviewcode reviewPPOnegotiationsadjustor bill adjudicationcritical thinkingcomplex problem solving

Soft Skills

communicationclient-facingteam player