Legal Negotiator

AMPS; Fully; On-site; CHF 90,000 - 130,000; Full time

Job summary

AMPS is seeking a Legal Negotiator to support the Legal Department in managing claim negotiations, appeals, and related documentation. You will coordinate with internal teams and external stakeholders to resolve claims efficiently while ensuring compliance with plan provisions, contracts, and regulations.

You will review, negotiate, and document settlement processes, maintain records in internal systems, and communicate clearly to manage expectations and timelines throughout the negotiation

Qualifications

• Bachelor’s degree required.
• 2–5 years of experience in legal, paralegal, claims, or healthcare-related roles preferred.
• Experience with settlement negotiations, claims resolution, or appeals preferred.
• Experience applying ERISA and ACA requirements in claim reviews is preferred.

Responsibilities

• Review claim information to evaluate settlement strategies.
• Prepare and negotiate settlement offers with clients and third parties.
• Manage appeals through resolution following internal procedures and regulations.
• Maintain thorough documentation of negotiations and outcomes in systems.
• Communicate with internal and external stakeholders regarding status and timelines.
• Identify risks and escalate to Legal leadership when needed.

Skills

Negotiation

Problem-solving

Conflict resolution

Interpersonal skills

Customer service

Written communication

Verbal communication

Organization

Time management

Data analysis

Confidentiality

Independent work

Typing 60 wpm

Education

Bachelor’s degree

Tools

Claim documentation systems

Job description

Description

The Legal Negotiator supports the Legal Department by managing claim negotiations, appeals, and related legal documentation. This role plays a critical part in resolving claims efficiently and ensuring compliance with applicable plan provisions, contracts, and regulations. The Legal Negotiator serves as a key liaison between internal teams and external stakeholders, utilizing strong negotiation, communication, and analytical skills to achieve timely and effective resolutions.

The Legal Negotiator supports the Legal Department by managing claim negotiations, appeals, and related legal documentation. This role plays a critical part in resolving claims efficiently and ensuring compliance with applicable plan provisions, contracts, and regulations. The Legal Negotiator serves as a key liaison between internal teams and external stakeholders, utilizing strong negotiation, communication, and analytical skills to achieve timely and effective resolutions.

Requirements

Claims Negotiations & Appeals

• Review claim information, supporting documentation, and system data to evaluate appropriate settlement strategies.
• Prepare, present, and negotiate settlement offers with clients, providers, and third-party collection entities.
• Manage appeals through resolution, ensuring adherence to internal procedures and applicable regulations.
• Exercise strong judgment when resolving complex or escalated claims and identify matters requiring further legal review.

System & Documentation Management

• Maintain accurate, thorough, and timely documentation of negotiations, communications, and outcomes within internal systems.
• Utilize system functionality to track claim status, deadlines, and resolution metrics.

Stakeholder Communication

• Communicate professionally and effectively with internal departments and external stakeholders regarding claim status, settlement offers, and resolution timelines.
• Provide timely follow-ups and clear explanations to ensure transparency and manage expectations throughout the negotiation process.

Risk Mitigation & Compliance

• Ensure negotiation strategies and resolutions align with contractual obligations, and applicable laws and regulations.
• Identify trends, recurring issues, or potential risks related to claims and accelerate concerns to Legal leadership as appropriate.

Collaboration & Process Improvement

• Collaborate with Legal, Operations, Client Services, and other internal teams to support efficient workflows and positive client outcomes.
• Contribute to the development and refinement of templates, procedures, and best practices related to claims negotiations and appeal resolution.

Skills & Abilities

• Strong negotiation, problem-solving, and conflict-resolution skills
• Exceptional interpersonal and customer service skills
• Clear, professional written and verbal communication skills
• Excellent organizational skills with strong attention to detail
• Effective time management and ability to prioritize competing deadlines
• Ability to analyze complex claim data and apply plan language accurately
• Proficiency with claim documentation systems
• Ability to work independently while contributing to a collaborative, team-based environment
• Ability to type at least 60 words per minute
• Demonstrated discretion and ability to handle confidential information

Education & Experience

• Bachelor’s degree required.
• Minimum of two to five (2–5) years of experience in legal, paralegal, claims, or healthcare-related roles preferred.
• Experience with settlement negotiations, claims resolution, or appeals strongly preferred.
• Experience applying ERISA and ACA requirements in claim reviews, appeals management and settlement negotiations is preferred.
• Experience or working knowledge of the No Surprises Act, including its application to negotiation and IDR process requirements is preferred