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 claim negotiations, appeals, and related documentation. The role liaises with internal teams and external stakeholders, applying strong negotiation, communication, and analytical skills to achieve timely resolutions.

Requirements include a bachelor's degree and 2–5 years in legal or claims roles, with ERISA/ACA and No Surprises Act knowledge a plus. Swiss-based position with focus on compliant settlements and risk mitigation.

Qualifications

• Bachelor’s degree required; 2–5 years in legal, paralegal, claims, or healthcare roles preferred.
• Experience in settlement negotiations, claims resolution, or appeals preferred.
• Knowledge of ERISA/ACA requirements and No Surprises Act is a plus.

Responsibilities

• Review claim information and data to evaluate settlement strategies.
• Prepare, present, and negotiate settlement offers with clients and providers.
• Manage appeals through resolution adhering to procedures and regulations.
• Document negotiations and outcomes in internal systems accurately.
• Communicate status, timelines, and resolutions with internal and external stakeholders.
• Identify risks and escalate to Legal leadership as needed.
• Collaborate to improve templates, procedures, and best practices.

Skills

Negotiation

Communication

Attention to detail

Legal analysis

Time management

Independent working

60 wpm typing

Education

Bachelor’s degree

2–5 years experience in legal/claims

Tools

Claims 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.

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 elevate 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