Legal Negotiator

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amps

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2005

🏥 Healthcare

💼 Consulting

🛡️ Insurance

Healthcare • Consulting • Insurance

AMPS is a leader in healthcare cost reduction for self-funded organizations, dedicated to transforming how businesses manage their healthcare spend. With nearly two decades of expertise, AMPS delivers innovative, member-centric solutions such as PriceDynamix, ClaimInsight, and Drexi that drive savings while maintaining high-quality care. Their personalized approach empowers organizations to take control of their healthcare costs without compromising member well-being, making them a trusted partner in achieving sustainable healthcare savings.

📋 Description

• Support the Legal Department by managing claim negotiations, appeals, and related legal documentation • Review claim information, supporting documentation, and system data to evaluate settlement strategies • Prepare, present, and negotiate settlement offers with clients, providers, and third-party collection entities • Manage appeals through resolution while adhering to internal procedures and applicable regulations • Resolve complex or escalated claims and identify matters requiring further legal review • Maintain accurate and timely documentation of negotiations, communications, and outcomes • Track claim status, deadlines, and resolution metrics in internal systems • Communicate with internal departments and external stakeholders regarding claim status, settlement offers, and timelines • Provide follow-ups and explanations throughout the negotiation process • Align negotiation strategies and resolutions with contractual obligations, laws, and regulations • Identify claims trends, recurring issues, and potential risks; escalate concerns to Legal leadership • Collaborate with Legal, Operations, Client Services, and other internal teams • Contribute to templates, procedures, and best practices for claims negotiations and appeals

🎯 Requirements

• 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 preferred • Experience or working knowledge of the No Surprises Act, including negotiation and IDR process requirements, preferred • Strong negotiation, problem-solving, and conflict-resolution skills • Exceptional interpersonal and customer service skills • Clear, professional written and verbal communication skills • Excellent organizational skills and 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 in a collaborative, team-based environment • Ability to type at least 60 words per minute • Demonstrated discretion and ability to handle confidential information