FREE ACCESS
5,000–10,000 jobs/day
See all jobs on JobTailor
Search thousands of fresh jobs every day.
Discover
- Fresh listings
- Fast filters
- No subscription required
Create a free account and start exploring right away.
About the role
Key responsibilities & impact- Supports the Legal Department by managing claim negotiations, appeals, and related legal documentation.
- Plays a critical part in resolving claims efficiently and ensuring compliance with applicable plan provisions, contracts, and regulations.
- Serves as a key liaison between internal teams and external stakeholders, utilizing strong negotiation, communication, and analytical skills to achieve timely and effective resolutions.
- 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.
- 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.
- 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.
- 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 escalate concerns to Legal leadership as appropriate.
- 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.
Requirements
What you’ll need- 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.
Benefits
Comp & perks- 🌐 Worldwide ❌ Jobs You've Hidden ⭐️ Saved Jobs ✅ Applied Jobs ✉️ Email Alerts 👤 Account amps Website LinkedIn All Job Openings 201 - 500 employees Founded 2005 ⚕️ Healthcare Insurance 💳 Fintech 🤝 B2B Healthcare Insurance
- Fintech
- B2B 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. Legal Negotiator 🔥 1 hour ago 🏢 Alpharetta – Onsite ⏰ Full Time 🟢 Junior 🟡 Mid-level 🧑💼 Attorney Apply Now Find Hiring Managers Customize resume + cover letter Report problem ☆ Save ☑️ Mark as applied ❌ Hide 📋 Description
- Supports the Legal Department by managing claim negotiations, appeals, and related legal documentation.
- Plays a critical part in resolving claims efficiently and ensuring compliance with applicable plan provisions, contracts, and regulations.
- Serves as a key liaison between internal teams and external stakeholders, utilizing strong negotiation, communication, and analytical skills to achieve timely and effective resolutions.
- 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.
- 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.
- 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.
- 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 escalate concerns to Legal leadership as appropriate.
- 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. 🎯 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 is preferred.
- Experience or working knowledge of the No Surprises Act, including its application to negotiation and IDR process requirements is preferred. Apply Now 📊 Check your resume score for this job Improve your chances of getting an interview by checking your resume score before you apply. Check Resume Score 🌐 Worldwide Built by Lior Neu-ner. I'd love to hear your feedback — Get in touch via DM or support@remoterocketship.com Search Search Jobs by country Search jobs by city Search jobs by job title Search entry-level jobs Search junior-level jobs Search senior-level jobs Search jobs by tech stack Search jobs by contract type Search remote internships Search remote part-time jobs Remote jobs Anywhere in the World Companies Hiring Anywhere in the World Companies Hiring Sales People Anywhere in the World Companies Hiring Software Engineers Anywhere in the World Resources Advice Tips for finding remote jobs Interview questions and answers Resume examples Cover letter examples Post a job Affiliates Privacy policy Terms of service Job board SEO course AI Apply Copilot OpenClaw job finder Jobs by Country Remote jobs anywhere in the world (Worldwide remote jobs) Remote jobs United States Remote jobs Australia Remote jobs Brazil Remote jobs Canada Remote jobs France Remote jobs Ireland Remote jobs Germany Remote jobs Netherlands Remote jobs Spain Remote jobs UK Popular Jobs Remote data analyst jobs Remote customer support jobs Remote executive assistant jobs Remote marketing jobs Remote product designer jobs Remote product manager jobs Remote project manager jobs Remote recruiter jobs Remote sales jobs Remote software engineer jobs Jobs by Type Remote full-time jobs Remote part-time jobs Remote contract jobs Remote internship jobs Remote entry-level jobs Remote jobs with no experience required Remote junior jobs (1-3 years of experience) Digital nomad jobs Remote jobs with no degree required Freelance remote jobs Temporary remote jobs Remote jobs hiring now Stay at home mom jobs
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
claim negotiationsclaims resolutionappeals managementsettlement negotiationslegal documentationERISAACANo Surprises Actanalytical skillsjudgment
Soft Skills
negotiationcommunicationcollaborationproblem-solvingtransparencyorganizational skillsinterpersonal skillsattention to detailtime managementcritical thinking