FEHB Eligibility Verifier (Admin II) – Remote

Maximus; Helena (MT); Remote; USD 19,000 - 26,000; Full time

Job summary

Maximus seeks an Eligibility Verification Specialist to support the FEHB Protection Act Compliance and Verification Program for the U.S. Office of Personnel Management.

The Admin II Operations role performs detailed reviews of enrollee-submitted documentation and supports dependent eligibility verification. This is a full-time remote role with a requirement to reside within 75 miles of Lawrence, KS; all duties focus on accuracy, compliance, and timely processing of internal documentation and

Qualifications

• High School diploma or equivalent with 1-3 years of experience.
• Experience reviewing benefits, eligibility, insurance, or other supporting documentation against established criteria.
• Strong attention to detail and ability to compare records and maintain accurate case notes during repetitive document-review work.
• Experience with electronic case records, document imaging, data entry, and workflow or work-queue systems.
• Clear written and verbal communication skills, including experience conducting customer follow-up calls and explaining documentation requirements.
• Experience handling confidential information and following privacy, security, and records management procedures.

Responsibilities

• Review supporting documents for completeness and accuracy against eligibility requirements.
• Compare records, identify missing or inconsistent information, and resolve routine discrepancies using established procedures.
• Conduct outbound follow-up to request missing information, clarify documentation, and explain next steps.
• Maintain accurate case records, review notes, and status updates in designated systems.
• Manage assigned workloads and follow-up activities to meet quality, productivity, and processing standards.
• Escalate complex or unresolved cases through established channels.

Skills

Attention to detail

Communication skills

Data entry

Customer follow-up calls

Education

High School diploma or equivalent

Tools

Document imaging

Case management systems

Job description

Maximus seeks an Eligibility Verification Specialist to support the FEHB Protection Act Compliance and Verification Program for the U.S. Office of Personnel Management.

The Admin II Operations role performs detailed reviews of enrollee-submitted documentation and supports dependent eligibility verification. This is a full-time remote role with a requirement to reside within 75 miles of Lawrence, KS; all duties focus on accuracy, compliance, and timely processing of internal documentation and