Inbound Specialist(Remote near Lawrence, KS)

Maximus; Trenton (NJ); Remote; USD 19,000 - 26,000; Full time

Job summary

Maximus is seeking an Eligibility Verification Specialist to support the FEHB Protection Act Compliance and Verification Program for enrollees. This CSR II role delivers inbound telephone support for FEHB/PSHB programs and helps with eligibility verification, documentation submission, and portal access.

Remote work is required within 50 miles of Lawrence, KS; position contingent on contract award. Candidates must meet background checks and citizenship requirements.

Qualifications

• High School diploma or equivalent with 6 months of customer service experience.
• Must be a U.S. Citizen.
• Must obtain and maintain a Moderate Risk Public Trust (5C) suitability determination and complete required background investigations.

Responsibilities

• Provides customer service for FEHB/PSHB enrollees via phone, email, web chat, or written correspondence.
• Responds to questions on eligibility verification requirements, documentation, deadlines, case status, and processes.
• Assists enrollees with Portal access, document submission, and navigation of program resources.
• Authenticates callers and protects PII/PHI per privacy and security rules.
• Documents each interaction accurately in the OPM FEHB Protection Act Portal or approved systems.
• Escalates complex questions and potential fraud indicators per procedures; meets quality and attendance standards.

Job description

Maximus is seeking an Eligibility Verification Specialist to support the U.S. Office of Personnel Management's (OPM) FEHB Protection Act Compliance and Verification Program.

This CSR II position serves as a frontline customer service representative for Federal Employees Health Benefits (FEHB) and Postal Service Health Benefits (PSHB) Program enrollees, providing inbound telephone support for dependent eligibility verification.

The CSR II responds to questions regarding dependent eligibility verification requirements, acceptable documentation, submission deadlines, case status, and verification processes, and assists enrollees with Portal access, document submission, and navigation of program resources.

Remote: Must reside within 50 miles of Lawrence, KS location

Please note: This position is contingent upon contract award.

Essential Duties and Responsibilities:

• Provides customer service for basic and routine inquiries and problems via multiple possible channels (i.e. telephone, emails, web chats, or written letters).

• Calls are predominantly routine, but may require deviation from standard screens, scripts, and procedures.

• Uses computerized system for tracking, information gathering, and/or troubleshooting.

• Provides feedback when needed, provide input on call trends, processes, procedures, and training.

• May respond to customer inquiries by referring them to published materials, secondary sources, or more senior staff.

'- Provides inbound telephone support to enrollees on dependent eligibility verification requirements, acceptable documentation, deadlines, and case status.

• Assists callers with Portal access, login issues, and document upload using OPM-approved scripts and knowledge resources.

• Authenticates callers before sharing case information and protects PII and PHI in line with privacy and security requirements.

• Documents each interaction accurately in the OPM FEHB Protection Act Portal or other approved system of record.

• Escalates complex questions, reconsideration requests, language or accessibility needs, and potential fraud indicators per approved procedures.

• Meets attendance, schedule adherence, call quality, and documentation accuracy standards.

Minimum Requirements

'- High School diploma or equivalent with 6 months of customer service experience.

• May have additional training or education in area of specialization.

'- High School diploma or equivalent with 6 months of customer service experience required

• May have additional training or education in area of specialization.

• Must be able to obtain and maintain a Moderate Risk Public Trust (5C) suitability determination, including completion of all Government-required background investigations, fingerprinting, credentialing, and security training requirements.

• Must be a U.S. Citizen

Position is contingent upon contract award

• Equipment will be provided but must meet the remote position requirement provided below.
• This is a remote role. Must reside within 50 miles of Lawrence, KS location

Remote Position Requirements:

• Internet speed of 25mbps or higher required / 50 Mpbs for shared internet connectivity (you can test this by going to www.speedtest.net).
• Minimum 5mpbs upload speed.
• Connectivity to the internet via Category 5 or 6 ethernet patch cable to the home internet router.
• Private work area and adequate power source

Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.

Minimum Salary

$16.33

Maximum Salary

$16.33