Inbound Specialist (Remote near McAllen, TX)

Maximus; Trenton (NJ); Remote; USD 20,000 - 28,000; Full time

Job summary

Maximus is seeking an Eligibility Verification Specialist to support the FEHB Protection Act Compliance and Verification Program for enrollees, providing inbound telephone support for dependent eligibility verification. The role focuses on customer service across channels, Portal access, and documentation in the OPM FEHB system.

Remote position is available within 50 miles of McAllen, TX; U.S. Citizenship and ability to obtain required clearances are prerequisites.

Qualifications

• High School diploma or equivalent with 6 months of customer service experience.
• U.S. Citizenship required.
• Ability to obtain Moderate Risk Public Trust (5C) suitability determination.
• Must be able to pass Government background investigations, fingerprinting, credentialing, and security training requirements.

Responsibilities

• Provides customer service for basic and routine inquiries via multiple channels (phone, email, web chats, letters).
• Responds to routine questions and routes to published materials or senior staff as needed.
• Assists enrollees with Portal access, login issues, and document uploads using approved scripts.
• Authenticates callers before sharing case information and protects PII/PHI.
• Documents each interaction in the OPM FEHB Protection Act Portal or approved system.
• Escalates complex questions, language/accessibility needs, and potential fraud indicators.
• Meets attendance, schedule adherence, call quality, and documentation accuracy standards.

Skills

Customer service

Phone support

Portal navigation

Education

High School diploma or equivalent

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 Remote: Must reside within 50 miles of McAllen, TX 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

• This is a remote role. Must reside within 50 miles of McAllen, TX location

• Equipment will be provided but must meet the remote position requirement provided below.

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

$17.23

Maximum Salary

$17.23