Remote Eligibility Verification Specialist

Maximus; Jackson (MS); 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. This CSR II role is the frontline contact for FEHB/PSHB enrollees, handling inbound calls about dependent eligibility verification, documentation, deadlines, and case status.

You will assist enrollees with Portal access and document submission, ensure privacy of PII/PHI, and record interactions in the FEHB Portal. Remote within 50 miles of McAllen, TX.

Qualifications

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

Responsibilities

• Provides customer service for basic and routine inquiries via telephone, email, chat, or written letters.
• Handles routine calls and may deviate from scripts as needed.
• Uses computerized systems to track information and troubleshoot.
• Escalates complex questions and potential fraud indicators per procedures.
• Assists enrollees with Portal access, login issues, and document submission.
• Authenticates callers and protects PII and PHI per privacy requirements.

Skills

Customer service

Education

High School diploma or equivalent

Job description

Maximus is seeking an Eligibility Verification Specialist to support the FEHB Protection Act Compliance and Verification Program. This CSR II role is the frontline contact for FEHB/PSHB enrollees, handling inbound calls about dependent eligibility verification, documentation, deadlines, and case status.

You will assist enrollees with Portal access and document submission, ensure privacy of PII/PHI, and record interactions in the FEHB Portal. Remote within 50 miles of McAllen, TX.