Remote Eligibility Verification Specialist

Maximus; Lansing (MI); 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 position serves as a frontline customer service representative for FEHB/PSHB enrollees, providing inbound telephone support for dependent eligibility verification and Portal access.

Remote role: Must reside within 50 miles of McAllen, TX. Position contingent upon contract award; equipment provided to meet remote requirements and privacy standards, with

Qualifications

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

Responsibilities

• Provides customer service for basic and routine inquiries and problems via multiple channels (phone, email, web chat, letters).
• Handles routine calls, may deviate from standard screens or scripts as needed.
• Uses computerized systems for tracking, information gathering, and troubleshooting.
• Gives feedback and input on call trends, processes, and training.
• Escalates complex questions and potential fraud indicators per procedures.
• Provides inbound telephone support to enrollees on dependent eligibility verification, documentation, deadlines, and case status.
• Assists callers with Portal access, login issues, and document upload using approved resources.
• Authenticates callers and protects PII/PHI per privacy and security requirements.
• Documents each interaction in the FEHB Portal or system of record.
• Meets attendance, schedule adherence, call quality, and documentation accuracy standards.

Skills

Customer service experience

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 position serves as a frontline customer service representative for FEHB/PSHB enrollees, providing inbound telephone support for dependent eligibility verification and Portal access.

Remote role: Must reside within 50 miles of McAllen, TX. Position contingent upon contract award; equipment provided to meet remote requirements and privacy standards, with