Remote Eligibility Verification Specialist

Maximus; Lansing (MI); Remote; USD 19,000 - 26,000; Full time

Benefits offered by this job

Remote position with equipment

Contract contingent

Job summary

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

This Admin II Operations role performs detailed reviews of enrollee-submitted documentation supporting dependent eligibility verification for the FEHB Program. This is a full-time, remote position, with the requirement to reside within 75 miles of Lawrence, KS.

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.
• Ability to follow structured procedures, meet deadlines, learn program systems, and escalate when needed.

Responsibilities

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

Skills

Attention to detail

Document review

Data entry

Communications

Confidentiality

Follow procedures

Attendance

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 for the U.S. Office of Personnel Management.

This Admin II Operations role performs detailed reviews of enrollee-submitted documentation supporting dependent eligibility verification for the FEHB Program. This is a full-time, remote position, with the requirement to reside within 75 miles of Lawrence, KS.