Remote Eligibility Verification Specialist (FEHB)

Maximus; Phoenix (AZ); 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 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 role with a location constraint: must reside within 75 miles of Lawrence, KS.

Qualifications

• Strong attention to detail and ability to compare records, recognize discrepancies, 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.

Responsibilities

• Works on assignments that are semi-routine in nature but recognizes the need for occasional deviation from accepted practice.
• Perform repetitive clerical steps such as document verification, manage inbound and outbound routine calls, and greeting guests.
• Perform entry-level clerical duties requiring general knowledge and the application of various work methods and procedures.
• Provide administrative support to project and operations management, which may include identifying, anticipating, and meetings needs of all departments.
• Review supporting documents for completeness and accuracy against established eligibility requirements.
• Compare records, identify missing or inconsistent information, and resolve routine discrepancies using established procedures.
• Conduct outbound follow-up to request missing information, clarify documentation, and explain next steps.
• Maintain accurate case records, review notes, and status updates in designated systems.
• Manage assigned workloads and follow-up activities to meet quality, productivity, and processing standards.
• Escalate complex or unresolved cases through established channels.
• Protect confidential information and follow applicable privacy, security, and document-handling procedures.

Skills

Attention to detail

Documentation review

Written communication

Verbal communication

Electronic case records

Education

High School diploma or equivalent

1-3 years experience

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 role with a location constraint: must reside within 75 miles of Lawrence, KS.