Remote Eligibility Verification Specialist (FEHB/PSHB)

Maximus; Salt Lake City (UT); Remote; USD 20,000 - 28,000; Full time

Job summary

Maximus is seeking an Eligibility Verification Specialist to support FEHB/PSHB enrollment and dependent eligibility verification. The role focuses on providing inbound telephone support, assisting enrollees with Portal access, document submission, and navigation of program resources.

The CSR II handles routine inquiries, uses a case management system, and ensures data accuracy while protecting sensitive information.

Qualifications

• High School diploma or equivalent with minimal customer service experience.
• May have additional training or education in area of specialization.
• Must be able to obtain Moderate Risk Public Trust (5C) suitability determination and required background investigations.

Responsibilities

• Provide inbound customer service for FEHB/PSHB enrollees via multiple channels.
• Assist enrollees with Portal access, document submission, and navigation of resources.
• Authenticate callers and protect PII/PHI per privacy and security standards.
• Document each interaction accurately in the FEHB Portal or approved system.
• Escalate complex inquiries and potential fraud indicators as needed.

Skills

Customer service

Phone support

Data entry

Privacy & security

Education

High School diploma or equivalent

Tools

OPM Portal

Case management system

Job description

Maximus is seeking an Eligibility Verification Specialist to support FEHB/PSHB enrollment and dependent eligibility verification. The role focuses on providing inbound telephone support, assisting enrollees with Portal access, document submission, and navigation of program resources.

The CSR II handles routine inquiries, uses a case management system, and ensures data accuracy while protecting sensitive information.