Remote Eligibility Verifier - FEHB

Maximus; Olympia (WA); Remote; USD 19,000 - 26,000; Full time

Benefits offered by this job

Equipment provided

Job summary

Maximus seeks an Eligibility Verification Specialist to support FEHB compliance for the OPM program. This Admin II role performs detailed reviews of enrollee-submitted documentation for dependent eligibility verification and related administrative duties.

The position is full-time and remote, with residency within 75 miles of Lawrence, KS. Responsibilities include reviewing documents, following up on missing information, maintaining case records, and ensuring privacy and security of sensitive

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, 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.
• Ability to follow structured procedures, manage assigned deadlines, learn program systems, and recognize when a case requires escalation.
• Regular and predictable attendance is required
• Must be able to obtain and maintain a Moderate Risk Public Trust (5C) suitability determination, including completion of all Government-required background investigations, fingerprinting, credentialing, and security training requirements.
• Must be able to pass a government background check
• Must be a U.S. Citizen

Responsibilities

• 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

Written communication

Data entry

Confidential information handling

Workflow systems

Education

High School diploma or equivalent

Job description

Maximus seeks an Eligibility Verification Specialist to support FEHB compliance for the OPM program. This Admin II role performs detailed reviews of enrollee-submitted documentation for dependent eligibility verification and related administrative duties.

The position is full-time and remote, with residency within 75 miles of Lawrence, KS. Responsibilities include reviewing documents, following up on missing information, maintaining case records, and ensuring privacy and security of sensitive