Remote FEHB Eligibility Specialist

Maximus; Trenton (NJ); 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 enrollees. This CSR II role delivers inbound telephone support for FEHB/PSHB programs and helps with eligibility verification, documentation submission, and portal access.

Remote work is required within 50 miles of Lawrence, KS; position contingent on contract award. Candidates must meet background checks and citizenship requirements.

Qualifications

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

Responsibilities

• Provides customer service for FEHB/PSHB enrollees via phone, email, web chat, or written correspondence.
• Responds to questions on eligibility verification requirements, documentation, deadlines, case status, and processes.
• Assists enrollees with Portal access, document submission, and navigation of program resources.
• Authenticates callers and protects PII/PHI per privacy and security rules.
• Documents each interaction accurately in the OPM FEHB Protection Act Portal or approved systems.
• Escalates complex questions and potential fraud indicators per procedures; meets quality and attendance standards.

Job description

Maximus is seeking an Eligibility Verification Specialist to support the FEHB Protection Act Compliance and Verification Program for enrollees. This CSR II role delivers inbound telephone support for FEHB/PSHB programs and helps with eligibility verification, documentation submission, and portal access.

Remote work is required within 50 miles of Lawrence, KS; position contingent on contract award. Candidates must meet background checks and citizenship requirements.