Remote FEHB Eligibility Verification Specialist

Maximus; Augusta (ME); Remote; USD 19,000 - 26,000; Full time

Job summary

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

This Admin II position performs detailed reviews of enrollee-submitted documentation supporting dependent eligibility verification for FEHB. This is a full time role with a remote work option limited to candidates residing within 75 miles of Lawrence, KS, contingent upon contract award.

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.

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

Communication skills

Data entry

Privacy compliance

Education

High School diploma or equivalent

Tools

Electronic case records

Document imaging

Data entry systems

Workflow management

Job description

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

This Admin II position performs detailed reviews of enrollee-submitted documentation supporting dependent eligibility verification for FEHB. This is a full time role with a remote work option limited to candidates residing within 75 miles of Lawrence, KS, contingent upon contract award.