Remote FEHB Eligibility Verification Specialist

Maximus; City of Albany (NY); Remote; USD 19,000 - 26,000; Full time

Benefits offered by this job

Remote work

Job summary

Maximus seeks an Eligibility Verification Specialist to support FEHB/PSHB enrollment, providing inbound phone support for dependent eligibility verification and portal assistance.

The CSR II serves as frontline, responding to questions on documentation, deadlines, case status, and verification processes, and helps enrollees with Portal access and document submission while safeguarding privacy and data entry in the OPM FEHB Portal.

Qualifications

• High school diploma or equivalent with 6 months of customer service experience.
• U.S. Citizen with ability to obtain Moderate Risk Public Trust (5C) clearance.

Responsibilities

• Provides inbound telephone support for FEHB/PSHB enrollees and depends eligibility verification.
• Answers questions on verification requirements, acceptable documentation, deadlines, and case status.
• Assists enrollees with Portal access, login issues, and document upload using approved scripts.
• Authenticates callers and protects PII/PHI in line with privacy and security requirements.
• Documents interactions accurately in the OPM FEHB Portal or other system of record.
• Escalates complex questions per approved procedures.
• Meets attendance, schedule adherence, and documentation accuracy standards.

Skills

Customer service

Phone support

Portal access

Document upload

PII/PHI handling

Education

High school diploma

Customer service experience

Tools

OPM FEHB Portal

Case tracking system

Job description

Maximus seeks an Eligibility Verification Specialist to support FEHB/PSHB enrollment, providing inbound phone support for dependent eligibility verification and portal assistance.

The CSR II serves as frontline, responding to questions on documentation, deadlines, case status, and verification processes, and helps enrollees with Portal access and document submission while safeguarding privacy and data entry in the OPM FEHB Portal.