Remote FEHB Eligibility Verification Specialist

Maximus; Hagåtña (GU); Remote; USD 19,000 - 26,000; Full time

Job summary

Maximus is seeking an Eligibility Verification Specialist to support FEHB/PSHB enrollment verification. This CSR II acts as a frontline representative handling inbound calls, portal access, and documentation review for dependent eligibility requirements.

Remote role: must reside within 50 miles of Lawrence, KS. Requires U.S. citizenship and ability to obtain a Moderate Risk Public Trust suitability determination. Contract-award contingent.

Qualifications

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

Responsibilities

• Provide customer service for basic and routine inquiries via telephone, emails, chats, or letters.
• Assist enrollees with portal access, login issues, and document uploads using approved scripts and resources.
• Authenticate callers before sharing case information and protect PII/PHI per privacy requirements.
• Document each interaction accurately in the FEHB Portal or other system of record.
• Escalate complex questions per procedures and meet attendance and accuracy standards.

Skills

Customer service

Inbound calls

Documentation

Privacy handling

Education

High School diploma

Job description

Maximus is seeking an Eligibility Verification Specialist to support FEHB/PSHB enrollment verification. This CSR II acts as a frontline representative handling inbound calls, portal access, and documentation review for dependent eligibility requirements.

Remote role: must reside within 50 miles of Lawrence, KS. Requires U.S. citizenship and ability to obtain a Moderate Risk Public Trust suitability determination. Contract-award contingent.