Remote FEHB Eligibility Verifier & Admin Support

Maximus; Denver (CO); Remote; USD 19,000 - 26,000; Full time

Job summary

Maximus is seeking an Eligibility Verification Specialist to support FEHB eligibility verification for the OPM program. This Admin II role involves detailed review of enrollee-submitted documentation, with an emphasis on accuracy, compliance, and confidentiality.

Remote work is offered, but the candidate must reside within 75 miles of Lawrence, KS. The position requires a high school diploma with 1–3 years of related experience, the ability to handle confidential information, and the capacity to

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.

Responsibilities

• Works on assignments that are semi-routine in nature with occasional deviations from standard practice.
• Perform repetitive clerical steps such as document verification and inbound/outbound calls.
• Provide administrative support to project and operations management.
• Review supporting documents for completeness and accuracy against eligibility requirements.
• Maintain accurate case records and status updates in designated systems.
• Escalate complex or unresolved cases through established channels.
• Protect confidential information and follow privacy and security procedures.

Skills

Attention to detail

Data entry

Communication skills

Privacy & confidentiality

US citizenship

Education

High School diploma or equivalent

Additional training in area of specialization

Tools

Electronic case records

Document imaging

Data entry systems

Workflow/work-queue systems

Job description

Maximus is seeking an Eligibility Verification Specialist to support FEHB eligibility verification for the OPM program. This Admin II role involves detailed review of enrollee-submitted documentation, with an emphasis on accuracy, compliance, and confidentiality.

Remote work is offered, but the candidate must reside within 75 miles of Lawrence, KS. The position requires a high school diploma with 1–3 years of related experience, the ability to handle confidential information, and the capacity to