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Inbound Specialist (Remote near McAllen, TX)

Role overview

Qualifications

  • Customer service experience
  • Familiarity with health benefits programs
  • Strong communication skills
  • Ability to navigate program resources

Responsibilities

  • Provides customer service for basic and routine inquiries and problems via multiple channels
  • Responds to questions regarding dependent eligibility verification requirements
  • Assists enrollees with Portal access, document submission, and navigation of program resources
  • Uses computerized system for tracking, information gathering, and troubleshooting

Key facts

Hard skills

Other skills

  • Customer Service
  • Communication
  • Problem Solving
  • Information Gathering

About the company

Maximus  logo

Maximus

  • Government & Public Administration
  • Large
  • 10,001+
Maximus enables citizens around the globe to successfully engage with their governments at all levels and across a variety of programs by delivering innovative business process management and technology solutions that contribute to improved outcomes for citizens and higher levels of productivity, accuracy, accountability, and efficiency of government-sponsored programs.

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Job description

Maximus is seeking an Eligibility Verification Specialist to support the U.S. Office of Personnel Management's (OPM) FEHB Protection Act Compliance and Verification Program.This CSR II position serves as a frontline customer service representative for Federal Employees Health Benefits (FEHB) and Postal Service Health Benefits (PSHB) Program enrollees, providing inbound telephone support for dependent eligibility verification.The CSR II responds to questions regarding dependent eligibility verification requirements, acceptable documentation, submission deadlines, case status, and verification processes, and assists enrollees with Portal access, document submission, and navigation of program resources.Remote Remote: Must reside within 50 miles of McAllen, TX locationPlease note: This position is contingent upon contract award.Essential Duties and Responsibilities: - Provides customer service for basic and routine inquiries and problems via multiple possible channels (i.e. telephone, emails, web chats, or written letters). - Calls are predominantly routine, but may require deviation from standard screens, scripts, and procedures. - Uses computerized system for tracking, information gathering, and/or troubleshooting. - Provides feedback when needed, provide input on call trends, processes, procedures, and training.- May respond to customer inquiries by referring them to published materials, secondary sources, or more senior staff.

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