Essential Duties and Responsibilities:
- Maintain updated knowledge of Insurance Affordability Programs and the information required for eligibility.
- Maintain updated knowledge of project and corporate policies and procedures as referenced in the employee manual and other desk procedures for the position.
- Access, read and interpret data elements on all applicable MAXIMUS, Project, and State systems to provide support, resolve inquires and educate consumers.
- Provide assistance to consumers seeking health care coverage.
- Process paper applications and verification documentation for health care coverage.
- Document all consumer inquiries using the applicable MAXIMUS, Project and State systems.
- Respond to all inquiries consistent with confidentiality and privacy policies and refer consumers to alternate sources when appropriate.
- Enter appropriate data and information into the applicable systems to process applications and/or update caller information, confirm the accuracy of the customer information and use every call as an opportunity to provide education and support.
- Facilitate translation services for non-English speaking callers according to procedures.
- Attend meetings and trainings as requested and maintain up-to-date knowledge of all programs and systems.
- Handle escalated tasks, including those where there is an issue linking documents to a Marketplace account or where an application already exists in Marketplace.
- Handle escalated verification document tasks that require additional analysis related to questionable documents and other work that gets routed directly to the Client.
- Handle return mail using information from the envelope and the Marketplace account.
- Handle work that is assigned by the Client.
- Meet all standards established for the position including production and quality assurance goals.
- Responsible for adhering to established safety standards.
- Must be able to remain in a stationary position for an extended period of time.
- Occasionally lift, carry, or otherwise move items weighing up to 25 pounds.
- Work is constantly performed in an office environment.
- Perform other duties as assigned by management.

- High school diploma or GED required and 4+ years of relevant professional experience required, or equivalent combination of education and experience.

- Associate degree from an accredited college or university preferred.
- Three years of experience in a health or human services field dealing with the public preferred.
- Proficiency in using computer systems including but not limited to web-based systems.
- Excellent organizational, interpersonal, written, and verbal communication skills.
- Ability to perform comfortably in a fast-paced, deadline-oriented work environment.
- Ability to successfully execute many complex tasks simultaneously.
- Ability to work as a team member, as well as independently.
- Customer service and/or experience in human services, healthcare or related field preferred.

Maximus is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, sex, age, national origin, disability, veteran status, genetic information and other legally protected characteristics.

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. Annual salary is just one component of Maximus's total compensation package. Other rewards may include short- and long-term incentives as well as program-specific awards. Additionally, Maximus provides a variety of benefits to employees, including health insurance coverage, life and disability insurance, a retirement savings plan, paid holidays and paid time off. Compensation ranges may differ based on contract value but will be commensurate with job duties and relevant work experience. An applicant's salary history will not be used in determining compensation. Maximus will comply with regulatory minimum wage rates and exempt salary thresholds in all instances.

Maximus provides reasonable accommodations to individuals requiring assistance during any phase of the employment process due to a disability, medical condition, or physical or mental impairment. If you require assistance at any stage of the employment process—including accessing job postings, completing assessments, or participating in interviews,—please contact People Operations at applicantaccom@maximus.com.