Benefits Partner - Requisition

GENERAL SUMMARY

The Benefits Partner – Leave Case Management is primarily responsible for independently managing an assigned caseload of Team Member leaves of absence from initial inquiry and intake through eligibility determination, ongoing case administration, return-to-work coordination, and case closure. This position administers leave programs in accordance with Pechanga Resort Casino’s (PRC) policies, procedures, and applicable laws and regulations. As an integral part of the Talent Management team, the Benefits Partner maintains confidential case records, exercises sound independent judgment, and collaborates with Team Members, healthcare providers, department leadership, HR Business Partners, Payroll, and other stakeholders to facilitate effective case resolution. The position also supports the administration of employee benefit programs and assists Team Members with benefits-related inquiries, eligibility, coverage, and enrollment.

FOUR DIAMOND SERVICE AGREEMENT

All Team Members will display a Four Diamond commitment to customer service through the delivery and maintenance of the Quality Standards established by Pechanga Resort Casino (PRC).

KEY RESPONSIBILITIES

• Independently manage an assigned caseload of Team Member leaves of absence from initial inquiry and intake through eligibility determination, ongoing case administration, return-to-work coordination, and case closure.
• Review leave requests, evaluate eligibility under Company policy and applicable laws, and issue approvals, denials, and other determinations within the scope of the position’s authority.
• Administer continuous, intermittent, and reduced-schedule leaves, including monitoring approved frequency and duration, tracking usage, identifying discrepancies, and coordinating recertifications or extensions.
• Complete state disability, short-term disability, and long-term disability forms and related documentation accurately and timely; coordinate with carriers, healthcare providers, and Team Members as needed while protecting confidential medical information.
• Maintain regular follow-up throughout the leave lifecycle and take appropriate action to move cases toward timely resolution and closure.
• Coordinate with Payroll, HR Business Partners, department leadership, and other stakeholders on leave-related operational matters while safeguarding confidential medical information.
• Maintain accurate and complete case notes, correspondence, determinations, supporting documentation, and electronic records.
• Independently resolve routine and moderately complex case issues and elevate complex, sensitive, or non-routine matters to the Senior Benefits Partner or appropriate HR leadership.
• Determine benefit eligibility, distribute enrollment materials, and assist Team Members with enrollment in benefit programs (including health insurance and retirement savings plans).
• Serve as a liaison between Team Members, insurance carriers, retirement plan providers, and other benefit vendors to resolve inquiries and facilitate services.
• Administer and respond to Child Support Orders in a timely and accurate manner.
• Scan, index, and maintain electronic and physical documents for Team Member files in accordance with established procedures.
• Assist Team Members with navigating Team Member Self Service (TMSS) for benefits-related transactions and inquiries.
• Maintain the Benefits & Wellness website to promote Team Member awareness and understanding of available benefit programs.
• Maintain working knowledge of applicable federal, state, and other governing requirements related to leaves of absence, workplace accommodations, and benefits administration (including HIPAA, COBRA, ADA, FMLA, ERISA, Section 125, and related provisions).
• Participate in committees, special projects, and process-improvement initiatives as assigned.
• Promote open communication and effective resolution of leave and benefits concerns while maintaining professionalism, confidentiality, and organizational integrity.
• Bilingual skills are a plus.
• Perform other duties as assigned.

ACCOUNTABILITY

This position does not have any supervisory or managerial responsibilities. Incumbent is responsible for protecting the assets of Pechanga Resort Casino and for maintaining and providing a positive and professional work environment.

QUALIFICATIONS AND GUIDELINES

EXPERIENCE/TRAINING/EDUCATION:

High school diploma or GED required. Bachelor’s degree preferred. Three (3) years of related work experience and/or training; or equivalent combination of education and experience is required to successfully perform this job. Experience independently administering the full lifecycle of leaves of absence (including FMLA, disability, and workplace accommodations) and employee benefits administration is strongly preferred.

COMMUNICATION SKILLS:

Ability to read and comprehend instructions, correspondence, and memos. Ability to write clear correspondence. Ability to effectively present information in one-on-one and small group situations to Team Members, healthcare providers, and other stakeholders.

MATHEMATICAL SKILLS:

Intermediate skills. Ability to perform basic calculations and work with units of U.S. currency as needed for benefits and leave-related tracking.

REASONING ABILITY:

Intermediate to advanced skills. Ability to exercise independent judgment, evaluate eligibility and documentation, resolve moderately complex issues, and determine when escalation is required.

CERTIFICATES, LICENSES, REGISTRATIONS:

• Must qualify to obtain and maintain a Class “A” gaming license.
• PHR or SHRM-CP certificate preferred.

SKILLS/ABILITIES:

• Proficiency in Microsoft Office applications (Word, Excel, Outlook), Microsoft SharePoint, Adobe Acrobat Pro, and DocuSign. Ability to create mail-merge documents and maintain accurate electronic records.
• Strong organizational, analytical, and communication skills, with the ability to independently manage multiple priorities, maintain accurate documentation, track deadlines, and guide assigned leave cases through resolution.
• Demonstrated ability to exercise independent judgment, resolve moderately complex issues, and determine when escalation is required.
• Excellent interpersonal, written, and verbal communication skills, and telephone etiquette, with the ability to communicate sensitive information professionally, empathetically, and confidentially.
• Ability to adapt to changing priorities, manage a fast-paced and sometimes unpredictable workload, and meet established deadlines while maintaining accuracy and attention to detail.
• Self-starter who is motivated, resourceful, and accountable for completing assigned responsibilities with minimal supervision.
• Ability to collaborate effectively with Team Members, department leadership, HR Business Partners, and internal and external stakeholders while maintaining a positive, professional, ethical, and service-oriented approach.
• Must be flexible and willing to work nights, weekends, and holidays, as required, in a fast-paced and culturally diverse casino and resort environment.

DISCLAIMER

The above information on this description has been designed to indicate the general nature and level of work performed by Team Members within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of Team Members assigned to this job.

Overtime Exemption Status: Exempt