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Job Title:   Benefits Administrator
Sycuan Tribe


Job Duties and Responsibilities: 
(Note: Duties and responsibilities may be added, deleted, or changed at the sole discretion of Sycuan Management at any time)  

  1. Manages unemployment claims by receiving claim and hearing notices from the Employment Development Department (EDD), reviewing claimants' termination information and/or documents and conducting case analysis, forwarding documentation and case analysis to the Third Party Administrator (TPA), coordinating hearing representation with the TPA, identifying appropriate witnesses to attend hearing, providing witnesses with relevant documents and information for hearings, monitoring and recording claims information and eligibility decisions, reconciling TPA records with Sycuan's records and researching and resolving discrepancies, and maintaining and updating claim files.
  2. Ensures FMLA leaves and leave requests are in compliance with legislative requirements by confirming team members contact the third-party administrator (TPA) as soon as they are aware of a potential need for a leave, confirming team members are placed on FMLA through Self-Service once verification is received from the TPA, working with the Human Resources Specialists to monitor and verify leave of absence extensions and return date accuracy, monitoring weekly FMLA usage reports sent from the TPA to the departments for reconciliation with KRONOS timekeeping reports, assisting the department administrators resolve discrepancies as needed, preparing monthly FMLA usage reports, and maintaining FMLA files.
  3. Advises team members, management staff and Human Resources staff on benefit policies and procedures by responding to inquiries regarding the processing and provisions of benefit plans including, but not limited to, the 401(k) Retirement Savings Plan, Flexible Spending Accounts, Life Insurance, Long Term Disability, Leave of Absence, Holiday and Paid Time off Policies, and team member incentive programs.
  4. Ensures non-FMLA leave of absences are in compliance with policies and procedures by auditing approved leave documents received through Self-Service, requesting additional documents as needed, preparing and maintaining a spreadsheet detailing leaves, monitoring eligibility for full-time benefits due while the leave is in progress, notifying insurance providers of cancellations, preparing and mailing benefit termination notification letters to affected team members, ensuring re-enrollment in benefits when team members return from leave, preparing monthly leave usage reports, and maintaining leave files.
  5.  Monitors full time status eligibility on a quarterly basis by reviewing Leave of Absence and Quarterly Average Hours Worked reports, identifying team members requiring status changes, notifying Department Directors and Human Resources Specialists of needed status change entries in Self-Service, monitoring the timely completion of Self-Service transactions, terminating or enrolling affected team members in the HRIS for appropriate benefits, preparing and sending benefit termination notification letters to affected team members, reviewing and approving monthly and quarterly status change transactions in Self-Service, and notifying providers of benefit terminations.
  6. Administers Life Insurance and Long Term Disability claims by ensuring all forms are completed as required by the provider, meeting with the claimant when necessary to acquire necessary documents, preparing and mailing claims to the provider, and maintaining Long Term Disability files.
  • Working knowledge of Federal and California benefits-related laws
  • Detailed understanding of Family Medical Leave Act and COBRA provisions and procedures
  • Ability to analyze complex data and make sound judgments
  • Ability to interact effectively with a diverse team member population
  • Ability to provide guidance to management staff
  • Ability to communicate effectively in the English language
  • Ability to compose, read, and edit written documents in the English language
  • Ability to present complex data in a clear and concise manner
  • Proficiency with database and word processing applications
  • Ability to prioritize and perform multiple tasks
  • Ability to work independently
  • Ability to complete forms and documents
  • Excellent Record-keeping and organizational skills
  • Detail-orientation
  • Ability to maintain professionalism and composure
  • Ability to provide effective verbal instruction
  • Ability to understand and follow verbal directives and written directions
  • Ability to accept constructive criticism
  • Ability to appear for work on time
  • Ability to maintain confidentiality and objectivity


  • Proficiency with Microsoft Word and Excel
  • Multi-lingual



Job Specifications: 
Education and Experience: 

  • Associates Degree, Human Resources Certification and/or Benefits Certification from an established University or equivalent experience
  • 4 years benefits administration experience to include COBRA, FMLA, Unemployment Claims, and health insurance administration for a medium to large sized organization (500+ employees)


  • Bachelor's Degree in Human Resources or related field or equivalent experience
  • Supervisory experience
  • Casino experience
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