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Nevada

When an employee is injured on the job, proceed with the following:

  1. Contact a preferred urgent care facility by telephone prior to sending the injured worker.
    • Inform the urgent care that you have an injured worker coming and that Benchmark Administrators is the claims administrator.
    • Advise the urgent care you require a mandatory drug test per the insurance company.
  2. If a worker is seriously injured and needs immediate care or is transported by ambulance, the employer should have a co-worker or supervisor go with the injured worker to assist the injured worker with any insurance related information that the medical provider may require. If possible, the injured worker must return to your office or job site after seeing the doctor and give you the doctor’s signed return to work slip or disability slip.
  3. It is necessary that the employer fill out the required Form C3 and notify us immediately. Please forward the return to work/disability slip from the doctor to Benchmark Administrators as soon as possible.

Required State Forms

Nevada - C-3

Medical Provider Network

Concentra Medical Center
5850 S. Polaris Avenue #100
Las Vegas, NV 89118

739-9957

The Center for Occupational Health
801 S. Rancho Drive #F1 & F2
Las Vegas, NV 89106

702-474-4454

Concentra Medical Center
1530 E. 6th Street
Reno, NV 89512

775-322-5757

Southern Nevada Provider List

Northern Nevada Provider List

Please send the Form C3 and the medical slip to:

Benchmark Administrators
P.O. Box 46350
Las Vegas, NV 89114
Telephone (702) 873-5115
Toll free (800) 362- 5198
Fax (702) 876-5584

24-HOUR CLAIM REPORTING HOTLINE: 1-866-337-0891
Customer Service Representatives are on staff 24 hours per day to assist you with reporting a claim. Please have the injured worker’s information available as well as the accident description.