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HomeMy WebLinkAbout04. Claim - Hitz, Werblow February 4, 2021 City of Oshkosh Melissa Boothe P.O. Box 1130 Oshkosh, WI 54902 RE: Insured: City of Oshkosh Claimant Name: Ronda Hitz Claimant Address: 2210 Ontario Street, Oshkosh, WI 54901 Claim Number: WM000702661095 Date of Loss: 01/31/2021 Statewide Services, Inc. is the third-party administrator for the League of Wisconsin Municipalities Mutual Insurance liability and auto program. We received notice of the above-referenced claim and want to assure you that we are in the process of reviewing it. This claim has been assigned to: Ginger Kimpton Senior Casualty Claims Adjuster Phone: 855-828-5515 Fax: 866-828-6613 Email Address: gkimpton@statewidesvcs.com Feel free to call or email the claim handler above. Sincerely, Statewide Services Claim Department cc: McClone Agency – Brian Dandoy McClone Agency – Amie Picanco February 11, 2021 City of Oshkosh P.O. Box 1130 Oshkosh, WI 54902 RE: Insured: City of Oshkosh Claimant Name: Thomas and Susan Werblow Claimant Address: 422 Congress Avenue, Oshkosh, WI 54901 Claim Number: WM000702661097 Date of Loss: 10/23/2020 Statewide Services, Inc. is the third-party administrator for the League of Wisconsin Municipalities Mutual Insurance liability and auto program. We received notice of the above-referenced claim and want to assure you that we are in the process of reviewing it. This claim has been assigned to: Doug Detlie Casualty Claims Specialist Phone: 608-828-5503 Fax: 800-720-3512 Email Address: ddetlie@statewidesvcs.com Feel free to call or email the claim handler above. Sincerely, Statewide Services Claim Department cc: McClone Agency – Brian Dandoy McClone Agency – Amie Picanco