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