HomeMy WebLinkAbout04. Claim-Hernandez (2) Statewide Services, Inc.
Claim Division 1.241 John Q.Hammons Dr
PO.Box 5555
Madison,WI 53/0S Sh 55
577-204-9712
January 30, 2012
City of Oshkosh
PO Box 1130
Oshkosh,WI. 54902
Attention : Pam Ubrig
RE: Insured : City of Oshkosh
Claimant Name: Ellisa Hernandez
Claim Number: WM000702660573
Date of Loss: 11/1/2011
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:
Adjuster: Ginger Kimpton
Title: 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: Tim Nickels
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