HomeMy WebLinkAbout03. Claim-Hernandez Statewide Services, Inc.
Claim Division 1241 John Q.Hantmpn5 Or.
P.O.Box 5555
'Indoor.,WI 53705-OSSS
B/7-204..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: WM000702660572
Date of Loss: 10/25/2011
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: 866-828-5515
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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