HomeMy WebLinkAbout08. A) Claim/Heise Statewide Services, Inc.
Claim Division 1241 John Q.Harnmons Dr.
P.O.Box 5555
Madison,WI 53705-0555
877-204-971.2
April 10, 2012
City of Oshkosh
PO Box 1130
Oshkosh, WI. 54902
Attention: Pam Ubrig
RE: Insured: City of Oshkosh
Claimant Name: Mark Heise
Claim Number: WM000702660587
Date of Loss: 12/22/2011
Statewide Services, Inc. is the third-party administrator for the League of Wisconsin
Municipalities Mutual Insurance auto and liability 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: Chris Traska
Title: Property Claim Manager
Phone: 608-828-5480
Fax: 866-845-2468
Email Address: ctraska @statewidesvcs.com
Feel free to call or email the claim handler above.
Sincerely, `
F))
Statewide Services Claim Department I j
APR 10 2012 . )
Cc: Tim Nickels
CITY CLER,('S OFFICE
Trans PaC Solutions
P.O.Box 36220
Louisville, KY 40233-6220 `� IUD IF; A H -),
FAX: (800)723-4869
March 29, 2012 a APR OA 7,c12
KATHY CITY CLERKS OFFICE
CITY OF OSHKOSH CITY CLERKS OFFICE
PO BOX 1130
OSHKOSH WI 54903
RE: Our Insured: MARK HEISE
Our Client: AUTO CLUB INSURANCE ASSOCIATION
Date of Incident: 12/22/2011
Event Number: TPCS - 1902217 - 2813769
Amount Paid: $4617.31
Your Claim Number:
Your Insured:
Dear KATHY,
TransPaC Solutions has been retained to handle the subrogation portion of this claim by AUTO CLUB
INSURANCE ASSOCIATION. I understand that you may have been previously contacted by a(n)AUTO CLUB
INSURANCE ASSOCIATION adjuster. Please direct any future correspondence, telephone calls, or payments to
TransPaC Solutions at the address listed above. Be sure to include the TransPaC Solutions event number(TPCS-
1902217 -2813769)on any documents you send. Prior to issuing any checks, please contact me at the number
listed below to verify full payment is being sent.
Enclosed is supporting documentation for the insured's claim. The amount paid includes the insured's deductible of
$250.00.
Sincerely,
aow4. .
Amy Wilson
(800) 759-1367
TPCS - 1902217-2813769/ZSDL