HomeMy WebLinkAbout03. (C) Receipt of Claim - Marciniak Statewide Services, Inc.
Claim Division 1241 John Q.Hammons Dr.
P.O.Box 5555
Madison,WI 53705-0555
877-204-9712
August 20, 2013
City of Oshkosh
PO Box 1130
Oshkosh, WI. 54902 IiIG 2 0 2013
Attention: Pam Ubrig
RE: Insured: City of Oshkosh
Claimant Name: Douglas Marciniak
Claim Number: WM000702660654
Date of Loss: 7/30/2013
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: Ginger Kimpton
Title: Casualty Claim 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: Rick Kalscheuer