Ill-formed question. Entropy is not defined for open systems.
Physics tells us that universally entropy is always increasing.
Not precisely. a) It does not increase universally: impossible to know that; b) in closed systems, entropy increases until a maximum level, and can't increase more, it is not "always increasing".
However, it is possible for entropy to decrease locally at the expense of a bigger increase elsewhere.
Not precisely (not a bigger increment, but possibly an equivalent increment), but yes, in general terms.
Can this happen spontaneously or does it always require intentional actions?
The laws of thermodynamics (ergo, the 2nd law) are defined for closed systems, that is, for behaviors that always will occur spontaneously at the interior. Any external interference with a system cannot be described by thermodynamics. The laws of thermodynamics are empirically true, but only for closed systems. External actions (open systems) are not described by the laws of thermodynamics.
Moreover an "external action" to a system poses a whole set of conflicts to thermodynamics. Any "external action" makes the system be ontologically modified into a new one (so you would need to take the definition of the system in consideration). Here, you are falling into a common error on the interpretation of the second law: if you inject energy into a system, you are in fact modifying the entropy of the suprasystem that contains the injector, and the injected systems. You cannot calculate the entropy of isolated subsystems (try calculating the entropy change of a single molecule from a gas in a classical two-container system which division wall is opened, and you will see the problem).
Anyway, it seems you are asking yourself how does entropy increase. Remark that the laws of thermodynamics are constrained to systems that a) already exist and b) are closed. Thermodynamics do not describe systems that start to exist (having a low entropy value). Worst even, it does not describe open systems. Worst even, it is far from describing open systems that come to existence (e.g. a newborn).