Birdview Insurance

Claim Submission Form

Fast, secure, and transparent claim processing. Select your scheme and provide the necessary details.

Claim Application

All fields marked with * are required

Insurance Scheme *

Select the scheme under which you are claiming

Member & Claim Details

Name of Member

Policy No.

Claimant Name

Relationship

Claimant Address

Claimant Mobile

Claimant Email

Corporate / Group

Payment Information

Select Payment Method *

Bank TransferM-Pesa

Privacy & Consent

Birdview Insurance is committed to protecting your personal data. In line with the Data Protection Act, we collect, store, and process your data strictly for the purpose of providing insurance services, claims processing, and regulatory compliance.

By signing this form, you consent to Birdview Insurance collecting and processing your personal data, including sensitive medical and financial information, for the purposes of evaluating, approving, and paying insurance claims.

Your personal data may be shared with third-party service providers, regulators, or reinsurers strictly for the purposes outlined above. Birdview will ensure your data is safeguarded against unauthorized access, loss, or disclosure.

You have the right to access, correct, or request deletion of your personal data held by Birdview, subject to applicable law and contractual obligations.

Please confirm your consent to the statements below:

I confirm that information provided above is accurate and correct *

I consent to the collection and processing of my personal data as described in the Privacy Policy *