I have a Maltese dog that is treated for seizure. Every time I take my dog to the vet and I submit rhe insurance claim , Trupanion team processes the claim immediately and tries their best to resolve the claim as soon as possible . I am so happy and satisfied with Trupanion customer service . Sending emails about the claim is a great way to keep me updated . My check is always sent to me within a short period of time after submitting the claim. I hardly recommend Trupanion to other pet owners . Their hours of operation is so convenient as they open 24/7 .