Trupanion has been amazing. Once I faxed my claim they replied with and email within 24 hours confirming they had received an were processing my claim. Then I had follow up emails advising me the stage my claim was in and then a final email letting me know what they were reembursing me for and that the cheques had been mailed. I now have set up direct deposit so that any future claims will be directly deposited into my bank account. They are friendly, caring, efficient, and fast. I was very impressed.