Trupanion processed the claim from my veterinarian quickly and kept me apprised of everything in real time via email. There were quite a few bills to submit and they did a great job with all that paperwork. I liked the email for each different bill that had been submitted- it showed how much was covered, how much was not, what the remaining deductible was, and what my insurance check would be. They kept it simple but gave all the information I needed. I had another pet insurance company before this one several years ago, and I much prefer the way that Trupanion procssed my claim. Definitely recommend Trupanion!