I recently submitted my first claim through Trupanion for my cat, and the process was very easy! My vets office had me sign the paper, and my cats vet filled out the information regarding why I had to bring in my cat. They sent it in, and I was notified by email and phone was everything was received. It was my first claim so there was about a two week waiting period. Once everything went through, I received an email about the claim. I contacted Trupanion by phone for some questions, and they were very good about answering them. When I finished asking questions, the agent on the phone with me then asked how my cat was doing. A small gesture, that I was grateful for! I've since had direct deposit added, and a new claim for blood work, and urine sample were refunded quickly!
Really easy to work with, and fast responses. I highly recommend them!