I have been impressed with Trupanion's fast response when I submit a claim and their Customer Service when I have called with a question. When I submit a claim, I get an emailed confirmation right away. When they are reimbursing me, I get an email with the amount and the check arrives within a week. I did get preauthorization when my dog had knee surgery which helps on processing additional related claims and reimbursement.
Australian Cattle Dog