My Henry has had numerous claims with Trupanion. The most recent have been within the last two weeks. He had pneumonia and then a few days later was hospitalized with pancreatitis. Trupanion handled my claim quickly and efficiently. There was a small error where they forgot to include medications in the payment but one phone call and it was taken care of right away. Henry also has epilepsy and every claim relating to his epilepsy is handled promptly. Customer service reps are always pleasant and easy to talk to.