Claim File Organization
Ingest and classify treating records, IME reports, statements and wage documents into one searchable view of the comp file.
Workers' comp files grow fast: treating records, IME reports, wage statements and recorded statements. OraClaim is defense-focused claims intelligence software that carrier and self-insured claims professionals and defense counsel can apply to those files. It organizes the file, highlights causation issues, treatment concerns and conflicting histories, and supports exposure analysis. It is not a utilization review tool, and adjusters calculate benefits. Adjusters and counsel see the causation and exposure questions earlier, and they make every decision.
Capabilities claims professionals and defense counsel can use to review comp files, evaluate exposure and prepare work product.
Ingest and classify treating records, IME reports, statements and wage documents into one searchable view of the comp file.
Build chronologies that show treatment patterns, timeline gaps and treatment concerns across providers.
Highlight medical drivers, likely dispute points and potential exposure scenarios on the claim.
Generate case evaluation drafts for adjuster and counsel review. OraClaim says case evaluations can be generated in minutes.
Apply the same record review where temporary or permanent disability is disputed, with restrictions and wage loss in sequence.
Turn the reviewed file into a drafted comp case summary for reports.
The adjuster or defense counsel gathers treating records, IME reports and wage statements, then frames compensability, causation and exposure questions.
OraClaim is built for the defense side of claims; comp teams and their counsel can apply it to comp files.
Built for carrier and self-insured claims teams and defense counsel, not claimant or provider workflows.
Highlights treatment concerns and conflicting statements, such as histories that change between providers, for the adjuster and counsel to review.
Causation issues, medical drivers and likely dispute points surface early, so the adjuster and counsel can weigh exposure sooner.
OraClaim says it can cut review time in half, which matters most on record-heavy comp files.
Built by claims, risk, and data security leaders.
Co-founder & CEO
Mark Tepper is the Co-founder and CEO of OraClaim, an AI-powered platform purpose-built for defense lawyers and claims professionals. Drawing on his firsthand experience litigating claims and managing risk for enterprise companies and insurers, Mark identified a critical gap in the defense ecosystem: overwhelming claim volumes compounded by manual processes and unstructured data. This insight drove him to co-found OraClaim with the mission of leveling the playing field against plaintiff firms leveraging technology. Mark brings deep legal and risk management expertise to the company, guiding its strategic vision and ensuring the platform delivers real, measurable value to defense teams across the United States. His commitment to improving the lives of those who manage and defend claims is at the heart of everything OraClaim builds.
Co-founder & COO
Andy Anderson is the Co-founder and COO at OraClaim, bringing extensive expertise in insurance risk analysis and high-exposure claims management. Having spent his career analyzing risk for insurers and managing complex, high-stakes claims, Andy developed a deep understanding of the inefficiencies that put defense teams at a disadvantage relative to plaintiff firms embracing technology. This experience inspired him to co-found OraClaim alongside Mark Tepper, with the shared goal of transforming how defense lawyers and claims professionals work. As COO, Andy is dedicated to connecting defense organizations across the United States with OraClaim's AI-driven platform, helping them scale capacity, reduce costs, and achieve better outcomes on every claim without sacrificing quality.
Co-founder & Head of Engineering
Ali Khan is the Co-founder and Head of Engineering at OraClaim, a seasoned data security engineering leader who plays a central role in building and safeguarding the platform's technical foundation. Recognized for his expertise in secure system architecture, Ali was brought on by co-founders Mark Tepper and Andy Anderson specifically to ensure that OraClaim's AI platform meets the highest standards of encryption, authentication, and data protection. His work underpins the trust that defense lawyers, insurance carriers, and claims organizations place in the platform every day. Ali is committed to delivering a robust, secure, and scalable solution that integrates seamlessly with existing practice management and document management systems, empowering defense teams to work smarter without compromising on security or accuracy.
Per OraClaim's product privacy page, third-party sub-processors are contractually prohibited from accessing, reviewing, retaining, or using Confidential Information for any purpose other than transient processing necessary to deliver the Service. See that page for the full terms.
See how defense-side claims teams can use OraClaim to review workers' comp files.
Maschmeyer Group Ventures (MGV) is a SaaS-focused venture fund with a history of investing in insurtech startups.
Forum Ventures is an accelerator with a history of investing in technology for the insurance and legal sectors.
Newfund Capital is an early-stage VC firm based in Silicon Valley and Paris that finances seed-stage startups.
Meridian Ventures champions visionary founders, investing mainly at the pre-seed and seed stages.
Roo Capital backs companies in applied AI, vertical software, healthcare and cybersecurity, pairing capital with talent and commercial support.
Book a demo to see how OraClaim organizes comp files, highlights causation issues and conflicting histories, and supports exposure analysis for adjusters and defense counsel.
Prefer to talk? Call us at (650) 550-2920. You can also send us a quick email at legal@oraclaim.com.
Prefer to talk? Call us at (650) 550-2920. You can also send us a quick email at legal@oraclaim.com.