Claim File Organization
Ingests and classifies medical records, statements and reports so the full claim file is searchable in one view.
Claims professionals have to assess a contested claim before the file is complete. OraClaim is defense-focused claims intelligence software for carriers, captives, self-insured organizations and their defense counsel. It structures the claim file, flags what is missing or disputed, and summarizes medical and wage-loss information. It is designed to speed triage and support an early, defensible liability view, while reserve and authority decisions stay with the claims professional.
OraClaim capabilities built to support the assessment of a contested claim.
Ingests and classifies medical records, statements and reports so the full claim file is searchable in one view.
Organizes incident reports, statements and early records on potential claims before a demand or suit arrives.
Gives the claims professional an early look at likely dispute points, medical drivers and potential damages scenarios before the first reserve discussion.
Synthesizes medical data, wage-loss information and treatment patterns into summaries that support reserve decisions.
Prepares summaries, timelines and evidence packets when an assessed claim goes to defense counsel.
Structures and benchmarks your team's past case files, so patterns from similar matters inform the early read on a new claim.
A claims assessment answers four questions: what happened, what the records prove, where the dispute lies and what is missing. OraClaim organizes the claim file so those questions are faster to answer. It flags causation issues, conflicting statements, unverified details and treatment concerns. The claims professional then uses that picture to set direction, request information, brief counsel and decide the reserve.
OraClaim is built for the defense side of contested claims, not for generic document review or claims administration.
Built for carriers, captives, self-insured organizations and the defense counsel they assign.
Highlights causation issues, timeline gaps, treatment concerns and unverified details before direction is set.
OraClaim is designed as a closed, access-restricted environment for attorneys, claims professionals, and authorized client representatives. It does not permit human review of Confidential Information by its personnel or third parties except as expressly authorized by the customer for support or security purposes. See OraClaim's Product Privacy page.
Synthesizes medical data, wage-loss information and injury details for the reserve discussion.
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.
A claims assessment is the claims professional's early read of a contested claim, used for triage, reserves and the decision to involve counsel. A case evaluation often comes later and is prepared with defense counsel. OraClaim supports both, and the conclusions belong to the professionals.
See how OraClaim structures a contested claim file for assessment.
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 surfaces gaps, dispute points and medical drivers before your team sets direction on a contested claim.
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.