Claim File Structuring
Ingests and classifies medical records, statements and reports into a unified, searchable view of each claim.
Claims business intelligence software typically reports on structured claims data such as reserves, payments and claim counts. OraClaim is not a BI tool; it is defense-focused claims intelligence software that works on the content of the claim files behind those numbers. When reserves move on litigated files, the reason often sits in medical records, statements and reports. OraClaim structures that content, surfaces patterns from your team's historical case files and gives claims teams portfolio-level visibility. Claims leaders at carriers, captives and self-insured organizations can then act on what the files say, alongside the reporting they already run.
Capabilities that turn claim-file content and historical case information into insight for claims leaders.
Ingests and classifies medical records, statements and reports into a unified, searchable view of each claim.
Gives claims teams a portfolio-level view of matters, including visibility into counsel performance.
Surfaces patterns in your team's historical case files that claim counts and payment fields cannot show.
Draws likely dispute points, medical drivers and potential damages scenarios from the records behind each reserve figure.
Highlights timeline gaps, conflicting statements and unverified details that reports built on structured fields are not designed to surface.
Drafts case evaluations for professional review. OraClaim says it can generate case evaluations in minutes.
Claims reporting teams track reserves, payments, cycle times and claim counts across the book. BI tools are typically built on those structured fields, not on the records and statements inside each file. OraClaim works on that file layer: claims teams structure file content, review patterns from their historical case files and see portfolio-level information. Leaders then make their own reserve and counsel decisions.
Claims BI shows the numbers. OraClaim adds what the claim files say, from a defense-side perspective.
OraClaim informs decisions; claims leaders make the reserve and counsel calls.
Classifies medical records, statements and reports, the content that structured claim fields leave out.
Track performance across the claims portfolio to manage defense counsel, alongside the file-level facts.
Medical drivers and dispute points from the file give reserve discussions a factual basis beyond the trend line.
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.
No. A loss run lists reported claims with the date of occurrence, claim type, amount paid and amount reserved as of a valuation date. OraClaim does not produce loss runs. It works on the records, statements and reports inside each defended file, which a loss run does not show.
See how OraClaim adds claim-file intelligence to the reporting your team already uses.
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 structures claim files and adds portfolio-level visibility for claims leaders alongside existing reporting.
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.