Disputed Disability Claim Evaluation for Defense Teams

Disputed disability claims in workers' comp and liability matters rest on long medical histories, work restrictions and wage-loss records. OraClaim is defense-focused claims intelligence software for the defense counsel and claims professionals who evaluate those claims. It organizes the records already in the file, highlights treatment concerns and inconsistencies, and drafts chronologies and summaries. Counsel and claims teams can evaluate sooner, so review starts from an organized record rather than raw provider notes.

Claim file workspace for disputed disability claims

Capabilities for Disability Claim Evaluation

OraClaim features relevant to evaluating disputed disability claims.

Case Evaluation Support

Drafts evaluation work product on causation, treatment and wage-loss issues for counsel and claims review.

Record Classification

Ingests and classifies medical records, statements and reports into a unified, searchable view.

Medical Chronologies

Builds date-ordered chronologies of diagnoses, treatment and restrictions, with timeline gaps highlighted.

Wage-Loss and Medical Summaries

Synthesizes wage-loss information, injury details and treatment patterns into summaries that support reserve decisions.

Litigation Timelines

Shows onset, treatment, work events and claim milestones in one timeline for dispute review.

Workers' Comp Files

Applies the same record organization and chronology tools to comp files where temporary or permanent disability is disputed.

Disability claim evaluation workflow for defense teams

Where OraClaim Fits in Disability Claim Evaluation

Team Frames the Dispute

Counsel or the claims professional gathers medical, employment and wage-loss records and identifies the claimed limitations in dispute.

OraClaim Classifies and Structures

OraClaim Highlights Dispute Points

OraClaim Drafts Work Product

Professionals Decide

Why OraClaim

Why OraClaim for Disputed Disability Claims

OraClaim is built for the defense side of claims, not for benefits administration or clinical review.

Defense Side of Disability Disputes

Built for defense counsel and claims professionals, not for benefits administration or people filing claims.

Restrictions in Sequence

Chronologies line up onset, restrictions and return-to-work attempts in date order for counsel.

Employer Records Beside Medical Records

Employment and wage records the team loads sit in the same classified file as the treating records.

Wage Loss in View

Wage-loss records sit beside restrictions and return-to-work attempts, so the earnings picture is read in context.

Meet the OraClaim Founders

Built by claims, risk, and data security leaders.

Portrait of Mark Tepper, Co-founder and CEO of OraClaim

Mark Tepper

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.

Portrait of Andy Anderson, Co-founder and COO at OraClaim

Andy Anderson

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.

Portrait of Ali Khan, Co-founder and Head of Engineering at OraClaim

Ali Khan

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.

Frequently Asked Questions

What records should a disputed disability file include?

Treating records from each provider, work-restriction and functional capacity notes, the job description, wage and earnings records, return-to-work correspondence and any independent examination reports. OraClaim classifies what the team loads into one searchable view. Missing pieces are worth requesting before the evaluation is drafted.

Does OraClaim decide whether someone is disabled?

What should counsel check in a disability chronology?

What if treating providers disagree on work restrictions?

What drives duration assumptions in a disability reserve?

Evaluating Disputed Disability Claims?

See how OraClaim organizes medical and wage-loss records for review.

Investors

Backed by

MGV logo

MGV

Maschmeyer Group Ventures (MGV) is a SaaS-focused venture fund with a history of investing in insurtech startups.

Forum Ventures logo

Forum Ventures

Forum Ventures is an accelerator with a history of investing in technology for the insurance and legal sectors.

Newfund Capital logo

Newfund Capital

Newfund Capital is an early-stage VC firm based in Silicon Valley and Paris that finances seed-stage startups.

Meridian logo

Meridian

Meridian Ventures champions visionary founders, investing mainly at the pre-seed and seed stages.

Roo Capital logo

Roo Capital

Roo Capital backs companies in applied AI, vertical software, healthcare and cybersecurity, pairing capital with talent and commercial support.

See How OraClaim Organizes Disability Claim Records

Book a demo to see how OraClaim organizes medical, work-restriction and wage-loss records on disputed disability claims.

Contact Us Today

Prefer to talk? Call us at (650) 550-2920. You can also send us a quick email at legal@oraclaim.com.