Medical Record Summary Software for Claims and Defense Teams

Adjusters and defense counsel need the injury, treatment and wage-loss picture of a claim without rereading the whole medical file. OraClaim is defense-focused claims intelligence software that drafts medical record summaries from the records in the claim file. It synthesizes medical data, wage-loss information, injury details and treatment patterns into one view. Summaries can help claims professionals reach reserve decisions with the medical picture documented. They also support case evaluations, while adjusters and attorneys make the call.

AI medical record summary for claims review

Summary Features for Claims and Defense Work

Capabilities that turn medical records into decision-ready summaries for professional review.

Medical Chronologies

Drafts a date-ordered chronology from the same classified file when the full treatment sequence matters.

Claim File Classification

Classifies medical records, statements and reports into a unified, searchable view, then surfaces key facts and unverified details.

Litigation Timelines

Maps treatment, injury details and claim milestones on one timeline for reporting and strategy.

Case Evaluations

OraClaim says it can generate case evaluations in minutes, drawing on the summarized medical picture.

Early Reserve Support

Brings wage-loss and injury details into an early claim assessment that supports reserve discussions.

Exposure Analysis

Highlights medical drivers and potential damages scenarios that support exposure analysis and reserve review.

Claims team reviewing an AI medical summary workflow

Where OraClaim Fits in Medical Summary Work

Define What the Summary Must Answer

Summary work starts with the reader. An adjuster needs injuries, treatment status and wage-loss impact for reserves; counsel needs causation and damages issues.

Add and Classify the Claim File

Synthesize the Medical Picture

Prepare Reporting Work Product

Professionals Decide

Why OraClaim

Why OraClaim for Medical Summaries

Claims intelligence software built for the people evaluating and defending claims.

Built for Claims Professionals

Designed for adjusters, claims managers, carriers, captives, self-insured organizations and insurance defense firms evaluating defended claims.

Medical and Wage Loss Together

Injury details, treatment patterns and wage-loss information appear in one summary instead of separate stacks.

Shaped for Reserve Reviews

Summaries are organized for reserve discussions and reports to claims leadership. The adjuster still sets the reserve.

Statements Beside Medical Records

Claimant statements and reports are classified with the medical records, so reviewers can compare the summary with what the claimant reported.

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 should an injury and wage-loss summary include for a reserve review?

At minimum: injuries claimed, diagnoses, treatment to date, work status, wage-loss details and open medical questions. OraClaim drafts the medical, injury and wage-loss portions from the records in the file. The adjuster confirms figures against payroll or employer records before relying on them.

How is a medical summary different from a medical chronology?

Should a medical summary include future care?

Which damages categories does a medical summary inform?

How should a summary handle wage loss for a self-employed claimant?

Still Have Medical Summary Questions?

See how OraClaim summarizes a medical-heavy claim file.

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 OraClaim Summarize a Medical File

Book a demo to see how OraClaim turns medical records into summaries that support reserve decisions and case evaluations.

Contact Us Today

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