Claim File Review
OraClaim ingests complete claim files, classifies documents, extracts key facts, and flags contradictions, treatment gaps, causation issues, and unverified details before they create reserve surprises.
OraClaim gives third-party administrators a secure AI claims intelligence platform built to organize files, surface exposure, benchmark outcomes, and produce litigation-ready work product faster. From medical chronologies to portfolio loss assessment, TPAs can reduce repetitive review, align with outside counsel, and deliver clearer reserve recommendations for carrier clients.
Purpose-built AI tools help TPAs organize claim files, evaluate exposure, benchmark outcomes, and manage portfolios.
OraClaim ingests complete claim files, classifies documents, extracts key facts, and flags contradictions, treatment gaps, causation issues, and unverified details before they create reserve surprises.
Live exposure analysis updates as new records, demands, discovery, expert reports, or treatment notes arrive, helping TPAs monitor liability, damages, reserve adequacy, and settlement value.
Portfolio dashboards consolidate open and closed claims, reserves, paid losses, defense costs, indemnity payments, recoveries, and exposure analytics with drill-down to individual claim files.
OraClaim auto-tags claims and compares them against historical matters, similar counsel, jurisdictions, fact patterns, reserve ranges, outcomes, and panel firm performance without manual data prep.
Generate structured liability, damages, exposure, reserve, settlement, and trial value evaluations in minutes, formatted for attorney review and carrier reporting requirements.
AI-created medical chronologies summarize treatment, diagnoses, providers, medications, outcomes, gaps, pre-existing conditions, and causation concerns with source-linked support for claim evaluation.
OraClaim transforms unstructured claim materials into organized, searchable, exposure-ranked intelligence for third-party administrators. The platform helps teams reduce review time, improve reserve discipline, benchmark against historical outcomes, and share clearer evidence packages with defense counsel and carrier clients. Built for the defense workflow, it supports faster decisions without sacrificing confidentiality, accuracy, or work product quality.
OraClaim is built specifically for the defense and claims ecosystem.
Designed for defense lawyers, claims specialists, TPAs, carriers, and self-insured organizations.
AI claim file review helps cut review time in half on complex files.
Closed, access-restricted workflows support privilege, confidentiality, authentication, encryption, and data protection.
Connects with Clio, MyCase, NetDocuments, iManage, Worldox, Box, and more.
Led by claims, legal, and security experts.
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 & Head of Sales
Andy Anderson is the Co-founder and Head of Sales 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 Head of Sales, 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.
AI claims management software for TPAs helps organize, review, and analyze claim files using artificial intelligence. OraClaim turns medical records, statements, reports, pleadings, discovery, and historical files into searchable intelligence. TPAs can use it to evaluate exposure, monitor reserves, create case summaries, benchmark outcomes, and collaborate more efficiently with defense counsel and carrier clients.
Talk with OraClaim about your TPA workflow and goals.
Connected to the defense bar community.
Aligned with defense and corporate counsel.
Engaged with Association of Defense Counsel.
Share your claims workflow goals, and the OraClaim team will show how AI can help your TPA reduce review time, improve exposure visibility, and deliver stronger carrier reporting.
For immediate assistance, feel free to give us a direct call at (650) 550-2920. You can also send us a quick email at legal@oraclaim.com.
For immediate assistance, feel free to give us a direct call at (650) 550-2920. You can also send us a quick email at legal@oraclaim.com.