ESIS Executive and Leadership Team

October, 2026

Leadership Overview

ESIS has 5 executives leading key functions including information technology, financial strategy, medical oversight, and corporate operations.

Focused on delivering comprehensive risk management solutions, ESIS maintains a commitment to excellence in workers' compensation claims handling and insurance services across the United States.

Leadership Roles at ESIS

  • Senior VP, Finance & Chief Financial Officer - Rachel Kesling
  • President - James Shevlin
  • President - Joseph Costantino
  • Chief Information Officer - Vasantha Prammagnanam
  • Chief Medical Officer - Ghanshyam Patel
  • Rachel Kesling - Senior VP, Finance & Chief Financial Officer

    Rachel Kesling, the Senior VP, Finance & Chief Financial Officer at ESIS, manages the fiscal health and capital allocation strategies for the firm. Overseeing financial reporting, budgeting, and long-term investment planning, the Senior VP, Finance & Chief Financial Officer ensures that the company maintains a strong balance sheet to support risk management operations. Kesling directs the financial analysis of workers' compensation claims to optimize cost structures and improve profitability. By coordinating with the Board on fiscal governance, the Senior VP, Finance & Chief Financial Officer provides the necessary oversight to sustain growth across diverse regional markets. Rachel Kesling monitors economic trends to mitigate financial risks, ensuring that the organization remains resilient in a volatile insurance landscape. This role requires precise management of cash flow and capital reserves to fund ongoing service enhancements. Through rigorous financial discipline, the Senior VP, Finance & Chief Financial Officer secures the resources required for the company to deliver consistent value to all stakeholders.

    James Shevlin - President

    James Shevlin, the President at ESIS, drives the overarching business strategy and operational execution for the organization. Overseeing the delivery of risk management services, the President ensures that the company maintains its market position through superior claims handling and client service. Shevlin directs the expansion of service offerings, focusing on internal scaling and the optimization of operational workflows to meet the evolving needs of the insurance industry. By aligning departmental goals with the corporate mission, the President fosters a culture of efficiency and accountability. James Shevlin manages high-level relationships with key partners and stakeholders, ensuring that the firm remains a leader in the workers' compensation sector. This leadership role involves setting the strategic vision for growth and overseeing the implementation of major corporate initiatives. Through decisive management, the President ensures that the organization consistently achieves its performance targets while maintaining the highest standards of service quality across all operational regions.

    Joseph Costantino - President

    Joseph Costantino, the President at ESIS, manages the supply chain logistics and vendor management frameworks essential to the company's service delivery. Overseeing the procurement of third-party services and the maintenance of external partnerships, the President ensures that the firm leverages a robust network to support workers' compensation claims. Costantino directs the integration of external service providers into the internal claims ecosystem, focusing on quality control and cost-effectiveness. By optimizing the vendor management process, the President enhances the speed and reliability of service delivery for corporate clients. Joseph Costantino collaborates with other executives to ensure that supply chain operations align with the broader strategic objectives of the firm. This leadership role involves constant monitoring of vendor performance metrics to maintain service excellence. Through the strategic management of external resources, the President ensures that the organization maintains a competitive advantage in the insurance market by providing seamless, high-quality support services.

    Vasantha Prammagnanam - Chief Information Officer

    Vasantha Prammagnanam, the Chief Information Officer at ESIS, directs the digital infrastructure and technological roadmap for the organization. Overseeing the integration of advanced data analytics into claims processing, the Chief Information Officer ensures that all information systems support the complex requirements of risk management services. Prammagnanam architects secure, scalable platforms that facilitate seamless communication between insurance adjusters and corporate clients. By modernizing legacy software, the Chief Information Officer drives operational efficiency across North American markets. This leadership role involves constant collaboration with the executive team to align technical capabilities with long-term business goals. Through the implementation of robust cybersecurity protocols, Vasantha Prammagnanam protects sensitive client data while maintaining high availability for critical insurance platforms. The Chief Information Officer continuously evaluates emerging technologies to maintain a competitive edge in the insurance sector, ensuring that digital tools remain at the forefront of industry standards.
    Vasantha Prammagnanam

    Ghanshyam Patel - Chief Medical Officer

    Ghanshyam Patel, the Chief Medical Officer at ESIS, leads the clinical strategy and medical review processes for workers' compensation claims. Overseeing the evaluation of medical necessity and treatment protocols, the Chief Medical Officer ensures that injured employees receive appropriate care while managing overall claim costs. Patel directs the clinical team in assessing complex medical files, providing expert guidance to adjusters and legal counsel. By establishing evidence-based medical guidelines, the Chief Medical Officer improves recovery outcomes and reduces long-term disability durations. Ghanshyam Patel collaborates with healthcare providers to maintain high standards of care across the national network. This leadership role involves analyzing clinical data to identify trends in workplace injuries and developing preventative strategies for corporate clients. Through the application of medical expertise, the Chief Medical Officer optimizes the intersection of healthcare delivery and insurance administration, ensuring that every claim resolution reflects both clinical accuracy and fiscal responsibility.

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    Frequently Asked Questions Regarding ESIS Top Executives and Leadership Team

    Who leads ESIS?
    ESIS is led by Rachel Kesling (Senior VP, Finance & Chief Financial Officer), along with executives such as James Shevlin (President) and Joseph Costantino (President).
    Who is part of ESIS’s executive team?
    The executive team of ESIS includes leaders such as Rachel Kesling (Senior VP, Finance & Chief Financial Officer), James Shevlin (President), Joseph Costantino (President) and other senior executives.
    How many executives does ESIS have?
    ESIS has 5 executives leading key business areas.
    What roles are included in ESIS’s leadership team?
    The leadership team of ESIS includes roles such as Senior VP, Finance & Chief Financial Officer, President, President, Chief Information Officer, Chief Medical Officer.