ESIS Executive and Leadership Team

September, 2026

Leadership Overview

ESIS has 6 executives leading key functions including risk management, information technology, financial strategy, medical oversight, and corporate operations.

Focused on delivering comprehensive insurance solutions, ESIS maintains a commitment to excellence in risk management services and workers' compensation claims handling for clients across diverse global markets.

Leadership Roles at ESIS

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

    Rachel Kesling, the Senior VP, Finance & Chief Financial Officer at ESIS, directs the fiscal strategy and capital allocation processes essential for long-term corporate sustainability. By managing financial reporting and budgeting, Kesling ensures the accurate assessment of risk management profitability. This leadership role involves overseeing the financial health of workers' compensation programs while maintaining strict regulatory compliance. Rachel Kesling drives investment decisions that support the expansion of service offerings across regional markets. Overseeing the finance department, the Senior VP, Finance & Chief Financial Officer monitors cash flow and liquidity to mitigate potential economic volatility. Through rigorous financial analysis, Kesling provides the executive team with actionable insights for strategic planning. This position requires constant engagement with stakeholders to communicate the financial performance of the organization. By optimizing cost structures and revenue streams, the Senior VP, Finance & Chief Financial Officer secures the financial stability required to deliver superior insurance services.

    Joseph Costantino - President

    Joseph Costantino, the President at ESIS, directs the overarching business strategy and market positioning for the organization. By focusing on the expansion of risk management services, Costantino drives the company toward achieving its long-term growth objectives. This leadership role involves overseeing the strategic direction of workers' compensation claims handling to ensure market competitiveness. Joseph Costantino leads the executive team in identifying new opportunities for service innovation and client acquisition. Overseeing the primary business units, the President ensures that all departments remain aligned with the core mission of providing reliable insurance solutions. Through the cultivation of key industry partnerships, Costantino strengthens the presence of the firm in the national insurance landscape. This position requires constant evaluation of market trends to adapt the business model to changing economic conditions. By fostering a culture of excellence, the President ensures that the organization maintains its reputation for high-quality service and operational integrity.

    James Shevlin - President

    James Shevlin, the President at ESIS, manages the execution of corporate policies and the optimization of internal business processes. By focusing on operational efficiency, Shevlin ensures that the delivery of risk management services meets the highest standards of quality. This leadership role involves overseeing the integration of new technologies into existing claims handling workflows to improve productivity. James Shevlin drives initiatives that enhance client satisfaction and retention across the insurance portfolio. Overseeing the daily operations of the firm, the President coordinates cross-functional teams to resolve complex service challenges. Through the implementation of performance management systems, Shevlin monitors the effectiveness of service delivery models. This position requires constant collaboration with other executives to ensure that operational goals support the broader financial targets of the company. By streamlining internal procedures, the President secures the operational foundation necessary for sustained growth and excellence in the insurance sector.

    Vasantha Prammagnanam - Chief Information Officer

    Vasantha Prammagnanam, the Chief Information Officer at ESIS, architects the digital infrastructure necessary to support advanced risk management and claims processing platforms. By integrating secure data analytics, Prammagnanam enhances the technological capabilities required for modern insurance operations. This leadership role involves directing the development of proprietary software solutions that streamline workers' compensation workflows. Vasantha Prammagnanam drives digital transformation initiatives to improve client accessibility and data security across North American markets. Overseeing the entire information technology department, the Chief Information Officer ensures that all systems remain resilient against emerging cyber threats. Through the implementation of scalable cloud solutions, Prammagnanam supports the rapid processing of complex insurance data. This position requires constant innovation to maintain a competitive edge in the insurance industry. By aligning technical roadmaps with corporate goals, the Chief Information Officer secures the technological foundation for future growth and operational excellence.
    Vasantha Prammagnanam

    Ghanshyam Patel - Chief Medical Officer

    Ghanshyam Patel, the Chief Medical Officer at ESIS, oversees the clinical governance and medical review processes integral to workers' compensation claims management. By evaluating medical necessity and treatment protocols, Patel ensures that injured workers receive appropriate care while managing insurance costs effectively. This leadership role involves collaborating with healthcare providers to standardize clinical outcomes across the organization. Ghanshyam Patel drives the development of evidence-based medical guidelines that inform claims adjudication and rehabilitation strategies. Overseeing the medical department, the Chief Medical Officer maintains compliance with health regulations and industry standards. Through the analysis of clinical data, Patel identifies trends that influence the long-term health outcomes of insured populations. This position requires constant interaction with legal and claims teams to resolve complex medical disputes. By integrating clinical expertise into the insurance framework, the Chief Medical Officer supports the delivery of high-quality, cost-effective medical management services for all clients.

    Sanjay Gaikwad - Deputy Director

    Sanjay Gaikwad, the Deputy Director at ESIS, manages critical operational workflows to ensure seamless service delivery across the organization. By coordinating internal resources, Gaikwad optimizes the efficiency of workers' compensation claims handling processes. This leadership role involves close collaboration with department heads to align daily activities with the broader risk management objectives of the firm. Sanjay Gaikwad drives performance improvements by implementing rigorous quality control standards throughout the service lifecycle. Overseeing complex administrative functions, the Deputy Director maintains high standards of accuracy and compliance. Through strategic oversight of internal systems, Gaikwad supports the overall stability of the insurance portfolio. This position requires constant monitoring of operational metrics to identify areas for process enhancement. By fostering a culture of accountability, the Deputy Director ensures that all service teams meet the evolving needs of clients while maintaining the long-term operational integrity of the company.

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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 Joseph Costantino (President) and James Shevlin (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), Joseph Costantino (President), James Shevlin (President) and other senior executives.
    How many executives does ESIS have?
    ESIS has 6 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.