ESIS Executive and Leadership Team

November, 2026

Leadership Overview

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

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 - Joseph Costantino
  • President - James Shevlin
  • 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 Chief Financial Officer ensures the company maintains a strong balance sheet to support risk management operations. This leadership role involves analyzing market trends to optimize revenue streams and control operational costs across the enterprise. By providing critical financial insights to the board, Rachel Kesling facilitates informed decision-making regarding expansion and service development. The Senior VP, Finance & Chief Financial Officer coordinates with department heads to align departmental budgets with the overarching corporate mission. Through rigorous financial oversight, Kesling mitigates fiscal risks and enhances shareholder value. This commitment to financial discipline allows the organization to sustain its position as a leader in workers' compensation claims handling, ensuring resources remain available for continuous service improvement and technological advancement.

    Joseph Costantino - President

    Joseph Costantino, the President at ESIS, directs the overall business strategy and operational execution for the organization. Overseeing the delivery of risk management services, the President ensures that the company meets the evolving needs of clients in the workers' compensation sector. This leadership role involves fostering partnerships with key stakeholders and driving growth initiatives across the national market. By setting the corporate vision, Joseph Costantino aligns internal teams to achieve high performance in claims handling and loss control. The President coordinates with other executive leaders to streamline operations and enhance service quality. Through a focus on market expansion and client retention, Costantino strengthens the company's competitive position. This strategic oversight ensures that the organization remains agile in a changing insurance landscape, consistently delivering value through professional expertise and operational excellence. The President maintains a clear focus on long-term sustainability, guiding the firm toward continued success in the risk management industry.

    James Shevlin - President

    James Shevlin, the President at ESIS, directs the internal operational scaling and process optimization initiatives for the firm. Overseeing the efficiency of claims administration and service delivery, the President ensures that internal workflows support the company's commitment to high-quality risk management. This leadership role involves implementing lean methodologies to reduce administrative overhead and improve response times for clients. By refining operational procedures, James Shevlin enhances the capacity of the organization to handle large-scale workers' compensation portfolios. The President collaborates with department heads to integrate new service offerings into the existing operational framework. Through the management of internal resources, Shevlin drives productivity gains that support the company's broader financial and strategic goals. This focus on operational excellence allows the firm to maintain a high standard of service, ensuring that every claim is processed with precision and speed. The President remains dedicated to building a resilient infrastructure that supports the company's long-term growth and market leadership.

    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 risk management platforms, the Chief Information Officer ensures that all insurance systems remain secure and efficient. This leadership role involves modernizing claims processing software to improve client outcomes across North American markets. By aligning technical capabilities with business objectives, Vasantha Prammagnanam drives innovation within the insurance sector. The Chief Information Officer collaborates with other executive leaders to implement scalable cloud solutions that support complex workers' compensation workflows. Through the deployment of robust cybersecurity protocols, Prammagnanam protects sensitive client data while maintaining high operational availability. This strategic focus on digital transformation enables the company to provide superior service levels, ensuring that technological investments directly contribute to long-term organizational stability and competitive advantage in the insurance industry.
    Vasantha Prammagnanam

    Ghanshyam Patel - Chief Medical Officer

    Ghanshyam Patel, the Chief Medical Officer at ESIS, directs the clinical strategy and medical management protocols for all workers' compensation claims. Overseeing the quality of care provided to injured employees, the Chief Medical Officer ensures that medical interventions align with evidence-based practices and regulatory standards. This leadership role involves evaluating clinical outcomes to improve recovery timelines and reduce long-term disability costs for clients. By collaborating with healthcare providers and internal claims teams, Ghanshyam Patel optimizes the medical review process across the national footprint. The Chief Medical Officer establishes clinical guidelines that prioritize patient safety while maintaining cost-effective service delivery. Through the application of medical expertise, Patel influences the development of specialized programs designed to address complex injury cases. This focus on clinical excellence allows the organization to deliver superior results in claims management, ensuring that medical decisions support both the health of the injured worker and the operational efficiency of the insurance business.

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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 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.