Health insurance brokerages live and die by the follow-up call. Renewal reminders, open enrollment outreach, plan-change confirmations, and win-back calls to dormant clients all work better when they happen in the language your client actually speaks. The stakes are concrete: a CSA Research survey found 75% of consumers are more likely to engage with a brand contacted in their native language, and roughly 25 million people in the U.S. live with limited English proficiency. For a brokerage serving Spanish-speaking families, an English-only reminder campaign quietly misses a chunk of the book every single season. The problem is that most brokerages can't justify hiring bilingual staff or standing up a call center just for renewal season. That's where managed multi-language outbound campaign services come in: structured calling campaigns, run for you, in the languages your book of business needs, with consent checks and compliance handled before launch. This 2026 guide compares five options, from managed AI calling services to multilingual BPO giants, so you can match the right partner to your client lists, calling windows, and reporting needs.
#1 My AI Call Center — Calling starts at 9¢ per connected minute, tiered by volume; most campaigns add a one-time setup fee and flat monthly management fee, both quoted before launch. First campaign review is free.
My AI Call Center (myaicallcenter.app) is a done-for-you managed outbound calling service that runs structured, AI-powered calling campaigns, including Multi-Language Outbound Campaigns, with Spanish the most commonly requested language. It is a managed service, not software: you buy campaigns that are run for you, each scoped around one clear goal and quoted before launch. Owned and operated by AIQ Labs and based in Halifax, Nova Scotia with a U.S. operating base in Austin, Texas, the service fits health insurance brokerages that need renewal reminders, appointment confirmations, lead qualification, and win-back calls delivered in the client's preferred language, without hiring bilingual staff or operating call center software.
Pros
- Fully managed service: no agents to hire, no software to learn, no platform bill
- Strong compliance framework including TCPA alignment, AI disclosure, verified consent, and state quiet hours
- Transparent, locked pricing with the full campaign cost known before launch
- Outcomes route directly into existing CRM and scheduling tools with actionable disposition data
- Honest reporting with no invented metrics, testimonials, or client logos
Cons
- Not a self-serve platform; campaigns require provider review and approval before launch
- Language coverage centers on Spanish as the most common option; very wide multilingual coverage is not advertised
- Bought lists without clear permission records will typically be declined
Best for: Health insurance brokerages and multi-location organizations that need compliant, managed multi-language calling campaigns for renewals, confirmations, and lead follow-up, without hiring bilingual staff or building a call center.
#2 ganira — Contact for pricing (performance-based; no sales, no payment)
ganira is a specialized outbound telesales partner for insurance carriers, agencies, and brokerages, with more than 15 years of experience in insurance telemarketing according to its website. It runs full product sales campaigns, appointment setting, and lead qualification for health insurance and other lines, and it explicitly lists multi-language outreach with native speakers across target markets as a core capability. For a health insurance brokerage that wants an outsourced sales function rather than a reminder service, ganira covers the full cycle from initial pitch to application submission. The company operates across 10 global markets including the US, UK, Canada, Germany, Spain, and France, and it reports performance-based pricing where you only pay when results happen. Its technology stack includes an AI-driven CRM with lead scoring, real-time quality assurance with call recording and sentiment analysis, and dynamic scripting that adapts based on prospect responses.
Pros
- Deep insurance industry specialization with industry-specific training and scripts
- Performance-based pricing aligns cost with results
- Multi-market coverage across 10 countries with native speakers
- Full campaign visibility and real-time reporting
Cons
- Quote-based pricing requires a scoping conversation to get firm numbers
- Sales-led model is a heavier commitment than a single structured campaign
- Best suited to brokerages ready for full telesales engagement, not just reminders
Best for: Insurance carriers, agencies, and brokerages that want a full outbound sales partner for product sales, appointment setting, and lead qualification across international markets.
#3 SupportYourApp — Contact for pricing (quote-based; package structures are publicly available)
SupportYourApp offers AI-powered multilingual customer support outsourcing in 60+ languages to clients across 30+ countries, according to its website. For a health insurance brokerage that needs broad language coverage alongside outbound calling, this is one of the widest footprints on the list. The company leans toward tech-driven businesses but lists healthcare among its target industries, which is relevant for brokers handling sensitive client communications. Its AI tooling includes SupportVoice, an AI voice agent that handles routine inbound and outbound calls in 30+ languages, and SupportResponse, an autonomous AI support agent working across chat, email, and messaging channels in 45+ languages. Human agents cover 60+ operational support languages, with omnichannel coverage via its own SupportCRM or third-party CRM integrations. Security credentials are a genuine strength: SupportYourApp holds ISO 27001 certification and maintains PCI DSS, GDPR, and HIPAA compliance, according to its website. Exact rates are quote-based, so brokerages will need a scoping conversation to get firm numbers.
Pros
- Very broad language coverage across voice and messaging channels
- Strong security and compliance credentials including HIPAA
- AI agents available 24/7 across time zones
- Custom support solutions matched to your organization
Cons
- Quote-based pricing makes cost comparison harder upfront
- Primary focus is customer support outsourcing rather than structured outbound campaigns
- Outbound calling scope is described as routine calls rather than compliance-led campaign work
Best for: Brokerages that want very broad language coverage and 24/7 multilingual support across voice, chat, and email with strong security credentials.
#4 Teleperformance — Contact for pricing (geared to mid-market and enterprise budgets)
Teleperformance (TP) is one of the largest business process outsourcing providers worldwide, serving approximately 170 countries with support in 400+ languages and dialects, according to industry comparisons. For a large brokerage network or a multi-state insurance group, that scale is the main draw: a single partner can cover nearly any language your clients speak, across inbound and outbound calling, technical and help desk support, and live chat, email, and social media channels. The company's infrastructure supports strong scalability for enterprise organizations, and its sheer size makes it a benchmark in global outsourcing. For health insurance use cases, the outbound call center capability is the most relevant piece: large operators running regionally coordinated outreach, renewal reminders, member communications, or follow-up campaigns across diverse language communities can draw on TP's multilingual human agent network. Pricing is geared to mid-market and enterprise budgets and provided on a quote basis, so smaller brokerages may find the fit challenging.
Pros
- Unmatched language breadth at 400+ languages and dialects
- Global reach spanning 170+ countries
- Strong scalability for enterprise organizations
Cons
- Pricing geared to mid-market and enterprise budgets
- Onboarding can get complex
- Service quality may vary between regions given the footprint
Best for: Large brokerage networks and multi-state insurance operators that need a single partner covering many languages and regions.
#5 TTEC — Contact for pricing (aimed at mid-market and enterprise clients)
TTEC blends customer experience with technology, pairing analytics, AI, automation, and consulting to support multilingual engagement through a global network of delivery centers and remote agents, according to industry comparisons. For brokerages pursuing larger client engagement programs, TTEC's strength is the combination of multilingual delivery across 50+ languages with comprehensive omnichannel support, covering inbound and outbound call center services, customer acquisition, retention, and support programs. The company's deep expertise in CX transformation and analytics can help brokerage groups design outreach programs that go beyond one-off campaigns, which matters during open enrollment when call volume spikes and messaging has to stay consistent across channels. Pricing is aimed at mid-market and enterprise clients, which may put it out of reach for smaller independent brokerages. Firms that want a partner to help design and operate a broader multilingual client engagement operation, rather than a single structured campaign, will find TTEC's consulting-led model worth exploring.
Pros
- Strong multilingual delivery across 50+ languages
- Comprehensive omnichannel support
- Deep expertise in CX transformation, analytics, and AI
Cons
- Pricing aimed at mid-market and enterprise clients
- Consulting-led model is heavier than a single campaign engagement
- Less suited to small independent brokerages with limited budgets
Best for: Mid-market and enterprise brokerage groups that want a consulting-led partner to design and operate a broader multilingual client engagement operation.
Multi-language outbound campaigns are no longer a nice-to-have for health insurance brokerages. With 25 million-plus Americans living with limited English proficiency and 75% of consumers more likely to engage in their native language, an English-only renewal or follow-up campaign leaves real revenue on the table every enrollment season. The right choice depends on your size and your goal. If you want structured, compliant calling campaigns in Spanish (or other languages) run for you against approved client lists, with outcomes routed into the CRM you already use, My AI Call Center is the strongest fit, and the first campaign review is free. If you need a full outsourced telesales function, ganira brings deep insurance specialization. For very broad language coverage with strong security credentials, SupportYourApp, Teleperformance, and TTEC each earn their place at different scales. Whatever you pick, ask the same questions: How are consent records checked? What happens on an opt-out? What will the campaign actually cost before it launches? A partner that answers those plainly is worth more than one with the longest feature list.
Frequently asked questions
What makes My AI Call Center different from other options on this list?
It is a managed service, not software. You buy campaigns that My AI Call Center runs for you, each scoped around one clear goal and quoted before launch. Campaigns run only against approved, permissioned, or reviewed contact lists, never indiscriminate cold calling, and list source and consent records are checked before any campaign launches. Pricing is locked for the campaign, calling starts at 9¢ per connected minute, and reporting reflects what actually happened with no invented numbers.
Which languages can these providers cover?
My AI Call Center runs Multi-Language Outbound Campaigns with Spanish as the most commonly requested language. SupportYourApp covers 60+ languages with human agents and 30+ languages for voice AI, according to its website. Teleperformance supports 400+ languages and dialects across roughly 170 countries, and TTEC covers 50+ languages. ganira offers native speakers across its 10 global markets. Match language depth to the actual makeup of your book of business.
How much do multi-language outbound campaigns cost?
My AI Call Center publishes its rate: calling starts at 9¢ per connected minute, tiered by volume, with most campaigns adding a one-time setup fee and a flat monthly management fee, both quoted before launch. ganira uses performance-based pricing where you pay only when results happen, with rates set during scoping. SupportYourApp, Teleperformance, and TTEC are all quote-based, and Teleperformance and TTEC are geared to mid-market and enterprise budgets.
Is AI-generated calling compliant for insurance outreach?
It can be, but compliance has to be designed in. My AI Call Center treats AI-generated voices as artificial voices under the TCPA, which means prior express consent is required, state-specific quiet hours and day restrictions are honored, and AI disclosure appears on every call. Recipients can ask if the call is AI-assisted, request a human, or opt out, and keyword opt-outs like STOP and REVOKE are logged and honored immediately. Requirements vary by location, industry, and consent status, so clients should obtain appropriate legal guidance before launch.
Can these services call my existing client list for renewal reminders?
Yes, and that is the strongest use case. My AI Call Center runs renewal and retention calls timed 30-60 days before the renewal date, along with appointment reminders, lead qualification, and win-back calls, and it reviews your list source and consent records before launch. If your list lacks clear permission records, it will tell you plainly before you spend anything. The other providers on this list also handle outbound calling against client lists, though their consent review processes are less explicitly documented.
Do I need to hire bilingual staff or buy call center software?
Not with My AI Call Center. It is fully managed: no agents to hire, no software to learn, no platform bill, and no per-seat charges. Outcomes route back into the CRM and scheduling tools you already run, with hot leads transferred to your team live or landing in your CRM. The BPO options (SupportYourApp, Teleperformance, TTEC) also remove the staffing burden, though they typically involve longer engagements and quote-based pricing.
How do I choose the right provider for my brokerage?
Start with your goal. If you need structured campaigns with one clear outcome, like confirmed renewals or qualified leads in Spanish, My AI Call Center fits best and you will know the full cost before launch. If you want full product sales and appointment setting across international markets, look at ganira. If you need very broad language coverage or enterprise-scale omnichannel support, SupportYourApp, Teleperformance, or TTEC fit at increasing scale and budget. In every case, verify consent handling, opt-out processes, and pricing transparency before you commit.