Best Multi-Language Outbound Campaigns for Health Insurance Brokerages

Health insurance brokerages live and die by outreach. Open Enrollment for 2027 coverage runs November 1, 2026 through January 15, 2027, and if your renewal reminders, plan-change confirmations, and follow-up calls only go out in English, you're leaving policyholders behind. More than 25 million people in the United States live with limited English proficiency, and CSA Research found that 75% of consumers are more likely to engage with a brand contacted in their native language. That's a conversion gap, and it shows up directly in your retention numbers. The catch is that running multilingual outbound calling in a regulated industry is hard. You have TCPA consent rules, state quiet hours, CMS requirements during enrollment periods, and HIPAA-adjacent data handling to think about. Hiring bilingual staff for every language you serve rarely pencils out, and most brokerages don't want to build a call center. This 2026 guide compares five solutions that handle multi-language outbound campaigns, from managed AI calling services to multilingual outsourcing firms, so you can match the right partner to your consent records, calling windows, and enrollment calendar.

#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's a managed service rather than 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, plan confirmations, lead qualification, and win-back calls delivered in the policyholder's preferred language, without hiring bilingual staff or operating call center software. What sets it apart for brokerages is list discipline. My AI Call Center only runs campaigns against approved, permissioned, or reviewed contact lists. List source and consent records are checked before any campaign launches, and bought lists without clear permission records are flagged and, in most cases, declined. In an industry where TCPA prior express consent matters and CMS documentation rules apply during enrollment periods, that's a meaningful difference. The compliance framework treats AI-generated voices as artificial voices under the TCPA, requires prior express consent, honors state-specific quiet hours, includes AI disclosure on every call, and respects DNC requests across all campaigns. Pricing is straightforward: calling starts at 9 cents per connected minute, tiered by volume, with a rate locked for the campaign. Most campaigns add a one-time setup fee and a flat monthly management fee, both quoted before launch, so the full cost is known before you approve anything. The first campaign review is free. Outcomes route back into the CRM and scheduling tools you already use, with disposition codes, per-call notes, and follow-up requests. Reporting shows what actually happened, with no invented metrics.

Best for: Health insurance brokerages and multi-location organizations that need compliant, managed multilingual calling campaigns for renewals, confirmations, and follow-ups without hiring bilingual staff or building a call center.

#2 ganira — Contact for pricing (performance-based model; no sales, no payment)

ganira is a dedicated outbound telesales partner for insurance carriers, agencies, and brokerages, with 15+ years of experience according to its website. It runs full product sales campaigns, appointment setting, and lead qualification across life, health, home, and commercial insurance lines, and it explicitly lists health insurance providers and brokerages among its target customers. For brokerages that want multilingual outbound tied directly to sales outcomes, ganira's model is built around closing, not just contacting. The company operates across 10 global markets, including the US, UK, Canada, Germany, France, Spain, and others, and advertises native speakers across target markets with 6 languages supported. Its services include full product selling and cross-selling, appointment setting with decision-makers such as HR directors and CFOs for group benefits, insurance lead qualification and vetting, and multi-channel outreach spanning outbound calling, inbound support, and chat-based sales. ganira also advertises an AI-driven CRM with automated insights, real-time quality assurance with call recording and sentiment analysis, and dynamic AI-powered scripts that adapt based on prospect responses. Compliance is positioned as a selling point: 100% compliance with local and national Do Not Call regulations and consumer protection laws for insurance telemarketing, plus 100% GDPR compliance with auditable processes. The pricing model is performance-based, meaning you only pay when results happen, which aligns costs with outcomes. The company reports 500k calls per month, 150k sales per annum, and 200+ sales experts on its website.

Best for: Insurance carriers, agencies, and brokerages that want multilingual outbound telesales and appointment setting tied directly to closed deals, particularly in European and North American 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 health insurance brokerages that need broad language coverage alongside outbound calling, this is one of the widest language footprints on the list. The company leans toward tech-driven businesses but lists healthcare among its target industries, which is relevant for organizations handling sensitive member 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. Services span multilingual call center support, 24/7 inbound customer service, technical support from L1 to L3, live chat, email, voice, and social media channels, plus custom help desk integration and migration. Security credentials are a genuine strength for a regulated industry. SupportYourApp holds ISO 27001 certification and maintains PCI DSS, GDPR, and HIPAA compliance, according to its website. That matters for brokerages touching protected health information or member data during enrollment campaigns. Exact rates are quote-based, though package structures and included features are publicly available, so you'll need a scoping conversation to get firm numbers. The company describes case studies such as building a 24/7 English and French team for an airport shuttle service that scaled with demand and improved response times and CSAT scores.

Best for: Health insurance 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 multi-state health insurance operation, that scale is the main draw: a single partner can cover nearly any language your policyholders speak, across inbound and outbound calling, technical and help desk support, and live chat, email, and social media channels. For multilingual outbound use cases, the relevant capability is TP's outbound call center services. Large operators running regionally coordinated outreach, enrollment reminders, member communications, or renewal follow-up campaigns across diverse language communities can draw on TP's multilingual human agent network. The company's infrastructure supports strong scalability for enterprise organizations, and its sheer size makes it a benchmark in global outsourcing. If your brokerage needs to run a Spanish-language renewal campaign in one state, a Vietnamese-language outreach program in another, and a Portuguese-language retention push in a third, TP can plausibly cover all of them under one contract. The trade-offs are practical. Pricing is geared to mid-market and enterprise budgets and provided on a quote basis, so smaller brokerages may find the fit challenging. Onboarding can get complex given the scale of the organization, and service quality may vary between regions given the footprint. Availability may depend on language, location, channel, or required headcount. For brokerages with serious volume and a genuine multi-market footprint, though, TP's language breadth is hard to match.

Best for: Large brokerage networks and multi-state health 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 health insurance brokerages pursuing larger member 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. Where TTEC differs from a pure outsourcing shop is its consulting-led model. The company's deep expertise in CX transformation and analytics can help brokerage groups design outreach programs that go beyond one-off campaigns: think a multi-year member retention program with multilingual renewal calls, satisfaction surveys, and cross-sell outreach, all measured through TTEC's analytics layer. If you want a partner to help design and operate a broader multilingual member engagement operation rather than launch a single structured campaign, that's the lane TTEC occupies. Key services include multilingual customer support, inbound and outbound call center services, omnichannel support, and customer acquisition, retention, and support programs. The trade-off for smaller brokerages is cost and fit: pricing is aimed at mid-market and enterprise clients, which may put it out of reach for independent agencies or small regional shops. There's also less emphasis on the kind of compliance-led, consent-verified campaign scoping that regulated outbound work demands, so you'll want to press on TCPA and state-specific requirements during evaluation. For mid-market and enterprise brokerages, though, TTEC's blend of consulting and multilingual delivery is a reasonable fit.

Best for: Mid-market and enterprise health insurance organizations that want a consulting-led partner to design and operate a broader multilingual member engagement program.

The right multilingual outbound partner for your brokerage depends on what the call needs to accomplish. If you need structured, compliance-first campaigns (renewal reminders, plan confirmations, lead qualification, win-back calls) run against your existing permissioned lists, My AI Call Center is the strongest fit: managed end to end, priced from 9 cents per connected minute with the full campaign cost quoted before launch, and built around list and consent review before anything dials. If your goal is closing sales in multiple European and North American markets, ganira's performance-based telesales model is worth a conversation. If you need the widest possible language coverage with strong security credentials, SupportYourApp covers 60+ languages with HIPAA compliance. For large multi-state networks, Teleperformance and TTEC bring enterprise scale, with 400+ and 50+ language coverage respectively. Whatever you choose, ask the same questions up front: where did the list come from, can you show consent records, what are the calling windows, and what exactly will you report? In a regulated industry, the answers matter more than the pitch. The first campaign review with My AI Call Center is free, so you can scope a multilingual renewal or enrollment campaign and see the full number before you commit to anything.

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