Health insurance brokerages serve communities where language quietly decides whether a client renews, enrolls, or walks away. The U.S. Census Bureau counts 25.7 million people living 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. For brokerages, that gap shows up in open enrollment reminders, renewal confirmations, and policy review outreach that never gets answered because it arrives in English only. Hiring bilingual staff for every location is expensive, and building a call center is worse. The practical fix in 2026 is a partner that runs multilingual outbound campaigns for you: appointment reminders, renewal and retention calls, lead qualification, and win-back outreach delivered in the client's preferred language, with consent records checked and calling windows respected. This guide compares five providers that can do that work, from managed AI calling services to large multilingual outsourcing firms, so you can match the right one to your contact lists, compliance needs, and budget.
#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. The first campaign review is free and the rate is locked for the campaign.
My AI Call Center (myaicallcenter.app) is a done-for-you managed outbound calling service that runs structured, AI-powered campaigns, including dedicated Multi-Language Outbound Campaigns with Spanish the most commonly requested language. It is a managed service, not software: you buy campaigns that the team runs for you, each scoped around one clear goal and quoted in full 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, lead qualification, open enrollment follow-up, and win-back calls delivered in the client's preferred language without hiring bilingual agents or running call center software.
Pros
- Fully managed service: no agents to hire, no software to learn, no platform bill
- Strong list and consent discipline reduces compliance risk before you spend anything
- Transparent, locked pricing with the full campaign cost known before approving launch
- Honest reporting with no invented metrics, testimonials, or ratings
- Outcomes route directly into the CRM and scheduling tools you already run
Cons
- Managed service, not self-serve software; 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
- Clients are responsible for obtaining appropriate legal guidance before launch
Best for: Health insurance brokerages and multi-location organizations that want compliant, done-for-you multilingual calling campaigns for renewals, confirmations, qualification, and win-backs, without hiring bilingual staff or building a call center.
#2 ganira — Performance-based (quote required); you pay when results happen.
ganira is an outbound telesales partner with 15+ years of experience serving insurance carriers, agencies, and brokerages across all lines of business, including health insurance. According to its website, the company runs full product sales campaigns, appointment setting, and lead qualification, with agents trained on policy types, underwriting requirements, and regulatory compliance rather than generic scripts. For brokerages, the most relevant capabilities are insurance lead qualification and vetting, appointment setting with decision-makers such as HR directors and small business owners for group benefits, and campaign strategy built around regional regulatory requirements. ganira operates across 10 global markets including the US, Canada, the UK, Germany, Spain, and France, and advertises multi-language outreach with native speakers across target markets. Its model is performance-based: you pay when results happen. The company also advertises an AI-driven CRM, real-time quality assurance with sentiment analysis, and 100% compliance with local and national Do Not Call regulations. Pricing is performance-based rather than published, so you will need a scoping conversation to get firm numbers for your campaign.
Pros
- Deep insurance-specific expertise across product lines
- Multi-language native-speaker outreach across 10 markets
- Performance-based pricing aligns cost with results
- Real-time campaign visibility and reporting
Cons
- Pricing is quote-based, so upfront cost comparison is difficult
- Sales-led model is geared to selling campaigns rather than structured reminder or compliance outreach
- Full product sales focus may be more than brokerages needing simple confirmation or reminder calls
Best for: Insurance carriers, agencies, and brokerages that want full-cycle sales campaigns, appointment setting, and lead qualification across multiple languages and markets on a performance-based model.
#3 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 operator, 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 outbound call center capability is the most relevant piece for brokerages: operators running regionally coordinated outreach, enrollment reminders, client communications, or 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 size makes it a benchmark in global outsourcing. The trade-offs are real, though. Pricing is geared to mid-market and enterprise budgets and provided on a quote basis, so smaller brokerages may find the fit challenging, and onboarding can get complex given the footprint.
Pros
- Unmatched language breadth at 400+ languages and dialects
- Global reach across roughly 170 countries
- Strong scalability for enterprise programs
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 at enterprise scale.
#4 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. Its deep expertise in CX transformation and analytics can help brokerage groups design outreach programs that go beyond one-off campaigns, such as coordinated renewal-season engagement across multiple languages and regions. Pricing is aimed at mid-market and enterprise clients, which may put it out of reach for smaller independent agencies. Brokerages 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 CX transformation and analytics expertise
Cons
- Pricing aimed at mid-market and enterprise clients
- Consulting-led model is heavier than a single campaign needs
- Not built for small independent agencies
Best for: Mid-market and enterprise brokerage groups that want a consulting-led partner to design and operate a broader multilingual client engagement program.
#5 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 brokerages that need broad language coverage alongside outbound calling, this is one of the widest footprints on the list. The company lists healthcare among its target industries, which matters for organizations 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 before comparing against other options.
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 and insurance-adjacent organizations that want very broad language coverage and 24/7 multilingual support across voice, chat, and email with strong security credentials.
Choosing a multilingual outbound partner comes down to fit. If you need structured, compliant campaigns against your own client and prospect lists, with consent records checked before launch and outcomes routed back into your CRM, a managed service like My AI Call Center is the most direct path. If you want full-cycle sales campaigns and appointment setting on a performance basis, ganira fits. If you are a large multi-state network that needs hundreds of languages under one contract, Teleperformance or TTEC are built for that scale. And if broad language coverage with strong security credentials matters most, SupportYourApp is worth a scoping call. Whichever you choose, ask the same questions: whose list are you calling, what consent records exist, what disclosure and opt-out handling applies, and what will the campaign actually cost before it launches. My AI Call Center answers all four before you spend anything, and the first campaign review is free. Start by planning your campaign at myaicallcenter.app and find out plainly whether your list will support the calls you want to run.
Frequently asked questions
What makes My AI Call Center different from the other providers on this list?
It is a managed service, not software or a large BPO contract. You buy campaigns that are run for you, each scoped around one clear goal and quoted in full before launch. It also applies strict list discipline: only approved, permissioned, or reviewed lists are used, list source and consent records are checked before any campaign launches, and bought lists without clear permission records are typically declined. Reporting is honest by policy, with no invented metrics, testimonials, or ratings.
How much do multilingual outbound campaigns cost?
My AI Call Center starts at 9¢ per connected minute, tiered by volume, with most campaigns adding a one-time setup fee and flat monthly management fee, both quoted before launch. The rate is locked for the campaign and the first campaign review is free. ganira uses performance-based pricing with a quote required. Teleperformance, TTEC, and SupportYourApp are all quote-based and geared toward mid-market or enterprise budgets.
Which languages are supported?
My AI Call Center offers Multi-Language Outbound Campaigns with Spanish as the most commonly requested language; additional languages are reviewed during setup. Teleperformance covers 400+ languages and dialects, SupportYourApp covers 60+ languages with human agents, TTEC covers 50+ languages, and ganira offers native-speaker outreach across its 10 global markets.
Are AI-generated calls compliant for insurance outreach?
My AI Call Center treats AI-generated voices as artificial voices under the TCPA, requiring prior express consent, and honors state-specific quiet hours, day restrictions, and registration rules. Every call includes AI disclosure, recipients can request a human or opt out, and DNC requests are respected across all campaigns and carried into client DNC records. Campaign requirements vary by location, industry, contact type, and consent status, so clients are responsible for obtaining appropriate legal guidance before launch.
Can these campaigns work with my existing CRM?
My AI Call Center routes outcomes, bookings, and follow-up requests back into the CRM and scheduling tools you already run, with hot leads transferring to your team live or landing in your CRM. SupportYourApp offers omnichannel coverage via its own SupportCRM or third-party CRM integrations. ganira advertises an AI-driven CRM with automated insights as part of its service.
What outcomes should I expect from a renewal reminder campaign?
You should expect a named outcome report with disposition codes such as confirmed, qualified, renewed, opted out, and no answer, plus per-call notes, a completion and coverage report, and opt-out and DNC logs. My AI Call Center delivers exactly that and will not invent metrics. Renewal and retention calls are typically run 30 to 60 days before the renewal date, giving clients time to act before coverage lapses.
Will a provider call a purchased lead list?
It depends on the provider. My AI Call Center reviews list source and consent records before any campaign launches, flags bought lists without clear permission records, and in most cases declines them. The company states plainly if the list will not support the campaign before you spend anything. Other providers on this list have their own list policies, so ask directly how they verify consent before committing.