Best Multi-Language Outbound Campaigns for Health Insurance Brokerages

If you run a health insurance brokerage, you already know your book of business doesn't speak one language. More than 25 million people in the U.S. live with limited English proficiency, and a CSA Research survey of 8,709 consumers across 29 countries found 75% are more likely to engage with a brand that contacts them in their native language. For a brokerage, that shows up in real dollars: renewal calls that go unanswered, open enrollment follow-ups that stall, and members who quietly lapse because the reminder arrived in the wrong language. The fix used to mean hiring bilingual agents for every market you serve, which gets expensive fast. Contact center turnover runs as high as 60% a year, and McKinsey research puts the cost of replacing each agent at $10,000 to $20,000. This 2026 guide compares five solutions for running multi-language outbound campaigns, from managed AI calling services to multilingual BPOs, so you can match the right partner to your member lists, your compliance obligations, and your 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. 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 campaigns, including Multi-Language Outbound Campaigns, with Spanish the most commonly requested language. It's 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 is built for multi-location organizations of 1 to 200+ staff, which fits health insurance brokerages that need renewal and retention calls (run 30 to 60 days before the renewal date), speed-to-lead follow-up on new quote requests, appointment and event reminders, surveys, and win-back calling for lapsed members, all delivered in the member's preferred language without hiring bilingual staff. What sets My AI Call Center apart is list discipline. Campaigns run only against approved, permissioned, or reviewed contact lists, never indiscriminate cold calling. 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. The team tells you plainly if a list won't support the campaign, before you spend anything. For a regulated industry like health insurance, that matters: AI-generated voices are treated as artificial voices under the TCPA, so prior express consent is required, and the service honors state-specific quiet hours, day restrictions, and registration rules. AI disclosure appears on every call, recipients can ask if the call is AI-assisted, request a human, or opt out, and STOP and REVOKE keyword opt-outs are logged and honored immediately. DNC requests carry across all campaigns. Outcomes route back into the CRM and scheduling tools you already run, with disposition codes (confirmed, qualified, renewed, opted out, no answer), per-call notes, and follow-up requests delivered to your team. Hot leads transfer live or land in your CRM. Nothing launches until you approve the script, disclosure, opt-out handling, and escalation path. Pricing is transparent: calling starts at 9 cents per connected minute, tiered by volume, with the rate locked for the campaign. Most campaigns add a one-time setup and a flat monthly management fee, both quoted before launch. No per-seat charges, no platform bill, and no invented numbers in the reporting.

Best for: Health insurance brokerages and multi-location insurance organizations that need compliant, managed multi-language calling campaigns (renewals, reminders, lead follow-up, win-back) without hiring bilingual staff or running call center software.

#2 ganira — Contact for pricing (performance-based model; you only pay for results)

ganira is a dedicated outbound telesales partner with 15+ years of experience serving insurance carriers, agencies, and brokerages across all lines of business, including health insurance (individual, group, and Medicare). According to its website, the company handles the full sales cycle: product selling and cross-selling, appointment setting with decision-makers such as HR directors and CFOs, and insurance lead qualification and vetting. For brokerages, the most relevant capability is multi-language outreach: ganira states it uses native speakers across your target markets, covering 6 languages across 10 global markets including the United States, Canada, the UK, Germany, Spain, and France. ganira's model is performance-based: you only pay when results happen, with no sales and no payment, which aligns its incentives with yours. The company also emphasizes compliance, stating it is 100% compliant with local and national Do Not Call regulations and consumer protection laws for insurance telemarketing. Its infrastructure includes an AI-driven CRM with automated data enrichment and lead scoring, real-time quality assurance with call recording and sentiment analysis, and dynamic scripting that adapts to prospect responses. Note that ganira's focus is full sales campaigns and appointment setting rather than narrow, single-goal reminder or retention campaigns, so brokerages wanting structured renewal reminder programs may need to shape the engagement accordingly. Pricing follows the performance model, so exact rates come through a scoping conversation.

Best for: Health insurance brokerages that want a human telesales partner for full sales cycles, appointment setting, and lead qualification in multiple languages, and that prefer performance-based pricing.

#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 footprints on the list. The company lists healthcare among its target industries, which matters for brokerages handling sensitive member communications during open enrollment surges. 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. A published case study with airport shuttle service Flibco describes a 24/7 English and French team that scaled with demand, resulting in faster response times and improved CSAT scores. Exact rates are quote-based, though package structures are publicly available, so plan on a scoping conversation to get firm numbers. Note the outbound calling scope is described as routine calls rather than compliance-led campaign work.

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 Hugo — Contact for pricing

Hugo provides HIPAA-compliant multilingual voice support for healthcare, with dedicated phone agents covering 60+ languages, according to its website. For health insurance brokerages serving linguistically diverse member populations, Hugo's model is built around native or bilingual speakers who handle scheduling, benefits navigation, insurance verification, and escalated questions without the translation latency of interpreter relay services. The company recruits talent across languages including Spanish, Mandarin, Cantonese, Vietnamese, Tagalog, Arabic, Russian, Haitian Creole, and Portuguese, which covers most of the languages a U.S. brokerage will realistically encounter. Hugo also runs outbound multilingual call programs. According to its published materials, health plans and provider networks use these to close care gaps, confirm preventive screenings, and drive re-enrollment among limited-English-proficiency populations, which maps directly onto brokerage renewal and retention work. Operations are ISO 27001 certified, SOC 2 compliant, and HIPAA-aligned, with encrypted telephony, role-based access controls, and QA monitoring by native-speaking evaluators. The company reports phone pickup under 4 seconds and first-call resolution above 85%, with dedicated teams assigned to healthcare clients rather than shared across industries. Pricing is not publicly disclosed and requires a consultation, and the human-staffed model carries higher costs than AI-driven campaign services.

Best for: Health insurance brokerages and health plans that need dedicated human multilingual voice teams with strong HIPAA and security credentials for member outreach and re-enrollment campaigns.

#5 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 members 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 running regionally coordinated member outreach, renewal campaigns, or open enrollment follow-ups across diverse language communities, all drawing 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. Be aware of the trade-offs: pricing is geared to mid-market and enterprise budgets and provided on a quote basis, onboarding can get complex, and service quality may vary between regions given the footprint. Availability may also depend on language, location, channel, or required headcount. Smaller brokerages will likely find the fit challenging, but large operators with many markets and languages will struggle to match TP's breadth anywhere else.

Best for: Large brokerage networks and multi-state insurance groups that need a single partner covering many languages and regions.

The right multi-language outbound partner for your brokerage depends on what you're actually trying to accomplish. If you need structured campaigns with one clear goal each, renewal calls timed 30 to 60 days before the renewal date, and consent-checked lists that won't put your brokerage at regulatory risk, a managed service like My AI Call Center gives you all of that without hiring bilingual staff or buying software, from 9 cents per connected minute with the rate locked before launch. If you want human agents closing full sales cycles in multiple markets, ganira's performance-based insurance telesales model fits. SupportYourApp and Hugo work well when you need broad language coverage and strong security credentials, and Teleperformance covers nearly any language at enterprise scale. Whatever you choose, ask three questions before signing: how does the provider verify consent on your lists, what compliance framework governs AI or scripted calls in your states, and what exactly gets reported back to you. My AI Call Center's first campaign review is free, and the full campaign cost is known before you approve launch. You can start planning a campaign at myaicallcenter.app/campaigns or reach the team at [email protected].

Frequently asked questions