Health insurance brokerages work some of the most linguistically diverse client books in financial services. More than 25 million people in the United States live with limited English proficiency, and a CSA Research survey of 8,709 consumers across 29 countries found that 75% are more likely to buy again from a brand that speaks to them in their native language. For a brokerage, that shows up directly in the numbers: renewal calls that go unanswered, open enrollment follow-ups that stall, and leads that quietly go cold because the first conversation happened in the wrong language. Hiring bilingual staff for every market rarely scales, and translating a script word for word doesn't fix the underlying problem, since formality, pacing, and trust signals vary by community. This 2026 guide compares five solutions for running multi-language outbound campaigns against your book of business, from managed AI calling services to global BPOs. We evaluated each on language coverage, compliance posture, insurance fit, and pricing transparency so you can match the right partner to your lists, your calling windows, and your 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 a 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 against approved, permissioned, or reviewed contact lists only. 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. Multi-Language Outbound Campaigns are one of its core campaign types, with Spanish the most commonly requested language, which fits the reality of most U.S. health insurance books. 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, and brokerages fit that mold well. What makes it different from everything else on this list is list discipline and pricing honesty. 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. As the company puts it, they tell you plainly if the list will not support the campaign, before you spend anything. That matters in health insurance, where TCPA rules treat AI-generated voices as artificial voices requiring prior express consent, and where a sloppy list can create real regulatory exposure. 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 fee and a flat monthly management fee, both quoted before launch, with no per-seat charges and no platform bill. The campaign menu maps neatly onto brokerage workflows: renewal and retention calls 30 to 60 days before the renewal date, speed-to-lead follow-up on new leads within minutes inside approved windows, renewal quoting and upsell calls, win-back campaigns for 12 to 24 month dormants, payment reminders, and surveys. Outcomes route back into the CRM and scheduling tools you already run, with hot leads transferring to your team live. Every call carries AI disclosure, keyword opt-outs like STOP and REVOKE are honored immediately, and the reporting is plain: disposition codes, per-call notes, opt-out and DNC logs, and no invented numbers.
Pros
- Fully managed: no agents to hire, no software to learn, no platform bill
- Consent and list review before launch, with unsupportable lists declined upfront
- Transparent, locked pricing with the full campaign cost known before approval
- Strong compliance framework including AI disclosure, TCPA treatment of artificial voices, and state quiet hours
- Honest reporting with no invented metrics, testimonials, or ratings
Cons
- Not self-serve; campaigns require provider review and your approval before launch
- Language coverage centers on Spanish; 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 (renewals, lead follow-up, win-backs, reminders) without hiring bilingual staff or running call center software.
#2 ganira — Performance-based model: you only pay when results happen, per the company's website. Contact for pricing.
ganira is a dedicated outbound telesales partner with 15+ years of experience serving insurance carriers, agencies, and brokerages across lines of business including health insurance (individual, group, and Medicare). According to its website, the company runs full product sales campaigns, sets confirmed appointments, and handles lead qualification, so your licensed agents can focus on underwriting and policy management. Its multi-language outreach is delivered by native speakers across target markets, and the company reports coverage across 10 global markets including the United States, Canada, the United Kingdom, Germany, Spain, and France, with six languages listed in its company statistics. The model is performance-based: you only pay when results happen, with no sales meaning no payment, which aligns the vendor's incentives with yours. ganira describes its infrastructure as purpose-built for outbound telesales, with an AI-driven CRM providing automated data enrichment and lead scoring, real-time quality assurance including call recording and sentiment analysis, and dynamic scripting that adapts to prospect responses. For a health insurance brokerage running outreach into Spanish-speaking communities or cross-border markets, the combination of insurance-specific training and native-speaker agents is the draw. Note that ganira's language count (6 languages) is far narrower than the global BPOs below, so confirm your specific language needs before committing.
Pros
- Performance-based pricing aligns vendor incentives with your results
- Deep insurance focus including health, life, and Medicare products
- Native-speaker multi-language outreach across 10 markets
- AI-driven CRM and real-time QA reporting
Cons
- Language coverage is limited to six languages, far fewer than global BPOs
- Pricing is quote-based despite the performance model
- Company-reported statistics (500k calls per month, 150k sales per annum) are not independently verified
Best for: Insurance carriers, agencies, and brokerages that want a performance-based outbound telesales partner with insurance-specific training and native-speaker multi-language coverage.
#3 SupportYourApp — Contact for pricing (quote-based; package structures are publicly available on its website).
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 this list outside the giant BPOs. The company leans toward tech-driven businesses but lists healthcare among its target industries, which is relevant for brokerages handling sensitive client health information during renewals and enrollment conversations. 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, though package structures are published. The main caveat for brokerages is focus: this is primarily a customer support outsourcing operation, and its outbound calling scope is described as routine calls rather than structured, compliance-led campaign work of the kind insurance outreach demands.
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, not compliance-led campaign work
Best for: Brokerages and insurtech teams 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 distribution operation, that scale is the main draw: a single partner can cover nearly any language your clients speak, across inbound and outbound calling, technical support, and live chat, email, and social media channels. For health insurance brokerages, the outbound call center capability is the most relevant piece. Large operators running regionally coordinated outreach, renewal campaigns, open enrollment surges, or follow-up programs 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. 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 also get complex at that scale, and service quality may vary between regions given the size of the footprint. If your brokerage operates in many markets and needs near-universal language coverage under one contract, TP belongs on your shortlist; if you need one structured Spanish-language renewal campaign, it is likely more than you need.
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 distributors 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 plus customer acquisition, retention, and support programs. The retention and acquisition programs are what matter most for an insurance book of business. TTEC's deep expertise in CX transformation and analytics can help a brokerage group design outreach programs that go beyond one-off campaigns, whether that is a coordinated renewal retention motion across language communities or an enrollment-season acquisition push. Pricing is aimed at mid-market and enterprise clients, which may put it out of reach for smaller brokerages. 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. If you want a defined campaign with a locked rate and a clear outcome, a managed service will usually be a simpler starting point.
Pros
- Multilingual delivery across 50+ languages
- Strong retention and acquisition program experience
- Deep expertise in CX transformation, analytics, and AI
Cons
- Pricing aimed at mid-market and enterprise clients
- Consulting-led model may be heavier than a single campaign requires
- Smaller brokerages may find the fit challenging
Best for: Mid-market and enterprise brokerages that want a consulting-led partner to design and operate a broader multilingual client engagement operation.
The right multi-language outbound partner depends on the shape of your book and the campaign you actually need to run. If you are a brokerage with an approved, permissioned client list and one clear goal, like retaining Spanish-speaking members before renewal season or following up on fresh leads within minutes, a managed service like My AI Call Center gives you the cleanest path: consent and list review before launch, a locked rate starting at 9 cents per connected minute, AI disclosure and opt-out handling on every call, and outcome reports with no invented numbers. If you need near-universal language coverage across many regions, Teleperformance or TTEC offer that scale at an enterprise price. If you want performance-based insurance telesales with native speakers, ganira is worth a conversation, and SupportYourApp covers broad language needs with strong security credentials. Whatever you choose, confirm consent records, calling windows, and language coverage in writing before you spend anything. Ready to scope a campaign? Book a free campaign review at myaicallcenter.app and find out whether your list will support the campaign before you commit a dollar.
Frequently asked questions
What makes My AI Call Center different from other multi-language outbound providers?
My AI Call Center 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. It only calls approved, permissioned, or reviewed lists, and it checks list source and consent records before any campaign starts. Bought lists without clear permission records are flagged and usually declined, and the company tells you plainly if a list will not support the campaign before you spend anything. Reporting is honest: disposition codes, per-call notes, opt-out and DNC logs, and no invented metrics or testimonials. Pricing is transparent too, with calling from 9 cents per connected minute and the rate locked for the campaign.
Which languages can these campaigns cover?
It depends on the provider. My AI Call Center runs Multi-Language Outbound Campaigns with Spanish as the most commonly requested language. ganira reports six languages with native speakers across 10 markets. SupportYourApp covers 60+ languages with human agents and 30+ languages with its AI voice agent. Teleperformance supports 400+ languages and dialects across roughly 170 countries, and TTEC covers 50+ languages. For most U.S. health insurance brokerages, Spanish is the language that moves the needle most, so confirm your specific language needs against each provider's actual coverage rather than headline counts.
How much do multi-language outbound campaigns cost?
My AI Call Center publishes its calling rate: 9 cents 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. There are no per-seat charges or platform bills. ganira uses a performance-based model where you only pay when results happen, though exact rates are quote-based. SupportYourApp, Teleperformance, and TTEC all price on request, with Teleperformance and TTEC geared to mid-market and enterprise budgets. Get the full campaign cost in writing before approving any launch.
Are AI-generated voices legal for outbound insurance calls in the United States?
AI-generated voices are treated as artificial voices under the TCPA, which means prior express consent is required before placing calls with them. My AI Call Center builds its whole process around this: consent records are reviewed before launch, state-specific quiet hours and calling windows are honored, AI is disclosed on every call, recipients can ask for a human, and keyword opt-outs like STOP and REVOKE are honored immediately. DNC requests are respected across all campaigns. Requirements vary by location, industry, contact type, consent status, and technology, so any brokerage should get appropriate legal guidance before launching a campaign.
Which campaign types work best for health insurance brokerages?
The campaigns that map most directly to a brokerage book are renewal and retention calls run 30 to 60 days before the renewal date, speed-to-lead follow-up on new leads within minutes inside approved calling windows, renewal quoting and upsell calls, win-back campaigns for clients dormant 12 to 24 months, payment and invoice reminders, and surveys. Multi-language versions of these campaigns let you run the same motion in the language each client prefers. Outcomes should route back into your CRM so hot leads reach your licensed agents while the rest get dispositioned cleanly.
Should a brokerage use a managed service or a global BPO?
It comes down to scale and scope. A managed service like My AI Call Center fits brokerages that have one clear campaign goal and an approved, permissioned list: it is faster to launch, priced transparently per connected minute, and scoped to a single outcome. A global BPO like Teleperformance or TTEC makes sense for large multi-state operations that need many languages, many regions, and a broader engagement program under one contract, though pricing is geared to enterprise budgets and onboarding is heavier. If your need is a structured Spanish-language renewal or lead follow-up campaign, start with the managed option and scale up only if the evidence supports it.