Best Multi-Language Outbound Campaigns for Health Insurance Brokerages

Health insurance brokerages serve clients who speak many languages, and outreach that only works in English quietly leaves enrollments on the table. The numbers are blunt: a CSA Research survey of 8,709 consumers across 29 countries found 75% are more likely to engage with a brand contacted in their native language, and roughly 25 million people in the United States live with limited English proficiency. For brokerages, that shows up in open enrollment reminders, renewal calls, appointment confirmations, and benefits check-ins that never get a response because they arrive in the wrong language. The usual fix, hiring bilingual agents for every market, is expensive and hard to scale, especially during the November 1 open enrollment surge. Managed multi-language outbound campaign services solve this differently: they run structured calling campaigns in the languages your clients actually speak, against consented contact lists, with outcomes routed back into your CRM. In this 2026 guide, we compare five solutions that genuinely support multi-language outbound calling for health insurance brokerages, evaluated on language coverage, compliance posture, campaign structure, and pricing transparency.

#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 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, including insurance brokerages of 1 to 200+ staff, that need renewal reminders, appointment confirmations, lead qualification, payment reminders, and open enrollment follow-ups delivered in clients' preferred languages without hiring bilingual staff or running call center software. 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 will not 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 with prior express consent required, AI disclosure appears on every call, and recipients can ask if the call is AI-assisted, request a human, or opt out. STOP and REVOKE keyword opt-outs are logged and honored immediately, state-specific quiet hours and day restrictions are respected, and 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 routed follow-up requests. Hot leads transfer to your team 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, plus a one-time setup and flat monthly management fee, both quoted before launch. No per-seat charges, no platform bill, and no invented numbers in reporting.

Best for: Health insurance brokerages and multi-location benefits agencies that need compliant, managed multi-language calling campaigns for renewals, enrollment reminders, and lead follow-up without hiring bilingual staff or building a call center.

#2 ganira — Performance-based; contact for pricing details.

ganira is a dedicated outbound telesales partner for insurance carriers, agencies, and brokerages, with more than 15 years of experience in insurance telemarketing according to its website. The company runs full product sales campaigns, appointment setting, and lead qualification for life, health, home, and commercial insurance products, and it explicitly serves health insurance providers and brokerages, including individual, group, and Medicare lines. For brokerages working across language markets, ganira advertises multi-language outreach with native speakers across its target markets and operates in 10 global markets including the United States, Canada, the United Kingdom, Germany, Spain, France, and Portugal. The company's pricing model is performance-based: you only pay when results happen, with no sales meaning no payment. ganira also advertises AI-driven CRM tooling with automated data enrichment, intelligent lead scoring, and real-time quality assurance including call recording, sentiment analysis, and automated compliance checks. It states 100% compliance with local and national Do Not Call regulations and consumer protection laws for insurance telemarketing, and claims GDPR-compliant data handling. Published scale figures include 500,000 calls per month, 150,000 sales per annum, 200+ sales experts, and coverage across 6 languages. For brokerages that want a sales-led partner willing to carry the full sales cycle rather than just confirmations and reminders, ganira is a serious option, though it operates as a human telesales team rather than a structured AI campaign service.

Best for: Insurance carriers, agencies, and brokerages that want a performance-based outbound telesales partner with native-speaker coverage across US, UK, and European markets.

#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 a benefits firm operating across many regions, 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 size makes it a benchmark in global outsourcing. For health insurance use cases, the outbound call center capability is the most relevant piece: brokerages running regionally coordinated renewal outreach, open enrollment reminders, member communications, or follow-up campaigns across diverse language communities can draw on TP's multilingual human agent network. The trade-off is fit and cost. 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. Service quality may also vary between regions. If your brokerage needs a single global partner for very broad language coverage and has the volume to justify an enterprise engagement, TP is worth a scoping conversation.

Best for: Large brokerage networks and multi-state or multinational insurance organizations that need one partner covering many languages and regions.

#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 member engagement programs rather than a single campaign, 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, for example a coordinated renewal-season program spanning calls, email, and chat in multiple languages. 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 member engagement operation, with consulting input on program design, will find TTEC's model worth exploring. Those that need a quick, structured, single-goal campaign with transparent per-minute pricing will likely find it heavier than the job requires.

Best for: Mid-market and enterprise brokerage groups that want a consulting-led partner to design and operate broader multilingual member engagement programs.

#5 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, and escalated questions without the translation latency introduced by interpreter relay services. The company recruits talent pools across languages including Spanish, Mandarin, Cantonese, Vietnamese, Tagalog, Arabic, Russian, Haitian Creole, and Portuguese. According to Hugo's published materials, operations are ISO 27001 certified, SOC 2 compliant, and HIPAA-aligned, with encrypted telephony, role-based access controls, and continuous QA monitoring by native-speaking evaluators. The company reports phone pickup under 4 seconds and first-call resolution rates above 85%, with dedicated teams that are 100% assigned to healthcare clients rather than shared across industries. For brokerages navigating federal language-access mandates under Section 1557 of the Affordable Care Act, Hugo positions itself as a way to scale multilingual voice operations during enrollment surges and recall campaigns without degrading service quality. Pricing is not publicly disclosed and requires a scoping conversation. The human-staffed model carries higher cost than AI-driven campaign services, and the focus is on support operations generally rather than structured, single-goal outbound campaign design.

Best for: Health insurance brokerages and health systems that need dedicated human multilingual voice teams with strong HIPAA and security credentials across many languages.

Multi-language outbound campaigns are no longer optional 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 enrollment campaign quietly misses a meaningful share of your book. The right partner depends on your size and the job at hand. If you need structured, compliant, single-goal campaigns (renewal reminders, lead qualification, enrollment follow-ups) run for you in your clients' preferred languages, with consent-checked lists and pricing you know before launch, My AI Call Center is the strongest fit in this guide, with calling starting at 9 cents per connected minute and the first campaign review free. If you want a performance-based human telesales team to carry full sales cycles, ganira fits. For enterprise-scale multilingual programs, Teleperformance and TTEC bring the footprint. And for dedicated HIPAA-aligned human voice teams, Hugo is worth a conversation. Whatever you choose, verify consent records, calling windows, and disclosure requirements before any campaign goes live. Plan My Campaign at My AI Call Center to scope your first multi-language outreach with the full cost quoted up front.

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