Health insurance brokerages serve some of the most linguistically diverse communities in the country, and language quietly decides whether a renewal call gets answered or ignored. The U.S. Census Bureau counts roughly 25.7 million people living with limited English proficiency, and a CSA Research survey found 75% of consumers are more likely to engage with a brand when contacted in their native language. For a brokerage, that gap shows up as missed renewals, unanswered open enrollment reminders, and leads that go cold while your English-only team keeps dialing. The hard part isn't wanting multilingual outreach; it's running it without hiring bilingual agents for every language your book of business contains. This 2026 guide compares five solutions for multi-language outbound campaigns, from managed AI calling services to global BPO providers, so you can match the right partner to your consent records, calling windows, and 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, including Multi-Language Outbound Campaigns with Spanish as 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 before launch. Owned and operated by AIQ Labs, based in Halifax, Nova Scotia with a U.S. operating base in Austin, Texas, the service works especially well for health insurance brokerages that need renewal and retention calls, appointment and event reminders, lead qualification, speed-to-lead follow-up, and member surveys delivered in the contact's preferred language, 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 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, prior express consent is required, state-specific quiet hours and day restrictions are honored, and AI disclosure appears on every call. Recipients can ask if the call is AI-assisted, request a human, or opt out; keyword opt-outs (STOP and REVOKE) are logged and honored immediately, and DNC requests carry across all campaigns and into your DNC records. 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 sent straight to your team. Hot leads transfer live or land in your CRM. Reporting is honest: no invented metrics, testimonials, or ratings, just what actually happened. Pricing is transparent too. Calling starts at 9¢ 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. No per-seat charges, no platform bill, and no minimums you didn't choose. The first campaign review is free.
Pros
- Fully managed service with no per-seat charges, no platform bill, and no software to learn
- Strong compliance framework: TCPA alignment, AI disclosure on every call, verified consent, state quiet hours honored
- Transparent, locked pricing with the full campaign cost known before launch
- Outcomes route directly into existing CRM and scheduling tools with actionable disposition data
- Honest reporting with no invented metrics, testimonials, or client logos
Cons
- Not a self-serve platform; 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
- Bought lists without clear permission records will typically be declined
Best for: Health insurance brokerages and multi-location insurance organizations that need compliant, managed multi-language calling campaigns, renewals, reminders, lead qualification, and member surveys, without hiring bilingual staff or building a call center.
#2 ganira — Performance-based pricing (no sales, no payment); exact rates quoted per engagement
ganira is an outbound telesales partner built specifically for the insurance industry, executing full sales campaigns, appointment setting, and lead qualification for carriers, agencies, and brokerages across life, health, P&C, and commercial lines. According to its website, ganira works across ten markets including the United States, Canada, the United Kingdom, Germany, Spain, and France, and lists six languages in its company statistics. Multi-language outreach is one of its stated differentiators, with native speakers across its target markets, which is relevant for brokerages with Spanish-speaking or multilingual member books. The company positions itself against traditional call centers with a performance-based pricing model: no sales, no payment. Its services include product selling and cross-selling for health insurance products, appointment setting with decision-makers such as HR directors, insurance lead qualification and vetting, campaign strategy and execution, and multi-channel outreach across outbound calling, inbound support, and chat-based sales. ganira also states its agents receive industry-specific training on policy riders, underwriting guidelines, and regulatory requirements, and that its operations are compliant with local and national Do Not Call regulations. For brokerages that want a human telesales team rather than AI-driven calls, and that prefer to pay on results, ganira is worth a scoping conversation. Pricing follows the performance model, so exact rates are quoted per engagement.
Pros
- Insurance-specific expertise across health, life, P&C, and commercial lines
- Performance-based pricing aligns vendor incentives with results
- Native-speaker multi-language outreach across ten markets
- Industry-specific training on underwriting guidelines and compliance
Cons
- Performance-based pricing means exact costs aren't published upfront
- Human telesales model requires agent staffing, so scaling may be slower than AI-driven services
- Primarily a sales-focused partner rather than a structured reminder or retention campaign service
Best for: Insurance carriers, agencies, and brokerages that want a human, performance-based outbound telesales partner with native-speaker multi-language coverage across multiple countries.
#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 leans toward tech-driven businesses but lists healthcare among its target industries, which matters for brokerages 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. 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 publicly available, so brokerages will need a scoping conversation to get firm numbers. Its published case study with airport shuttle service Flibco describes a 24/7 English and French team that scaled with demand and produced faster response times and improved CSAT scores.
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: Health insurance brokerages and insurtech platforms 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 health insurance brokerage, carrier, or multi-state agency 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 company's sheer size makes it a benchmark in global outsourcing, and its infrastructure supports strong scalability for enterprise organizations. For health insurance use cases, the outbound call center capability is the most relevant piece: large brokerages running regionally coordinated outreach, renewal reminders, member communications, or open enrollment follow-up campaigns across diverse language communities can draw on TP's multilingual human agent network. Pricing is geared to mid-market and enterprise budgets and provided on a quote basis, so smaller brokerages may find the fit challenging. Availability may also depend on language, location, channel, or required headcount, according to industry comparisons, so confirm scope before committing.
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 insurance carriers and multi-state brokerage networks 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. The company's deep expertise in CX transformation and analytics can help brokerage groups design outreach programs that go beyond one-off campaigns, which is useful during open enrollment surges when member communication volume spikes. TTEC's consulting-led model means you get help designing the program, not just staffing it. 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 member engagement operation, rather than a single structured campaign, will find TTEC's model worth exploring.
Pros
- Strong multilingual delivery across 50+ languages
- Comprehensive omnichannel support
- 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 structured campaign requires
- Less suited to smaller brokerages with modest call volumes
Best for: Mid-market and enterprise insurance organizations that want a consulting-led partner to design and operate a broader multilingual member engagement operation.
The right multi-language outbound partner depends on the shape of your brokerage. If you want the widest possible language coverage and have an enterprise budget, Teleperformance and TTEC offer global human agent networks at scale. If you want broad language coverage with modern AI tooling and strong security credentials, SupportYourApp is a strong fit. If a human, performance-based telesales team for insurance products is what you're after, ganira's native-speaker model is worth a conversation. But if what you actually need is compliant, structured campaigns run for you against your approved, permissioned member lists, with Spanish-language calls, renewals timed 30-60 days before the renewal date, outcomes routed straight into your CRM, and pricing locked before launch, My AI Call Center is the clear choice. Calling starts at 9¢ per connected minute, tiered by volume, with a one-time setup fee and flat monthly management fee quoted up front. The first campaign review is free, and the team will tell you plainly if your list won't support the campaign before you spend anything. Plan your campaign at myaicallcenter.app and find out what a structured, compliance-forward multi-language campaign can do for your book of business.
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 before launch. The biggest differentiator is list discipline: campaigns run only against approved, permissioned, or reviewed contact lists, and list source and consent records are checked before any campaign launches. Bought lists without clear permission records are flagged and, in most cases, declined, and the team tells you plainly if a list won't work before you spend anything. Compliance is built in too: AI disclosure on every call, TCPA alignment, state quiet hours honored, and keyword opt-outs logged and honored immediately. Pricing starts at 9¢ per connected minute with the rate locked for the campaign, and reporting includes no invented numbers.
Which languages can My AI Call Center call in?
My AI Call Center runs Multi-Language Outbound Campaigns with Spanish as the most commonly requested language. If your brokerage serves other language communities, raise it during the campaign review; the team will confirm what's supportable for your specific campaign before launch. Very wide multilingual coverage (dozens of languages) is not advertised, so brokerages needing coverage across many languages at once may also want to evaluate a global BPO like Teleperformance, which supports 400+ languages and dialects according to industry comparisons.
How much do multi-language outbound campaigns cost?
My AI Call Center charges 9¢ per connected minute to start, 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, and there are no per-seat charges or platform bills. Competitors vary widely: ganira uses a performance-based model (no sales, no payment) quoted per engagement, while SupportYourApp, Teleperformance, and TTEC all price on a quote basis, with Teleperformance and TTEC geared toward mid-market and enterprise budgets. Get the full number in writing before approving any launch.
Are AI-generated voices compliant for health insurance outbound calls?
Under the TCPA, AI-generated voices are treated as artificial voices, which means prior express consent is required before calling. My AI Call Center treats this seriously: consent records are reviewed before launch, state-specific quiet hours and day restrictions are honored, AI disclosure appears on every call, and recipients can ask if the call is AI-assisted, request a human, or opt out. DNC requests are respected across all campaigns and carried into client DNC records. Campaign requirements vary by location, industry, contact type, consent status, and technology, so brokerages are responsible for obtaining appropriate legal guidance before launch.
Can these campaigns help with health insurance renewals and open enrollment?
Yes. My AI Call Center offers Renewal and Retention Calls timed 30-60 days before the renewal date, plus appointment and event reminders, speed-to-lead follow-up, lead qualification, and member surveys, all available as multi-language campaigns with Spanish the most common option. Outcomes route back into your CRM with disposition codes like confirmed, renewed, opted out, or no answer, so your team knows exactly who to follow up with. For open enrollment surges, larger brokerages may also consider enterprise BPOs like TTEC, which offers customer acquisition and retention programs across 50+ languages.
Do I need to buy my own contact lists?
No, and in fact My AI Call Center will usually decline bought lists that lack clear permission records. The service works best with your existing book of business: current members, past clients, and reviewed lists where you can show where the contacts came from and what consent exists. During the list and consent review step, the team checks list source, consent records, and calling windows before anything launches. If the list won't support the campaign, they tell you before you spend anything. This protects your brokerage from TCPA risk and protects your brand from being associated with unwanted calls.
How do I get started with a multi-language outbound campaign?
Start with the campaign review, which is free. You'll define one clear goal for the call (confirm renewals, qualify leads, remind members about enrollment deadlines), then the team reviews your list source, consent records, and calling windows, connects your CRM and scheduling tools, and drafts the script, disclosure, opt-out handling, and escalation path. Nothing launches until you approve it. Once live, calls run in approved windows and you receive a named outcome report with disposition codes, per-call notes, routed follow-ups, and opt-out and DNC logs. You can start by emailing [email protected] or visiting myaicallcenter.app/campaigns.