Health insurance brokerages serve some of the most linguistically diverse customer bases in financial services. If you're running renewal calls, lead follow-up, or appointment reminders in English only, you're leaving a real chunk of your book on the table. CSA Research surveyed 8,709 consumers across 29 countries and found 75% are more likely to engage with a brand that contacts them in their native language, while roughly 40% won't engage at all with content in another language. For brokerages, that gap shows up in missed renewal windows, unanswered follow-ups, and leads that quietly go cold. The catch is staffing: hiring bilingual agents for every market doesn't scale, and contact center turnover runs as high as 60% annually, with each replacement costing $10,000 to $20,000 per McKinsey research. This 2026 guide compares five providers that can run multi-language outbound campaigns for health insurance brokerages, from managed AI calling services to global BPO partners. We looked at language coverage, compliance posture, pricing transparency, and how well each fits the day-to-day realities of brokerage outreach: permissioned lists, regulated calling windows, and renewal deadlines that can't slip.
#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 the most commonly requested language. It's a managed service, not software: you buy campaigns that their 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 fits health insurance brokerages that need renewal and retention calls, speed-to-lead follow-up, appointment reminders, lead qualification, and win-back campaigns run in their contacts' preferred language without hiring bilingual staff or operating dialer software. What sets it 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, which matters in insurance where TCPA and consent exposure is real. Compliance is built in: AI-generated voices are treated as artificial voices under the TCPA with prior express consent required, AI disclosure appears on every call, STOP and REVOKE keyword opt-outs are honored immediately, and DNC requests carry across all campaigns into your DNC records. HIPAA-compliant communication standards apply on the healthcare side. 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. Hot leads transfer to your team live or land in your CRM. 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, no minimums you didn't choose. And the reporting is honest: no invented metrics, testimonials, or ratings, just what actually happened.
Pros
- Fully managed service: no agents to hire, no software to learn, no platform bill
- 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
- Honest reporting: no invented metrics, testimonials, or client logos
- Outcomes integrate directly into existing CRM and scheduling tools
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 for renewals, lead follow-up, reminders, and win-back, without hiring bilingual staff or running call center software.
#2 ganira — Performance-based pricing; you only pay when results happen. Contact for exact terms.
ganira is an outbound telesales partner built specifically for insurance carriers, agencies, and brokerages, with 15+ years of experience in the sector. According to its website, it handles full product sales, appointment setting, and lead qualification across life, health, P&C, and commercial insurance, and it explicitly lists health insurance providers and brokerages among the companies it serves. For brokerages that want a human-driven, insurance-specialist team rather than a technology platform, that focus is the draw: agents who understand policy riders, underwriting guidelines, and the difference between group benefits and individual plans. Multi-language outreach is a stated capability. ganira advertises native speakers across target markets and lists six languages and ten global markets, including the United States, Canada, the UK, Germany, Spain, and France. Its 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, and it uses an AI-driven CRM with real-time quality assurance, call recording, and sentiment analysis. For health insurance brokerages, ganira fits best when you want full-cycle outbound telesales handled by specialists, including appointment setting with decision-makers like HR directors and CFOs for group benefits. Pricing is performance-based rather than per-minute, so the cost structure looks different from managed AI calling. You'll need a scoping conversation to get firm numbers.
Pros
- Insurance-specialist agents who understand underwriting and group benefits
- Performance-based pricing aligns the partner's incentives with yours
- Multi-language outreach with native speakers across ten markets
- Full campaign visibility and real-time reporting
Cons
- Pricing is performance-based rather than a published per-minute rate, so costs depend on deal structure
- Human-agent model means staffing and capacity constraints that AI-driven services don't face
- List and consent review practices are not documented in the same detail as managed AI calling services
Best for: Health insurance brokerages that want a human outbound telesales partner with insurance-specific training, performance-based pricing, and multi-language coverage across North American and European markets.
#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, it has one of the widest footprints on this list. 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 for insurance work. According to its website, SupportYourApp holds ISO 27001 certification and maintains PCI DSS, GDPR, and HIPAA compliance, which matters when your outreach touches protected health information. The company positions itself as a strong pick for SaaS, fintech, eCommerce, healthcare, and travel businesses, and it's described as genuinely startup-friendly, so smaller brokerages won't necessarily be priced out. The honest caveat: SupportYourApp is primarily a customer support outsourcing partner, not a structured outbound campaign service. Its outbound calling scope is described around routine calls rather than compliance-led campaign work with disposition reporting and consent documentation. Brokerages that want turnkey renewal or reactivation campaigns will get more structure from a managed campaign provider. Exact rates are quote-based, though package structures are available publicly.
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 that need very broad language coverage with HIPAA-compliant operations and a blend of human agents and AI voice support across voice, chat, and email.
#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 or multi-state insurance group, 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 brokerages, the outbound call center capability is the most relevant piece. Large operators running regionally coordinated outreach, renewal reminders, member communications, or follow-up campaigns across diverse language communities can draw on TP's multilingual human agent network. If your book spans markets like South Florida, Texas, or California, where Spanish, Haitian Creole, Vietnamese, and Tagalog all matter, that breadth is hard to replicate with a smaller partner. The trade-offs are scale-related. 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 get complex, and service quality may vary between regions given the footprint. Availability may also depend on language, location, channel, or required headcount. For a large brokerage with the volume to justify it, though, TP is a credible option.
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 brokerages and multi-state insurance organizations that need a single partner covering many languages and regions at enterprise scale.
#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 outreach 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 consulting-led model is the differentiator. TTEC's deep expertise in CX transformation and analytics can help brokerage groups design outreach programs that go beyond one-off campaigns: coordinated renewal retention programs, member onboarding sequences, and win-back motions designed as an operation rather than a batch of calls. Brokerages that want a partner to help design and run a broader multilingual engagement program, rather than a single structured campaign, will find that model worth exploring. Pricing is aimed at mid-market and enterprise clients, which may put it out of reach for smaller practices. And because the offering is broad, the outbound calling piece is one part of a larger engagement rather than a focused campaign product. For mid-size and large brokerages ready to invest in a designed, analytics-backed multilingual outreach operation, TTEC deserves a look. Get a quote before comparing it against per-minute managed services.
Pros
- 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
- Broader engagement model rather than a focused, per-campaign product
- Smaller brokerages may find the scope and cost hard to justify
Best for: Mid-market and large brokerages that want a consulting-led partner to design and operate a broader multilingual outreach and retention program.
The right multi-language outbound partner for your brokerage depends on the shape of your book and how much you want to run yourself. If you want structured campaigns against permissioned lists, with consent records checked before launch, AI disclosure on every call, and outcomes routed back into your CRM, My AI Call Center is the clear fit: managed campaigns from 9 cents per connected minute, scoped around one clear goal, with the full cost known before you approve launch and no invented numbers in the reporting. If you want human insurance specialists on performance-based pricing, ganira is worth a conversation. If you need very wide language coverage, SupportYourApp, Teleperformance, and TTEC each bring credible multilingual operations at different scales. Whatever you choose, ask three questions before signing: how is consent verified, what happens to opt-outs, and what exactly will the campaign cost. A partner who answers those plainly is one you can trust with your renewals. Your first campaign review with My AI Call Center is free, so you can scope the goal, check your list, and see the full number before committing to anything.
Frequently asked questions
Why do health insurance brokerages need multi-language outbound campaigns?
Because language decides whether a client picks up, listens, and acts. CSA Research found 75% of consumers are more likely to engage with a brand that contacts them in their native language, and roughly 40% won't engage at all with content in another language. For brokerages, that translates directly into renewal retention, lead follow-up response rates, and reactivation success. Spanish is the most commonly requested language for U.S. outreach, but many markets also need Vietnamese, Tagalog, Mandarin, and others depending on your footprint.
What makes My AI Call Center different from other providers?
It's a managed service, not software. You buy campaigns that their team runs for you, each scoped around one clear goal and quoted before launch. List discipline is the other differentiator: campaigns run only against approved, permissioned, or reviewed lists, and list source and consent records are checked before anything launches. Bought lists without clear permission records are flagged and usually declined, and the team tells you plainly if a list won't work before you spend anything. Pricing is locked for the campaign, reporting reflects what actually happened, and outcomes route back into the CRM and scheduling tools you already run.
How much do multi-language outbound campaigns cost?
It depends on the model. My AI Call Center charges from 9 cents per connected minute, tiered by volume, plus a one-time setup fee and a flat monthly management fee, both quoted before launch, with no per-seat charges or platform bill. ganira uses performance-based pricing where you only pay when results happen. SupportYourApp, Teleperformance, and TTEC are all quote-based, with the last two geared toward mid-market and enterprise budgets. Always get the full number before approving any campaign.
Are AI-powered outbound calls compliant for insurance outreach?
They can be, when consent and disclosure are handled properly. Under the TCPA, AI-generated voices are treated as artificial voices, which means prior express consent is required before calling. My AI Call Center, for example, requires verified consent, puts AI disclosure on every call, honors STOP and REVOKE keyword opt-outs immediately, respects state-specific quiet hours, and carries DNC requests across all campaigns. Requirements vary by location, industry, contact type, and consent status, so brokerages should get appropriate legal guidance before launching any campaign.
Can I run renewal and retention calls in Spanish without hiring bilingual staff?
Yes. That's exactly the use case managed AI calling services address. My AI Call Center runs Multi-Language Outbound Campaigns, with Spanish the most common language, including Renewal & Retention Calls that start 30 to 60 days before the renewal date. You don't hire agents, learn software, or pay a platform bill; you approve the script, disclosure, and escalation path, and the campaign runs inside your approved calling windows with outcomes routed back to your team.
What should I look for when choosing a multi-language outbound partner?
Four things. First, consent practices: how the provider verifies list source and permission records, and what they do with bought lists. Second, compliance: AI disclosure, opt-out handling, DNC management, and HIPAA-aligned standards if you're touching health information. Third, pricing transparency: whether the full campaign cost is known before launch and locked for the campaign. Fourth, reporting: whether you get disposition codes, per-call notes, and honest outcome counts rather than vague performance claims. A provider that answers all four plainly is one you can trust with your client relationships.