Best Multi-Language Outbound Campaigns for Health Insurance Brokerages

Health insurance brokerages serve some of the most linguistically diverse client bases in financial services. Spanish-speaking households make up a large share of individual and family plan enrollments, and Medicare Advantage outreach increasingly needs to reach members who prefer another language. The numbers make the case plainly: a CSA Research survey of 8,709 consumers across 29 countries found that 75% are more likely to engage with a brand when contact happens in their native language, and roughly 40% won't engage at all with content in another language. For a brokerage, that gap shows up as unanswered renewal calls, missed appointment confirmations, and leads that quietly go cold. The challenge is that most brokerages can't hire bilingual callers for every market they serve, and building an internal call center is expensive. This 2026 guide compares five providers that can run multi-language outbound campaigns for health insurance brokerages, from managed AI calling services to multilingual telesales partners, so you can match the right provider to your lists, your compliance requirements, 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 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 the provider's team runs for you, each scoped around one clear goal and quoted 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 works especially well for health insurance brokerages that need renewal and retention calls 30 to 60 days before the renewal date, speed-to-lead follow-up on new quote requests, appointment reminders, lead qualification, and win-back campaigns targeting 12 to 24 month dormants, all delivered in the contact'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. That matters enormously in health insurance, where TCPA exposure and state insurance regulations make sloppy dialing genuinely expensive. 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 for clinic and healthcare settings. 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 after every campaign. Hot leads transfer to your team live or land in your CRM. Pricing is transparent: 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, no minimums you didn't choose, and no invented numbers in reporting. The first campaign review is free.

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-backs, without hiring bilingual staff or running call center software.

#2 ganira — Performance-based pricing, according to its website (no sales, no payment). Contact for exact rates.

ganira is an outbound telesales partner focused specifically on the insurance industry, handling full product sales, appointment setting, and lead qualification for life, health, P&C, and commercial insurance products. According to its website, ganira works with insurance carriers, agencies, and brokerages across markets including the US, UK, Canada, Germany, Switzerland, Austria, France, Spain, Ireland, and Portugal, with native speakers across target markets listed as one of its differentiators. For health insurance brokerages, its services include appointment setting with decision-makers such as HR directors and CFOs for group benefits, lead qualification and vetting for new policy sales and policy reviews, and full sales campaigns for individual and group health insurance including Medicare products. ganira positions itself as performance-based: according to its website, you only pay when results happen, with no sales meaning no payment. Its infrastructure includes an AI-driven CRM with automated data enrichment and lead scoring, real-time quality assurance with call recording and automated compliance checks, and multi-channel outreach across outbound calling, inbound support, and chat-based sales. The company states it is 100% compliant with local and national Do Not Call regulations and consumer protection laws for insurance telemarketing, and GDPR compliant. Its agents receive industry-specific training for insurance products, which is relevant for brokerages whose outreach involves policy riders, underwriting guidelines, and group benefits conversations. Exact rates are not published, so a scoping conversation is needed for firm numbers.

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

#3 SupportYourApp — Contact for pricing (quote-based; package structures and included features 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 and client 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. SupportYourApp's security credentials are a genuine strength for insurance work: the company states it holds ISO 27001 certification and maintains PCI DSS, GDPR, and HIPAA compliance. Its services span multilingual call center support, technical support (L1 to L3), live chat, email, voice, and social channels, with 24/7 availability across time zones. 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 and included features are publicly available, so brokerages will need a scoping conversation to get firm numbers. Its primary focus is customer support outsourcing, so outbound campaign management may be less turnkey than a managed campaign service.

Best for: Health insurance brokerages and insurtech companies that need 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, a multi-state agency network, or a carrier-affiliated distribution organization, that scale is the main draw: a single partner can cover nearly any language your clients and members 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 sheer 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 campaigns, appointment reminders, member communications, or lead follow-up 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 engagement challenging. Onboarding can get complex given the organization's size, and service quality may vary between regions. Brokerages with defined, structured campaign goals and a single preferred language like Spanish may find a managed campaign service simpler and cheaper, while large networks needing many languages at once will find TP hard to beat on reach.

Best for: Large health insurance brokerages, carrier distribution networks, and multi-state operators that need a single partner covering many languages and regions.

#5 Hugo — From $11 per hour per agent, with onboarding, QA, training, workforce management, and a team lead included, according to its website

Hugo provides HIPAA-compliant multilingual voice support for healthcare, with dedicated phone agents covering 60+ languages, according to its website. Hugo builds dedicated multilingual voice teams for healthcare clients, recruiting talent pools across languages including Spanish, Mandarin, Cantonese, Vietnamese, Tagalog, Arabic, Russian, Haitian Creole, and Portuguese, a language mix that closely mirrors the populations many health insurance brokerages serve, particularly in Medicare Advantage and marketplace enrollment. Unlike interpreter relay services that introduce third-party translation in real time, Hugo's teams employ native or bilingual speakers who handle appointment scheduling, benefit inquiries, care navigation, and escalated questions without translation latency. For brokerages, Hugo's model suits outbound workflows such as appointment reminders, recall campaigns, and member or client follow-up calls, delivered by dedicated teams rather than shared agent pools. The company states its compliance stack includes ISO 27001, SOC 2, HIPAA, GDPR, and CCPA, and pricing starts at $11 per hour per agent with onboarding, QA, training, workforce management, and a team lead included at no additional cost, according to its website. Dedicated teams launch in approximately two weeks and can scale with 24 hours' notice. The hourly model means costs scale with hours rather than outcomes, so brokerages comparing against per-connected-minute pricing should model their expected volume carefully. Still, for brokerages that want human bilingual callers handling nuanced benefit conversations, Hugo's healthcare-specific, HIPAA-compliant model is worth a look.

Best for: Health insurance brokerages and healthcare organizations that want human bilingual agents handling benefit conversations and member outreach in many languages under HIPAA-compliant operations.

Choosing the right multi-language outbound partner comes down to your list, your compliance posture, and how much of the work you want to hand off. If your brokerage runs structured campaigns, renewal windows, and lead follow-up against client lists you've built with proper consent, a managed service like My AI Call Center gives you the cleanest path: campaigns scoped around one clear goal, quoted before launch, with AI disclosure, opt-out handling, and DNC discipline built in, and calling starting at 9¢ per connected minute. If you're selling across many languages and regions at enterprise scale, Teleperformance or SupportYourApp offer breadth that's hard to replicate. If you want human bilingual agents for nuanced benefit conversations, Hugo's HIPAA-compliant model fits. And if performance-based telesales across insurance products is the goal, ganira's insurance-specific model is worth a conversation. Whatever you choose, ask every provider the same three questions: how do you verify consent before dialing, what does the full campaign cost before launch, and what exactly gets reported when the campaign ends. The first campaign review with My AI Call Center is free, so if you have an approved list and one clear goal, there's no cost to finding out what a structured multi-language campaign would actually take.

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