Companies · category

Top BPO Service Companies for It

135 of 429 BPO service companies ranked on evidence in the Q4 2026 edition.

Between them, the 429 BPO service companies on this page cover outsourcing (108), medical (100), goals (62) and insurance (58). They also list work in Asia, United States, Reading and Dubai. 427 of them have written a profile you can read before you get in touch.

TrustList ranking

Q4 2026 edition

135 of 429 BPO service companies ranked on evidence held on 6 October 2026: client reviews, vetting, awards and facts each business states on its own website, which we read and date. Nobody pays to be placed.

Positions are fixed for the quarter; the next edition is due in January 2027.

How this is ranked About this edition

All BPO service companies 135 ranked SMEs 127 ranked

Filter by fitbudget, engagement, size and more

AnswerPlus
Advertising & Marketing · Business Services · Financial Services
AnswerPlus is a Canadian-owned call centre that has provided answering services since 1961.
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Why #1: Founded 1961, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
BillingParadise
Medical · Insurance · Security
BillingParadise is a third-party revenue cycle management company handling billing and related operations for hospitals, health systems and physician practices in the US.
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Why #2: In business 21+ years · SOC 2 · Team of 600+ · Placed below first here: a listing leads at most 5 rankings, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
e-care India
Medical Billing · Disaster Recovery · Private Limited · Also in Dallas and Louisiana
e-care India provides offshore medical billing and coding, mainly for physicians in the United States and the revenue cycle companies that serve them.
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Why #3: Founded 2000 · ISO 9001, ISO 27001 · Team of 1,500+ · Placed below first here: a listing leads at most 5 rankings, as stated on its own website, read 29 Sept 2026
Not yet on record: client reviews, vetting.
Connections
Software Development · Outsourcing · Security · Also in Bucharest
Romanian technology and outsourcing group offering process automation, software development and business process management
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Why #4: Founded 2005 · ISO 9001, ISO 27001, professional accreditation · Placed below first here: a listing leads at most 5 rankings, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
Greenwave
Insurance · Partners · Education
Greenwave, operated by Roheline Laine OÜ, handles insurance claims and provides round-the-clock emergency assistance in the Baltic region and elsewhere in Europe.
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Why #5: Founded 2002 · ISO 9001, as stated on its own website, read 29 Sept 2026
Not yet on record: client reviews, vetting.
GoodSense Marketing
Creative · front · Driving · Also in Wellington
GoodSense Marketing is an ethical marketing and communications business that focuses on sustainability.
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Why #6: Founded 2010 · professional accreditation, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.
Integrated IT Solutions
Consumer Products & Services · Business Services · Financial Services
Integrated IT Solutions is an IT services company that builds software, websites and mobile apps and runs digital marketing for clients.
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Why #7 (shared): In business 10+ years, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.
Kaya Systems
Business Services · Financial Services · Information Technology
Kaya Systems is an IT and outsourcing company that sets up sales and marketing automation for clients.
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Why #7 (shared): In business 10+ years · HubSpot partner, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.
Integra Customer Support (A division of Integra Global Solutions Corp)
simple · Security · Also in Asia
Integra Customer Support (A division of Integra Global Solutions Corp) provides outsourced customer service for companies in the USA, UK, Canada and Australia.
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Why #9: In business 22+ years · Team of 1,400+, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.
iMarque Solutions
Medical Billing · Outsourcing · Medical
iMarque Solutions Pvt Ltd is an outsourcing company based in India that provides business process services to clients around the world.
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Why #10: In business 20+ years · Team of 2,700+, as stated on its own website, read 29 Sept 2026
Not yet on record: client reviews, vetting.
Hello Inc.
Hello, Inc. is an American answering service that has been operating since 1923.
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Why #11: Founded 1923, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.
Academy Communications
Social Media Marketing · Also in Ohio
Academy Communications has handled calls for other organisations since 1928, when it began as an answering service.
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Why #12: Founded 1928, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
Frontline Group
Outsourcing · Goals · Accounting
An outsourcing firm handling first-party collections, customer care, back office, payroll and lead generation for businesses
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Why #13: In business 97+ years, as stated on its own website, read 29 Sept 2026
Not yet on record: client reviews, vetting.
Hastings Humans
Consumer Products & Services · Business Services · Real Estate · Also in Hastings and Texas
Hastings Humans is a telephone answering and contact centre company in Austin, Texas.
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Why #14 (shared): Founded 1948 · Family owned, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.
Abbott Answering Service
Medical · Messaging · Manufacturing · Also in Rochester
Abbott Answering Service handles business calls with real operators rather than recorded messages, covering Buffalo, Rochester and Syracuse in New York State.
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Why #14 (shared): Founded 1948, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
Anser-fone
Medical · Personnel · Property
Anser-fone is a telephone answering and inbound call centre business in the intermountain west of the United States, operating since 1952.
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Why #16: Founded 1952, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
Bill Gosling Outsourcing
Business Services · Financial Services · Customer Service
Bill Gosling Outsourcing is a business process outsourcing company that has been running collections and customer contact work since 1955.
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Why #17: Founded 1955, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
Belles Receptionist
Responsive
Belles Receptionist runs a live answering service that picks up calls for businesses at any hour, every day of the year.
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Why #18: Founded 1956, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
Extend Communications
Call Centre · Responsive · Personnel · Also in Canada
Extend Communications runs an inbound call centre and answering service from Ontario, Canada.
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Why #19 (shared): In business 60+ years, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.
Kordia
IT Services · Web Development · Web Design · Also in New Zealand
Kordia designs, builds and maintains critical networks in New Zealand and has done so for more than 60 years.
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Why #19 (shared): In business 60+ years, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
Ding a Ling Answering Services
Ding a Ling Answering Services is a family-run telephone answering service that opened in 1969.
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Why #21: Founded 1969 · Family-run, as stated on its own website, read 29 Sept 2026
Not yet on record: client reviews, vetting.
CCS - Customer Contact Services
Call Center · Outsourcing · Medical
CCS - Customer Contact Services runs outsourced phone and messaging support for organisations ranging from single-doctor practices to very large enterprises.
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Why #22: Founded 1972, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
Call24 Communications
Virtual Assistant · Medical · Scheduling · Also in San Francisco Bay Area and California
Call24 Communications runs a live telephone answering service from Pleasant Hill, California, and has served businesses in the San Francisco Bay Area since 1976.
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Why #23: Founded 1976, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
ESI
IT Services · Cloud · Legal · Also in Virginia and United States
ESI is a Xerox business solutions company serving Virginia, including Virginia Beach, Richmond, Roanoke and Charlottesville.
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Why #24: Founded 1980, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.

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