7 Oct 2026 · TrustList Editorial
Santé raises $15m Series A for AI point of sale in liquor stores
The New York company says revenue grew five times in 2025 and again this year as it sells to independent wine and liquor retailers.
27 of 77 BPO service companies ranked on evidence in the Q4 2026 edition.
Between them, the 77 BPO service companies on this page cover outsourcing (24), medical (22), insurance (16) and cloud (15). They also list work in United States, Africa, Asia and Middle East. 77 of them have written a profile you can read before you get in touch.
TrustList ranking
Q4 2026 edition
27 of 77 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.

Insurance · Goals · Administration
Insuresoft delivers core systems for the property and casualty insurance industry.
Why #1: In business 30+ years, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Medical · Insurance · Analytics
BillingParadise is a third-party revenue cycle management company handling billing and related operations for hospitals, health systems and physician practices in the US.
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.

Disaster Recovery · Medical Billing · Medical Records · Also in Florida 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.
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.

Software Development · Outsourcing · Cloud · Also in Bucharest
Romanian technology and outsourcing group offering process automation, software development and business process management
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.

simple · Firewalls · 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.
Why #5: 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.

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.
Why #6: In business 60+ years, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
Call Center · Property · Messaging
Answering Innovations is a Madison, Wisconsin, answering service that has provided live telephone answering since 1977.
Why #7: Founded 1977, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
Medical · CRM
BELLSYSTEM24 runs contact-centre-focused business process outsourcing, pairing its operators with AI in what it calls hybrid intelligence.
Why #8: In business 40+ years, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.
Medical · Internet
APLV, short for Answer Plus Las Vegas, has run a telephone answering and telemessaging business since 1987.
Why #9: Founded 1987, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Call Center · Medical · Property
Hartley and Associates is a telephone answering and call centre service based in Santa Rosa, California.
Why #10 (shared): In business 30+ years, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.

Data Security · Outsourcing · Also in Bologna
Linetech Group is an Italian outsourcing company that specialises in customer experience. It runs customer care and sales services for other businesses.
Why #10 (shared): In business 30+ years, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.

B2B Lead Generation · Lead Generation · Insurance · Also in Maryland and North America
Grindstone is a B2B sales support company that generates leads and books appointments for other businesses.
Why #12 (shared): Founded 2003, as stated on its own website, read 29 Sept 2026
Not yet on record: client reviews, vetting.

Lead Generation · Cloud · Goals · Also in Middle East and Africa
Database360 supplies business-to-business data and lead generation for firms selling into Africa and the Gulf.
Why #12 (shared): In business 23+ years, as stated on its own website, read 29 Sept 2026
Not yet on record: client reviews, vetting.

Outsourcing · Tax · Legal · Also in London and Gujarat, India
Doshi Outsourcing handles back-office accounting work for UK accountants and small businesses.
Why #14 (shared): In business 20+ years, as stated on its own website, read 29 Sept 2026
Not yet on record: client reviews, vetting.

Outbound Call Center · Call Center · Customer Service · Also in Alberta
ExpertCallers is a business process outsourcing company running customer support, outreach and back-office work for other firms.
Why #14 (shared): In business 20+ years, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.

Help Desk · Outsourcing · Goals
Global Help Desk Services, Inc., or GHDSi, is an outsourcing company that runs IT help desks for larger businesses.
Why #14 (shared): In business 20+ years, as stated on its own website, read 29 Sept 2026
Not yet on record: client reviews, vetting.
Customer Service · Monitoring · Backup
ITtelligent Consulting is an Australian-owned IT support company with its head office in Melbourne.
Why #14 (shared): Founded 2006, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.
Insurance · Automotive
Calling 24o7 is an outsourced contact centre and BPO provider in India, with its operations in Pune.
Why #14 (shared): In business 20+ years, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Outsourcing · simple
Business process outsourcing firm providing accounting, legal support, real estate and back-office staff to companies worldwide
Why #19: ISO 27001, SOC 2, professional accreditation, as stated on its own website, read 29 Sept 2026
Not yet on record: client reviews, vetting.

Disaster Recovery · Travel · Internet
Krome Integrated Technologies is an IT solutions company in Amman, Jordan, active since 2007.
Why #20: Founded 2007, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.

Outsourcing · Travel · Legal · Also in Lviv and Middle East
BPO Nextdoor is a European business process outsourcing company with operations in Lviv, Ukraine, and newer departments in Poland.
Why #21: Founded 2012, as stated on its own website, read 28 Sept 2026
Not yet on record: client reviews, vetting.

Disaster Recovery · Medical Billing · Medical Records · Also in Florida and Louisiana
ecare India Pvt Ltd is a medical billing and coding company that operates from India for healthcare providers in the United States.
Why #22: ISO 9001, ISO 27001 · Team of 1,500+, as stated on its own website, read 29 Sept 2026
Not yet on record: client reviews, vetting.

Call Center · Live Chat · Outsourcing · Also in Edmonton and United States
Emenac Call Center Services is a contact centre provider with an office in Edmonton, Alberta, Canada.
Why #23 (shared): In business 10+ years, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.

Medical · Monitoring · Partners · Also in Lagos
Health technology company providing electronic medical records, billing and health financing tools to providers in Africa
Why #23 (shared): Founded 2016, as stated on its own website, read 5 Oct 2026
Not yet on record: client reviews, vetting.
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