Des Moines Insures Half the Country by Phone — and Its Own Callers Speak Bosnian and Karen
By Sagar Shankaran, Founder of CallSphere
Des Moines runs on insurance and clinic calls, but Douglas Avenue and the south side dial in Bosnian, Karen, and Spanish. A live phone interpreter closes the gap.
Key takeaways
There are two phone systems in Des Moines. One lives downtown in the towers connected by skywalks, where thousands of people spend all day taking calls about policies, claims, annuities, and benefits for customers scattered across fifty states. The other lives out on the commercial strips — Douglas Avenue on the northwest side, the storefront rows along SE 14th, the little plazas near Merle Hay — where the signs advertise halal groceries, panaderías, Bosnian coffee, and phở, and where the phone behind the counter is answered by whoever is closest to it.
Here is the odd part. The downtown towers, built entirely on the phone call, mostly assume the voice on the other end speaks English. And the city around them long ago stopped making that assumption about itself. Des Moines is home to one of the Midwest's most established Bosnian communities, to Karen and other Burmese families who arrived as refugees and stayed to buy houses and open businesses, to Tai Dam neighbors whose roots in the city go back generations, and to Spanish-speaking families on the east and south sides who keep whole retail corridors running. The customers changed. The greeting didn't.
An insurance town with a hearing problem
You don't have to work in one of the towers to feel this. Think about the independent agencies — the two-desk offices on Army Post Road or out on Euclid that sell auto, home, and small-business coverage to their own neighborhoods. A Bosnian machinist wants to move his family's three cars onto one policy. A Karen couple who just closed on a first house near the fairgrounds needs homeowners coverage and doesn't fully trust the paperwork they were handed at closing. A Salvadoran contractor needs a certificate of insurance faxed to a general contractor by Friday. Every one of those is a phone call, every one of them is revenue, and every one of them gets harder the moment the caller has to perform their request in a second language while a busy agent guesses.
An insurance office that can actually hear those calls — in the caller's own words, with the details right the first time — doesn't just close more policies. It stops the quiet churn of customers who signed up in person with a bilingual friend's help and then drifted away because every service call afterward felt like an exam.
What joins the call, and what it sounds like
CallSphere's Live Interpreter is a second voice on the same phone line. The caller speaks Bosnian; the agent hears the sentence in English a few seconds later. The agent replies in English; the caller hears it in Bosnian. It works both directions for the whole call, covers more than 57 languages, and can open the call by asking the caller which language they'd like to use. Nobody downloads anything, nobody gets a new number, and nobody's nephew has to leave work to translate a deductible.
Hear it before you finish reading
Talk to a live CallSphere AI voice agent for healthcare in your browser — 60 seconds, no signup.
Here's a call that happens somewhere on Douglas Avenue every week, done right:
flowchart TD
A[New arrival calls a Douglas Avenue agency about first car coverage speaking Karen] --> B[Live Interpreter offers a language choice and she picks Karen]
B --> C[Agent hears her questions in English including the down payment worry]
C --> D[Agent explains liability versus full coverage in plain English]
D --> E[She hears every option in Karen and picks one with confidence]
E --> F{Documents ready today?}
F -->|Yes| G[Policy bound on the call and ID cards texted over]
F -->|No| H[Follow-up call scheduled with the same interpreter voice]
Notice what's missing: the long hold while someone hunts for a translation app, the co-worker pulled off another call, the caller giving up and saying "okay, okay" to things she didn't understand. That last one matters most in insurance, where "okay" to the wrong coverage surfaces at the worst possible moment.
Clinics from Ingersoll to the south side
The same gap runs through the city's exam rooms. Des Moines clinics and practices see patients whose appointments were made by a teenager calling on behalf of a parent — a workaround so normal that front desks stop noticing it. But a scheduling call relayed through a fifteen-year-old loses things: which symptom came first, which medication ran out, whether the pain is new or old. With a live interpreter on the line, the parent books their own appointment, in Karen or Bosnian or Spanish, and the desk gets the details straight from the source. Dental offices, physical therapy practices, and counseling offices all take the same kinds of calls, and all of them lose patients they never knew existed when the first call goes badly.
Banks, credit unions, and the Friday paycheck
Des Moines' other phone business is money. Credit unions and financial-services offices across the metro field daily calls about car loans, wire transfers, first mortgages, and why a card got declined at the worst moment. These are precisely the calls people prefer to make in their strongest language — nobody wants to negotiate a loan payoff in vocabulary they learned last year. The institutions that answer those calls well earn something better than a transaction: they become the place a whole extended family banks.
Try it before you staff for it
Explore a live demo and compare current plans to find the right fit for your business.
Still reading? Stop comparing — try CallSphere live.
See the healthcare AI agent handle a real call — complete, industry-specific, and live in your browser. No signup.
Frequently asked questions
Do Bosnian and Karen actually work, or just the big languages?
The Live Interpreter covers more than 57 languages, and the mix Des Moines actually needs — Bosnian, Karen and Burmese, Spanish, Lao, Vietnamese, Arabic — is exactly the kind of range it was built for. The honest advice is to test your own mix first: open the demo on the homepage, speak the languages your callers use, and judge the result yourself before you put it on a real line.
We're an independent agency with two people. Is this built for us?
It's built exactly for you. Big carriers have language departments; a two-desk office on Euclid has whoever picked up. At $49 a month after the pilot, the math works if it saves you a handful of calls a year — and most agencies in multilingual neighborhoods lose more than that every month without ever knowing.
Does the caller need an app or a special number?
No. Your customers dial the same number they always have. The interpreter joins the call itself, asks which language the caller prefers, and gets to work. From the caller's side it just sounds like your office finally speaks their language.
What happens when we're closed or on the other line?
The interpreter pairs with CallSphere's AI receptionist, which answers when nobody can, takes messages, books appointments, and captures the caller's information — in the caller's language. Monday morning you get the details in English instead of a voicemail nobody on staff can play back and understand.
How do we know the interpretation is right on something as picky as coverage terms?
The interpreter translates what's said, both directions, in plain language — and because both sides hear everything, misunderstandings surface immediately instead of at claim time. For legally binding documents you'll still follow your usual written process; what changes is that the conversation around them finally works.
What does it cost after the trial?
Explore a live demo and compare current plans to find the right fit for your business.

Written by
Sagar Shankaran· Founder, CallSphere
LinkedInSagar Shankaran is the founder of CallSphere, where he builds production AI voice and chat agents deployed across healthcare, hospitality, real estate, and home services. He writes about agentic AI, LLM engineering, and shipping voice agents that handle real calls in production.
Try CallSphere AI Voice Agents
See how AI voice agents work for your industry. Live demo available -- no signup required.