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Head of Affinity (Accident & Health)
Location: London
Package: £Negotiable + Bonus + Benefits
The Head of Affinity Accident & Health will lead the strategy, underwriting performance, and growth of Millstream’s Affinity A&H portfolio, with a strong emphasis on travel-related products, embedded insurance solutions, and digital distribution partnerships.
This role will be instrumental in expanding Millstream’s position as a leading provider of white-labelled and embedded insurance propositions, delivering scalable, partner-led solutions across UK markets. The successful candidate will combine deep A&H technical expertise with strong commercial instincts and a proven ability to build and manage high-performing affinity partnerships.
Key Responsibilities
Strategy & Growth
- Define and execute the Affinity A&H strategy, aligned with Millstream’s growth ambitions in travel and personal accident & sickness products.
- Identify and develop opportunities in embedded insurance, digital platforms, and non-traditional distribution.
- Expand Millstream’s presence across UK and selected international markets.
Underwriting & Portfolio Management
- Own underwriting performance for the Affinity A&H portfolio, ensuring profitable and sustainable growth.
- Set underwriting appetite, pricing frameworks, and governance standards.
- Drive portfolio optimisation through data-led insights, monitoring loss ratios, partner performance, and product profitability.
- Maintain strong underwriting discipline aligned with capacity provider expectations.
Affinity Partnerships & Distribution
- Lead the development and management of key affinity relationships, including:
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- Police Federations
- Employee Benefits
- Membership organisations, NGO’s and digital platforms
- Structure and negotiate long-term, scalable partnerships.
- Collaborate with distribution and broker partners to deepen market reach.
Product Development & Embedded Solutions
- Oversee development of travel and A&H products, including:
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- Travel insurance (multi-trip, embedded protection)
- Personal Accident & Sickness
- Ancillary A&H covers
- Assistance-led and value-added propositions
- Drive innovation in API-enabled, embedded products aligned to partner journeys.
Capacity & Market Management
- Work closely with capacity providers to:
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- Maintain strong relationships and confidence in Millstream’s underwriting philosophy
- Secure and optimise capacity for growth
- Ensure alignment on risk appetite and performance expectations
Financial Performance & Governance
- Deliver financial targets including GWP, revenue, and underwriting profitability.
- Provide regular portfolio reporting to senior leadership and capacity providers.
- Ensure compliance with FCA requirements and internal governance frameworks.
Leadership & Team Development
- Lead and develop a high-performing underwriting and portfolio team.
- Embed a commercial, partner-centric and performance-driven culture.
- Strengthen technical underwriting capability alongside innovation and agility.
Key Deliverables / Success Metrics
- Delivery of profitable growth in Affinity A&H portfolio
- Achievement of target loss ratio and combined ratio
- Expansion of high-quality embedded and affinity partnerships
- Strength and stability of capacity relationships
- Team performance, engagement, and retention
Skills & Experience Required
Technical & Market Expertise
- Significant A&H underwriting experience, ideally with travel or affinity focus
- Strong understanding of embedded insurance models and digital distribution
- Experience managing delegated authority or MGA environments
Commercial & Partnership Skills
- Proven track record in building and scaling affinity or embedded distribution partnerships
- Strong negotiation skills and commercial judgment
- Experience working with capacity providers and reinsurers
Leadership
- Experience leading underwriting or portfolio teams
- Ability to influence at senior level internally and externally
- Track record of delivering change, growth, and innovation
Personal Attributes
- Entrepreneurial mindset with strong execution focus
- Data-driven and commercially astute
- Collaborative and partner-oriented
- Adaptable and comfortable in a growth-focused environment
Qualifications
- ACII or equivalent (desirable)
Key Stakeholders
- Chief Underwriting Officer & Executive Team
- Capacity Providers / Insurers
- Distribution & Broker Partners
- Claims & Assistance ProvidersCompliance & Risk
We are an Equal Opportunity Employer. We take pride in the diversity of our team and seek diversity in our applicants.
