Educated at home, she did her undergraduate degree at Royal Holloway College, and later an MA in Anglo-Saxon and Frankish studies at the University of London, after a fellowship year in the United States. This degree led to her first book, Local Government in Francia and England, 768–1034 (1912). After teaching at Cheltenham Ladies' College and Royal Holloway, she became a fellow of Girton College, Cambridge in 1921. In 1948 she took up a professorship at Harvard, a position she held until her retirement in 1954.
Cam’s focus was on local administration, as opposed to the constitutional and legal history of the dominant historians of the age, Stubbs and Maitland. Though an admirer of both, she greatly expanded on and revised the work of these men. Her work was of great scholarly value, but she was also able to write successfully for a wider audience, illustrated best by her England before Elizabeth (1950). She also had an interest in historical fiction, expressed in Historical Novels (1961). She strongly resented the whitewashing of particular historical figures, such as Richard III.
In 1945 she was elected to the British Academy, and in the same year she became the first woman to deliver the Raleigh lecture there. She received honorary doctorates from Smith College, Mount Holyoke College, the University of North Carolina, and Oxford. She acted as vice-president both of the Selden Society, and of the Royal Historical Society. In 1957 she was appointed CBE.
- Studies in the hundred rolls: some aspects of thirteenth-century administration, Oxford: Clarendon press, 1921
- The hundred and the hundred rolls; an outline of local government in medieval England, London, Methuen 1930
- Liberties and communities in medieval England: collected studies in local administration and topography Cambridge: Cambridge University Press, 1944.
- England before Elizabeth, London, New York: Hutchinson’s University Library, 1950
- Law as it looks to a historian, Cambridge: W. Heffer 1956
- What of the Middle Ages is alive in England today, London: Athlone press, 1961.
- Historical novels, London: Historical Association, 1961.
- Law-finders and law-makers in medieval England: collected studies in legal and constitutional history, London: Merlin press, 1962.
- Kathleen Major, 'Cam, Helen Maud (1885–1968)', rev., Oxford Dictionary of National Biography, Oxford University Press, 2004 (http://www.oxforddnb.com/view/article/32254, accessed 26 March 2007)
- Encyclopedia of Historians and Historical Writing, Kelly Boyd (ed.), London: Fitzroy Dearborn, 1999, pp. 166–7.
- Euan Taylor, 'Helen Cam, the Academic Life and the Idea of Community' PhD thesis (Darwin College, Cambridge (2000))