Ive seen several like that. As novatrapper1 said I think that from fighting...probably that occurs during breeding. My guess is the darker marks are older bites.
I've never seen a tick on an otter and my otter live in tick country. There is a type of spotting that I believe is genetic. Sometime when I get the energy I'll share a photo. But what I see in this pic appears to be old scars. I never see otters fight but females do get bit up on the neck during the rut.
The 2 in the middle are small males all were caught in about 2 week time in different locations if you zoom in the two middle ones have marks all over they were given to me by land owner that got them in his pond.