Yes, it could make a repeated ticking noise if the cam tensioner is loose or broken. You mentioned you replaced the cam adjuster seals...how long ago? Was the tensioner's condition not noticed or inspected then? What is the duty cycle % of the tensioner at idle and under constant load? Give me that data...the % at idle and again at say; constant 2500 rpm on as flat a road as you can find. Mine has never been replaced at 146k miles and should be somewhere near tired, but I can get my data so you can compare to what mine is...if you want.