TLDR; Issues resolved after ISP updated their on-site equipment's firmware and lowered queue limit on the traffic shaper.
After weeks of research, troubleshooting, and monitoring, we feel confident that the issue has been resolved. As per my previous replies, disabling IPS and AMP stabilized performance for a few days before the loss spikes returned at slightly different regular intervals and in some cases worse than before. We attempted to change our DNS away from 8.8.8.8 and instead set it to our ISP's, but that had no discernable effect.
I was able to escalate our ticket with the ISP, and finally was connected with a specialist that genuinely listened to my updates and concerns. Almost immediately he saw glimpses of the loss that nearly every other rep denied existing, and also noticed that their on-site equipment [installed late 2021] was running firmware from 2019. After an overnight firmware update and lowering the queue limit of the traffic shaper (both on ISP equipment), our call quality and stability has been rock solid for over a week now.
Zoom Support also reviewed several logs and packet captures and noted that prior to the aforementioned changes packet loss and latency sporadically reached up to 80%/5000ms, especially on UDP ports 8801-8810.