Interesting challenge. Not sure why you are posting in the Meraki Community, but my suggestion is to carefully think through and document your troubleshooting methodology to rule out or (rule in) various components (including subjective end user).
It seems you have covered most things, but:
- Have you observed the problem yourself?
- Is it reproducible? i.e. how often does it happen giving you a chance to "catch" the problem.
- Have you enabled call recording or pulled packet captures that may let you listen to the audio stream for further analysis or confirmation of the trouble?
- Have you considered the trouble may be with the other party this user is communicating with?
Good luck.
- Ex community all-star (⌐⊙_⊙)