One way to understand the trace distance is to notice that it equals the (classical) trace distance (also referred to as Kolmogorov distance, see this post for some information about it) maximised over all possible POVMs on the states.
To see this, start from the following expression for the trace distance:
$$D(\rho,\sigma)\equiv\frac{1}{2}\mathrm{Tr}|\rho-\sigma|=\frac{1}{2}\max_U\mathrm{Tr}[ U(\rho-\sigma)],$$
where the maximum is taken over all unitaries $U$.
Being $\rho-\sigma$ Hermitian, the maximum is achieved choosing the unitary
$$U=\sum_{k:\lambda_k\ge0}\mathbb P(\lambda_k)-\sum_{k:\lambda_k<0}\mathbb P(\lambda_k)
=2\sum_{k:\lambda_k\ge0}\mathbb P(\lambda_k)-I,$$
where $\mathbb P(\lambda_k)\equiv|\lambda_k\rangle\!\langle\lambda_k|$, $\lambda_k$ are the eigenvalues of $\rho-\sigma$, and we exploited the fact that the eigenstates of an Hermitian operator form an orthonormal basis for the space. Defining the positive operator $P$ as
$$P\equiv \sum_{k:\lambda_k\ge0}\mathbb P(\lambda_k),$$
we thus see that $D(\rho,\sigma)=\mathrm{Tr}[P(\rho-\sigma)]$ (and one can also show that such $P$ is the positive operator that maximises this quantity while satisfying $P<I$), that is, the trace distance equals the sum of the positive eigenvalues of $\rho-\sigma$.
This expression is nice because, being $P$ a positive operator, it can be interpreted as a measurement. It encodes one possible answer to some question that can be asked to the states (read, an element of a POVM), and $\mathrm{Tr}(P\rho)$ is the probability of getting this answer if the state is $\rho$.
We, therefore, conclude that $D(\rho,\sigma)$ is the maximum difference between the probabilities of getting a given answer when asking a given question to both states. In other words, this tells us how distinguishable the states are: it's the answer to the question among all possible measurements that can be performed on the states, what is the one such that $\rho$ and $\sigma$ give maximally different answers?
Maximisation over Hermitians
To see how the maximisation over Hermitian/positive operators is performed, consider an arbitrary Hermitian operator $Q$. Then, $Q=\sum_k q_k\mathbb P(q_k)$ with $q_k\in\mathbb R$, and
$$\operatorname{Tr}[Q(\rho-\sigma)]=\sum_{j,k} \lambda_j q_k |\langle \lambda_j|q_k\rangle|^2.$$
For a fixed set of eigenvalues $q_k$, it's clear that choosing $|q_k\rangle=|\lambda_k\rangle$ gives the maximum value of the trace: $\sum_j \lambda_j q_j\equiv\langle \boldsymbol\lambda,\boldsymbol q\rangle$.
Without putting further restrictions on the Hermitian $Q$, we can get arbitrarily large values of this quantity. One way to work around this is to restrict to the Hermitians $Q$ such that $\|Q\|_2^2\equiv\operatorname{Tr}(Q^2)\le\|\rho-\sigma\|_2^2$. We can then get a maximum write
$$\max_{\text{Hermitians } Q:\|Q\|_2\le\|\rho-\sigma\|_2}\operatorname{Tr}[Q(\rho-\sigma)]=\sum_k\lambda_k^2=\|\rho-\sigma\|_2^2.$$
This way of restricting $Q$, however, does not give us an expression similar to the original trace distance. A better way is therefore here to simply impose $-1\le Q\le1$, that is, to impose the eigenvalues of $Q$ to satisfy $-1\le q_k\le1$.
With this restriction, $\sum_k\lambda_k q_k$ is maximised with the choice $q_k=\operatorname{sign}(\lambda_k)\equiv\lambda_k/|\lambda_k|$, and we conclude that
$$\max_{-1\le Q\le1}\operatorname{Tr}[Q(\rho-\sigma)]=\sum_k|\lambda_k|=2D(\rho,\sigma).$$
This is telling us that the optimal measurement to distinguish the two states is one that collapses the states in the eigenbasis of $\rho-\sigma$, and assigns value $+1$ to the outcomes corresponding to $\lambda_k>0$ and value $-1$ to the outcomes corresponding to $\lambda_k<0$.
Maximisation over positive operators
If we instead impose the restriction $0\le Q\le 1$, the expression $\sum_k\lambda_k q_k$ is maximised by the choice $q_k=(\lambda_k+|\lambda_k|)/2$ ($q_k=\lambda_k$ when $\lambda_k\ge0$, and $q_k=0$ otherwise).
This gives
$$\max_{0\le Q\le1}\operatorname{Tr}[Q(\rho-\sigma)]=\sum_{k: \lambda_k\ge0}\lambda_k=\frac{1}{2}\sum_k|\lambda_k|=D(\rho,\sigma).$$