They are identified by a spike of weak reflectivity echoes that extend out from a thunderstorm, and away from the radar site.
The loss of energy due to multiple reflections means weaker return echoes.
[1] Another restriction to detection is that the signal of the radar beam has to do multiple reflections, each time weakening it, and are therefore usually noticeable only in extremely large hailstone cases.
[2] In rare cases more than one hail spike has been documented with a single storm in one volume scan.
Because of their observed accuracy in indicating large hail aloft, TBSS's are used operationally by the National Weather Service to identify thunderstorms that could likely produce large, severe hail.