There really wasn't any indication of distress from what people who were there have said.
My recollection from one post is that she was not feeling well. That may not be factual. She ended the dive early (how much/at what point I do not recall) so that in itself is a potential anomaly.
A few years ago on a Cozumel dive we were on the later stages of the dive in relatively shallow water (50 feet?). One woman needed to surface, possibly because she was cold but that is just a guess. It was not an emergency.
I advised the divemaster that I would accompany her to the surface, did a safety stop, verified that there were no approaching boats before she surfaced, then assisted her getting on the boat. It was not a big deal but better that I cut my dive short a little to ensure her safety. I do believe that the divemaster has visibility of our progress.
As someone noted today, there have been a few other "He/She was just there and when I looked again they were gone" fatalities in Cozumel in recent years.
Best recollection follows:
1) Man was seen surfacing (maybe with his buddy). Never seen again
2) Woman from Utah diving with two brothers never seen after they were in a swim through.
3) Woman from cruise ship on Santa Rosa was there one moment, then gone the next.
In general I look for all other divers in my group multiple times during a dive. It won't necessarily prevent a disappearance but might help. It just takes a few seconds to find and count five or six people.