This is the procedure:
BUT IT DOESN’T tell you how to assign people to this role to approve or reject! I did it before but I can’t remember where the heck the setting is. It is so hard to find it. Like a needle in a haystack.
This image is how the document looks Pending in the library:
This image is how the person can approve or reject the document.
You need to give the user the Design role on the library containing the item. This link describes setting permissions.