We re-write this as
$$S_{a,b}(n) = \sum_{k=0}^n (-1)^{n+k} {n\choose k}
(ak+b+n-1)^{\underline{n}} = n! \times a^n.$$
This yields for the LHS
$$\sum_{k=0}^n (-1)^{n+k} {n\choose k}
\sum_{q=0}^n (-1)^{n+q} \left[n\atop q\right] (ak+b+n-1)^q.$$
Now clearly the original LHS is a polynomial of degree $n$ in $a$. We
have the result if we manage to evaluate the coefficients on $[a^p]$
where $0\le p\le n$ which are given by
$$\sum_{k=0}^n (-1)^{n+k} {n\choose k}
\sum_{q=p}^n (-1)^{n+q} \left[n\atop q\right]
{q\choose p} k^p (b+n-1)^{q-p}.$$
This is
$$\sum_{q=p}^n (-1)^{q} \left[n\atop q\right]
{q\choose p} (b+n-1)^{q-p}
\sum_{k=0}^n (-1)^{k} {n\choose k} k^p.$$
With $k^p = p! [z^p] \exp(kz)$ we have
$$\sum_{k=0}^n (-1)^{k} {n\choose k} k^p
= p! [z^p] \sum_{k=0}^n (-1)^{k} {n\choose k} \exp(kz)
\\ = p! [z^p] (1-\exp(z))^n$$
and get for the sum
$$p! [z^p] \sum_{q=p}^n (-1)^{q} \left[n\atop q\right]
{q\choose p} (b+n-1)^{q-p} (1-\exp(z))^n
\\ = p! [z^p] (1-\exp(z))^n
\sum_{q=p}^n (-1)^{q} \left[n\atop q\right]
{q\choose p} (b+n-1)^{q-p}.$$
Observe that $1-\exp(z) = -z - \frac{1}{2} z^2 -\frac{1}{6}
z^3-\cdots$ hence we get zero for $p\lt n.$ For $p=n$ we are left with
$$n! (-1)^n \sum_{q=n}^n (-1)^{q} \left[n\atop q\right]
{q\choose n} (b+n-1)^{q-n}
\\ = n! \left[n\atop n\right] {n\choose n} \times 1
= n!$$
This means that
$$[a^p] S_{a,b}(n) = [[p = n]] \times n!$$
and we have the claim.